Digital Commons Network^™

Fall Reduction With Nursing Interventions, Sin Ting Chan

Master's Projects and Capstones

The aim of the project is to reduce the patient’s fall rate in the medical surgical unit at an acute care hospital through improving the fall precaution process. The unit consists of 37 bed with a population of stroke, medical, and surgical patients. The focus of the nursing staff education using handouts, brochures, and poster will be based on the results from pre and post intervention audits. The goal of this fall reduction project is to have the nursing staff learn, review, and apply fall prevention interventions for fall risk patients in order to help reduce fall rate by 50 …

Improved Satisfaction On Postpartum Unit By Implementing A Discharge Nurse Role, Nicole Ware Rn, Msn

Master's Projects and Capstones

A three-month time period was used to develop a postpartum education program change by designing a discharge nurse role on the postpartum unit at University of North Carolina Women’s Hospital. The goal of the education change is to increase patient satisfaction scores of discharged post-natal mothers on the postpartum unit by having HCAPS and Press Ganey to improve up to10% over the next 6 months.

An observational assessment revealed a fragmented and antiquated discharge process. This process was paper based and difficult to complete in light of the short stay and high volume patient population. Informal nurse feedback as well …

Increasing Hpv Awareness And 3-Dose Series Compliance Among The Female Population (Ages 11-26) In A Community Health Clinic, Vanessa Orozco

Master's Projects and Capstones

Abstract

The overall goal of this project was to increase HPV 2nd and 3rd dose compliance rates by a combined 10% among the female adolescent population (ages 11-26). This was to be achieved by implementing EBP follow-up calls to not only schedule appointments but also to serve as a reminder for patients to come into previously scheduled appointments. This project was chosen as prior clinic and organization-wide meetings had delineated compliance rates at just 7%. There were various methods employed to implement this project including an initial microsystem assessment, which entailed a Root Cause Analysis, Process Mapping, SWOT analysis, Cost-Analysis, …

Monitoring Biodiversity Of San Francisco Peninsula Grasslands Using Lepidoptera As A Bioindicator, Jonathan B. Sifuentes-Winter

Master's Projects and Capstones

San Francisco Peninsula grasslands have seen an influx of non-native invasive species starting in the 1500’s, threatening ecological stability by reducing biological diversity. To combat these invasive species, multiple public agencies have begun to adopt an integrated pest management (IPM) approach. This ecologically-based approach to pest management utilizes three controversial techniques, which are presently used or are under consideration for use on the San Francisco Peninsula: herbicide application, conservation grazing, and prescribed fire. In this paper, I will evaluate the use of the taxa Lepidoptera as a bioindicator of biodiversity to assess the environmental impacts of these techniques. The application …

Morrison V. St. Luke's Regional Medical Center, Ltd Respondent's Brief 2 Dckt. 42625

Idaho Supreme Court Records & Briefs, All

No abstract provided.

The Happy Older Latinos Are Active (Hola) Health Promotion And Prevention Study: Study Protocol For A Pilot Randomized Controlled Trial, Daniel E. Jimenez, Charles F. Reynolds, Margarita Alegría, Philip Harvey, Stephen Bartels

Dartmouth Scholarship

Results of previous studies attest to the greater illness burden of common mental disorders (anxiety and depression) in older Latinos and the need for developing preventive interventions that are effective, acceptable, and scalable. Happy Older Latinos are Active (HOLA) is a newly developed intervention that uses a community health worker (CHW) to lead a health promotion program in order to prevent common mental disorders among at-risk older Latinos. This pilot study tests the feasibility and acceptability of delivering HOLA to older, at-risk Latinos.

Methods/Design: HOLA is a multi-component, health promotion intervention funded by the National Institute of Mental Health (NIMH). …

Developing Inter-Professional Oral Health Education: An Evaluation Of Educational Resources, Jordan A. Jew

Master's Projects and Capstones

As healthcare continues to evolve, providers will need to uphold the quality of patient care provided to patients. Traditional healthcare holds many gaps that do not recognize the unmet needs that exist within today’s society. To maximize the abilities of healthcare services, inter-professional education introduces a collaborative approach that develops a network of shared knowledge and clinical skills beyond the primary scope of practice.

In this project, oral health learning modules developed for family practice residents were introduced to first-year dental students at the Dugoni School of Dentistry to improve their knowledge and confidence to both educate and practice with …

Global Health Security Agenda Legal Landscape Assessment, Natasha M. Nussbaum

Master's Projects and Capstones

The Global Health Security Agenda (GHSA) was created on February 13, 2014, to improve country's ability to detect, prevent and respond to emerging health threats. Eleven action packages were created. The detection action package included antimicrobial resistance, zoonotic diseases, national biosafety/biosecurity and immunization. The prevention action package included establishing a national laboratory system, strengthening real-time biosurveillance, advancing timely and accurate disease reporting and establishing a trained global health security workforce.The response action package focused on establishing emergency operation centers, linking public health and law enforcement and enhancing medical countermeasures/personnel deployment.

The following paper summarizes the components performed for the GHSA …

N653 Fall Prevention Final Project, Sam Clark

Master's Projects and Capstones

N653 Fall Prevention Final Project

by Samuel K. Clark, RN

This project was done with patient safety in mind through the use of the most current EBP available.

The Use Of Speech-In-Noise Testing As A Measure Of Hearing Aid Benefit, Morgan Ann Thrasher

Student Theses and Dissertations

This study investigated the feasibility of quantifying hearing aid benefit by means of speech-in-noise testing, specifically a modified version of the QuickSIN. Participants were recruited from the files of a licensed audiologist and all had sensorineural hearing loss, requiring hearing aids. Nineteen experienced hearing aid users were selected to participate in the study. Each individual listened, in aided and unaided conditions, to sentences embedded with increasing levels of background noise. Signal-to-noise ratio loss scores were calculated and averaged across conditions. Additionally, the relationship between participants’ audibility indexes and aided and unaided signal-to-noise ratio loss scores were analyzed. Results from this …

College Students' Knowledge About Stuttering: A Preliminary Investigation, Nichole Marie Terry

Student Theses and Dissertations

There is ample research on the public’s perception of individuals who stutter, but little research was found about the public’s knowledge about the definition and etiology of stuttering. The present study attempted to address whether college students in a specific area of study possessed either quantitative or qualitative differences in their knowledge about the definition and etiology of stuttering. Subjects included 80 males and 100 females across 9 different academic colleges to assess their knowledge of stuttering. Five open response questions were presented to each participant. Responses were orthographically transcribed and coded based on the current notions on the etiology …

Squamous Cell Carcinoma Response To Cisplatin Exposure, Khanh V. Luong

Theses & Dissertations

Purpose: This thesis attempted to quantitatively analyze the individual cell fate choice in resistant head and neck UM-SCC38 cells exposed to cisplatin using the most current techniques available.

Methods: UM-SCC-38 cells were grown in Dulbecco’s modified Eagle’s medium (DMEM) supplemented with 10% fetal bovine serum (FBS). They were treated with cisplatin and ATM/ATR inhibitors of known dosages. Using live cell imaging, one hundred cells were tracked in each experiment and their behaviors were analyzed and entered into Microsoft Excel Spreadsheet to generate cell profile graphs. HaCaT cells, non-tumorigenic keratinocyte cell line, were also analyzed using live cell imaging and their …

Amyloid Proteins Structure, Dynamics, Interactions And Early Stages Of Self-Assembly, Yuliang Zhang

Theses & Dissertations

The self-assembly and aggregation of amyloid protein are associated with several neurodegenerative diseases. The evidence indicates that the oligomeric intermediates, formed prior to the final fibrillary product, are the primary culprits of neurotoxicity. Although tremendous efforts have been dedicated for the characterization of structures, dynamics and toxic-related hallmarks of the oligomers, to date, yet the mechanism of such assembly from disordered monomers and their structure remain elusive.

In this dissertation, I focused on understanding the dimerization process of amyloid proteins and peptides of different sizes and I combined experimental studies with high-power computer simulations. The AFM force spectroscopy experiments showed …

It Came Across The Plains: The 1918 Influenza Pandemic In Rural Nebraska, Kristin Watkins

Theses & Dissertations

The purpose of this historical case study was to understand and describe rural community experiences during the 1918 influenza pandemic in Nebraska.

Examining the rural experience in Nebraska during the 1918 influenza pandemic provided a new level of insight into the differences and similarities between the urban and rural experience. As related by a detailed study of Omaha during the 1918 pandemic, the community was devastated by disease. Despite public ordinances and health department warnings, streetcars ran at capacity, parades were held to raise money for war bonds, and the annual Aksarben Coronation took place. Cases of flu were too …

Compensatory Mechanisms And T Cell Migration In Mouse Models Of Dopaminergic Loss, Kristi M. Anderson

Theses & Dissertations

Parkinson’s disease (PD) is the most common neurodegenerative movement disorder and second most common neurodegenerative disorder. PD is characterized by the selective loss of dopaminergic neurons and dopamine neurotransmitter within the substantia nigra and termini in the striatum. Progressive loss of dopaminergic neurons occurs over many years in PD, and by the time movement disorder symptoms manifest, up to 50-70% of dopaminergic neurons have been lost. Several aspects of PD pathology have been described in detail, but a better understanding of PD progression is needed to develop more efficient treatments.

Motor symptoms associated with PD do not manifest until significant …

Evaluation Of Upper Airway Changes Following Surgical Removal Of The Adenoids Using 3-D Cone Beam Ct, Christopher C. Schultz

Theses & Dissertations

Purpose: The purpose of this study was to evaluate the changes in volume, cross-sectional area and depth of the upper airway following the surgical removal of the adenoids.

Materials and Methods: 16 patients were diagnosed with hypertrophic adenoids and referred for surgical removal. Pre-surgical and post-surgical CBCT scans were taken on each patient. Volume measurements of the total airway, oropharynx and nasopharynx were recorded. In addition, cross-sectional areas and airway depths at the posterior nasal spine (PNS) and cervical vertebrae 2 were recorded. 15 patients diagnosed with no or mild adenoid hypertrophy were treated as the control group. The controls …

Development Of Manganese-Enhanced Magnetic Resonance Imaging (Memri) Methods To Study Pathophysiology Underlying Neurodegenerative Diseases In Murine Models, Aditya N. Bade

Theses & Dissertations

Manganese-enhanced magnetic resonance imaging (MEMRI) opens the great opportunity to study complex paradigms of central nervous system (CNS) in freely behaving animals and reveals new pathophysiological information that might be otherwise difficult to gain. Due to advantageous chemical and biological properties of manganese (Mn²⁺), MEMRI has been successfully applied in the studies of several neurological diseases using translational animal models to assess comprehensive information about neuronal activity, morphology, neuronal tracts, and rate of axonal transport. Although previous studies highlight the potential of MEMRI for brain imaging, the limitations concerning the use of Mn²⁺ in living animals and …

Evaluation Of Posterior Pharyngeal Airway Volume And Cross-Sectional Area After Mandibular Repositioning In Centric Relation, Jason Scott

Theses & Dissertations

Purpose: The purpose of this investigation was to determine the volumetric and cross-sectional changes that may occur within the posterior pharyngeal airway space after positioning the mandibular condyles in centric relation.

Materials and Methods: All subjects evaluated presented signs and symptoms of upper airway obstruction with significant CR-CO discrepancies. Stabilization maxillary splint therapy was employed to seat mandibular condyles in CR. Pre- and post-treatment CBCT scans were taken to compare airway changes. Thirty-one subjects (13 male and 18 female) with a mean age of 45.8 years at the time of the post-treatment scan were evaluated. DICOM files were …

Acute Methamphetamine Exposure Affects Histone Modifying Enzymes And Cytokine Production In Macrophages, Ariel Burns

Theses & Dissertations

The effects of methamphetamine (Meth) in the periphery are not well studied and a comprehensive investigation on the effects and molecular mechanism will give insight into why Meth users are at an increased risk of infections. For this reason, we use macrophages as a model for the immune system dysregulation seen in Meth abusers and also because macrophages are a long-lived cell that HIV infects and persists in. We aimed to determine the effects of Meth on the cytokine production, histone modifying enzymes and the corresponding histone post-translational modifications, and the molecular mechanism in HIV-infected human macrophages treated with combination …

The Feedforward And Feedback Controls On Gait In Adults With Diabetes, Chun-Kai Huang

Theses & Dissertations

There are nearly 26 million people with diabetes mellitus (DM) in the US, and half of chronic DMs develop somatosensory deficits due to diabetic polyneuropathy or diabetic peripheral neuropathy (DPN). The absence or impaired somatosensory feedback (e.g. touch sensation or joint proprioception) resulted from the damage of large nerve fiber, and motor deficits such as attenuated muscle strength and abnormal plantar pressure of lower extremity have been identified in DPN, and these sensorimotor impairments lead to an increased number of falls. To reduce the risk of falling, a well-coordinated and adapted limb movement driven by the feedforward (anticipatory) and feedback …

The Effects Of Thc On Attentional Bias To Emotional Stimuli, Sydney N. Haberberger

Honors Theses

The current study tested the hypothesis that the effects of THC on affect are mediated by the ability of THC to alter attentional bias to positive and negative stimuli. The study was completed by 16 participants, all of whom were consistent marijuana users. During sessions, participants used a machine called a Quantified Smoke Delivery System, which delivers a controlled amount of smoke to the user, to smoke either a cigarette that contained THC or a placebo cigarette. After smoking, participants would complete a task. During tasks, participants were placed in an eye tracking apparatus in order to record the movement …

A Novel Transcription Factor In Arabidopsis Thaliana Abiotic Stress Response, Achira S. Weerathunga Arachchilage

LSU New Orleans Theses and Dissertations

Plants respond to environmental stress by altering their gene expression. Under stress conditions some genes are activated and some genes are repressed. Even though a lot of work has been done to understand mechanisms of gene activation under abiotic stress very little information is available on how stress responsive genes are kept repressed under normal growth conditions. Recent work has revealed that plants use transcriptional repression as common mechanism of gene repression. Transcriptional repression is achieved by recruitment co-repressor complexes to the target genes. Recent studies have revealed that the co-repressor LUH complexes with SLK1 and SLK2 to silence Arabidopsis …

The Effects Of An Overnight Environmental Science Education Program On Students' Attendance Rate Change For Middle School Years, Jennifer Elizabeth Basham

Dissertations and Theses

Programs that engage middle students in participatory, real-world, and hands-on field based instruction can be a powerful asset to the educational experiences for students; motivating and inspiring some to appreciate and value school in a different way. Overnight environmental science programs have a unique opportunity to support students by creating experiences where students can participate in learning in vastly different ways from what they may engage with in the traditional 4-walled classroom, while concurrently developing a relationship with the natural world. Decreasing educational budgets and increased need to substantiate educational programs in terms of their impact on students has added …

The Tunisian Revolution: Empire And The Power Of The Multitude, Caroline A. Burns

Master's Theses

The self-immolation of Mohammed Bouazizi ignited the revolution that would oust Tunisian dictator Ben Ali in 2011. The momentum of the revolution in Tunisia spread ideas, tactics, and revolutionary chants across borders to various parts of the globe. The speed and intensity of the revolution dominated the attention of the unsuspecting global community. In order to understand the conditions under which this revolution transpired, I use Michael Hardt and Antonio Negri's theory of Empire to show how the contemporary global system functions. Through the historical development of Tunisia and concurrent rise of Empire emerges "the multitude," the heterogeneous manifestation of …

Dislocation And Adjustment Of International Student-Athletes, Thiago Brito Lopes

Master's Theses

One reason that attracts international student-athletes to American universities could be the interest in earning high quality education with the possibility of playing high performance sports. However, when compared to other international students, differences are seen: Other foreign students who look for a degree in the US desire not only an international education, but also potentially staying in the country. The University of San Francisco, where a cosmopolitan city meets education, fits it best. At USF, 82 countries are represented, reaching a number of 1708 students. Approximately ¼ of the whole student population is international. The ratio with student-athletes is …

Power, Subjectivity, And Life In Spain: A Continuation Of Elite Power, Matthew Mason

Master's Theses

On December 20, Spain will hold national elections to determine the new prime minister and national and local parliaments. These elections will be another crossroads in the long history of Spain. The elections come about in a political and social atmosphere of ‘change’ and ‘regeneration,’ marked by the rise of two new political parties, Podemos and Ciudanos. These parties are the new forces in the political scene in Spain. This atmosphere of change is the result of the 2008 economic crisis. The economic crisis of 2008 was not only an economic crisis in Spain, but it provoked a political and …

Photooxidation Reactions Of Small-Chain Methyl Esters, Aerosol Photoelectron Spectroscopy, And The Photodissociation Of Ethylenediamine, Giel Muller

Master's Theses

Research conducted at the University of San Francisco is presented within this masters thesis, including the Cl-initiated photooxidation reactions of methyl propanoate, methyl butanoate, and methyl valerate (pentanoate), the aerosol photoelectron spectroscopy of isoprene and gamma-valerolactone, and the TPEPICO investigation of ethylenediamine. Experiments were conducted at the Lawrence Berkeley National Lab Advanced Light Source (ALS), the National Synchrotron Radiation Research Center in Hsinchu City (NSRRC), and the University of Stockton in California, respectively.

The Multidimensionality Of Schoolgirl Dropouts In Rural Bangladesh, Tiffany Yancey

Master's Theses

This thesis outlines the underlying causes for girl dropouts in the secondary school system of rural Bangladesh and assesses the barriers that affect adolescent girls and their families. The complex dynamics of the historical context within the patriarchal-dominant structure of society creates a system that hinders girls’ education and forces them into marriage at an early age. Poverty and lack of parental involvement in schools, as well as societal traditions and lack of government infrastructure play an enormous role and are the main structural factors that are linked to schoolgirl dropouts in this study. This thesis also analyzes previous education …

Evolution Of A Nation After A Dictatorship: How Law, Politics And Society Of The 1973 Dictatorship In Uruguay And Of The Subsequent Return Of Democracy In 1985, Potentially Helped Evolve The Nation Of Today., Jonathan A. Fein Proaño

Master's Theses

In 1973, Uruguay’s president authored a coup d’état with the military and changed the history and fabric of Uruguay. Once democracy returned to Uruguay in 1985, it was a chance to see if an evolution of the law, politics and society would occur. This thesis aims to analyze and understand the patterns of change and de-evolution or evolution that happened during the dictatorship and then over the last 30 years. I break down the process of changes that happened legally and politically, how the dictatorship and its leaders used law to destroy rule of law, and how society changed.

This …

The German Army At A Crossroads Of Modernization, Sarah E. Liebig

Master's Theses

This thesis examines the German civil-military relationship and the challenges the country is facing amidst modernizing reforms to the German armed forces. Over the last quarter of a century, new international security threats have manifested and continue to transform requiring Germany to adapt its military and defense policies in order to effectively protect itself and serve as a capable ally to other member states of international organizations such as NATO and the EU. The adaptations and reforms required of Germany have led to concern that the cornerstone civil-military relationship concepts are at risk. In this thesis I identify the major …