Digital Commons Network^™

The Role Of A Psychiatric Mental Health Nurse Practitioner As Part Of A Mobile Health Unit For The Homeless Population, Joan Alviar Fraino

Doctor of Nursing Practice (DNP) Projects

An estimated 2.3 to 3.5 million people are homeless in the U.S., often living with chronic medical and mental illnesses. The underserved population, such as the homeless, continues to experience gaps in services, resulting in poor healthcare outcomes and readmission to the hospital setting. They often present in crisis through the emergency room, contributing to an already overburdened healthcare system. Increased spending and overutilization of healthcare services continues to rise in the United States (U.S.). Due in part to advancements in technology and expanded health insurance coverage, American healthcare continues be one of the most expensive commodities in the U.S. …

The Creation And Implementation Of Guidelines For The Appropriate Termination Of Patient-Provider Relationships, Rowena D. Nolasco

Doctor of Nursing Practice (DNP) Projects

Primary care providers have terminated patient-provider relationships when they deem them no longer therapeutic. Healthcare providers are increasingly considering this an acceptable practice. However, the criteria for this decision remain unclear. As providers discharge challenging or difficult patients from their practices, questions to support this decision arise. Discharged patients face displacement and healthcare is disrupted. This project will (a) describe problematic patient-provider relationships and its effects, (b) identify possible alternatives to the firing of patients, (c) list appropriate reasons for termination, and (d) present recommended procedures to avoid allegations of medical abandonment. The project's product is an Appropriate Discharge or …

A Hidden Culture Of Carelessness: A Comparative Qualitative Study Of Gender Inequality And Its Implications For African American And South African Black Women Higher Education Administrators, Dawn S. Singleton

Theses and Dissertations

The purpose of this phenomenological study was to explore and compare the lived and career experiences of Black women higher education administrators in the United States and South Africa. This comparative study elucidated the women’s experiences while giving voice to Black women, whose experiences and status are often further marginalized under new managerial practices. This research used the theoretical lenses of intersectionality and carelessness, a new managerial practice within higher education, to uncover the challenges, opportunities, and contexts experienced by these women within gendered, racialized organizational structures and practices. A major finding of the research is that Black women shared …

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, …

Using A Strategic Model For Professional Development: The Importance Of Evidence-Based Competencies As A Foundation For Professional Practice., Peggi B. Winter

Doctor of Nursing Practice (DNP) Projects

Abstract

A nursing professional practice model (PPM) is designed to provide a framework for how nursing practices, communicates, leads, collaborates, and provides the highest quality of care as we navigate the complex healthcare system. An infrastructure for learning, competency, and performance needs to be integrated into this model as a foundation for accelerating business and clinical initiatives, promoting standardization, and sharing successful practices. It is now, more than ever, a necessity to have a well-trained, highly competent nursing workforce. Simply having the knowledge and the skill to do a job is insufficient; rather, it is implied that a competency has …

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

Idaho Supreme Court Records & Briefs, All

No abstract provided.

Spared The Technicolor, Peter C. Friedman

LSU New Orleans Theses and Dissertations

No abstract provided.

“Beauty Joined To Energy”: Gravity And Graceful Movement In Richard Wilbur’S Poetry, Elizabeth Lynch

LSU New Orleans Theses and Dissertations

Throughout his work, Wilbur maintains a thematic and aesthetic fascination with kinetic energy, especially insofar as this graceful movement often seems to defy the world’s gravity. Wilbur’s energetic verse and imagery invites readers to delve into the philosophical and spiritual meditations of his poems, as well as to notice the physical world anew. The kinetic aspects of Wilbur’s subject matter, wordplay, wit, and figurative language elucidate the frequent tempering of gravity with levity within his work. Many critics have studied Wilbur’s philosophy, Christianity, metaphors, wordplay, and approach to language as found in his poetry, but this essay attempts to use …

An Actor's Method To Building The Character Of Hamlet In The Tragedy Of Hamlet, Prince Of Denmark, Samuel C. Malone Iii

LSU New Orleans Theses and Dissertations

This thesis will set out to examine the process needed in order to deliver the character of Hamlet as a fully dimensional, complex human being who transcends time periods and class distinctions to connect with any audience of any background. This text will include biographical information about the author, William Shakespeare, as well as historical information about the circumstances and atmosphere surrounding the birth of this play. It will also include information about other performances, which will serve as references for comparison in terms of character development. Included in the scored actor’s script are the Sanford Meisner Techniques of moment-to-moment …

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 …

The Gender Imbalance In U.S. Outbound Study Abroad: A Case Study Of Semester At Sea, Jessica L. Ryan

Capstone Collection

The purpose of this study is to explore the phenomenon of female college students studying abroad with Semester at Sea (SAS) at twice the rate of their male peers, in the hope of better understanding the significant gender imbalance overall in U.S. outbound study abroad. To put this issue into context, this study uses the theoretical framework of Deci and Ryan’s (1985) Self-Determination Theory of Motivation. Data was analyzed through the lens of intrinsic verses extrinsic motivation to answer the guiding research question: Is there a difference between male and female college students in their motivations to study abroad and, …

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 …

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 …

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 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 …

An Examination Of Voter Groups That Make Up The Emerging Democratic Majority Thesis, Jason Waguespack

LSU New Orleans Theses and Dissertations

In 2002, John Judis and Ruy Teixeira published The Emerging Democratic Majority, a book that postulated that the United States was in the beginning of a political realignment that would spell the end of the Reagan-era coalition that gave Republicans an electoral advantage on the presidency. The authors claimed an electorate that would favor the Democratic Party would emerge to take its place. Since Senator Barack Obama’s victory in the 2008 presidential election was powered by a coalition that looked much like the one Judis and Teixeira described, it appeared the authors’ thesis was being borne out by actual …

Dissent, John P. Belli Iii

LSU New Orleans Theses and Dissertations

No abstract provided.

From Containing Communism To Fighting Floods: The Louisiana Army National Guard In The Cold War, 1946-1965, Rhett G. Breerwood

LSU New Orleans Theses and Dissertations

In the decades following World War II, the Louisiana National Guard evolved due to world, national, and local events. In response to the United States’ Cold War policies to contain Communism, the Guard expanded, professionalized, and was occasionally called to federal service. In conjunction with Cold War fears of external attack and internal subversion, a civil defense mission brought coordination between federal, state and local response agencies. Despite the lack of large scale war service or an attack on the U.S. homeland , the skills and responsibilities acquired by the Louisiana Guard during this time period resulted in an enhanced …

Positive Parenting, Conduct Problems, And Callous-Unemotional Traits, Julia E. Clark

LSU New Orleans Theses and Dissertations

The current study tested the association of both positive and negative aspects of parenting with callous-unemotional (CU) traits and conduct problems. Caregivers of 92 kindergarteners were recruited to complete a series of survey measures. Overall, parent-report of negative parenting practices was not associated with teacher report of conduct problems. However, parent report of positive parenting practices (i.e., warmth, positive reinforcement, positive communication and cooperation) was negatively associated with conduct problems and CU traits. Interactions between positive parenting variables and CU traits in their association with conduct problems indicated that positive reinforcement related more strongly to lower levels of conduct problem …

Fearful Temperament Moderates The Association Between Positive Parenting And Children's Social Competence During Early Childhood, Jessica M. Grande

LSU New Orleans Theses and Dissertations

Social competence during kindergarten has been linked to adaptive teacher-child and peer relationships. The quality of parents’ interaction with their children during the toddler years may promote better social development placing children on a trajectory towards social competence. Quite possibly, children vary in how responsive they are to parenting efforts. This study evaluated the extent to which positive parenting predicted change in social competence from child age 3 to 4 among 137 parent-child dyads. Observational measures of positive parenting and fearful temperament were analyzed when children were 3-years of age. Teacher reports of social competence in the classroom were collected …

Fear Of Inclement Weather, Clare L. Harmon

LSU New Orleans Theses and Dissertations

No abstract provided.

“In My Fiction I Never Say Anything Which Is Not Absolutely True”: Reassessing Constance Fenimore Woolson’S Literary Realism, Ashley N. Hemm

LSU New Orleans Theses and Dissertations

Despite her immense popularity in the nineteenth century, Constance Fenimore Woolson's reputation dwindled substantially in the decades which followed. While her works have been rediscovered over the past thirty years, they are often categorized as regionalist writing or, in the case of her penultimate novel, Jupiter Lights, melodrama. What many fail to consider, however, is that Woolson very much considered herself a realist author, and may have been remembered as such were it not for the influence of William Dean Howells and his peers, whose very narrow parameters for literary realism excluded Woolson, among others. Unfortunately, those parameters are …

Emotional And Autonomic Responding To Auditory Stimuli, Jeremy C. Peres

LSU New Orleans Theses and Dissertations

Much of the research examining emotion induction, regulation, and suppression considers solely the visual modality (e.g., pictures of faces) for emotion elicitation. In reality, emotions are cued, expressed, and interpreted through multiple modalities by employing the extensive use of auditory stimuli in addition to visual stimuli. There have been some recent efforts to offset this imbalance in modality preference by using emotional auditory stimuli alone or in addition to visual stimuli. This project aims to further investigate emotional and autonomic responding to auditory stimuli with the added component of examining differential responding across social (nonlinguistic vocal expression) and non-social auditory …

The Effect Of Body Mass Index On Graft Function And Kidney Transplant Outcomes, Morgan Galle

Theses & Dissertations

Background: When determining eligibility for kidney transplantation, body mass index (BMI) is often a debatable criterion for transplant due to the clinical indication, an elevated BMI has adverse effects on kidney transplant outcomes. There is a current gap in research on the effect BMI has on kidney transplant outcomes.

Purpose: The purpose of this study was to determine the role BMI plays in post-kidney transplant clinical outcomes including delayed graft function, new onset diabetes after transplant, wound complications, hospital length of stay, albumin, and readmissions to the hospital from initial hospitalization and at six months following kidney transplantation. The primary …

Evaluation Of The Efficiency Of And Preference For Analog Versus Mand Training On The Acquisition Of Mands For Children With Autism Spectrum Disorder, Melissa L. King

Theses & Dissertations

The present study provides a systematic replication of the Jennett, Harris, and Delmolino (2008) study comparing discrete trial instruction (DTI) and mand training on the acquisition of mands for children with autism spectrum disorder (ASD). An adapted alternating treatment design was implemented across three participants. Independent mands, variation in requested items, and duration of sessions were assessed across conditions. Generalization probes were conducted to assess generalization across communication partners (e.g., novel research assistants), along with a maintenance probe one-week post-training. Furthermore, a concurrent-chains arrangement was implemented to assess participants’ preference for teaching strategies. All participants reached mastery criterion quickest with …

Fearful Temperament Moderates The Effect Of Harsh Parenting On Early Childhood Problem Behaviors Within Dangerous Neighborhoods: A Multilevel Analysis, Brenna Sapotichne

LSU New Orleans Theses and Dissertations

No abstract provided.

The Interaction Of Parenting And The Serotonin Transporter Gene On Trajectories Of Fearfulness In Early Childhood, Moira R. Riley

LSU New Orleans Theses and Dissertations

Children who are more fearful and inhibited during early childhood are at greater risk for social problems (e.g., loneliness, social isolation) and clinically significant internalizing disorders during adolescence and adulthood (e.g., Rubin, Chen, McDougall, Bowker, & McKinnon, 1995; Williams et al., 2009). While the impact of fearful temperament on adjustment indices are regularly the focus of study, less well understood are biological and social processes that may affect the development of fearful temperament. The present study considered the role of the 5-HTTLPR polymorphism and parenting on change in fearful and inhibited temperamental characteristics during early childhood.

The s/s genotype …

Effects Of Pharmacological De-Prenylation Of Rhes On Motor Behavior In A Beta-Nitropropionic Acid Animal Model Of Huntington's Disease, Ashley Whitmarsh

LSU New Orleans Theses and Dissertations

Huntington’s disease (HD) is a heritable, neurodegenerative disorder characterized by motor, cognitive, and psychiatric disturbances. The progressive disease is caused by an unstable CAG expansion within the gene that normally encodes for the huntingtin protein (Htt). The expanded mutant form of Htt (mHtt) is expressed ubiquitously throughout patients’ bodies; however, neuronal degeneration is prominent only in the corpus striatum and, to a lesser extent, the cortex. The Ras homolog Rhes is also preferentially localized to the striatum. The putative co-factor Rhes has been shown to act with mHtt to cause neuronal death. Simvastatin, a lipid lowering drug, and zoledronate, a …

Characters Through Time, Alyssa Venezia

Honors Thesis

T. S. Eliot once wrote that we “often find that not only the best, but the most individual parts of [an author’s] work may be those in which the dead poets, his ancestors, assert their immortality most vigorously” (Eliot 37). By focusing on character adaptations, one comes to understand how authors of children’s books are able to adapt classic literature into age-appropriate texts that retain the merits of the original. Five sets of characters shall be analyzed to demonstrate the success of the adaptations presented in children’s literature. In the first, Sir Bedivere from Sir Thomas Malory’s Le Morte Darthur …