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Transitioning From Experienced Nurse To Resident In Blended Cohort Transition-To-Specialty Nurse Residency Programs, Rachael Frija

Doctor of Nursing Practice Scholarly Projects

Recommendations from the Institute of Medicine promote nurse residency programs for experienced nurses (EN) transitioning to new areas of specialty. A large non-profit healthcare system in the Southwest implemented three Transition-to-Specialty (TtS) residency programs using a blended cohort approach consisting of graduate nurses (GNs) and ENs. Upon review of program outcomes, ENs reported to have higher attrition rates than their GN counterparts. Given the substantial pecuniary loss related to EN turnover, understanding the ENs’ perspectives to achieve successful role transition to a new area of specialty is critical to a successful program. This qualitative descriptive study sought to describe the …

Gastrostomy Tube Complications And Management, Deborah J. Garcia

Doctor of Nursing Practice Scholarly Projects

The avoidable complications of clogging and dislodgement of gastrostomy tubes (g-tubes) place a tremendous burden on patients, caregivers, healthcare providers, and the entire medical system. These complications are associated with $130 million in healthcare utilization each year. Insufficient education of patients and personal caregivers regarding the prevention of complications of clogging and dislodgement of g-tubes is identified as a major barrier. Preintervention and postintervention education program models were established, which include a preprocedure clinic visit with education as well as scheduled follow-up phone calls. A chart review and follow-up phone call was used to evaluate the effect of providing consistent …

Metabolon-Inspired Design Of Multi-Modal Catalytic Cascade, Madelaine Seow Chavez

Chemical and Biological Engineering ETDs

Developing hybrid catalytic systems has been researched for the past decade in an effort to efficiently incorporate catalysts of different modalities in catalytic cascades. It has become imperative to design a cascade system where the catalysts are spatially organized to control the delivery of precursors, intermediates, and products. In this work, we have shown that a molecular catalyst, biocatalyst, and metallic catalyst can be co-localized using a carbonaceous support to create a hybrid catalytic system and complete the oxidation of oxalic acid to create a microchemical reactor. The molecular, pyrene-TEMPO catalyst oxidizes glyoxalic acid to oxalic acid. The enzyme oxalate …

Migration, Return Migration, And Economic Development In Latin America, Jose R. Bucheli

Economics ETDs

This dissertation presents a collection of essays that study ways in which human mobility affects economic development in origin countries. It focuses on Latin America—a region historically connected to episodes of large-scale migration, recipient of significant remittance flows, and victim of sluggish economic growth. The first two chapters examine the effects of return migration from the United States on aggregate economic welfare and non-state violence in communities of origin in Mexico. The analysis is motivated by the historic reversal in the Mexico-U.S. migration flows in the early 2000s. The third chapter analyzes the interaction between remittances, migration, and secondary school …

La Gota Que Colma La Caguama: Cummulative Tensions Transformed Into The Defense Of Water, Anthony J. Meluso

Geography ETDs

Making water management decisions is often where dreams and visions about potential futures are constructed and contested (Swengedouw 2015). However, in a globalized world, it is not well understood how people can challenge dominant paradigms to shape desirable futures when they are also complicit in, and dependent on existing structures (Arts & Buizer 2009; Emery, Perks, & Bracken 2013: Kleinschmit, Böcher, & Giessen 2009). This project examines a brewery conflict in the Mexicali Valley that provides an example of how protesters were able to challenge dominant assumptions about water management in a complex, globalized environment. I draw on Laclau’s (2005) …

Written And Oral Histories Of The Chicano Movement At New Mexico Highlands University, 1968-1970, Julianna C. Wiggins

Spanish and Portuguese ETDs

This thesis presents spoken, written, and drawn histories produced before the Chicano Movement at New Mexico Highlands University in November 1970 and the discourses which have followed in the movement’s wake fifty years later. This qualitative study explores the campus climate at NMHU using the student newspaper Highlands Candle. Its contents from 1968 until 1971 are contrasted with the multiple voices of a generation which adopted the term Chicano as a racial identifier into the NMHU vernacular. Social factors including the formation of student-of-color groups and the return of veterans from the Vietnam War appear to change the student …

Assessing The Efficacy Of Home-Based Renal Care Using Propensity Scores, Eunice Choi

Mathematics & Statistics ETDs

This study investigated the efficacy of Home-Based Renal Care (HBRC) in diabetic Zuni Indians with Chronic Kidney Disease (CKD) in New Mexico using propensity scores. Home based intervention as opposed to standard clinical care is a pragmatic treatment approach that incorporates the preference of population in hopes of addressing a cultural barrier to healthcare in this high risk population. This study uses a logistic regression model and a linear regression model to estimate the average effect of HBRC on increasing the likelihood of participants taking a more active role in the management of their chronic condition compared to the control …

Re-Thinking The Weird (In The) West: Multi-Ethnic Literatures And The Southwest, Jana M. Koehler

English Language and Literature ETDs

My dissertation examines the genre of weird fiction, specifically texts that engage the concept of the Weird West. While authors such as Robert E. Howard and H.P. Lovecraft are often seen as the founders of this genre, I argue that ethnic and women writers, such as Charlotte Perkins Gilman, Ishmael Reed, Leslie Marmon Silko, Lucha Corpi, and others, explore the hidden histories of the West and Southwest in ways that incite a rethinking of the weird. Most importantly, I seek to demonstrate how the weird is not only a literary genre but a literary aesthetic and methodology that women and …

Iron-Containing Nanoparticles For The Treatment Of Chrionic Biofilm Infections In Cystic Fibrosis, Leisha M. A. Martin

Nanoscience and Microsystems ETDs

Cystic fibrosis (CF) is the most common genetic disease resulting in the morbidity and mortality of Caucasian children and adults worldwide. Due to a genetic mutation resulting in malfunction of the Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) protein, CF patients produce highly viscous mucus in their respiratory tract. This leads to impairment of the mucociliary clearance of inhaled microbes. In addition to reduced microbial clearance, anoxic environmental conditions in the lungs promote biofilm-mode growth of the pathogenic bacterial species Pseudomonas aeruginosa. Chronic infections of P. aeruginosa begin in early childhood and typically persist until respiratory failure and death result. The …

A Transient Thermal And Structural Analysis Of Fuel In The Annular Core Research Reactor, Elliott Pelfrey

Mechanical Engineering ETDs

The health of a nuclear reactor’s fuel is essential to the operational longevity of the reactor. The health of the fuel in the Annular Core Research Reactor (ACRR) is a topic of increased interest due to both a proposed new facility that would include the ACRR and the recent resurfacing of contradictory reports regarding thermal stresses in its fuel pellets. Unlike other reactor fuels, which are widely used and well-characterized, the fuel in the ACRR is unique. The ACRR’s fuel elements consist of UO­₂-BeO fuel pellets, fluted niobium refractory liners, and stainless-steel cladding. The purpose of this thesis …

Mon-190 Endo Echo Improves Patient-Reported Measures Of Access To Care, Health Care Quality, Self-Care Behaviors, And Overall Quality Of Life For Patients With Complex Diabetes In Medically Underserved Areas Of New Mexico, Margaret Paul, Andrea Davila Saad, John Billings, Saul Blecker, Matthew F. Bouchonville

Project ECHO Bibliography

Background Individuals living with complex diabetes experience limited access to endocrine care due to a nationwide shortage of endocrinologists. Project ECHO (Extension for Community Healthcare Outcomes) is an innovative, scalable model of health care that extends specialty care to medically underserved areas through ongoing telementorship of community primary care providers (PCPs). The purpose of this study was to assess whether participation in the first iteration of the Endocrine ECHO (Endo ECHO) program resulted in changes to patient well-being, health behaviors and quality of care. Methods PCPs from 10 federally qualified health centers in NM participated in Endo ECHO, facilitated by …

Good And Bad Deaths: How Coalitions Transformed Framing Processes In The Movement For Physician Assisted Suicide, Keith D. Wilkins

Sociology ETDs

Research on physician assisted suicide (PAS) has largely been neglected by sociological scholarship which has focused primarily on how demographic features affect support of this contentious issue. PAS represents a unique case to contribute to sociological knowledge on coalitions and framing, which has yet to fully understand how movement frames change over time and what factors makes coalition activity worth the effort. The current study addresses these gaps in the literature by studying how activist organizations that support (right-to-die) or resist (right-to-life) PAS, frame the issue. Specifically, this study aims to answer two research questions: (1) How do PAS social …

By Talon And By Tooth: Disaster Culture, American Literary Naturalism, And The Aesthetics Of (Dis)Integration, Vincent M. Basso

English Language and Literature ETDs

This study demonstrates how American literary naturalism, roughly between 1870-1910, and U.S. print culture more generally, projected an aesthetics of (dis)integration. The term (dis)integration is particularly useful in thinking through the ways traumatic and disintegrative episodes coordinate and integrate U.S. publics. I periodize this work in the turn-of-the-century because it was then that realist literature coincides with the expansion of the national press and new media technologies like photography and film, all of which facilitated the widespread dissemination of crisis narratives, marking the period as the advent of what is popularly referred to as disaster culture in the United States. …

Perspectives Of Behavioral Health Providers In School Based Health Clinics (Sbhc) About Behavioral Health Services And Low-Income Adolescent Males’ Academic Achievement, Suzanne Gagnon

Nursing ETDs

ABSTRACT

Low-income adolescent males are subject to both health and educational inequities. Male adolescents are the least likely of all pediatric age and gender groups to access either primary care or behavioral health services. This same population is most likely to not complete high school or college. Health and educational outcomes are both affected by social determinants. School-based Health Centers (SBHCs) are known for providing access to primary care and behavioral health services for low-income and vulnerable populations. The purpose of this qualitative descriptive study was to identify themes from one-on-one semi-structured qualitative interviews with behavioral health providers, who provide …

Nitrate Dynamics In An Arid Irrgation Network: Can Nutrient Loops Be Closed With Management Techniques?, Kelsey B. Bicknell

Civil Engineering ETDs

Nutrients are the third leading cause of impairment in aquatic ecosystems, yet they remain necessary to support our growing agriculture system. Mining (as with phosphorus) and manufacturing (as with synthetic nitrogen) fertilizers deplete non-renewable resources and consume large amounts of energy. We have opportunities to optimize food-energy-water (FEW) resources, particularly in arid regions where wastewater, rather than agriculture, is the number one contributor of nutrients. This study evaluates the capacity of three unique channels (i.e., the Drain canal, the Delivery canal, and the Rio Grande River) within the agriculture system of the Middle Rio Grande Valley to process nutrients from …

It Is More Than A Game: An Ethnography Of Communication Treatment Of Resilience As A Key Element Of Basketball Culture, Matthew Charles Higgins

Communication ETDs

This study, theoretically and methodologically grounded in the ethnography of communication (Hymes 1974; Carbaugh, 1992; Covarrubias, 2008; Philipsen, 1992; Philipsen, Coutu, & Covarrubias, 2005), investigated the relationship between communication and resilience as expressed by professional basketball players and coaches from a particular city in southwest United States, referred to as PG City. Guiding questions include: Is there a basketball culture? Does basketball constitute a speech community? How do basketball and basketball culture help players and coaches fight through adversity? What is the role of resilience within basketball culture? Interviews, using ethnography of communication approaches, were used to uncover elements …

Gifts Of Sovereignty: Settler Colonial Capitalism And The Kanaka ʻŌiwi Politics Of Ea, David UahikeaikaleiʻOhu Maile

American Studies ETDs

This dissertation examines Hawaiian sovereignty in history, law, and activism. The project tracks Indigenous claims, negotiations, and articulations of sovereignty in Hawai‘i. Using a critically Indigenous approach to Hawaiian studies, I advance two main theses. First, Kānaka Maoli (Native Hawaiians) are discussed as a community divided on Hawaiian sovereignty. However, I contend that Kānaka Maoli exercise a diversity of strategies and tactics for Hawaiian sovereignty. I show how Kānaka Maoli practice multiple modalities of sovereignty that cumulatively produce the Kanaka ‘Ōiwi (Indigenous Hawaiian) politics of ea (life and sovereignty). Second, the historical development of settler colonial capitalism operationalized the US …

Identifying Exercise Prescription Components That Predict Improvements In Functional Capacity Among Participants Enrolled In Cardiac Rehabilitation, Stephanie Gerlach

Health, Exercise, and Sports Sciences ETDs

Exercise during cardiac rehabilitation (CR) leads to an improvement in functional capacity (FC). The purpose of this study was to determine the role of exercise prescription variables on FC change among CAD patients who complete 36 sessions of CR. Methods: Exercise testing and prescription data for 151 patients were extracted from the AACVPR registry and a local cardiac rehabilitation facility’s database. Patients completed a submaximal exercise test for determination of FC, measured in metabolic equivalents (METs), pre- and post- 36 sessions of CR. A regression equation to determine the influence of exercise prescription components (intensity, duration, frequency) on change …

20190414_Biomedical Informatics Seminar Series Presents- Vipul Bodar, Md, Tamara Wheeler

HSLIC Blog Post

No abstract provided.

Incorporation Of Egfr And Ron Receptors Into Nanodiscs, Cristina Flores-Cadengo

Biomedical Engineering ETDs

Understanding the structure-function relationship of membrane receptors is essential to comprehend the crosstalk between key signaling pathways. Aberrant trans-activation between receptors can lead to tumorigenesis. Two of these receptors known to be involved in cancer development are receptor tyrosine kinases (RTKs), RON (Recepteur d'Origine Nantais) and EGFR (Epidermal Growth Factor Receptor). There has been evidence of heterodimerization and crosstalk between these two receptors based on co-immunoprecipitation, however the structural requirements behind these interactions remain unknown. Structural studies could provide insights into these RTKs’ modes of dimerization and structure-function relationship. However, structural studies of full-length membrane proteins are often difficult due …

Exploring The Variability In Institutional Characteristics Related To Meeting Various National Stem Baccalaureate Agendas, Tim Schroeder

Teacher Education, Educational Leadership & Policy ETDs

Science, technology, engineering, and mathematics (STEM) professions are said to drive the American economy, provide access to the middle class for underrepresented minorities, and bolster national security. Since the launch of Sputnik in 1957, American STEM educators have been under pressure to improve STEM educational outcomes. In order to respond to these pressures, education policy makers must understand the relationship between institutional characteristics and STEM outcomes. In this study, I articulate three specific national STEM agendas, and then I explore the relationship between these agendas and the institutional characteristics of America’s four-year colleges and universities.

Utilizing data from the U.S. …

University Of New Mexico Board Of Regents Minutes For April 9, 2019, University Of New Mexico Board Of Regents

Board of Regents Meeting Minutes

No abstract provided.

A Comparative Analysis Of Saudi Women’S Educational Experiences In Graduate English Programs In Two International Contexts: Saudi Arabia And The United States, Kholod Sendi

Language, Literacy, and Sociocultural Studies ETDs

Although there are a significant number of Saudi females pursuing graduate degrees in Saudi Arabia and abroad, few studies have examined their educational experiences. This qualitative multi-case study examines the educational experiences of ten Saudi females who graduated with a master’s degree in an English language related field in two international contexts: American universities and Saudi universities. By conducting qualitative semi-structured interviews and document analysis, this study explored the challenges these two groups faced and the strategies they used to succeed in higher education institutions in the U.S. and Saudi Arabia. This study discusses the roles that culture, religion, gender, …

Waters Of The State, Joseph Regalia, Noah D. Hall

Natural Resources Journal

The Southern Nevada Water Authority, the agency that provides Las Vegas with water, is in the process of building a massive pipeline from the eastern central part of Nevada to Las Vegas. If the state of Nevada authorizes this project, it would help solve a pressing water supply problem for its largest population center: Las Vegas. But it will do so at the expense of less water for existing rural users. This includes Native American tribes who have fought mightily for decades to protect many of Nevada’s rural water sources—including water that plays important cultural roles for the tribes.You might …

Externality: Origins And Classifications, Donald J. Boundreaux, Roger Meiners

Natural Resources Journal

Evaluating the pervasive role of externalities in the academic literature requires that we understand what it means. In this article, we give an idea of the extent of the use of externalities. We consider the development of the concept during the past century, focusing on its leading architect A.C. Pigou and how his theories affected the concept's development. The core of this article will then argue that the term has become nearly meaningless due to its ubiquity, so we develop a classification for the major categories of externalities based on economic and legal logic. We contend that the instances in …

The Market To Roam: Using Sharing Economy Platforms For Expanding Roaming Access To Land Resources, Donald J. Kochan

Natural Resources Journal

Outdoor recreation is big business. And, the majority of recreationalists do not have their own property upon which to recreate or roam. This article proposes a framework for a market to roam, where technology-facilitated bargaining leads to transfers of roaming rights and the provision of access across private lands. Such a system can borrow from what we know about traditional land use cooperation platforms, together with what we are learning from the sharing economy and its use of technology platforms to assist with matching owners of under-utilized resources with individuals interested in accessing or using those resources. The article engages …

20190404_Celebrate National Public Health Week - Climate Change, Sally Bowler-Hill

HSLIC Blog Post

No abstract provided.

Models Of Wage Determination Of Offensive Linemen In The National Football League, Daniel S. Krywaruczenko

Health, Exercise, and Sports Sciences ETDs

This report reviews factors that can impact an offensive lineman’s salary in the National Football League. For years, factors measured by performance statistics have been gathered in various sports as a method to estimate a player’s production. Understanding performance statistics that impact a baseball player’s salary was popularized by the movie Moneyball, but limited work in this regard has been done to measure effectiveness or efficiency of offensive linemen in American football. The lack of publicly available data and many interdependencies in football make it difficult to objectively understand how salaries can best be determined. This study uses a quantitative …

05-07-2019 Hsc Committee Revised Agenda, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

The Silent Problem: The Implicit Personhood Determination In State V. Montoya, Erin Phillips

New Mexico Law Review

Can a dead person still be considered a person under a criminal statute? This unspoken question is at the center of State v. Montoya, illustrating how a facially simple and uncontroversial case can actually be very misleading. On appeal in Montoya, the defendant argued that the conviction of robbery was unfounded, since the victim was already deceased at the time of theft. The Court of Appeals gave little attention to the argument about the victim’s personhood, instead analyzing the case through the lens of a rational link standard, essentially measuring the connection between a homicide and a subsequent robbery in …