Digital Commons Network^™

The Murray Ledger And Times, December 13, 2013, The Murray Ledger And Times

The Murray Ledger & Times

No abstract provided.

Ucc Minutes Dec 13, 2013, Undergraduate Curriculum Council

Undergraduate Currirculum Committee Minutes

No abstract provided.

Hydraulic Fracturing: Restoring Public Health And Safety As A Top Priority, Brian Barnes

Op-Eds from ENSC230 Energy and the Environment: Economics and Policies

Hydraulic Fracturing: Restoring Public Health and Safety as a Top Priority

Dirty Power, Or A Dirty Word?, Kyle Chapo

Op-Eds from ENSC230 Energy and the Environment: Economics and Policies

Dirty Power, or a Dirty Word?

Implementation Plan For Emr And Beyond, Lori Katterhagen

Doctor of Nursing Practice (DNP) Projects

Change is never easy for anyone, but how we implement change can make the difference in how an innovation is accepted. Over the last two years, a small community hospital in California has introduced a new electronic medical record (EMR) to meet the requirements of meaningful use mandated by the Centers for Medicare and Medicaid (CMS) for all hospitals across the United States. EMRs are expected to improve quality in many areas, especially to improve outcomes, while safely reducing costs (U.S. Department of Health & Human Services, 2012). Adoption of EMR’s is not optional, if facilities want to avoid penalties …

Lean Management Principles To The Creation Of Postpartum Hemorrhage Care Bundles, Bethan Faulkner

Doctor of Nursing Practice (DNP) Projects

Postpartum hemorrhage (PPH) is the number one cause of pregnancy-related death in the US. The Maternity local improvement team (LIT), co-led by an Obstetrician and Board Certified Clinical Nurse Specialist found that each month the maternity unit averages 40 PPHs with 1-2 resulting in an emergency. Over a 6-month period, the LIT decreased response time for emergencies significantly. Supply retrieval time decreased by 99.9%, MD response time decreased by 81%, and Family Centered Care increased by 100%. They recently turned their attention to prevention. Given the lack of literature on preventing PPH in postpartum units, the team developed a PPH …

Improving Value Based Purchasing Through The Implementation Of The Clinical Nurse Leader Role: The Chief Nursing Officer’S Case For Change, Leanne M. Hunstock

Doctor of Nursing Practice (DNP) Projects

The healthcare industry is focused on the implementation of the Affordable Care Act, the payment reform package from Centers for Medicare and Medicaid Services and the development of Accountable Care Organizations. The decisions, behaviors, and practices of medical and clinical staff directly impact patient care, quality, and subsequently cost and reimbursement. The imperative to balance quality and patient safety with cost effectiveness requires a complex orchestration of all the elements of care within the clinical microsystem. A priority is to support and enable bedside nurses’ daily practice, priorities, and decision-making. This can be accomplished through the implementation of the Clinical …

Innovative Approach To New Nurse Residency, Meaningful Use And Health Care Reform, Pamela V. Stanley

Doctor of Nursing Practice (DNP) Projects

The project’s aim was to examine the financial impact of replacing registered nurse (RN) travelers, RN registry and RN overtime with new graduate RNs. Newly graduated RNs are often viewed by hospital administrators as a more costly staffing resource. This project contributes knowledge regarding the potential cost savings with the utilization of a centralized float pool incorporating new graduates. In addition, it contributes a novel idea for reducing organizational costs of implementing an electronic medical record with the utilization of new graduates as super users.

A new graduate program, which incorporated the use of a formal preceptor and mentoring program, …

The Design, Implementation And Evaluation Of A Technology Solution To Improve Discharge Planning Communication In A Complex Patient Population, Susan M. Manfredi

Doctor of Nursing Practice (DNP) Projects

Unnecessary delays in discharge planning can extend the length of stay (LOS) and add non-reimbursable days for socially and medically complex patients thereby increasing the financial burden to healthcare organizations. The literature supports enhanced discharge communication strategies and the use of checklists to facilitate safe and timely discharges. Following root cause analyses of significant discharge delays, one hospital identified gaps in communication as key precursors associated with discharge planning breakdown when discharging patients to skilled nursing facilities. Review of these events demonstrated the need for concurrent communication strategies between multidisciplinary care team members in planning for complex discharges.

Following a …

Transforming The Journey For Newly Licensed Registered Nurses: A Community Based Transition-To-Practice Program In Ambulatory Care Settings, Cathryn A. Halford Dnp

Doctor of Nursing Practice (DNP) Projects

Abstract

In response to the job shortage for newly licensed registered nurses (RNs), transition to practice and residency programs have been established in many areas of the country including the San Francisco Bay Area. The programs were designed as demonstration projects to assist new graduates by increasing their competence, confidence, and skills, and their employability. Evidence from new graduate programs suggests that the programs provide an important bridge that is necessary for the critical transition from classroom to clinical practice and from newly licensed RN to qualified nursing professional. The University of San Francisco (USF)

Transition-To-Practice (nurse residency) program in …

Fluid And Sodium Intake And The Relationship To Total Body Water In Children With Sickle Cell Anemia, Katelyn Nicole Hart

Electronic Theses and Dissertations Archive

Sickle cell anemia (HbSS) is the most common and severe form of sickle cell disease.1,2 A complication of HbSS is vaso-occlusion pain crisis (VOC) that occurs when the sickled red blood cells become lodged in the blood vessel and causes pain.5 The purpose of this study was to measure hydration status using bioelectrical impedance analysis (BIA), to measure fluid and sodium intake, and to see if there is an association between oral fluid intake, sodium intake, and hydration status. Ten children between the ages of 5 and 17 who had HbSS were recruited. The BIA measured their total body water …

December 13, 2013 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.

2013 Fall Commencement Program: Winona State University, Winona State University

WSU Commencement Programs

This is the Winona State University Fall 2013 commencement program. Commencement was on Friday, December 13, 2013.

Emu Today, December 13, 2013, Eastern Michigan University

EMU Today

No abstract provided.

[2013-12-13] Meeting Of The Finance, Investment And Property Committee, Virginia Commonwealth University. Board Of Visitors

VCU Board of Visitors Minutes

Official minutes of the VCU Board of Visitors and its Executive Committee.

Factors Influencing Youth Self-Perceptions Of Overweight And Obesity, Caitlin Helen Sommers

Dissertations and Theses

This study sought to examine whether participation in physical activity affects the ability to correctly classify body size, based on body mass index classifications. Secondarily, this study determined whether adolescents who incorrectly classified their body size overestimated or underestimated their size. Self-report data from the Youth Risk Behavior Surveillance Survey collected by the Centers for Disease Control and Prevention were analyzed. Logistic regression was performed to examine relationships between self-perception of body size and physical activity, television viewing time, computer/video game use, physical education class time, and extracurricular sports activities. Significance was set to p<0.05. Physical activity was the only statistically significant independent variable (p=0.058, OR = 1.060). Although physical activity was shown to be statistically significant, it did not appear to meaningfully increase the ability of youth to correctly classify body size. Secondary analysis showed that adolescents who incorrectly classified their body size were more likely to underestimate their body size. Females more frequently underestimated their body size (females=673; males=384).

The Future Of Disability In Alaska Summit & Follow-Up Survey, University Of Center For Human Development

Reports

The Future of Disability in Alaska Summit was held in Anchorage in the summer of 2013, May 9-10. The purpose was to gather perspectives from a diverse group of stakeholders to inform a vision of the future for people with disabilities in Alaska in five broad topical areas: 1) Housing Arrangements, 2) Advocacy, 3) Relationships, 4) Economic Wellbeing, and 5) Health. About 76 stakeholders participated in the summit including people with disabilities, family members, advocates, service providers, policymakers, and others. A follow-up online survey was conducted to gather information from a broader range of stakeholders and to get a sense …

Striae Re-Negotiated: The Self-Definition Of The Yiddish-Speaking Jewish Community In The Era Of Mexicos Raza Cósmica, Beth Merfish

Research Papers

This essay examines Mexican Jewish documents through which that community navigated the political terrain of post-Revolution Mexico. Central to this discussion is tension between Jewish desires to become part of this new nation and the imperative to remain a discreet cultural and religious community. I first examine the pressures of assimilation in 1920s Mexico exemplified by José Vasconcelos 1925 La raza cosmica and then probe the Yiddish-speaking Jewish community's response and self-definition in relation to a rapidly developing nation, using two case studies: the Jewish community's political position publicized in the 1929 Asociación de Jóvenes Israelitas de México bulletin and …

Board Of Trustees Minutes, December 13, 2013, Coastal Carolina University

Board of Trustees Meeting Minutes

No abstract provided.

Every Town Is All The Same When You've Left Your Heart In The Portland Rain: Representations Of Portland Place And Local Identity In Portland Popular Lyrics, Meghan Andrea Kearney

Dissertations and Theses

This study looks at how place and local identity of Portland are described within music lyrics from Portland, Oregon popular indie-rock artists. Employing a constant comparative analysis on a set of 1,201 songs from 21 different popular Portland indie-rock artists, the themes of landscapes and climate were found to represent place, and themes of lifestyles and attitudes represented local identity. Reviewing the uncovered themes showed a strong connection between representations of place and local identity within lyrics and common stereotypes or understandings of the city of Portland and its indie-rock music scene. The results of this study illustrate how place …

Identification And Characterization Of Fine Particulate Matter Hot Spots On An Urban Arterial Corridor Integrating Probe Vehicle, Traffic And Land Use Data, Katherine Eleanor Bell

Dissertations and Theses

The purpose of this study is to explore the use of integrated probe vehicle, traffic and land use data to identify and characterize fine particulate matter (PM[subscript 2.5]) hot spot locations on urban arterial corridors. In addition, a preliminary analysis is conducted to consider volatile organic compound (VOC) hot spot locations. A pollutant hot spot is defined as a location on a corridor in which the mean pollutant concentrations are consistently above the 85th percentile of pollutant concentrations when compared to all locations along the corridor. In order to collect data for this study, an electric vehicle was equipped with …

From Corps To Co-Ops: Are Co-Operatives A Viable Reintegration Strategy For Ex-Combatants?, Patrick Moses Musibi

Master's Theses

From 1989, Disarmament, Demobilization and Reintegration (DDR) programmes have played a major role in peace agreements worldwide. The first United Nations peacekeeping mission with a DDR mandate was ONUCA, (Observadores de las Naciones Unidas en Centroamerica) or the United Nations Observer Group in Central America and involved the reintegration of ex-combatants after the conflict had finished. While the disarmament and demobilization phases of the DDR programs are fairly straightforward events, success in the reintegration phase remains a great challenge. In this thesis I argue that paying closer attention to the challenges facing ex-combatants at an individual level can help in …

Re-Visiting Homosexuality In Cameroon: Effective Advocacy On The Path From Homophobia To Dignity And Equality, Jean Cedric Ndzomo

Master's Theses

Cameroon, one of the countries in the world that continues to criminalize homosexuality, has been on the news recently due to the torture and murder of young journalist and gay activist, Eric Ohena. This paper examines the discrimination faced by the LGBTI community in Cameroon by exploring the origins of homophobic violence, the role played by Cameroon's legal system, and the struggles of LGBTI Cameroonians in their fight for a better life. The analysis includes a review of the work by scholars on colonialism and sexuality in Africa, and questions the roots of violence and abuse against the LGBTI community …

Land Grabs And Implications On Food Sovereignty And Social Justice In Senegal, Joanna Lafrancesca

Master's Theses

This thesis focuses on the case study of Senegal to examine the implications of large- scale land acquisitions on the livelihoods of small-scale farmers. I investigate the diverse perspectives of market enthusiasts, human rights organizations, peasants, the state, and international financial organizations on large-scale land acquisitions. Based on primary research, I argue that the state of Senegal plays an active role in permitting “land grabs” and that they pose a threat to food sovereignty among Senegalese host communities. Lastly, I argue there needs to be a broader understanding of long-term consequences and risks to insure social justice in areas affected …

Between Mobility And Stability: Immigration, Free Trade, And Human Rights In The Context Of The Latino Immigrant, Joseph M. Stosberg

Master's Theses

This work takes a multi-dimensional approach to understanding human rights abuse toward Latino immigrants. It is argued here that the opening up of Mexico and Central American countries to free trade, and the restricted movement across borders has increased human rights abuse toward immigrants. In order to investigate these issues this research looks at: the opening up of Mexico and Central American countries to free trade; a pervasive narrative that portrays the Latino immigrant as a threat; and U.S. immigration policy. I use these respective bodies of literature to guide the discussion of the Latino immigrant experience, from the decision …

The Plight Of Kenyan Domestic Workers In Gulf Countries, Caroline Muthoni Gikuru

Master's Theses

Kenya’s economy remains the regional leader within the East African Community (EAC) and among East African countries at large. However, political instability such as the 2007 post-election violence and the region’s social and political instability trickling into Kenya, have negatively affected the country’s economic growth. To bridge the economic gap, Kenyan women are seeking employment in the domestic service sector in the Gulf Countries, with Saudi Arabia being the most popular destination. At their destination countries, some domestic workers are subjected to various forms of abuse by their employers, leaving the worker without recourse due to the lack of legal …

Sexting Unleashed: The Social Phenomenon According To Youth Sexters, Jessica Marie Mcgraw

Dissertations and Theses

What is missing from academia and society at large is a more holistic picture of youth sexting. Not adequately understanding youth sexting has stunted previous attempts to effectively educate young people on its potential consequences. As such, the social and legal consequences of sexting gone viral have negatively impacted countless individuals. This study offers a preliminary glimpse of the sexting phenomenon by highlighting the experiences of 20 young people. I explore emergent themes regarding the nature of youth sexting as well as the interrelations amongst privacy, relationships, and sexting. Two distinct forms of sexting emerged from participant narratives, opening the …

Maternal Reaction To Diagnosis: Examination Of Categorization And Methods Of Scoring, Alison Bradley

Master's Theses

This study examined the potential usefulness of a continuous rating system for the Reaction to Diagnosis Interview (RDI; Pianta & Marvin, 1992) compared to the already validated dichotomous coding system. Measures of family functioning, parent psychological well-being, and parental coping were also correlated with the continuous rating system. Participants were 116 young children (29 with asthma, 37 with diabetes, and 50 with cancer) and their primary caregivers. Parents were interviewed by a trained researcher and completed well-validated self-report measures of family functioning and parent psychological well-being and coping. Consensus conferencing for classification disagreements was discussed. Differences and similarities among subcategory …

College Of Public Health News, Georgia Southern University

College of Public Health: News & Publications

• Rural Women's Exercise Self-Efficacy
• Ubiquitous Effects of Quantum Entanglement

Social Marketing And California High-Speed Rail: A Framework For Behavioral Change Towards Sustainability, Spenser Dill

Master's Projects and Capstones

In this analytical paper, I advocate for the use of social marketing techniques in a campaign targeted towards Central Valley communities with the primary objective of reducing this population’s opposition to the state’s High-Speed Rail project. A secondary objective is to use this strategy to promote positive attitudes towards sustainable practices in general. The goal is to stimulate a change in regional culture, which will support the behavioral changes needed to protect California’s natural resources and reduce our state’s contribution to climate change. I argue: 1) creating a sustainable transit infrastructure with high-speed rail as its centerpiece will reduce harmful …