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2018 Annual Reports Of The Town Officers Of The Town Of Canterbury, New Hampshire Comprising Those Of The Selectmen, Treasurer, Town Clerk, Tax Collector, Library Trustees, Trustees Of The Trust Funds, Planning Board, Board Of Adjustment, Conservation Commission, Cemetery Trustees, Energy Committee, Historical Society, Police, Fire, Historic District Commission, Town Administrator, Building Inspector, And Highway Departments., Canterbury Town Representatives

Canterbury, NH Annual Reports

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

Bow Lake, Cooperative Extension

UNH Cooperative Extension

No abstract provided.

No Lack Of Beds: Sanitationism, Gender, And Hospital Spaces In The Victorian Novel, Elizabeth Sheckler

Doctoral Dissertations

ABSTRACT

NO LACK OF BEDS:

SANITATIONISM, GENDER, AND HOSPITAL SPACES IN THE VICTORIAN NOVEL

by Elizabeth Sheckler

University of New Hampshire

May 2019

The Victorians wrote extensively about the changes in medical practice between 1800

and 1910, both in public discourse and through their fiction. As a result, Victorian scholarship

often includes medicine. While approaches are varied, they are typically either concerned with

diseases, character models (like doctors), or medical interventions alongside other public

institutions (public health).

Scholars in interdisciplinary fields as well as in Victorian literature have written on medicine in the nineteenth century, including both historiographies on topics …

I. The Binding Of Cu(Ii) And Zn(Ii) To Poly-N-Isopropylacrylamide And Its Effects On The Phase Transition And Ii. The Synthesis And Characterization Of Nickelalactones Chelated By P-N-P Pincer Ligands, Luke Aaron Fulton

Doctoral Dissertations

The responsive material poly-N-isopropylacrylamide phase-transitions from hydrophilic to hydrophobic conformations above 32 °C in aqueous media. Researchers have successfully tied that responsive behavior to other dissolved species such as pH, metal concentrations, and even glucose concentration. From our interests in developing sensor technologies we ascertained that direct interactions between metal ion and polymer had received little to no attention. Our investigations into this literature gap discovered that dissolved metal ion only slightly shifts the lower critical solution temperature. However, metal ion greatly increases the size of polymer aggregates, and is found to bind directly to the polymer. We present a …

The Purpose And Value Of Agricultural Experiment Stations Today: A Perception Study Of The Directors Of State Agricultural Experiment Stations, Lori Wright

Doctoral Dissertations

This study investigates the dynamic relationship of the purpose and value of state agricultural experiment stations today as perceived by a sample of the directors of state agricultural experiment station in the United States funded by the Hatch Act of 1887. State agricultural experiment stations are a fundamental component of the land-grant university system; they are the original model and the first centers for applied research at most flagship state land-grant research universities in the United States (Kerr, 1987; Knoblauch, 1962). The purpose of state agricultural experiment stations has evolved since their inception as new agricultural issues have arisen, new …

Forecasting Vibrio Parahaemolyticus In A Changing Climate, Meghan Ann Hartwick

Doctoral Dissertations

The distribution, transmission and adaptation patterns of infectious diseases are changing worldwide. Though there are many potential mechanisms that can transmit infectious agents to new areas, the ability of pathogens to persist in new locations can be largely attributed to changing climate conditions, especially in temperate regions. Vibrio parahaemolyticus, a naturally occurring bacteria in most marine and estuarine systems, provides a model example of these globally observed climate-related changes to disease dynamics that are occurring locally in the Northeast, US. Like many Vibrio species, pathogenicity in human hosts is believed to be limited to a subset of strains, whereas the …

The Role Of Replication Protein A Large Subunit Family In Pathogen-Induced Dna Damage In Arabidopsis Thaliana, Nancy Lynn Fernandes

Doctoral Dissertations

The DNA of every organism is under continuous attack from both environmental agents, errors in DNA replication, and reactive oxygen species produced from cellular metabolism. The preservation of genome stability and integrity is essential to counteract threats to genome integrity. Eukaryotic organisms have evolved a complex set of mechanisms to sense DNA damage and initiate repair of the damage or death of the cell, collectively called the DNA damage response (DDR).

One of the main causes of detrimental DNA damage is due to microbial pathogens, both in mammals and in plants. In humans Escherichia coli, Helicobacter pylori and Pseudomonas aeruginosa …

Fatigue Assessment Of Complex Structural Components Of Steel Bridges Integrating Finite Element Models And Field-Collected Data, Maryam Mashayekhizadeh

Doctoral Dissertations

Fatigue damage in welded structural steel components has a complex presentation, which is influenced by the geometric configuration of the component and load path in a structural system. The classic fatigue assessment methods, using nominal stresses and S-N curves, may not capture nor predict the complicated performance of the component with respect to fatigue. Recent novel complex steel structural connections that experience multi-axial behavior or do not fit any conventional fatigue categories are not explicitly addressed in the existing fatigue design codes. An ideal fatigue estimation for the complex structural components is dependent on a thorough understanding of structural performance …

Assessing Potential Impacts Of Climate Change On American Lobsters (Homarus Americanus) With Novel Tools And Techniques, Benjamin C. Gutzler

Doctoral Dissertations

The Gulf of Maine is currently experiencing rapid environmental changes, in the form of warming temperatures, increasing acidity, and a benthic ecosystem that is dominated by the American lobster (Homarus americanus) as the sole major predator and most significant fishery. The overall goal of my dissertation research was to investigate how the increased stress from warmer, more acidic, waters might impact individual lobsters, and thus lobster populations. To address this overall objective it was necessary to develop novel methods for investigating lobster behavior and reproduction, a theme that will run throughout this dissertation. In Chapter Two, I developed a new …

Agrobiodiversity For Pest Management: An Integrated Bioeconomic Simulation And Machine Learning Approach, Talha Siddique

Master's Theses and Capstones

A pressing challenge of modern agriculture is to develop means of decreasing the negative impacts of pesticides while maintaining low pest pressure and high crop yield. Certain crop varieties, especially wild relatives of domesticated crops, provide pest regulation ecosystem services through chemical defense mechanisms. Benefits from these ecosystem service can be realized by intercropping cash crops with repellent wild varieties to reduce pest pressure. An opportunity cost exists, however, which consists of lower yield and market value. Such is the case of heirloom apple varieties that are more resistant to the codling moth but have a lower market value compared …

Swains Lake, Cooperative Extension

UNH Cooperative Extension

No abstract provided.

Characterization Of Hsp90 Subpopulation Conformations Targeted By Inhibitors And The Effect Of Phosphorylation On Hsp90’S Association With Co-Chaperone And Client Proteins, Daniel T. Thornton

Master's Theses and Capstones

Heat shock protein 90 (Hsp90) is a highly conserved and dynamic molecular chaperone protein important for regulating protein activity and interactions in cellular signaling and adaptive stress responses. As a key regulatory protein, Hsp90 is often manipulated by cancer cells to enhance tumorigenic cell growth and even exists in some tumors as a multimeric complex called the “epichaperome.” With its linked role in cancer proliferation, Hsp90 serves as a promising cancer therapeutic target, with many Hsp90 inhibitors developed including geldanamycin and PU-H71. With limited information existing regarding epichaperome formation and structure, this study seeks to investigate potential regulatory mechanisms for …

The Effect Of Meloxicam On The Ability Of Neonatal Dairy Calves To Absorb Igg Provided By Colostrum Replacer, Meaghan O.C. Clark

Master's Theses and Capstones

The objective of this study was to determine the effect of meloxicam, administered either in pill form immediately prior to colostrum replacer (CR), or powder form, mixed in solution with CR, on the immunoglobulin G (IgG) uptake, growth, and health of pre-weaned calves. A pilot study considering the potential benefits of meloxicam in pre-weaned heifers indicated administration of the drug following difficult parturition improved body weight (BW) and overall health, but was not associated with passive transfer of immunity (Murray et al., 2015). However, calves from this study were sampled from 10 commercial farms, and therefore, treatment administration was inconsistent, …

Sodium Butyrate And Monensin Supplementation To Post-Weaned Heifer Diets: Effects On Growth Performance, Nutrient Digestibility, And Health, Tess Catherine Stahl

Master's Theses and Capstones

Much of the research on sodium butyrate (SB) has been conducted with pre-ruminant calves. Previous research with post-weaned calves was shown to be beneficial. The objective of this study was to compare sodium butyrate to monensin (MON) on the growth, digestibility, and health of post-weaned heifers. Forty Holstein dairy heifers with a mean age of 84.2 d ± 1.2 d (mean ± SD) and average body weight (BW) of 99.78 kg ± 10.77 (mean ± SD) were housed in a naturally ventilated freestall barn. Heifers were blocked by birth date and randomly assigned to 1 of 4 treatments in a …

Deliberative Multiattribute Valuation Of Ecosystem Services Across A Range Of Regional Land-Use, Socioeconomic, And Climate Scenarios For The Upper Merrimack River Watershed, New Hampshire, Usa, Mark E. Borsuk, Georgia Mavrommati, Nihar R. Samal, Shantar Zuidema, Wil Wollheim, Shannon Rogers, Alexandra M. Thorn, David Lutz, Madeleine Mineau, Curt Grimm, Kevin Gardner

Faculty Publications

We evaluate the relative desirability of alternative futures for the upper Merrimack River watershed in New Hampshire, USA based on the value of ecosystem services at the end of the 21st century as gauged by its present-day inhabitants. This evaluation is accomplished by integrating land-use and socioeconomic scenarios, downscaled climate projections, biogeophysical simulation models, and the results of a citizen-stakeholder deliberative multicriteria evaluation. We find that although there are some trade-offs between alternative plausible futures, for the most part, it can be expected that future inhabitants of the watershed will be most satisfied if land-use planning in the intervening years …

2018 Annual Town Report Lempster, New Hampshire., Lempster Town Representatives

Lempster, NH Annual Reports

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

Bill To Restrict Indoor Tanning For Minors In The State Of Maine, Jamie M. Lowery

DNP Scholarly Projects

Background: Melanoma is the deadliest and the most common type of cancer in individuals age 15 to 29. Evidence has shown that ultraviolet radiation overexposure at younger ages significantly increases the risk of developing non-melanoma and melanoma skin cancer in later years. Despite these concerns, approximately 1.6 million minors under the age of 18 participate in the use of indoor tanning devices annually. The high prevalence of skin cancer in the United States continues to be a public health issue that warrants continued preventative and regulatory action. In spite of the health risks associated with indoor tanning, the state of …

A Pilot Of Emergency Department-Initiated Buprenorphine For Opioid Withdrawal And Opioid Use Disorder: A Quality Improvement Project, Jason Lucey

DNP Scholarly Projects

Background: Emergency department (ED) visits for opioid related visits have increased dramatically during the opioid epidemic. Buprenorphine is an evidence-based therapy for treating opioid use disorder (OUD) and withdrawal. Unfortunately, lack of access to pharmacotherapy for OUD, including buprenorphine, remains a challenge. Research supports ED-initiated buprenorphine as a practical, cost-effective strategy which engages patients in treatment better than non-pharmacologic alternatives.

Purpose: The aims of this improvement project were to 1) develop a pilot process in an ED for providing buprenorphine to patients in opioid withdrawal or for OUD; 2) recruit and train a cohort of ED staff on the process; …

Quality Improvement On The Long-Term Care Ventilator Unit: Interventions To Increase Patient Safety And Prevent Patient Harm, Billie Anderson, Joanne Samuels

DNP Scholarly Projects

BACKGROUND: Tracheostomy patients are susceptible to life-threatening emergencies when their airways are compromised. Epidemiologic data suggests that 3.2% to 30% of tracheostomy patents have a complication. The long-term care ventilator unit (LTCVU) is a 25-bed unit in a nursing home. It has noted that 40% of patients have a complication. A group of hospitals demonstrated a 90% reduction in complications through five interventions.

METHODS: The Johns Hopkins Nursing Evidence-Based Practice model was utilized to take the Global Tracheostomy Collaborative interventions and apply them to the LTCVU with the aim of reducing the number of airway complications on the unit by …

Engaging Persons With Mental Illness And/Or Substance Use Disorder In Care Coordination Services: An Improvement Project At A Federally Qualified Community Health Center, Elizabeth A. Hale

DNP Scholarly Projects

Background: Mental health and substance use disorders seldom occur in isolation. They frequently accompany each other, as well as a substantial number of chronic general medical illnesses. Consequently, mental health conditions, substance-use disorders, and general health conditions are frequently co-occurring, and coordination of all of these types of health care is essential to improved health outcomes (Institute of Medicine, 2006). The U.S. system of healthcare is failing to identify, engage, and effectively treat people who are suffering from behavioral health conditions (Blanco, Coye, Knickman, Krishnan, Krystal, Pincus, Rauch, Simon, Vitiello, 2016). Because of poor coordination and lack of engagement, …

Electronic Reminders To Improve Medication Adherence In Diabetes: A Quality Improvement Project, Lisa Wilson

DNP Scholarly Projects

BACKGROUND: Diabetes often contributes to many co-morbid conditions and their complications. Non-adherence to medications is common in patients with chronic disease. The project aimed to improve medication adherence through the implementation of electronic messaging. The project was set in a private medical practice within a critical access hospital. Participants were patients of the practice with diabetes.

METHODS: Baseline assessment included review and documentation of HgBA1cs, prescription requests, and past medical history. The development of an intervention to improve medication adherence utilizing electronic reminders was based on Bandura’s (1989) Social Cognitive Theory and Ajzen’s (1991) Theory of Planned Behavior.

INTERVENTION: The …

Health Risks Of Firearm Ownership: A Patient Screening And Education Intervention, Aaron Kahn

DNP Scholarly Projects

BACKGROUND

There is significant health risk associated with firearm ownership. To address this risk a primary care-based intervention was designed and implemented to screen for firearm ownership, educate patients on the risks of gun ownership, and provide patients with resources for reducing associated health risks.

METHODS

A mixed methods study design was employed. Four primary care providers (PCP) practicing in family health volunteered to participate in this intervention. Focus groups with participating PCPs were conducted prior to the intervention to solicit recommendations for intervention protocol and assess participating PCPs current understanding of the health risks of firearm ownership, and after …

Utilizing Telecommunication To Provide Patient Centered Care For Adults Newly Diagnosed With Gi Cancer: A Quality Improvement Project, Laurie Miller

DNP Scholarly Projects

INTRODUCTION: A confirmed diagnosis of GI Cancer causes anxiety and stress as patients become overwhelmed with questions, worries and fears. At diagnosis, patients are not yet formally connected to the support services available to those actively receiving chemotherapy, creating a “gap period”. To help reduce anxiety, as well as, foster therapeutic relationships and improve overall patient experiences, a structured telephone communication by the gastrointestinal cancer oncology nurse practitioner (GI NP) was proposed.

AVAILABLE KNOWLEDGE: Reduction of anxiety has been shown to enhance the quality of life, increase compliance with a prescribed treatment plan and foster the ability to sign informed …

Mentoring Nursing Leaders To Foster Frontline Accountability And Engagement In Continuous Performance/Process Improvement Through The Utilization Of Team Huddles And A Huddle Board, Brandon L. Buckingham

DNP Scholarly Projects

BACKGROUND: Establishing a connection for staff between the work being done and the associated implications and outcomes on patient safety and quality care delivery is not often a simple task for any nursing leader. Team huddles and huddle boards aim to establish and foster frontline accountability and engagement for continuous process and performance improvement. The setting of the project was a 17-bed acute care inpatient unit specializing in neurosciences within an academic medical center. Participants included nursing leaders and staff of the unit.

METHODS: Consultation and mentorship in conjunction with standard work were utilized for this project. The intervention was …

Improving Emergency Department Nurses' Self-Perceived Self-Efficacy In Early Recognition Of Patients In A Mental Health Crisis, Mary Kay Silverman

DNP Scholarly Projects

Abstract

The two largest counties within Southwest Florida (SWFL) are Lee and Collier where mental health evaluations for children under the state’s Baker Act have more than doubled between 2011 and 2017 (Gluck & Zeitlin, 2019, p. 4). Given the marked increase in mental health evaluations, early recognition, assessment with initiation of treatment by nurses in the pediatric emergency department (ED) who present with behavioral health complaints must be a priority for emergency department leaders. Purpose: This quality improvement (QI) project proposed to improve a nurses’ self-efficacy through expanding knowledge in the recognition and identification of the signs and symptoms …

Acoustic Methods For Mapping And Characterizing Submerged Aquatic Vegetation Using A Multibeam Echosounder, Ashley Rose Norton

Doctoral Dissertations

Submerged aquatic vegetation (SAV) is an important component of many temperate global coastal ecosystems. SAV monitoring programs using optical remote sensing are limited by water clarity and attenuation with depth. Here underwater acoustics is used to analyze the water volume above the bottom to detect, map and characterize SAV. In particular, this dissertation developed and applied new methods for analyzing the full time series of acoustic intensity data (e.g., water column data) collected by a multibeam echosounder. This dissertation is composed of three separate but related studies. In the first study, novel methods for detecting and measuring the canopy height …

“Taken To Vt. State Hospital”: Localizing The History Of Mental Health Institutions, A Study Of The Vermont State Asylum For The Insane, 1891-1912, Alecia Bassett

Master's Theses and Capstones

ABSTRACT

“TAKEN TO VT. STATE HOSPITAL”:

LOCALIZING THE HISTORY OF MENTAL HEALTH INSTITUTIONS,

A STUDY OF THE VERMONT STATE ASYLUM FOR THE INSANE, 1891-1912

By

Alecia Bassett

University of New Hampshire, December 2019

Often, the term “insane asylum,” invokes a macabre image of a crowded, outdated institution that does not so much care for its patients as secludes them from society. This popularized notion about care for the mentally ill in the many decades before contemporary medicine, is, as often times is the case, based in both fact and fiction. Institutional demands, such as overcrowding, forced many asylum administrators to …

Introduction To Trauma-Informed Integrated Care With The Nh Behavioral Health Integration Learning Collaborative, Jeanne Ryer, Felicity Bernard, Michael Skinner, Becky Parton, Janet Thomas, Lisa Dibrigida, Peter Fifield, Veronica Triaca

All Materials

No abstract provided.

Trauma-Informed Integrated Care In Practice - Panel Discussion, Janet Thomas, Lisa Dibrigida, Kerry Nolte

All Materials

No abstract provided.

A Quick Guide To Getting Help And Coverage For Substance Use And Mental Health Care Services, Institute For Health Policy And Practice

All Materials

No abstract provided.