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Lindenwood Digest, December 16, 2016, Lindenwood University

Lindenwood Digest

The Lindenwood Digest has been an employee newsletter since 2009.

Increasing Patient Satisfaction And Decreasing Hospital Readmission Due To Deep Venous Thrombosis By Providing Anticoagulation Education For Orthopedic Patients, Margaret Gniewosz

Master's Projects and Capstones

Abstract

Improving Process on Oral Anticoagulant Education for Orthopedic Patients

The aim of this project is to improve anticoagulation education for orthopedic patients to increase patient satisfaction. The microsystem for this project is a medical-surgical (MS), 50-bed unit in a medium size hospital. Because orthopedic patients are at high risk to develop DVT postoperatively, proper anticoagulants and anticoagulation education is an important aspect of patient care. By implementing a well-designed and easy-to-read patient handout on anticoagulants with instructional script for nurses will empower patients to achieve higher level of anticoagulant knowledge and in result, increase patient satisfaction. A preliminary round …

Jackson Creek Arts And Trails, Llc: Museum Travel Immersion Programs, Else C. Trygstad-Burke

Master's Projects and Capstones

Museums have become increasingly oriented towards reaching new audiences, encouraging visitor loyalty, and informing the public about their overall relevance. Innovation in programming is a centerpiece of this effort, including a provision of programs for all age groups and demographics. At the same time that this transformation occurs in the museum world, similar changes are taking place in the leisure, travel and tourism industries. A continuously rapid increase in globalism and cultural access contributes to an atmosphere in which travelers can expand their goals and purposes within the context of a travel experience. This report will demonstrate that these trends …

Admission Handoff Between Emergency Department And Inpatient Units, Amanda A. Briones

Master's Projects and Capstones

When admitting a patient from the emergency department (ED) to an inpatient unit, a handoff report is conducted. There are many ways the ED nurse can go about delivering this report to the inpatient or floor nurse. Each ED nurse tends to this task in their own way, providing the information they deem important. Due to the absence of standardization, handoff reports have the ability to lack important information regarding the patient and can even lead to compromising the safety of the patient.

The purpose of this project was to gain a comprehensive understanding of the current handover process of …

History In Collaboration: Equalizing The Arts And The Humanities In San Francisco, Nicole C. Meldahl

Master's Projects and Capstones

Historically, there has been a critical imbalance in the way history and preservation organizations are civically supported in comparison with the amount of funding that is available to arts organizations in the United States. To correct this imbalance in San Francisco, I propose the creation of a San Francisco Department of Culture that would place the San Francisco Arts Commission equally alongside a San Francisco History Commission within a department that absorbs responsibilities currently managed by other divisions with in city government, such as the Planning Department and the Office and Economic and Workforce Development. City government necessarily takes time …

Decolonial Interstice In Carnaval Montevideano: Murga As Hegemonic Dissent At The Tablado De Barrio, Paola García

Master of Arts in American Studies Capstones

Murga is a popular carnival genre in Montevideo, Uruguay. Carnival in Montevideo lasts 40 days in the summer months of January through March but is different from carnival celebrations in Argentina and Brazil. Carnival performances are competitive and occur in neighborhood stages (tablados de barrio) and private stages (tablados comerciales). A government body judges performances to determine a winning group from each of the five performance genres: Sociedad de Negros y Lubolos, Revista, Humorista, Parodista, and Murga. Murga is a musical and theatrical performance that utilizes satire to convey dissent towards quotidian occurrences of heteronormativity. Numerous communities outside of Montevideo …

Extension Groups For Dg Modules, Saeed Nasseh, Sean Sather-Wagstaff

Mathematical Sciences: Faculty Publications

Let M and N be differential graded (DG) modules over a positively graded commutative DG algebra A. We show that the Ext-groups ExtiA(M,N) defined in terms of semi-projective resolutions are not in general isomorphic to the Yoneda Ext-groups YExtiA(M,N) given in terms of equivalence classes of extensions. On the other hand, we show that these groups are isomorphic when the first DG module is semi-projective.

The Psychological Impacts Of Engaging In Creative Work, Jeanine Kunshek

Electronic Theses & Dissertations

Although the literature investigating creativity is extensive, this research is designed to address deficits in knowledge regarding the first-hand accounts of individuals who engage in creative work and the motivations and gratifications they draw from those experiences. This study employs the use of in vivo analysis to articulate and explore the benefits and disadvantages of individuals who pursue careers in five creative industries identified by Taylor and Littleton (2012). Based on qualitative data gathered from focus groups and interviews, most frequent benefits include social connections, cognitive challenges, boosted esteem, communication, and personal and professional development. Disadvantages include time demands, lack …

Inquiry-Based Biotechnology Education For Kent Intermediate School District Early College Program, Meāgan N. Treadway

Masters Theses

Growth in the field of biotechnology, combined with the ability to access information instantaneously, requires a new model of science education that will nurture deeper understanding and higher order thinking to develop a scientifically literate population. Inquirybased learning is a student-centered model built on the theoretical framework of constructivism, which allows students to learn in a way that reflects how scientists come to understand the natural world. This project aimed to address the need for an inquiry-based biotechnology curriculum in a local Early College program by developing, piloting, revising, and implementing an inquiry-based biotechnology unit while simultaneously evaluating the impact …

Burnout In Radiation Therapy: Examining The Six Leading Influences, Gina C. Passmore

All Theses And Dissertations

Recent studies are highlighting the dangers of burnout amongst healthcare workers, including radiation therapists. Since burnout is associated with an increase in medical errors (Sanchez-Reilly, 2013), it affects both the well-being of the patient and patient satisfaction scores, which are important to a hospital’s reputation. Burnout has a positive correlation with job dissatisfaction and increased employee turnover, making it both a financial and quality issue. Organizations acknowledge that burnout leads to unhappy employees, and unhappy employees are less likely to be engaged in their work, thereby not producing the best “products” (Sehlen, 2009). By examining which components seem to be …

Increasing Chlorhexidine (Chg) Daily Bathing Compliance, Jonathan Lee

Master's Projects and Capstones

Chlorhexidine gluconate (CHG) daily bathing in hospitalized patients in the intensive care setting is one of many interventions implemented by institutions to reduce and prevent central line associated bloodstream infections (CLABSIs) and catheter associated urinary tract infections (CAUTIs). These hospital-acquired infections (HAIs) plague and complicate treatments for critically ill patients in the acute care setting. CLABSIs and CAUTIs increase patient morbidity and mortality as well as place a financial burden with increased costs and hospital lengths of stay. The decrease of CHG compliance in our ICU unit can be associated with an elevated CLABSI rates. The focus of this CNL …

Chna: The Role Of The Hospital In Addressing Specific Community Health Needs, Yesmina L. Zavala

Master's Projects and Capstones

The Patient Protection and Affordable Care Act (ACA) added a requirement for nonprofit hospitals to keep their tax-exempt status under the Internal Revenue System Code 501(c) 3. This code requires all nonprofit hospitals to complete Community Health Needs Assessment (CHNA) reports every three years and must include input from community stakeholders and underserved individuals representing the low-income, minority and chronically ill population.

In addition to the CHNA, implementation strategies are required to be executed in the geographic areas served in order to meet the identified prioritized needs from the CHNA. Oftentimes, CHNAs are difficult to conceptualize and operationalize within the …

The Functions Of The Cid And Lrg Operons In S. Aureus Programmed Cell Death, Xinyan Zhang

Theses & Dissertations

Staphylococcus aureus cid/lrg operons regulate the formation of S.aureus biofilm formation and programmed cell death based on previous in vivo work done in Dr. Bayles's lab. cid operon, which encodes CidA/CidB/CidC proteins, has been shown to be an effector in leading to the lysis and death of the S.aureus; While lrg operon, encoding LrgA and LrgB proteins, is an inhibitor of the lysis and death. Recent studies suggest that CidA behaves like holin proteins from bacterial phage, by increasing the murein hydrolysis activity under aerobic culturing conditions. LrgA, together with LrgB, appears to inhibit this function. …

Motor Control In Individuals With Multiple Sclerosis, David Arpin

Theses & Dissertations

This dissertation explored motor control in individuals with multiple sclerosis (MS) by quantifying the behavioral and neurophysiological deficits present in these individuals. We behaviorally quantified the precision of the ankle plantarflexor musculature of individuals with MS. Our results indicated that the individuals with MS had a greater amount of variability in the precision of the isometric ankle torques, and that this greater variability was related to decreased walking performance. To further explore whether these motor control deficits were due to aberrant cortical activity associated with planning motor actions, we used magnetoencephalography to assess the motor planning and execution stages of …

Identification And Intervention For Action Planning Deficits In Children With Hemiplegic Cerebral Palsy, Swati M. Surkar

Theses & Dissertations

The primary purpose of this investigation was to describe and quantify action-planning deficits during goal-directed movements in children with hemiplegic cerebral palsy (HCP). Three specific topics were addressed: brain activation, kinematics, and the use of visual input. First, we assessed prefrontal cortex (PFC) activation during complex goal-directed actions in children with HCP. The outcome suggested that children with HCP have higher PFC activation than age matched typically developing (TD) children during action planning, potentially due to the difficulty in allocating attentional resources for simultaneously processing the cognitive (i.e., attention, memory, information processing) and motor demands of the goal-directed task. Reduced …

Global Gene Expression Profiling Of Healthy Human Brain And Its Application In Studying Neurological Disorders, Simarjeet K. Negi

Theses & Dissertations

The human brain is the most complex structure known to mankind and one of the greatest challenges in modern biology is to understand how it is built and organized. The power of the brain arises from its variety of cells and structures, and ultimately where and when different genes are switched on and off throughout the brain tissue. In other words, brain function depends on the precise regulation of gene expression in its sub-anatomical structures. But, our understanding of the complexity and dynamics of the transcriptome of the human brain is still incomplete. To fill in the need, we designed …

What Is Answer Set Programming To Propositional Satisfiability, Yuliya Lierler

Computer Science Faculty Publications

Propositional satisfiability (or satisfiability) and answer set programming are two closely related subareas of Artificial Intelligence that are used to model and solve difficult combinatorial search problems. Satisfiability solvers and answer set solvers are the software systems that find satisfying interpretations and answer sets for given propositional formulas and logic programs, respectively. These systems are closely related in their common design patterns. In satisfiability, a propositional formula is used to encode problem specifications in a way that its satisfying interpretations correspond to the solutions of the problem. To find solutions to a problem it is then sufficient to use a …

Implementing An Electronic Medical Record: Creating A Request For Proposal, Renee L. Kelly

DNP and Student Works

The quality of inter-professional team documentation, when documenting on paper, has consistently failed to meet the recommended standards because of ineligible handwriting, which leads to wrong information recorded in patients' charts, and incomplete health histories. When developing a comprehensive electronic medical record system to serve an orthopedic office, this requires significant time, open and honest communication, dedication from each member of the team, and resources. In an orthopedic office setting, an inter-professional team was formed to develop and evaluate a request for proposal for an electronic health record system, compared to the current documentation process influences a decision for a …

A Perspective On Electronic Alternatives To Traditional Currencies, Gabriele Camera

ESI Working Papers

The institution of money is rapidly evolving thanks to developments in computer-based cryptography. Technological advances have made possible the creation of cost-effective electronic alternatives to banknotes and coins, which are the traditional physical currencies. This document aims to describe — based on scientific literature — the use and characteristics of money, some of the problems associated with issuing a new currency or a new payment instrument, and the possible comparative advantages of a central bank in leading the way relative to private issuers.

Filipino American Mothers’ Knowledge About Male Hpv Vaccination And Intent To Vaccinate Their Sons, Krista M. Navarra

Master's Projects and Capstones

Information about the attitude and intent of Filipino-American mothers on HPV vaccination for their adolescent son is unavailable and unidentified. In this systematic review, three unique studies within different cultural backgrounds and demographic locations were analyzed. Data were collected from the following populations: Puerto Ricans, Ugandans, Caribbean Americans and African Americans. All studies were cross-sectional and integrated questionnaires which distinguished parents’ knowledge and attitude toward HPV vaccinations along with additional information such as socio-economic status, educational attainment, occupation, etc. In the study performed in Puerto Rico, 200 parents of 9-17 years old were given a self-administered questionnaire, and the results …

Reviewing Literature On Gender Using Found Poetry And Dramatic Script, Dorothy Morrissey

The Qualitative Report

In this article, derived from the literature review chapter of her doctoral dissertation, the author presents a variation on what Prendergast (2006) calls found poetry as literature review. Her writing experiment is intended to reflect the dynamism of her “conversations” with the theoretical literature with which she engaged before and during the dissertation project: an intervention in the gender narratives of postgraduate student teachers. She does not, however, see theory as confined to academic literature and her conversations extend into poetry as well. In her conversations, the author engages with a wide range of texts in performance studies and feminist …

Pancreatic Cancer Invasion Of The Lymphatic Vasculature And Contributions Of The Tumor Microenvironment: Roles For E-Selectin And Cxcr4, Maria M. Steele

Theses & Dissertations

As the fourth leading cause of cancer-related deaths, pancreatic cancer is one of the most lethal forms of cancers in the United States. Lymphatic vessel invasion and subsequent metastasis to the lymph nodes are early and significant events observed during pancreatic cancer progression and are used to determine patient prognosis and therapy selection. Although clinicians and researchers recognize the importance of lymph node involvement for patient prognosis and therapy selection, the biological mechanisms that govern lymphatic invasion and metastasis and the contributions of the pancreatic tumor microenvironment to these processes remain poorly understood. In this dissertation, we characterize the interactions …

The Impact Of Electronic Health Records On Healthcare Service Delivery, Patient Safety, And Quality, Kate Elizabeth Trout

Theses & Dissertations

The HITECH Act has provided over $30 billion of support through the Meaningful Use program to implement Electronic Health Records (EHRs) with aims to improve healthcare service delivery, efficiency, quality, and patient safety. New healthcare models, such as pay-for-performance and value-based purchasing, were envisioned to aligning quality with reimbursement mediated with the use of EHRs. It is unclear of how EHRs and Meaningful Use have impacted health service delivery, patient safety, and quality of care. Thus, making it difficult to determine if the specific set of objectives for Meaningful Use have had a positive impact on outcomes, which ultimately is …

Short Branch Attraction, The Fundamental Bipartition In Cellular Life, And Eukaryogenesis, Amanda A. Dick Phd

Doctoral Dissertations

Short Branch Attraction occurs when BLAST searches are used as surrogate for phylogenetic analysis. This results from branch length heterogeneity. The short branches, not the long, are attracting.

The root of cellular life is on the bacterial branch, meaning the Archaea and eukaryotic nucleocytoplasm form a clade. This split, the realm, is the first in the cellular tree of life. I name the clade containing the Archaea and eukaryotic nucleocytoplasm the Ibisii based on shared characteristics involved in information processing and translation. The Bacteria are members of the other realm, the Bacterii.

Eukaryogenesis is the study of how the Eukarya …

Molding Minds For Peace: A Curriculum For Early Childhood Educators To Teach Peacebuilding Concepts And Skills, Marissa D. Gray

Master's Projects and Capstones

The United States is amidst a period of substantial growth in diversity. This diversification along with feelings of anti-immigrant sentiment has also led to an increase in tension and violence. Molding Minds for Peace: A Curriculum for Early Childhood Educators To Teach Peacebuilding Concepts is a project designed to teach early childhood students the skills that they need to peacefully navigate conflict and difference. After exploring literature about early childhood education/development, multicultural education, and peace education, this project provides early childhood educators with six complete lesson plans that are fully ready for implementation. These lessons have been developed in such …

Achieving Access: Designing A Museum Accessibility Consulting Firm, Lauren J. Garnese

Master's Projects and Capstones

This capstone paper explores the need for an accessibility consulting firm to help museums and cultural institutions implement Americans with Disabilities Act policy adherence, universal design and accessible programming that increases the inclusion of people with disabilities in their organizations. The paper begins with a literature review that synthesizes the history of disability legislation and its relationship to museums, explores how museums can go beyond legal compliance and discusses the infrastructure suggested to implement accessibility efforts in an institution. The paper then proposes a project to create an accessibility consulting firm that assists museums in achieving their accessibility goals and …

Making Museums Fashion Forward And Forward Thinking: A Proposal For A Rotating Exhibit Program At The Levi Strauss & Co. Museum, Hannah Claire Somerville

Master's Projects and Capstones

This capstone project is a theoretical proposal for a rotating exhibit program that was developed for the Levi Strauss & Co. museum in San Francisco, California. It was conceived with the intent to help eradicate some of the stigmas associated with museum fashion exhibitions. This capstone explores the complicated history of the museum field’s relationship with fashion and analyzes some of the social justice issues that the fashion and textile industries face today. The project’s purpose is to demonstrate that museum fashion exhibitions are more than frivolous window displays in a museum setting and that they have the ability to …

Little Data On Whether Charters Make A Difference When College Is The Goal, Erica Jackson

Capstones

Some charters are too young to measure how their students perform. Others collect data in a spotty way. And official statistics make comprehensive comparisons difficult.

Link to capstone project: http://citylimits.org/2016/12/28/little-data-on-whether-charters-make-a-difference-when-college-is-the-goal/

A Cost Of Doing Business: Defense Contracting Fraud, Shane M. English

Capstones

The federal government relies heavily on outside contractors to provide essential research and services. Following World War II, the Department of Defense and the military began to rely on approved government contractors to develop, test and improve weapons and tools used to keep soldiers and the nation safe.

Defense contracting is a massive business that commands billions of dollars a year. Despite the magnitude of the United States' contracting system, detecting fraud and preventing bad actors from continuing to profit off of the government has proven difficult. The systems at hand: civil and criminal charges, suspension and debarment have consistently …

Riding The Mind Lightning, William A. Fortuna

Capstones

Neuromodulation is the practice of applying external stimulation, either electric or magnetic, to the human in order to affect positive change. TDCS or transcranial direct current stimulation is a neuromodulatory technique using a 9-volt battery. Because of the simplicity of the device, and it's relatively low potential for harm, the technique is popular with both researchers and at-home enthusiasts. To find out whether this technique works the way some people say it does, I built my own.