Digital Commons Network^™

Student Perspectives On The Adequacy Of Mental Health Curriculum Within The College Of Health And Human Services At Unh, Brianna Lee Meyer

Honors Theses and Capstones

This study aims to understand the confidence students in future healthcare oriented majors feel in regards to treating or interacting with individuals with mental health conditions. It also aims to understand the effect of students' in-major education, outside-major education, and lived experience on this confidence level. Students within the College of Health and Human Services at UNH were the participants who completed a short Qualtrics survey online. The survey collected data from Likert scales and short-answer questions. The Likert scales were then analyzed with a regression and descriptive statistics, while the short-answer questions were analyzed with thematic analysis. The study …

Defensive Impact Wins: Developing A New Method To Rate Individual Defense In Nba Games, Dylan J. Stiles

Honors Theses and Capstones

With the analytics revolution in sports in the past 20 years, it seems that everything that can be quantified is. In basketball though, trying to break the game down into a set of numbers comes with a unique problem. While we've come up with a good set of advanced numbers to measure offensive efficiency, defense is fundamentally harder to quantify. The game is played five on five, but it has often been popular or convenient to model defense as a set of five one on one games. As defenses became more complex into the 2010s, this methodology became more insignificant. …

Understanding Large Accounting Firm Perceptions On The Decline Of Accounting Graduates And Implications Of Supply Shortages, Lilie Murray

Honors Theses and Capstones

The accounting industry in the United States faces a persistent supply shortage, exacerbated by declining undergraduate interest. The Association of International Certified Professional Accountants (AICPA) has reported a decline in accounting bachelor’s and master’s degrees over the last five years, with the largest drop in 2021-2022 (AICPA 2023). Misconceptions about the profession, high barriers to entry, and generational values are factors in this decline. Mass retirements of Baby Boomers and exits of young-to-midcareer professionals put further strain on the shortage. This study aims to better understand the perceptions of accounting professionals at large accounting firms regarding the decline in accounting …

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 …

Securing Internet Of Things (Iot) Data Storage, Savannah Malo

Honors Theses and Capstones

Internet of Things (IoT) devices are commonly known to be susceptible to security attacks, which can lead to the leakage, theft, or erasure of data. Despite similar attack methods used on conventional technologies, IoT devices differ in how they consist of a small amount of hardware, limited networking capability, and utilize NoSQL databases. IoT solutions prefer NoSQL databases since they are compatible for larger datasets, unstructured and time-series data. However, these implementations are less likely to employ critical security features, like authentication, authorization, and encryption. The purpose of this project is to understand why those security measures are not strictly …

Supply And Consumption Of Dissolved Organic Phosphorus Across The Subtropical Indian Ocean, Corinne Richard

Honors Theses and Capstones

The Indian Ocean is an understudied region for marine phosphorus (P) biogeochemistry. Emerging evidence indicates marine phytoplankton can adapt to decreasing supplies of inorganic P, a required nutrient for growth, by alternatively utilizing organic forms of P. Here we investigate the dissolved organic phosphorus concentration ([DOP]) distribution across the southern Indian Ocean using observations collected on the I05 US GO-SHIP Cruise (2023) across ~33ºS latitude. We quantify the longitudinal variability of [DOP] in the upper 350 m of the Indian Ocean and infer its rate of biological consumption from surface waters, contributing as an organic nutrient to sustain marine autotrophs …

Investigation Of The Effects Of Ocean Acidification On Juvenile Homarus Americanus Feeding Behavior, Sophia Roy

Honors Theses and Capstones

Climate change has led to increased CO2 absorption by ocean surface waters, resulting in decreased pH levels, a phenomenon known as ocean acidification (OA). A primary class of marine organism behavior is impacted by OA, in particular, olfactory-mediated behaviors related to foraging and feeding success. However, the biological mechanisms responsible for the documented impairment of foraging and feeding-related behaviors remains in question. We find that juvenile American lobsters (H. americanus) exhibit significantly faster rates of total feeding times in response to short-term low pH exposure. However, total search time and total handling time were not affected by pH when examined …

Giving Workers The 'Green Light': Defining Green Jobs And Exploring Their Distribution In The Us, Cole Fuller

Honors Theses and Capstones

As the United States continues to adopt sustainable practices and policies to combat climate change, it is important to consider how these green changes affect the workforce. The term ‘Green Jobs’ has become the colloquial term to refer to sustainable occupations, and despite its popularity in the literature, it often has different meanings in different settings. Our first goal was to explore these definitions and establish one to contextualize our research. We used data from the Occupational Information Network, and used their green job definition, which classifies jobs as green if, and how, they are impacted by the greening economy. …

Understanding Hospital-Based Nurse End-Of-Life Care, Knowledge, And Comfort: A Quality Improvement Project, Emma Doran

Honors Theses and Capstones

Providing physical, emotional, and spiritual care to patients at the end of life (EOL) can relieve their suffering and the pain experienced by loved ones in their presence. As death approaches, patients’ symptoms may require increased comfort measures, and it is imperative that all nurses be properly trained and prepared to provide this care. In this quality improvement (QI) project, the End-of-Life Professional Caregiver Survey (EPCS) and demographic and experiential questions were administered in the form of a Qualtrics survey to nurses working on an acute care inpatient unit at a healthcare organization in New England. 18 survey responses were …

How World’S Fairs Conceive Of The Future During Times Of Turmoil, Mikayla Lauren Tilden

Honors Theses and Capstones

During the 20th century, the theme of World's Fairs in the United States broke away from previous World Exposition traditions and centered around concepts of progress and the future. This thesis investigates the conception of the future and the evolution of the World's Fair themes during times of economic and political turmoil at the Chicago 1933–1934, New York 1939­­­–1940, and Seattle 1962 World’s Fairs. In each instance, the fair’s organizers felt the need to respond to world events, which caused them to shift their initial focus from a local attempt to increase prosperity, to a national commentary on global conditions.

Cataloging And Locating Icequakes On The Ross Ice Shelf, Antarctica To Determine Long Term Rift Behavior, Simon F. Eisl

Honors Theses and Capstones

This report provides an introduction to the ARROW project and seismic behavior on ice shelves. We catalogged icequakes using seismic analysis code (SAC) and located prominent icequakes using WAVES from a seismic dataset collected from December 2nd, 2023 and January 5th, 2024. The analysis of this dataset will be used to model similar deformation systems found in icy ocean worlds in the outer Solar System like the Tiger Stripe rifts found on Enceladus. We looked into the deformation of rift zone WR4, why and how these icequakes occur along WR4, and the rift's interior material make up. Particular hotspots of …

National Park Visits And Climate: Are Rising Temperatures Affecting Visitation Rates?, Olivia Graves-Witherell

Honors Theses and Capstones

No abstract provided.

Instances Of Undecidability In The Semigroup Word Problem, Timothy C. Grosky

Honors Theses and Capstones

We will examine the decidability of the word problem in semigroups, which is a yes/no question. We will examine tools that have been developed to help answer it, and then look at some examples where the word problem is decidable or undecidable.

From It To Ai: Analysis Of Skill–Biased Technological Change In Europe, Stav Alkalay

Honors Theses and Capstones

The beginning of the Artificial Intelligence (AI) revolution marks a significant shift in technological advancements, like the Information Technology (IT) revolution of the 20th century. This paper investigates the similarities between the two revolutions, examining evidence of skilled-biased vs. routine-biased technological change (SBTC vs. RBTC) in Europe. This paper examines the impact of information technology on labor markets, productivity, and income distribution by looking at past trends & data. It draws insights from a variety of economists to forecast trends in the age of artificial intelligence.

Does Hookup Culture Silence Women?, Kylee Rose Rock

Honors Theses and Capstones

The issue of hookup culture on college campuses is of concern to many feminist scholars, given the alarming rates of sexual assault and unsafe sexual experiences in the college setting. This essay argues that hookup culture has the ability to silence women by means of the social landscape which college-aged adults find themselves in today. Further, this essay examines the social experiences of young women on college campuses, and advocates for a change in social habits and scripts through reconsidering our approach to the anti-porn movement in today’s modern culture. Drawing upon literature from Rae Langton’s work, "Speech Acts and …

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 …

Seasonality Of Red Oak (Quercus Rubra) Leaf Trait Changes Across A Canopy Height Gradient, Arielle Ann Kotulak

Honors Theses and Capstones

Leaf structural and functional traits are interrelated and can be strong predictors of leaf productivity, and it is important to understand how these traits change across both a temporal and a spatial gradient. The objective of this project is to identify and understand seasonal and height-related variations in red oak (Quercus rubra) leaf traits throughout a forest canopy, while assessing the utility of this knowledge for informing canopy models. Leaf samples were collected from red oak trees using the shotgun method and analyzed in the UNH Terrestrial Ecosystems Analysis Lab. Data were processed in Excel, JMP, and R. …

Impact Of Hdac Inhibitors On The Efficiency Of Cardiomyocyte Differentiation, Lauren Mary Sargent

Honors Theses and Capstones

Heart disease and injury is the leading cause of death worldwide, with much of its severity caused by the low regenerative capacity of cardiomyocytes (CMs). One of the strategies to counteract the poor regeneration of CMs is the production of CMs via differentiating stem cells. However, the low efficiency of obtaining CMs from stem cells is an issue because there are numerous inconsistencies in the process. Histone deacetylase (HDAC) inhibitors have been researched as ways to increase efficiency of CM differentiation by increasing histone acetylation, and thereby allowing differentiation to occur more efficiently. In this study, the HDAC inhibitor, trichostatin …

University Of New Hampshire Library Annual Report Fy 2023: Leading Change, University Of New Hampshire Library

Annual Reports and Statistics

No abstract provided.

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 …

Peer Support To Enhance Safe Alcohol Use In University Students: A Quality Improvement Project, Kerri Reynolds

DNP Scholarly Projects

BACKGROUND: College is a period of transition to adulthood where many students experiment with alcohol consumption. Peer educators can bring access to evidence-based alcohol consumption education through student-centric strategies. This quality improvement project aimed to implement an evidence-based training program for college peer educators followed by the delivery of campus alcohol education in a six week period. Feasible ideas for sustainable college peer educator training were generated at this medium-sized public university. The impact of training on six peer educators’ self-reported professional leadership skills, knowledge, and confidence was measured.

METHODS: The Certified Peer Educator (CPE) training program (NASPA) was used …

Evaluating The Impact Of Simulation On Perceived Knowledge And Confidence Of New Graduate Nurses (Ngns) In Maternal-Newborn Care, Disa Seymour

DNP Scholarly Projects

Abstract

Background: Nursing education worldwide varies in duration and training process, with nurses often facing rapid immersion into patient care complexities when entering the workforce. While new nurses contribute significantly to the nursing community with contemporary knowledge, their transition to practice can be daunting, necessitating support for both competence and retention. As specialty care settings integrate more new graduate nurses (NGNs) to address workforce shortages, collaboration between leaders and educators becomes crucial. Simulation emerges as a vital tool in building confidence while learning, offering a safe space for skill development and growth of confidence.

Purpose: This project’s objective was to …

Optimizing The Assisted Living Experience: Integration Of Value-Based Care To Foster Augmented Resident-Centered Quality, Jennette Pietrzak

DNP Scholarly Projects

Background: Fee-for-Service models are quantity-focused reactive approaches and have historically been at the forefront of healthcare. Value-based models focus on proactive, resident-centered care that is aimed at quality care over quantity. Implementation of ValueBased Care models can positively impact healthcare and fiscal outcomes

Purpose: The quality improvement project aimed to develop, integrate, and implement a valuebased model in Memory Care as an alternative to traditional Fee-for-Service models. The project aimed to improve key performance indicators by reducing hospitalizations, emergency room visits, and falls following the implementation of Value-Based Care (VBC) models.

Method: Data metrics for hospitalizations, emergency room visits, and …

Scares: A Clinician Guide To Spinal Cord Awareness, Response, And Emergency Support Creation And Implantation Of Scares Protocol Among Hospitalist Advanced Practice Providers, Brittany Biega

DNP Scholarly Projects

While they are more common in patients with oncological disease and trauma, SCE still exist among patients without these comorbidities. Less has been established regarding care protocols in this population. The absence of standardized procedures has been linked to preventable, adverse patient outcomes, including cases of permanent damage due to delayed treatment. This project employs Lean Six Sigma methodologies and Johns Hopkins Evidence- Based Practice to devise a robust SCE protocol, aimed at standardizing care and improving patient outcomes. A multidisciplinary team including general medicine, neurology, neurosurgery, and neuroradiology developed “Spinal Emergency Management Guidelines” protocol, which was implemented within the …

Impact Of Personal Continuous Glucose Monitor Use During Hospitalization On Rates Of Hypoglycemia And Provider Confidence, Rebecca Longo

DNP Scholarly Projects

Continuous Glucose Monitors (CGMs) are an essential tool for managing diabetes in the outpatient setting, helping individuals achieve glucose goals. However, CGMs are not currently FDA-approved for use in the hospital setting. Despite this limitation, many individuals continue using their personal CGM during hospitalization or begin using them prior to discharge if the care team believes the technology will support glucose management during and after leaving the hospital.

This project aimed to evaluate whether individuals using personal CGMs during hospitalization experienced less hypoglycemia and whether reviewing CGM data could improve provider confidence in insulin dosing. While initiating CGM use during …

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 …

Unsung Heroes In Conservation: Evaluating The Limitations Faced By New England Wildlife Rehabilitation Centers And Proposing Solutions For Their Support And Recognition, Shaylee M. Sarmiento

Honors Theses and Capstones

Wildlife rehabilitation is an often-unacknowledged practice within the overarching field of wildlife protection and conservation. This practice involves the treatment and hopeful release of wild animals affected by various ailments. With the continued expansion of and interest in the field, it could be assumed that wildlife rehabilitation is supported and funded by government bodies, but this is not the case. Because of the lack of funding and resources, many wildlife rehabilitation centers cannot achieve their full rehabilitative potential and expand their reach in the conservation world. Additionally, an absence of support leads critics to question the ethical standards of wildlife …

“Slaves Of The State:” The Exploitation Of Women Through Convict Leasing, Beth F. Newton

Honors Theses and Capstones

No abstract provided.

Understanding Neurodiversity And Executive Disfunction To Discover More Effective Accommodations And Create A More Inclusive Workforce For Neurodivergent Individuals, Carley Dahlstrom

Honors Theses and Capstones

The goal of this paper is twofold. One: understand executive disfunction to gain a broader understanding of neurodiversity and the challenges those with neurodiversity face in the workforce. And two: research different accommodations to combat executive disfunction and evaluate their effectiveness. To accomplish these goals, an extensive literature review was conducted to understand neurodiversity, executive disfunction, government requirements relating to accommodations, and an exploration of current accommodations available. Additionally, research was conducted in the form of interviews and a survey to expand and add to the overall understanding of this research area.

Results of the survey indicate an overall lack …