Increasing Nutritional Assessment For Inpatient Adolescents: A Quality Improvement Project, Karen Abich Carracedo, Kelsey Soppet, Melissa Sanchez

Quality Improvement/Patient Safety Symposium

Eating disorders are a group of conditions characterized by severe disturbances in eating behaviors and associated with distressing emotions and thoughts. There are many subtypes with specific diagnostic thresholds. Major risk factors include female sex, age, low self-esteem, perfectionism, depression, anxiety, and genetic dysregulations. Prevalence data for American Adolescents is variable.

Currently, our institution does not have a consistent method for asking questions regarding nutrition and eating behaviors. The first step in identifying suspicious behaviors that could clue a provider into disordered eating is to ask questions regarding nutrition and eating behaviors in a standardized assessment.

For this quality improvement …

Smokebox: Writing Into Embarrassment, Julia Storch

Theatre & Dance ETDs

Engaging with theoretical concepts and dramaturgical tools, this essay follows my journey through The Dramatic Writing MFA program at the University of New Mexico, focusing on the production of my thesis play, Smokebox. In Part I, I give the background and development of my journey as a playwright, exploring the obstacles I faced and overcame through my engagement with coursework and staged readings. I map out the development of Smokebox, from its humble beginnings as a class assignment, to its transformation through workshop, and finally its realization through an intense rehearsal and production process. In Part II, I …

Referral Triage To Improve Neurology Access, Melinda Mata

Doctor of Nursing Practice Scholarly Projects

The demand for neurology consultation far outweighs the number of specialists, thus causing long wait-times for consultation. Other contributing factors to obtaining timely consultation include, quality of information sent with the referral, insurance authorization, triage process, and appointment availability. This retrospective quality improvement study explored the effects of a referral triage process on reducing appointment wait time. All referrals were sent to one fax number and a new standard referral and triage process was implemented with specific operators with defined roles and responsibilities. The initial results following intervention implementation did not show improvement in wait times. Comparing the new triage …

Standardization Of The Workflow For Collecting And Intervening On Social Determinant Of Health Data In A Community-Based Ambulatory Clinic, Tenzin Yangchen, Hamza Altaie, Ashten Duncan

Quality Improvement/Patient Safety Symposium

Problem identification: Social determinants of health (SDOH) are community-related social, economic, and physical conditions that influence patients’ health far in excess of what the direct provision of health care can achieve. Although the Joint Commission (TJC) recently published requirements for universal SDOH screening and intervention for accreditation purposes, many medical practices in New Mexico still have very low rates of screening and intervention, leading to suboptimal health outcomes for our patients. At CHRISTUS St. Vincent Family Medical Center in Santa Fe, the rates of SDOH screening and intervention have been around 2-3% based on current workflow processes and competing …

Aging And Learning: Community Engagemente And Self-Efficacy In L2 Teaching To Elderly Learners, Leticia Rinaldi Souza

Spanish and Portuguese ETDs

The elderly population (60 years or older) has been increasing during the past decades around the world and is expected to reach two billion by 2050 (Scult, Haime, et al 2015). However, the misconception that elderly people are uncapable, or incompetent is still part of the imaginary constructed around such populations (Minichiello and Coulson, 2005). Older adults present powerful functional capacities and social activities lead to better performance and slower decreases in their memory and executive function (Scott, Masser, & Pachana, 2020). Thus, second language learning plays an effective role in enabling active and regular engagement in social and psychological …

The Bias Of New Mexico Nurses In A Residency Program Toward People Experiencing Homelessness, Tolulope Kabir Fijabi

Doctor of Nursing Practice Scholarly Projects

ABSTRACT

There is growing evidence that healthcare workers do not provide equivalent levels of care to patients of different social groups. This group includes the population of people experiencing homelessness and the number continues to grow simultaneously across U.S. Studies have also shown that the poor and the marginalized experiences disappointment in the healthcare industry due to negative attitudes such as stereotyping, bias, and prejudice from healthcare providers limiting them from accessing care when necessary. With growing research on the influence of the experience of trauma among people experiencing homelessness, there is a lack of trauma-informed services as it relates …

Civility Intervention In A Private Ambulatory Clinic, Steve D. Fusselman

Doctor of Nursing Practice Scholarly Projects

Healthcare workers commonly face incivility in the workplace. This quality improvement project aimed to employ evidence-based practices to help improve self-perception about workplace civility using Dr. Cynthia Clark’s Workplace Civility Index (WCI)© 20-item Likert questionnaire and an educational intervention on civility. The impact of incivility in the workplace is undeniable, contributing to lower morale, absenteeism, decreased productivity, impaired communication, job burnout, and resignations. An exploratory factor analysis confirmed the reliability of WCI© as a beneficial instrument for measuring a company's capacity for civility. Finally, this project revealed that incorporating the WCI© with an educational intervention had a significant impact and …

Telehealth Monitoring For Non-Hospitalized Covid-19 Positive Patients In A Rural Setting, Rebekah Leann French

Doctor of Nursing Practice Scholarly Projects

Purpose

This quality improvement project evaluates the efficacy of an outpatient COVID-19 telehealth monitoring program intended to increase access to care, decrease emergency room/urgent care visits, and hospital admissions among telehealth observed adult patients in a rural area while providing safe home monitoring during acute illness.

Rationale/Background

Prior to COVID-19 pandemic, healthcare systems within the United States encountered several challenges including healthcare inequality and decreased healthcare access, particularly in rural communities. These gaps became more apparent when a novel COVID-19 pandemic emerged straining healthcare systems in the United States and throughout the world. Challenges ranged from overwhelmed emergency room (ER) …

Student Perceptions Of Participation In Socratic Seminars At A Paideia School, Kurt A. Schmidt

Teacher Education, Educational Leadership & Policy ETDs

This phenomenological study considered Socratic seminars and student perceptions. Research on Socratic seminars considers student achievement, but lacks students’ perspectives. This study’s purpose is to describe seminar participation for students at a Paideia School. Research questions include 1) “From the students’ perspectives, and based on their personal judgments and perceptions, what is it the lived experience for high school freshmen and sophomores who regularly participate in Socratic seminars?” and 2) “What effect does regular participation in Socratic seminars have on students’ perceptions of their own engagement in school?” Fourteen students were interviewed. Analysis yielded four themes: Open Exchange of Ideas …

Perceptions Of Nursing Staff On Restraint Alternatives, Adelia S. Perea

Doctor of Nursing Practice Scholarly Projects

Physical restraint is often used as a nursing intervention for patients with behavioral issues despite current evidence that indicates their use is actually more harmful than helpful. Nursing staff at UNMH are required by policy to use other methods such as restraint alternatives before placing patients in restraint. However, they do not have the necessary resources or tools to comply with the policy. The NPCU conducted a quality improvement project that introduced 5 restraint alternatives followed by a survey focused on nursing perceptions. The results revealed 2 alternatives (Gamewright GoPOP sensory toy & Playtivity sensory disc) were perceived by nursing …

The Manito Topos Project: Place Naming And Toponymic Silencing In The Sierras Of Northern Nuevo México And Southern Colorado, Len N. Beké

Spanish and Portuguese ETDs

This dissertation reports on documentary research on vernacular toponymies in Manito communities in Nuevo México and Colorado. These toponymies are erased, obscured and delegitimized in official maps. Within the study area, vernacular antecedents for 49.5% of official names for natural features were documented, along with 280 previously unmapped names. These data were compared to the state-sanctioned toponymy to determine a typology of linguistic mechanisms of toponymic silencing. While a majority of official toponyms are based on Manito oral tradition, only 15.4% of the labels for natural features represent unaltered versions of names in that tradition. This dissertation theorizes the conceptual …

Examining The Relationship Between Anxiety And Depression Symptoms, Protective Behavioral Strategies And Opioid Use Outcomes, Melissa Rose Hatch

Psychology ETDs

Protective behavioral strategies (PBS), behaviors individuals use to reduce negative consequences of substance use, have been shown to mediate and moderate the relationship between mental health and substance use outcomes. The present study aimed to examine the relationships between anxiety and depression symptoms and opioid PBS on risky opioid use and opioid-related consequences. Participants in this secondary data analysis were non-treatment seeking individuals who reported past-month opioid use (n=257). Structural equation modeling was used to examine 1) PBS as a mediator of the relationship between anxiety/depression symptoms and opioid use outcomes, and 2) anxiety/depression symptoms as a moderator …

Neutrosophic Sets And Systems, Vol. 55, 2023, Florentin Smarandache, Mohamed Abdel-Basset, Said Broumi

Neutrosophic Sets and Systems

No abstract provided.

A Reconfigurable Architecture For Matrix Multiplication For Low Power Applications, Jeffrey Love

Electrical and Computer Engineering ETDs

This thesis presents a hardware architecture for performing matrix multiplication via a systolic array to reduce time complexity and power consumption. The proposed architecture, the Neural Network Accelerator (NNA), was designed in Verilog HDL to perform 8-bit multiplication to reduce the resources required to implement the NNA on low-power FPGAs. The NNA’s open architecture is designed to support radiation test for fault tolerant designs targeting space applications. Commercial hardware architecture information is not public knowledge, which led us to build our own matrix multiplication architecture so that we could later study its feasibility for space applications.

The NNA was compared …

The Quantum Computational Utility Of Symmetry-Protected Topological Order: From Near-Term Advantages To Universal Measurement-Based Quantum Computing, Austin Kevin Daniel

Physics & Astronomy ETDs

Quantum computers offer new avenues to approach difficult problems by taking advantage of the strange and often nonintuitive phenomena present in quantum physics. Though many quantum algorithms are believed or known to outperform the best known classical algorithms, the fundamental mechanism granting them their power remains elusive. In measurement-based quantum computation (MBQC), two key resources have been show to enable universal and provably nonclassical quantum computations, respectively. These are symmetry-protected topological order (SPTO), a notion describing a class of quantum magnets with hidden long-range correlations in their entanglement structure, and quantum contextuality, the fact that a quantum measurement outcome inherently …

Multi-Factor Disturbance Regimes Drive Soil Fungal Community Composition Across A Southwestern Us Riparian Cottonwood Landscape, Rich Wagner

Biology ETDs

In southwestern US riparian cottonwood forests, anthropogenic changes have replaced the structuring force of seasonal flooding with novel multi-factor disturbance regimes, driving these ecosystems to new states. While the impetus for restoration is high, little attention has been paid to understanding belowground feedbacks from these new drivers. Using high-throughput sequencing of environmental DNA, we compared the impacts of fires, exotic plants, restoration practices and lower levels of disturbance on soil fungal community composition and diversity across a riparian cottonwood landscape in New Mexico. We focused on mycorrhizal fungi for the benefits they may confer upon cottonwoods. We found that along …

Transcriptional Regulation Of Stem Cell Function In The Drosophila Central Nervous System, Amalia S. Parra

Biology ETDs

Development of multicellular organisms depends on coordination of various molecular mechanisms to ensure proper tissue size and structure. This is accomplished through intrinsic and extrinsic cues that regulate cell growth and proliferation both spatially and temporally. These well-coordinated signals are present from early developmental stages and remain active throughout development to ensure tissue structure is appropriate for function. This is particularly important in early cell types that form specialized lineages such as stem cells or those found throughout the body such as epithelia. While much progress has been made in understanding growth regulatory mechanisms, several fundamental aspects remain unknown. This …

Deformation At Uturuncu Volcano, Bolivia: Modeling The Effect Of Volatile Movement In The Hydrothermal System, Karissa Rosenberger

Earth and Planetary Sciences ETDs

Deformation at volcanos is often a precursor to an eruption, but sometimes volcanos experience uplift without actually erupting. Determining the mechanisms behind this deformation and whether it will lead to an eruption is an important part of understanding volcanic systems. Uturuncu volcano in Bolivia has been experiencing deformation for decades, but the last time it erupted was 250,000 years ago. The reason behind this deformation is unknown, but one possible cause is volatiles moving into the hydrothermal system and getting trapped, causing the volume to increase and the surface to uplift. To test this hypothesis, the current volume change of …

Collaborative Approaches To Improving Medical Subject Headings, Violet Fox, Kelleen Maluski

Posters and Presentations

No abstract provided.

Neutrosophic Speech Recognition Algorithm For Speech Under Stress By Machine Learning, D. Nagarajan, S. Broumi, Florentin Smarandache

Neutrosophic Sets and Systems

No abstract provided.

Real Examples Of Neutrogeometry & Antigeometry, Florentin Smarandache

Neutrosophic Sets and Systems

No abstract provided.

Reading As A Social Practice: Using Retrospective Miscue Analysis To Understand Kichwa-Spanish Bilinguals’ Meaning Construction, Sandra Leonor Cabrera Moreno

Language, Literacy, and Sociocultural Studies ETDs

Meaning construction is a complex concept that encapsulates language and thought as a whole system in which sense and meaning have a unique relationship highly marked by the social and cultural environment of the reader. Hence, Kichwa-Spanish bilinguals’ reading practices in the Southern Andes of Ecuador cannot be discussed as two separate processes but as an integrated structure embedded in a speech community. This perspective of the bilingual mind is founded on Vygotsky’s sociocultural theory of learning in which language is a psychological tool that shapes and is shaped by our modes of thinking. This unification is a complex process …

The Impact Of Albuquerque’S Bus Rapid Transit System On Pedestrian Safety, Martina Mercure

Civil Engineering ETDs

This project will explore the impacts of several traffic safety countermeasures and roadway design changes on pedestrian safety along the Central Avenue corridor of Albuquerque, New Mexico. The motivation behind this research is the communities concern for the increase in pedestrian fatalities in the US and specifically New Mexico. The research will have a specific focus on pedestrian safety, but we will also address traffic safety outcomes for motor vehicle users and bicyclists. The City of Albuquerque has taken note of the traffic safety issues on Central Avenue and has implemented or is in the process of implementing several countermeasures …

Do-Not-Hospitalize Orders In Assisted Living Facilities: Perspectives From Direct Care Workers, Alanna Kates Dancis Dr.

Doctor of Nursing Practice Scholarly Projects

Context: Do-not-hospitalize (DNH) orders in assisted living facilities (ALFs) are often misunderstood, ignored, or countermanded by direct care workers (DCWs), potentially leading to residents being sent to the hospital against their wishes.

Objectives: The primary purpose of this study was to gather sufficient qualitative data to create an intervention that would help prevent DCWs from sending residents with DNH orders to the hospital against their wishes. To accomplish this goal, the study centered on three research objectives: 1) to understand more fully how DCWs interpret DNH orders; 2) to determine if carrying out DNH orders causes moral distress for DCWs; …

Cautividad: Deconstructing Notions Of Race And Nation In Argentina 1776–1840, Whitney Rue Wagner

Latin American Studies ETDs

This project is an exploration of the construction and contestation of whiteness in Argentina through the lens of women’s captivity in the middle period. This research explores how representations of captive women were used to construct a national identity via gender, race, and ethnicity, exploring some of the foundational work that would lead to the myth of Argentina as a white nation. By focusing on the various roles these captive women played and centering the complex liminal spaces they negotiated this work seeks to challenge elite historical representations of captive women by highlighting their nuanced socio-political role amongst Indigenous, specifically …

Sons Of Mezcal Documentary Screening + Q&A Session, Latin American And Iberian Institute

LAII Events

Join UNM Latin American Studies master's student Marsella Macias for a screening and Q&A session - Sons of Mezcal (2021) a documentary by Stephan Werk and filmed in Oaxaca, México. It is narrated in Zapotec but has been translated into English and Spanish. This screening is part of a guided discussion Marsella will lead in her Sustainability in Film course, taught by Professor Andreas Hernandez, UNM Sustainability Studies Program. Come gather and gain appreciation for agave / mezcal culture and human-plant relationships.

Marsella has dedicated her research to agave and mezcal cultures for over 13 years. She recently retired from …

Eco-Anxiety And Heteronormativity In Dystopian Novels, Léa M. Briere

Foreign Languages & Literatures ETDs

For marginalized communities, such as women and queer individuals, survival in their environment has always been a matter of adapting to social norms and expectations. However, the challenges have become even more complex in the face of climate change and environmental catastrophes, which often affect these communities disproportionately. While modern dystopian stories often evoke eco-anxiety by portraying societies at the mercy of their environment, Michelle Tea and Wendy Delorme have found an opportunity to break free from societal norms and heteronormative expectations in the speculative worlds they create in Black Wave (2015) and Viendra le temps du feu (2021), respectively. …

The Intersection Of Racism And Ableism In Disability Support Services, Carrie E. Mulderink

Communication ETDs

The websites of disability resource centers at six universities are used in a discourse analysis to forefront ways in which the Whiteness of disability is upheld. The main research question, built using a DisCrit (Disability/Critical Race theory) lens, is: how do the institutional discourses of disability resource centers reproduce or challenge particular identities for college students with disabilities? The research sub-question explored in this dissertation that built off of this wider scope is: how are the politics of intersectionality addressed in such discourses? Then, in the second analysis chapter, two more analytical categories are discussed that were generated from my …

Deictic Pointing And Demonstrative Usage In American Sign Language, Paul Twitchell

Language, Literacy, and Sociocultural Studies ETDs

American Sign Language (ASL), like many different signed languages, has a systematic way of using pointing signs for multiple types of nominal reference. Possibly the most basic function of pointing is to indicate, direct and modulate reference to physical objects located in proximal and distal areas called exophoric demonstratives.

This study aims to investigate ASL exophoric demonstratives and how ASL fits within the different typological systems of demonstratives that have been documented (Diessel & Coventry, 2020). Several research questions focus on how signers direct attention to proximal and distal referents in ASL using an elicitation task. The two studies (adult …

Mechanical Characterization Of Additively Manufactured Alloys Compared To Their Wrought Counterparts, Laith A. Alqawasmi

Mechanical Engineering ETDs

Additive manufacturing is a method of manufacturing based on building parts layer by layer, allowing for more control over shape of the product, therefore reducing machining costs, reducing material waste, faster production times and the ability to build complex engineering design that other manufacturing technologies won’t be able to produce. This research is on the tensile and indentation testing (following ASME standards) of 3D printed Ti-6Al-4V and Inconel 718 built by powder-based direct energy deposition technology. Ti-6Al-4V is an attractive material for the aerospace and aviation industry, and Inconel 718, a nickel-chromium based superalloy, is an attractive material for usage …