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Annual Report For The Town Of Bridgewater, New Hampshire For The Fiscal Year Ending December 31, 2023., Bridgewater Town Representatives

Bridgewater, NH Annual Reports

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

2023 Milton Annual Town Report., Milton Town Representatives

Milton, NH Annual Reports

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

The Town Of Meredith, New Hampshire 2023 Annual Report For The Fiscal Year Ended December 31, 2023., Meredith Town Representatives

Meredith, NH Annual Reports

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

Annual Comprehensive Financial Report Of The City Of Laconia, New Hampshire, Fiscal Year Ended June 30, 2023, Laconia Town Representatives

Laconia, NH Annual Reports

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

Gaza’S Children Are Burying Each Other: The Commemoration Of Palestine’S Martyred Children, Morgan Eames

Spectrum

No abstract provided.

Town Of Lincoln, New Hampshire 2023 Annual Report., Lincoln Town Representatives

Lincoln, NH Annual Reports

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

Enhancing Inpatient Sleep Quality In Patients On An Intermediate Care Unit Through Healthcare Staff Education: A Quality Improvement Project, Avery B. Drouin

Master's Theses and Capstones

Background

In the Intermediate Care Unit (IMCU), patients often suffer from poor sleep quality due to continuous overnight care and inherent hospital environment noise. Poor sleep can adversely affect recovery, especially for cardiac patients, who constitute a significant portion of the IMCU population. Improving sleep quality in these patients is essential for their recovery and overall well-being.

Local Problem

Despite the importance of adequate sleep, only 47% of patients in the hospital that houses the microsystem reported a quiet environment at night using the Hospital Compare online survey platform. Disruptions from alarms, phones, and care activities significantly impact sleep quality, …

Improving The Postpartum Depression Discharge Education To Increase Quality And Safety Of Care: A Quality Improvement Initiative, Amanda Lucia

Master's Theses and Capstones

Background: Postpartum depression (PPD) is the most prevalent psychological condition to affect mothers following childbirth which can have detrimental consequences on the physical and mental health of the mother, child, and spouse (Wang et al., 2021). Globally, postpartum depression affects 17.2% of the world population, and in the United States 1 in 8 women who recently gave birth reported symptoms of PPD, and 1 in 10 women reported experiencing a major depressive episode within a year following delivery (CDC, 2023). Patients’ spouses and family members are in a unique position to identify early manifestations of PPD which can lead to …

Annual Reports Of The Town Of Seabrook, New Hampshire For Year Ending December 31, 2023 As Compiled By Town Officers., Seabrook Town Representatives

Seabrook, NH Annual Reports

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

2023 Annual Report Town Of Springfield, New Hampshire., Springfield Town Representatives

Springfield, NH Annual Reports

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

Annual Report For The Town Of Bedford, New Hampshire For The Year Two Thousand Twenty Three., Bedford Town Representatives

Bedford, NH Annual Reports

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

Epsom, New Hampshire Annual Town Report For The Year Ending December 31, 2023., Epsom Town Representatives

Epsom, NH Annual Reports

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

Annual Reports Hart's Location, Nh School Year Ending June 30, 2023, Town Year Ending December 31, 2023., Hart's Location Town Representatives

Hart's Location, NH Annual Reports

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

Annual Report For The Town Of Hollis, New Hampshire For The Year Two Thousand Twenty Three, Annual Reports Of The Officers And Committees Of The Town Of Hollis, New Hampshire For The Year Ending December 2023, With Reports Of The Hollis School District And The Hollis Brookline Cooperative School District., Hollis Town Representatives

Hollis, NH Annual Reports

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

Burning Issues: An Analysis Of Penguin Random House's ‘The Unburnable Book' Campaign, Jacqueline Law

Comm-entary

This essay delves into the intricacies of a public relations endeavor launched by Penguin Random House LLC in collaboration with renowned author Margaret Atwood. The campaign, known as “The Unburnable Book,” aimed to spotlight the rising prevalence of book banning and censorship in America while supporting PEN America's mission to safeguard free speech. Through the creation and auction of a fireproof edition of Atwood’s iconic novel “The Handmaid’s Tale,” Penguin Random House supported its own corporate social responsibility initiatives as well as its mission and values. This analysis provides a comprehensive examination of the campaign's conception, execution, and impact, shedding …

One Hundred Forty-Seventh Annual Report, Town Of Easton, New Hampshire, Year Ending December 31, 2023., Easton Town Representatives

Easton, NH Annual Reports

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

Town Of Sunapee Annual Report For The Year Ending December 31, 2023., Sunapee Town Representatives

Sunapee, NH Annual Reports

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

Legalization, Medical Exemptions, And Decriminalization Of Marijuana Laws. An Exploratory Study Of Campus Police Officers’ Perceptions And Policing Practices In Response To New Marijuana Laws, Eric Kulberg

Doctoral Dissertations

This dissertation is an exploratory study of how campus police officers perceive and respond to the changes in marijuana laws. It focuses on campus police departments in states that have passed marijuana laws that fit into one of three categories of laws: – the legalization of marijuana, a medical exception to the use of marijuana, and the decriminalization of marijuana for possession of small amounts. Because of its exploratory nature, this research focuses on campus police departments at each state’s flagship institutions that have passed legislation that fits into one of the three categories of laws. Lipsky’s theory of street-level …

Integrating Behavioral Health Into Family Medicine: Improving Access To Specialty Care Using A Collaborative Care Model, Christina Stephens

DNP Scholarly Projects

Primary care, an extensive of family medicine remains a key access point for patients entering the healthcare system. Accessing medical care and specialty psychiatric services is limited in rural communities. Patients often find exhaustive wait times, untimely referrals, and reliance on emergency services for crisis management. The primary care provider is able to help their community improve access to behavioral health care by using a collaborative approach. This quality improvement initiative used the framework produced by the AIMS Center at the University of Washington and adopted for use creating an 8-week intensive program in a family medical practice located in …

Integrating Behavioral Health Into Family Medicine: Improving Access To Specialty Care For Medically Underserved Community Using A Collaborative Care Model, Christina M. Stephens

DNP Scholarly Projects

Primary care, an extension of family medicine remains a key access point for patients entering the healthcare system. Accessing specialty psychiatric services can be limited in rural communities due to provider shortages and geographical constraints. Primary care providers can facilitate improved access to behavioral health services by introducing a collaborative approach to the traditional medical model. This quality improvement initiative adopted the collaborative care model originally produced by the University of Washington to treat common mental health conditions in the medical setting (2023). A team consisting of a primary care provider, behavioral health case manager and psychiatric consultant served nine …

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. …

Tbp1: An Essential Regulator Of Transcription In Toxoplasma Gondii, Robert Kelly

Master's Theses and Capstones

Transcription is well-conserved across eukaryotes, lending itself to countless studies in model organisms. Still, some early-diverging eukaryotes, such as Apicomplexans, continue to deviate from canonical gene expression. One such Apicomplexan is the single-celled parasite, Toxoplasma gondii. Toxoplasma maintains many elements of conventional eukaryotic transcription but demonstrates a relatively short 8-hour replication time. This suggests that transcription is tightly regulated in these parasites, consistent with their ability to differentiate between life stages per the demand of the host environment. Transcription initiation has, however, remained elusive in Toxoplasma. The formation of a preinitiation complex (PIC) has not been characterized as the parasites …

‘Routines’ And ‘Formulaic Language’ In Conversation Analysis, Danielle 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 …

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) …

Using Education To Improve Glycemic Management Within An Emergency Department, Rebecca Olson

Master's Theses and Capstones

Background: Patients with diabetes mellitus (DM) frequently visit acute care facilities for a variety of reasons. Proper management of this comorbidity increases patient safety, satisfaction, and quality care. Patients with persistent dysglycemic events in acute care facilities have an increased risk of complications and death during their stay. Lack of education can contribute to gaps in proper management within this population and therefore must be improved for better patient outcomes.

Methods: The Plan-Do-Check-Act design from the A3 Problem Solving model was used to guide a quality improvement project which focused on improving staff education and confidence surrounding glycemic management. The …

Acuity-Based Models Of Care: Improving Wait Times And Efficiency In An Outpatient Infusion Center, Jordan Lavallee

Master's Theses and Capstones

Background: Timeliness is a crucial aspect of high-quality care, yet remains a common issue faced by many outpatient infusion settings leading to patient dissatisfaction and potential negative outcomes.

Local Problem: At a 28-chair community infusion center, results from patient satisfaction surveys as well as chart audits highlighted suboptimal wait times and efficiency. 32% of patients were dissatisfied with wait times ranging from 23 to 40 minutes based on the therapy received.

Methods: A quality improvement project was conducted aiming to decrease the average wait time of patients receiving short therapies while increasing patient satisfaction. After a thorough review of the …

Incorporating Educational Interventions To Improve Nursing Adoption Of Electronic Medical Record Technology: A Quality Improvement Project, Andrew Oratovsky

Master's Theses and Capstones

Background: Use of Electronic Medical Records (EMRs) has become the standard for medical information management and exchange amongst acute care hospitals in the United States. The Epic® electronic medical record has been identified as a popular EMR software for adoption by many healthcare organizations. Associated with the adoption of this technology is a large investment in training medical professionals on its specific processes.

Local Problem: In the outpatient, primary care setting of a hospital in New England, the adoption of Epic® has come with much fear and resistance regarding the ability of nursing staff to efficiently learn and …

Utilizing Gsk3beta And Integrin Inhibitors To Target Stat3 Activity In Triple Negative Breast Cancer, Emily Anne Pratt

Master's Theses and Capstones

Triple negative breast cancer (TNBC) is the most aggressive subtype of breast cancer associated with poor prognosis and characterized by increased rates of proliferation and metastasis. TNBC gets its name due to the lack of the three receptors commonly found in other breast cancer types: estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor 2 (HER2). Breast tumors expressing these receptors can be treated with hormonal therapies, but TNBC tumors will not respond to such treatments and are therefore more difficult to treat. To circumvent this, targeted therapies that inhibit proliferation and migration are of great research …

Implementing Of An Informative Poster To Improve Nurse Job Satisfaction In A Medical Surgical Microsystem: A Quality Improvement Project, Stephanie E. Mahoney

Master's Theses and Capstones

Background: Nurse job satisfaction is important since the quality of patient care directly depends on the staff and their willingness to continue working. Traditional approaches used in yearly surveys may cover only some aspects that upset nurses, such as workload and training. This project was designed to overcome these limitations by presenting a more extensive and often-used procedure to assess and solve issues regarding the satisfaction level of registered nurses.

Method: In the quality improvement project, data on job satisfaction using the Acute Care Nurses Job Satisfaction Scale (ACNJSS) was collected on job interest, colleague support, recognition, workload, …

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, …