Analysis Of The Complex Nmr Lineshape Of Polarized Deuterons, Michael Joseph Mcclellan

Doctoral Dissertations

To determine the spin polarization of deuterons, nuclear magnetic resonance (NMR) is used. This is necessary for polarized targets, such as for the upcoming $A_{zz}$ and $b_{1}$ experiment at Jefferson Lab. These polarized target experiments are expected to discriminate between different models of the deuteron, which in turn could lead to a better understanding of short-range correlations (SRCs). NMR measures the impedance of a solenoid around a deuterated sample. Although the impedance is a complex value, conventionally only the real part of the impedance has been used for this purpose. However, often the tune is not precisely real, meaning the …

Bridging Clinic To Home: The Development Of A Caregiver Education Program To Support Home Carryover Of Feeding Interventions, Rachel Adams

OTD Capstones

Abstract

Objective Caregivers of children with pediatric feeding disorders or difficulties face stressful emotions within the context of feeding. There is an identified gap in pediatric outpatient occupational therapy and the educational resources they provide to caregivers related to feeding. To address this, the capstone project aimed to develop and integrate an evidence-based caregiver education program into the capstone site’s feeding therapy model to make a more well-rounded and all-inclusive feeding therapy program. Methods Two caregiver surveys were sent out along with a staff survey to identify the needs of the site and the caregivers of the clients and to …

Town Of Lempster, New Hampshire, Incorporated 1767, Annual Reports For The Year Ending December 31, 2025, 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.

Increasing Colorectal Cancer Screening Rates At A Federally Qualified Health Center: A Quality Improvement Project, Kaeli H. Mcphee

DNP Scholarly Projects

Abstract 

Background: Colorectal cancer (CRC) is on the rise and is currently the second leading cause of cancer-related death in the United States (Wender, 2022). CRC screening rates are below national goals, particularly among underserved populations. At Lowell Community Health Center (LCHC), only 41.9% of eligible adults were up to date with CRC screening as of 2024.

Purpose: This quality improvement project aimed to increase CRC screening rates among average-risk adults aged 45 to 75 by implementing a multifaceted, low-burden intervention targeting both provider and patient behaviors.

Methods: Guided by the Plan-Do-Study-Act (PDSA) framework, the intervention included: (1) provider and …

Nurse Leader Burnout: Exploring Ways To Improve Wellness And Resilience, Kimberly Leger Kenney

DNP Scholarly Projects

BACKGROUND: Burnout among nurse leaders is a growing concern, driven by increasing workload, operational demands, and challenges with work-life balance. Addressing burnout is critical to maintaining stability within the leadership team and to delivering high-quality patient care.

LOCAL PROBLEM: Prior to the development of the QI proposal, engagement survey results showed scores 0.11 points below the benchmark in leadership responsiveness, and more than 50 nurse leader positions have turned over in the past 5 years. The specific aims of this project include: 1. 75% of nurse leaders report that they would implement an activity from the toolkit. 2. Fewer than …

Reducing Healthcare Provider Stigma Toward Opioid Use Disorder: Evaluating An Asynchronous Multimedia Training In Primary Care, Ashley M. Holmes

DNP Scholarly Projects

Background: Stigmatizing attitudes among healthcare providers toward individuals with opioid use disorder (OUD) represent a critical barrier to care, treatment retention, and equitable healthcare utilization.

Local Problem: A primary care practice in Lewiston, Maine, serving a medically underserved region heavily impacted by the opioid crisis. Community Health Needs Assessment identified healthcare provider stigma and treatment access gaps as primary obstacles to OUD in this county.

Methods: Utilizing a Plan-Do-Study-Act (PDSA) quality improvement framework, an asynchronous, multimedia-driven educational curriculum was implemented among primary care clinicians (N = 7 invited; n = 4 completed). A mid-stream pivot from an in-person to asynchronous …

Pocus Implementation Via Multiprofessional Training Workshop With Mixed Didactic And Simulation Guided Intravenous Access In The Nicu For Quality Improvement, Kristen Carrierfenster, Eileen Hollis, Rehman Chowdhry

DNP Scholarly Projects

Background. Rapid evolving technology and the use of Point-of-Care (POCUS) for Intravenous (IV) access requires a foundational understanding of ultrasound imaging, gadgetry, along with a basic understanding of anatomy and physiology. Initially, there is a steep learning curve; this is reduced with standardized training and techniques that will improve overall procedural performance. Designing educational frameworks is necessary as technology innovation expands to improve the way we prevent, screen, diagnosis, and treat patients.

Problem Statement. The national standard of care and best practice in pediatrics allows two attempts per provider for IV access. Unsuccessful IV attempts lead to patient discomfort and …

Reframing Coral Reef Monitoring With Machine Learning And Remote Sensing: Detection, Classification, And Change, Gabrielle Ann Trudeau

Doctoral Dissertations

Coral reefs are vital ecosystems facing rapid decline from climate-driven stressors, yet existing monitoring approaches lack the spatial coverage and temporal resolution needed to capture ecosystem dynamics at meaningful scales. This thesis develops a scalable, integrated remote sensing framework by combining ICESat-2 LiDAR, multispectral imagery, and machine learning to move beyond static habitat maps toward quantitative, multi-factor characterization of reef structure and change. First, machine learning models were applied to ICESat-2-derived rugosity, slope, and bathymetric metrics to detect and delineate coral reef habitats at large scales. Next, a novel nonlinear spectral unmixing approach integrating Planet imagery and ICESat-2 terrain metrics …

Ai-Enabled Urban Decision-Making: From Infrastructure To Policy Implementation, Amir Hosein Taherkhani

Doctoral Dissertations

Urban infrastructure systems face unprecedented compound threats from aging physical stock, climate-driven hazard escalation, and large-scale systemic shocks, yet the analytical tools available to decision-makers remain inadequate in both empirical scope and equity orientation. This dissertation advances urban resilience science along two complementary empirical frontiers.The first investigation develops a deep reinforcement learning framework for socially equitable, flood-aware bridge portfolio maintenance optimization. Using Proximal Policy Optimization, a portfolio of 19 flood-vulnerable bridges in Suffolk County, Massachusetts is optimized over a multi-year planning horizon integrating HAZUS-based flood hazard simulation across four return-period scenarios (10, 50, 100, and 500 years), HEC-18 hydraulic scour …

The Long And Short Of It: Exploring The Essential Dynamics Of Select Geophysical Flows, Adhithiya Sivakumar

Doctoral Dissertations

Geophysical flows are central to important climatological processes, yet their strong turbulence and additional complexities -- density stratification, wave-current interaction, and phase change -- make analytical prediction and direct numerical simulation infeasible in many regimes. This dissertation adopts a reductionist approach in which simplified representations -- often inspired by observed scale disparities -- are utilized to isolate and investigate the organizing mechanisms of these complex flows. Within this framework, three distinct but thematically connected problems are studied.

We first study Langmuir turbulence in the open ocean, in which surface gravity waves interact with wind-driven currents to organize the mixed layer …

From Surfaces To Scaffolds: Tuning Hydrogel Microenvironments To Control Cell-Material Interaction, Tran Truong

Doctoral Dissertations

The last 40 years of in vitro cell and tissue biology have relied heavily on tissue culture plastic (TCPS), which offers high transparency and a simple, user-friendly method for growing adherent cells. Unfortunately, TCPS has limitations, such as its rigidity, which may alter cell shape, disrupt cell signaling, and ultimately affect cell fate. The poor control over the adsorption of proteins to TCPS and the fact that surface chemistry is fixed on this material are only two examples of the limitations that motivate the development of hydrogel-based culturing platforms, during which the mechanical properties, charge, hydrophobicity, and ligand presentation can …

Entrainment And Surfacing Dynamics Of Submerged, Buoyant Turbulent Jets, Zeeshan Saeed

Doctoral Dissertations

Turbulent entrainment (TE) in buoyant jets plays a key role in dispersing environmental contaminants, carrying significant socio-economic implications. For example, the transport of heat and solutes through submarine volcanoes and the discharge of subglacial meltwater crucially affect the marine ecosphere. This, in turn, impacts coastal communities, the supply chains they support, and the broader socio-economic landscape. Therefore, advancing our understanding of how submerged buoyant jets mix and developing remote sensing tools to help monitor their changing status is crucial for devising strategies to mitigate marine-related challenges quickly, economically, and effectively. Therefore, this dissertation has three primary objectives: (I) examine the …

Emotional Complexity In Context: Within-Person Variability In Emotional Granularity, Emotion Covariation, And Emodiversity, Kristen Diann Petagna

Doctoral Dissertations

Key features of emotional complexity include emotional granularity, the ability to identify feelings with precision; emodiversity, the number and evenness of different emotions experienced; and emotion covariation, the tendency to experience positive and negative emotions independently. Prior work has largely treated these features as trait-like. This dissertation examines whether these features are dynamic by investigating how they vary within individuals over time and across contexts. In Chapter 2, participants (N =123) reported their emotions multiple times a day for 6 weeks and completed biweekly assessments of mental health symptoms. Emotional granularity and covariation increased over time, whereas emodiversity decreased, and …

Enhancing Nursing Education To Improve Care For Women Experiencing A Substance Use Disorder During Pregnancy, Sadie Caddell

UNH URC Open (2026 and after)

Enhancing Nursing Education to Improve Care for Women Experiencing a Substance Use Disorder During Pregnancy

Analyzing A Benchtop Model Of Combined Heat Power To An Industrial Scale, Chase Steven Carlton, Ashley Leach, Andrew Martin-Biggs, Tessa Wilker

UNH URC Open (2026 and after)

Analyzing a Benchtop Model of Combined Heat Power to an Industrial Scale

Covering The Care: Why Financial Resources Matter For Health, Mark Bonica, Phd,Mba,Ms

All Materials

Where people end up in the income and wealth distribution has a powerful and lasting influence on how healthy they are and how long they live. This is not just a story about poverty versus comfort. Across the entire population, health improves step by step as financial resources increase. Researchers call this pattern the health gradient.

This brief explains why that gradient exists. Drawing on decades of research from economics, public health, and social epidemiology, it shows how limited financial resources shape health through multiple pathways that unfold over different time horizons—from immediate consequences to cumulative effects that build …

Template For A Lab/Group/Team Manual, University Of New Hampshire (Unh) Responsible Conduct Of Research & Scholarly Activity (Rcr) Committee

Integrity in Research and Scholarship

Lab/group/team manuals or handbooks are becoming more common in academic research settings as the research environment grows in complexity. Explaining in writing expectations for how a research group operates as well as providing resources for group members can be invaluable.

The University of New Hampshire (UNH) Responsible Conduct of Research & Scholarly Activity (RCR) Committee developed these templates to help researchers convey important and useful information to their research groups in a consistent manner. Each Principal Investigator (PI) and research group can choose the preferred version template (abbreviated or long) and customize the information to address topics relevant for their …

Strafford County 2025 Annual Report Of The Commissioners, Treasurer, Other County Officers, And The Strafford County Delegation For The Year Ending December 31, 2025, Strafford County Representatives

Strafford County, NH Annual Reports

This is an annual report for 2025 containing vital statistics for Strafford County in the state of New Hampshire.

259th Annual Cornish Report Of The Selectmen And Other Town Officers For The Year Ending December 31, 2025, Cornish, New Hampshire, Cornish Town Representatives

Cornish, NH Annual Reports

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

Annual Report Of The Town Officers Of The Town Of Columbia, New Hampshire For The Year Ending December 31, 2025 Including The Report Of The School Directors, Columbia Town Representatives

Columbia, NH Annual Reports

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

Improving Staff Perceptions Of Effective Communication Through Frequent Micro-Team Huddles: A Quality Improvement Initiative, Sara Krslovic

Master's Theses and Capstones

Abstract 

Background: Effective communication among interdisciplinary team members is essential for safe, coordinated patient care. An outpatient primary care clinic identified inconsistent and non-inclusive communication within assigned micro-teams, particularly between nurses and providers, creating an opportunity to implement a structured communication strategy.

Local Problem: Communication within micro-teams lacked a standardized process, and nurses were often excluded from routine communication with providers. Prior to implementation, no formal micro-team huddles had occurred within the previous six months.

Methods: A four-week quality improvement initiative was conducted using the Plan-Do-Study-Act (PDSA) framework. Weekly, micro-team huddles were implemented between nurses, providers, and the medical assistant …

Implementing A Nurse Re-Education Program To Promote Timely Use Of The Jada® System In The Postpartum Hemorrhage Cascade: A Quality Improvement Project, Maegan E. Doody

Master's Theses and Capstones

Background: Postpartum hemorrhage (PPH), defined as blood loss greater than 1,000 mL after delivery, is a leading cause of maternal morbidity in the United States. Identification of risk factors and timely intervention are critical to improving maternal outcomes after delivery. First-line interventions include manual uterine massage, uterotonic medications, and antifibrinolytic medications; however, when bleeding is not well controlled, the Jada® System (Jada) is a newer vacuum-induced hemorrhage control device with a high efficacy and safety profile, particularly when implemented earlier in the hemorrhage cascade.

Local Problem: In 2025, the annual rate of PPH within the microsystem was 7.29%, …

Reducing Readmissions For Copd Through Improved Education: A Gap Analysis, Raphael Gaughan

Master's Theses and Capstones

No abstract provided.

Promoting Equitable Access To Postpartum Hemorrhage Education: A Quality Improvement Project Using Educational Interventions For Night Shift Nurses, Michelle Stella

Master's Theses and Capstones

Abstract

Background: Postpartum hemorrhage (PPH) is a serious condition that can lead to maternal morbidity or mortality following the birth of their child. It is important for nurses to be properly educated to manage this condition quickly and efficiently. Night shift nurses often face barriers to accessing educational opportunities during their shift because most education is tailored to daytime hours.

Local Problem: At the project site facility, night shift nurses perceived inconsistent access to education compared to day shift nurses. This gap highlighted the need for more flexible educational modalities to meet the needs of night shift nurses.

Methods: This …

Enhancing Patient Safety And Team Communication Via Standardized Unit Handoff Tools In Inpatient Rehabilitation, Julia Rae Before

Master's Theses and Capstones

Abstract

Background: Interdisciplinary safety huddles in healthcare are used to facilitate staff communication, voice patient safety concerns and identify high acuity patients, as well as identify current unit issues that need resolution. Using characteristics of safety huddles, revising patient report sheets to include pertinent safety information often shared during huddles may lead to an increase in staff perception of communication as well as awareness to patient safety concerns. Within an in-patient rehabilitation hospital, anonymous staff reports indicated dissatisfaction with interprofessional communication and microsystem data revealed increased events of adverse patient outcomes and safety concerns. Baseline data indicated inconsistent patient handoff …

A Patient-Centered Approach To Improving Patient And Family Education On Perioperative Processes To Reduce Anxiety: A Quality Improvement Initiative, Ashley Lauren Doherty

Master's Theses and Capstones

Background: Perioperative anxiety is common among surgical patients and their family members. Anxiety may be increased by uncertainty and limited understanding of the surgical experience. Improving perioperative education may enhance understanding, reduce anxiety, and support a more patient and family centered surgical experience.

Local Problem: A Post-Anesthesia Care Unit (PACU) identified knowledge gaps in patient and family education about the perioperative process. The existing waiting room bulletin board was outdated and provided limited information. PACU nurses observed anxiety-related behaviors and confusion among patients and family members about the perioperative process. Patient satisfaction surveys routinely collected by the hospital also demonstrated …

Enhancing Safety And Efficiency In Cardiac Admission Handoffs Through Implementation Of An I-Pass Checklist: A Quality Improvement Project, Soraia D. Barros

Master's Theses and Capstones

Abstract

Background: Effective care handoff is a necessary step for maintaining patient safety during hospitalizations. The goal of this quality improvement project was to improve the completeness of information, particularly cardiac-related, provided by the ED staff to the CSSU nurses. The implementation involved the creation of a cardiac checklist and applying it to the pre-existing I-PASS forms used during asynchronous handoff.

Local Problem: The macrosystem implemented an updated system for handoffs between the ED and CSSU by substituting an over-the-phone report with a faxed I-PASS sheet. The result, as identified by the CSSU staff, is that reports contain undetailed patient …

Increasing Patient Feedback Survey Completions Through Patient-Centered Nursing Communication: A Quality Improvement Project, Lindsey E. Pawlowski

Master's Theses and Capstones

Background: Patient feedback is essential to providing the best possible nursing care. Positive patient experiences can impact overall patient satisfaction, loyalty, and trust.

Local Problem: On a pediatric unit at a New England hospital, an assessment of the microsystem revealed that there was a low number of monthly patient feedback survey completions, which limited insight into patient experiences.

Aim Statement: The primary aim of this project was to increase the number of monthly National Research Corporation (NRC) surveys to ten by June 30, 2026.

Methods: This quality improvement project was guided by the Plan-Do-Study-Act (PDSA) model. The first stage of …

Increasing Nursing Perceptions On Advanced Directives Through Education To Promote Patient Centered Care, Michelle Strong

Master's Theses and Capstones

No abstract provided.

Incorporating Structured Safety Huddles To Improve Nursing Communication And Reduce Medical-Surgical Inpatient Fall Rates: A Quality Improvement Project, Alexia K. Leonard

Master's Theses and Capstones

BACKGROUND: Patient falls are a significant concern for patient safety in the acute care setting and are typically connected to inadequate communication during shift transitions. Bedside shift report is considered the standard of care, however, barriers are still present when shifting patient care responsibilities among nursing staff. A literature review identified standardized safety huddles as an evidence-based practice to improve areas of communication, teamwork, situational awareness, and patient safety. This quality improvement (QI) project concentrated on the implementation of a standardized evening safety huddle in order to improve nursing communication and reduce patient falls on an inpatient medical-surgical/telemetry unit. METHODS: …