Digital Commons Network^™

Avoiding 30-Day Readmissions Of Acute Mi Patients Utilizing Cardiac Rehabilitation, Patricia T. Forsberg

Doctor of Nursing Practice (DNP) Projects

A significant number of Acute Myocardial Infarction (AMI) patients were readmitted to an urban San Francisco Medical Center within 5-7 days post discharge this year. Two of the main identified causes were symptom management issues and medication instructions, both of which are part of the discharge instructions. It’s not surprising that 80% of all discharge teaching is forgotten by patients by the time they hit the parking lot. With the recommended timeframe for post discharge follow up appointments at 48 to 72 hours post discharge and as those appointments are not typically available within the recommended timeframe, patients are more …

Daily Eastern News: December 12, 2014, Eastern Illinois University

December

No abstract provided.

Emergency Preparedness On An Inpatient Hospital Unit, Hailee Marie Barnes

Master's Projects and Capstones

This paper will discuss the implementation of an emergency preparedness quality improvement project conducted by a University of San Francisco Clinical Nurse Leader (CNL) student on an inpatient cardiac unit, Unit H, at an urban teaching hospital in Northern California, Hospital B. An assessment of the current state of emergency preparedness, a diagnosis of Unit H’s area of greatest needs, the details of planning and implementing the quality improvement as well as the final evaluation will be discussed. The nursing process will be used for the structure of this paper as it was used as the structure of this project. …

Creating Theatre-Based Curriculum For Use In The Esl/Efl Language Classroom: A Model, Alexandra Williams-Fleck

Master's Projects and Capstones

Many countries require the study of the English language as part of the standard curriculum in K-12 schools. Unfortunately, many students lack the interest and motivation to learn, despite English’s potential to open future academic and professional doors. This is particularly true for students living in countries where English is not a nationally spoken language. They receive no language support from their surrounding environment, which affects their rate of language acquisition. Coupled with a prevalence of out-of-context materials and non-native English-speaking teachers (NNESTs) who may be unable to impart the non-verbal and cultural implications of the language, students are at …

Improving English Skills Through Video: A Conversation-Based Curriculum For Chinese Efl Adult Learners, Xiaojie Wang

Master's Projects and Capstones

In 1980, China opened its door to the outside world and eventually learning English became a tool for the drive for modernization in the country. For the past thirty years, learning English has been a goal of many. However, the overwhelming majority of Chinese students with limited vocabulary are apt to display low confidence when engaged in conversations in English. Specifically, they may fail to apply correct grammar knowledge and syntax during their communication. The purpose of this field was to create video teaching resources, based on U.S. media like television shows, to be used in EFL classes in China …

Improving Influenza Vaccination Rates Through Nursing Journal Clubs, Lily Yan

Master's Projects and Capstones

The objective of this CNL Internship Project is to improve patient compliance with the flu vaccine for the 2015 fiscal year. Currently the project is set at a teaching hospital in Northern California on the Abdominal Transplant Unit. Participants include six staff nurses who care for End Stage Renal Disease (ESRD), End Stage Liver Disease (ESLD) and abdominal transplant patients. To address the barriers to vaccination, specifically patients’ fear of adverse effects, nursing journal clubs (NJC) were implemented on the unit to educate nurses about the current research on flu vaccination for this patient population. As the facilitator, the CNL …

An Evaluation Of Mental Health And Methadone: Anxiety, Depression, And Drug Use, Gursimran Khahera

Master's Projects and Capstones

As a part of the Masters of Science in Behavioral Health field placement, an evaluation was conducted of the integrated treatment plan in mental health and substance abuse at Bay Area Addiction Research and Treatment (BAART) programs. The goal of the BAART programs are to provide comprehensive mental health and substance abuse outpatient recovery services, as well as on-site primary health care services for substance users, mainly opioid use. There is a link between increased substance abuse and increased rates of depression and anxiety. These disorders use the same neuro chemical pathway and are highly codependent upon one another. Because …

The Bg News December 12, 2014, Bowling Green State University

BG News (Student Newspaper)

The BGSU campus student newspaper. December 12, 2014. Volume 94-Issue 47.

Commission Decision Of 28 December 2012, European Union: European Commission

Documents

No abstract provided.

How Disgust Affects Romantic Attraction: How Our Moods Affect Our Judgments Of Attractiveness, Nicholas Phelan

Theses

Facial attractiveness is an important part of our initial judgments of people and in our ability to determine their compatibility as a mating partner. Just as mating is evolutionarily important, the emotion disgust is one of the most evolutionarily beneficial emotions as it helps keep us away from poisonous and possibly infectious substances or foods. We instinctively avoid people with facial scars and other facial deformities because these are seen as a sign of illness or generally poor well-being. Facial attraction is one component of how we choose a mate. The current experiment examined whether or not being disgusted created …

The Geology And Petrology Of Enigmatic Rhyolites At Graveyard And Gordon Buttes, Mount Hood Quadrangle, Oregon, Elizabeth G. Westby

Dissertations and Theses

Rhyolite lava flows are found at two dome complexes at Graveyard Butte and Gordon Butte, Mount Hood Quadrangle, Oregon. At Graveyard Butte, the White River has cut a winding canyon 150 m deep, exposing at its base, a 40-meter-thick outcrop of flow-banded rhyolite (73 wt.% SiO₂, 3.67±0.01 Ma) that laterally extends along the canyon wall for about 1 km. Stratigraphically above the flow-banded rhyolite is locally-erupted iron-rich andesites (lava flows, agglutinate and other pyroclastic rocks as well as clastic debris), a rhyolitic ash-flow tuff (74 wt.% SiO₂), and the 2.77±0.36 Ma tholeiitic basalt lava flows of …

Launching A Virtual Decision Lab: Development And Field-Testing Of A Web-Based Patient Decision Support Research Platform, Aubri S. Hoffman, Hilary A. Llewellyn-Thomas, Anna N. A. Tosteson, Annette M. Oconnor

Dartmouth Scholarship

Over 100 trials show that patient decision aids effectively improve patients’ information comprehension and values-based decision making. However, gaps remain in our understanding of several fundamental and applied questions, particularly related to the design of interactive, personalized decision aids. This paper describes an interdisciplinary development process for, and early field testing of, a web-based patient decision support research platform, or virtual decision lab, to address these questions.

President's Faculty Advisory Committee, Strategic Planning Development Team

Resource Archive

Evaluation of the strengths and weaknesses of PSU and what qualities are desired for the PSU of tomorrow, compiled by the President's Faculty Advisory Committee.

State V. Anderes Appellant's Reply Brief Dckt. 41744

Not Reported

No abstract provided.

Into The Red: A Look Into The Reasons Why Refugees Decide To Flee, Settle Or Migrate To And From Morocco, Fadeelah E. Holivay

Master's Theses

This research paper explores some of the main reasons why refugees and asylum seekers, particularly from sub-Saharan African countries, embark on a journey and decide to settle, flee or migrate to and from Morocco. Because of this phenomenon, Morocco has seen a 96% increase of refugees migrating to the borders of Morocco each year for the past three years. Many say that this astonishing increase of migrants choosing Morocco is due to such factors as: wars breaking out regionally across central African and Middle Eastern countries causing them to flee; Morocco being a culturaly diverse francophone country whose laws and …

Transparency Rules In U.S. Elections Need Updating To Reflect 21st Century Realities, Rebecca Green

Popular Media

No abstract provided.

The Ins And Outs Of Metal Homeostasis By The Root Nodule Actinobacterium Frankia, Teal R. Furnholm, Louis S. Tisa

New Hampshire Agricultural Experiment Station Publications

Background: Frankia are actinobacteria that form a symbiotic nitrogen-fixing association with actinorhizal plants, and play a significant role in actinorhizal plant colonization of metal contaminated areas. Many Frankia strains are known to be resistant to several toxic metals and metalloids including Pb2+, Al+3, SeO2, Cu2+, AsO4, and Zn2+. With the availability of eight Frankia genome databases, comparative genomics approaches employing phylogeny, amino acid composition analysis, and synteny were used to identify metal homeostasis mechanisms in eight Frankia strains. Characterized genes from the literature and a meta-analysis of 18 heavy metal gene microarray studies were used for comparison.

Results: Unlike most …

Healthy And Livable Pittsburg Initiative: Master Of Public Health Culminating Experience, Jasmine L. Bernal

Master's Projects and Capstones

Contra Costa Health Services Department of Community Wellness and Prevention sole purpose is to improve the environmental, social and economic conditions that contribute to poor health, and support a quality of life that promotes the health and well being of all residents within the county, with major attention to those underserved. The Healthy and Livable Pittsburg Initiative tries to address those issues within the city of Pittsburg. The project aims to engage certain members of the community within Pittsburg to be involved in the future community action plan, which will improve the lives of every resident in Pittsburg. The first …

Prevention Of Vaccine-Preventable Diseases Through Information And Education At The California Department Of Public Health, Vaisali M. Patel

Master's Projects and Capstones

Immunizations are one of the most important developments in the twentieth century towards the prevention of infectious diseases. Vaccinations against communicable diseases have helped reduce morbidity and mortality all over the world. Despite having numerous vaccines that protect individuals from serious and deadly diseases, vaccination rates in the United States remain at an all-time low. The Information and Education section of the Immunization Branch within the Division of Communicable Disease Control at the California Department of Public Health (CDPH) focuses on working with local health departments, primary care providers, immunization coalitions, and other statewide organizations to increase the rates of …

Increased Communication Between Nurses And Doctors On An Acute Medical Unit, Nina Linebarger

Master's Projects and Capstones

Background: Nurse-physician rounding is crucial to safe, effective care and to maintain open communication between the multidisciplinary healthcare team. Currently there is no protocol that encourages nurses to attend physician rounds. The lack of nurse-physician rounding is a potential area for medical error due to lack of communication and collaboration among the healthcare team.

Purpose: The focus of this study is to increase communication between the nurses and doctors on an acute medical unit by increasing nurse attendance and participation at physician rounds.

Methodology: Surveys were a key component in the methodology of this project. Surveys were distributed to the …

Strengths In Action: Implementing A Learning Organization Model In A Human Service Setting, Barbara Ann Whitbeck

Dissertations and Theses

Although learning organization theory evolved in corporate settings, literature suggests that the theory has much to offer human service organizations. This dissertation examines the implementation of a modified learning organization model in three small field offices of a publicly-funded vocational rehabilitation organization in the Pacific Northwest, at a time when the organization was negotiating financial cutbacks and organizational changes. The model - known as Strengths in Action - was based on Senge's five learning organization disciplines, and informed by organizational culture theory. In each participating office, all staff worked together to set a goal, make a plan, and achieve the …

“Readers’ Disappointed Expectations: Religious Symbols In ‘The Jilting Of Granny Weatherall’”, Rachel I. Gessel

Student Works

The short story “The Jilting of Granny Weatherall” by Katherine Anne Porter is the account of a devout Catholic woman on her death bed who dwells on being jilted at the altar sixty years earlier. It is commonly accepted among scholars that the “jilting” in the title also refers to a second jilting at the end of the story. Although it could be debated that the jilting referred to in the title could only refer to Granny’s jilting at the altar, over ten peer-reviewed articles about this short story suggest or acknowledge that the jilting also refers to Christ jilting …

Utilizing Computer Programming To Analyze Post-Tonal Music: A Segmentation And Contour Analysis Of Twentieth-Century Music For Solo Flute, Kate Sekula

Doctoral Dissertations

Two concepts will be synthesized in this dissertation: 1) the creation of accessible computer applications for melodic segmentation and contour reduction and 2) the application of segmentation and contour reduction to analyze twentieth-century post-tonal works for unaccompanied flute. Two analytical methodologies have been chosen: James Tenney and Larry Polanski's Gestalt segmentation theory and Robert Schultz's refinement of Robert Morris's contour reduction algorithm. The investigation also utilizes Robert Schultz's concept of diachronic-transformational analysis in conjunction with contour reduction. While both segmentation and contour reduction are invaluable analytical tools, they are meticulous and time-consuming processes. Computer implementation of these algorithmic procedures produces …

Structural Characterization Of Porous Materials: Understanding Mass Transport Through Asymmetric Membranes During Forward Osmosis, Seetha Soundara Manickam

Doctoral Dissertations

Engineered osmosis (EO) is an emerging membrane separations-based technology platform comprising of forward osmosis, pressure-retarded osmosis, and direct osmotic dilution/concentration processes. EO relies on a water flux driven across a semi-permeable membrane as a result of osmotic pressure gradients between two solutions, the relatively dilute feed and a concentrated draw solution. However, the support layer in EO membranes presents a resistance to solute transport resulting in internal concentration polarization (ICP) phenomena which results in the actual driving force being far lower than what is available. Severity of ICP is largely influenced by the structure of the support layer in the …

Reversing The Trend Of Large Scale And Centralization In Manufacturing: The Case Of Distributed Manufacturing Of Customizable 3-D-Printable Self-Adjustable Glasses, Jephias Gwamuri, Ben T. Wittbrodt, Nick C. Anzalone, Joshua M. Pearce

Department of Materials Science and Engineering Publications

Although the trend in manufacturing has been towards centralization to leverage economies of scale, the recent rapid technical development of open-source 3-D printers enables low-cost distributed bespoke production. This paper explores the potential advantages of a distributed manufacturing model of high-value products by investigating the application of 3-D printing to self-refraction eyeglasses. A series of parametric 3-D printable designs is developed, fabricated and tested to overcome limitations identified with mass-manufactured self-correcting eyeglasses designed for the developing world's poor. By utilizing 3-D printable self-adjustable glasses, communities not only gain access to far more diversity in product design, as the glasses can …

Empowering Female English Language Learners To Pursue Computer Science Fields: A Practical 4-Hour Workshop For Beginning Teachers In High School, Osaro Althouse

Master's Projects and Capstones

Female English language learners (FELLs) are not taken under consideration when trying to attract new student populations to computer science fields. Frequently, females are studied cohesively without regard to their individual distinctions and challenges. This unique population has to overcome traditional gender perceptions and linguistic confronts when considering the field of computer science. This paper provides a practical four-hour workshop for novice teachers in high school that are eager to empower female English language learners (FELLs) that demonstrate potential or are interested in entering computer science fields. An overview of research within the last ten years is exhibited, which includes …

Research Brief: "Managing The Re-Employment Of Military Veterans Through The Transition Assistance Program (Tap)", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This study examines whether Transition Assistance Program (TAP) helps transitioning service members find work as the researchers surveyed 350 Army personnel who have or could have utilized TAP services and found that 65% of the respondents used TAP services, with a majority (75%) using the services while active duty. In practice, Returning service members and veterans seeking employment or need help with their post-military goals should utilize TAP services, remembering that TAP services have been expanded to cater more to their individual needs. In policy, increasing workshop quantity and scheduling flexibility as well as utilizing more local facilitators and HR …

Biofilm Microenvironment Analysis Systems For Medicine And Agriculture, Jinzi Deng

Doctoral Dissertations

Biofilms are aggregated bacteria embedded in extracellular polymeric substances (EPS). Biofilms are the dominant growth form of bacteria in most natural environments, and are also important in many industrial and in vivo settings. The function of a biofilm system is inherently different from the function of the same cells dispersed in liquid culture. Existing methods to study biofilm either do not maintain the essential biofilm architecture or do not capture the dynamic nature of their responses. This research describes the development of a set of biofilm microenvironment analysis systems that maintain the essential micro-scale structure of biofilms. These systems are …

Self-Regulation In The Iep Classroom: Developing Lifelong English Language Proficiency, Jeannie Slayton

Doctoral Dissertations

Although students in Intensive English Programs (IEPs) acknowledge the importance of acquiring academic English skills, their primary concern is obtaining an acceptable Test of English as a Foreign Language (TOEFL) score. In order to continue improving their English skills beyond the last English class, learners need to have the capability of self-regulating their own learning. The problem for IEP teachers is fostering self-regulation in students who tend to be exam-oriented learners.

The conceptual framework for this qualitative study was constructed by examining and synthesizing research from the fields of adult education and educational psychology. This framework informed the interview protocol, …

“Une Image Vaut Bien Mille Mots”: Recherche Sur L’Iconographie Des Textes Allégoriques De Christine De Pizan, Marie-Josee Marquis

Doctoral Dissertations

The following research paper is an iconographic analysis of six allegoric works of Christine the Pizan, including: Epistre Othea, Livre de la Cité des Dames, Livre des Trois Vertus, Livre du Chemin de long estude, Livre de la mutacion de Fortune et Livre de l’advision Cristine. These medieval writings will be analyzed in conjunction with their illuminations allowing as such a more complete understanding of the various details buried within the images. Iconography, codicology and paleography are the three analytic methods utilized in this comprehensive study of selected Christine de Pizan’s allegoric works. Furthermore, this study will illustrate the …