Digital Commons Network^™

How To Provide Effective Pain Management After Cardiac Surgery In The Geriatric Patient, Katrien Derycke-Chapman

Yale School of Nursing Digital Theses

Of the >500,000 adult cardiac surgeries performed in the U.S. yearly, 54% are performed on the elderly. The American College of Critical Care Medicine indicated that 82% of cardiac patients reported pain as the most common traumatic memory of their ICU stay. Pain is an important stressor in critical care settings. The lack of effective postoperative pain management impedes early mobilization and sufficient sleep, leads to postoperative complications and higher costs, and contributes to a longer length of hospital stay. Adequate multi-modal and individualized postoperative cardiac surgery pain relief and postoperative pain relief in general, are imperative. Effective pain control …

Policy Brief On Diversity And Underutilization Of Nurse Practitioners: An Illinois Example, Mastura Zalwango

Yale School of Nursing Digital Theses

Health Disparities among racial minorities cost the economy $309 billion annually (Kaiser Foundation, 2012). A component of healthcare disparities deals with lack of access to primary care providers and lack of diversity within the provider workforce. Nurse practitioners as a group of primary care providers have been extensively researched and deemed vital in addressing the issue of lack of access. Unfortunately, this group of health care providers lacks diversity. A federal government initiative created a program called the National Health Service Corps (NHSC) aimed to improve health access for racial minorities. However, the NHSC does not address diversity of the …

Early Intervention In Suspected Sepsis Patients, Timothy Richard Layman

Yale School of Nursing Digital Theses

Objectives: Inform the development and implementation of an early response algorithm for suspected sepsis patients via a rapid response team.

Background: Recent literature supports the need for early recognition and intervention of suspected sepsis patients, potentially reducing morbidity and mortality.

Methods: A clinically and professionally reviewed algorithm was developed to execute early, sepsis-specific intervention. The algorithm design was carried out in 3 steps: (1) The establishment of recognition criteria based on evidence; (2) The validation of the algorithm by a panel of clinical experts; and (3) The development of a plan to initiate inclusion of the criteria into a rapid …

Furthering The Enjoyment Of Freedom Of Assembly In Sub-Saharan Africa Through Its Legal Systems, Sarah E. Hager

Intercultural Human Rights Law Review

This paper will examine the legal right to assemble in sub- Saharan Africa before turning to discuss historic and present protest movements. I will examine the tactics activists today employ in sub Saharan Africa, from flash mob protests to hunger strikes to mass mobilization as they continue to express their right to protest, often in very challenging environments. I will then detail the legal systems through which individuals can attempt to assert their right to assemble and how they have been utilized to this point. I will conclude with recommendations activists and citizens can implement as they further their right …

Can Law Stop Prosecution Of Afghanistan's Women And Girls For Moral Crimes? Searching For An Effective, Practical Legal Methodology, Tara S. Neal

Intercultural Human Rights Law Review

As a woman working in rule of law in Afghanistan, I was confronted on a daily basis by what it means to be female and the severity of those constraints. This realization began every morning with the choice of what to wear. The daily task of dressing myself in a manner that protected my safety, security, and reputation gave me a tiny glimpse into the lives of Afghan women. I discovered how law is used to reinforce traditional and cultural beliefs and the grave injustices served on Afghanistan's women and girls. I also discovered how vast sums of foreign money …

Daoism And Disability, Andrew Lambert

Publications and Research

Ideas found in the early Daoist texts can inform current debates about disability, since the latter often involve assumptions about personhood and agency that Daoist texts do not share. The two canonical texts of classical Daoism, the Daodejing and the Zhuangzi, do not explicitly discuss disability as an object of theory or offer a model of it. They do, however, provide conceptual resources that can enrich contemporary discussions of disability. Two particular ideas are discussed here. Classical Daoist thinking about the body undermines normative assumptions about it that attributions of ‘disabled’ often depend upon; and Daoism vividly problematises the …

Knowledge-Based Tweet Classification For Disease Sentiment Monitoring, Xiang Ji, Soon Ae Chun, James Geller

Publications and Research

Disease monitoring and tracking is of tremendous value, not only for containing the spread of contagious diseases but also for avoiding unnecessary public concerns and even panic. In this chapter, we present a near real-time sentiment analysis service of public health-related tweets. Traditionally, it is impossible for humans to effectively measure the degree of public health concerns due to limited resources and significant time delays. To solve this problem, we have developed a computational intelligence approach for Epidemic Sentiment Monitoring System (ESMOS) to automatically analyze the disease sentiments and gauge the Measure of Concern (MOC) expressed by Twitter users. More …

Health-Related Fitness For Children And Adults With Cerebral Palsy, Yvette Blanchard, Mary E. Gannotti, Wendy Romney

All PTHMS Faculty Publications

Position Statement of ACSM Sports Medicine Basics 2016: Health-related physical fitness for persons with Cerebral Palsy should be developed in the same model as fitness for all of us: start early, be easily available and continue throughout the life span.

Doing Qualitative Research Online Book Review, Donna M. Busarow

Journal of Social, Behavioral, and Health Sciences

A recent addition to qualitative instruction is Salmon's (2016) book, Doing Qualitative Research Online. This book review examines the book as an educational tool for student researchers.

Identification Of Methylene Diphenyl Diisocyanate Thermal Degradation Products In A Generation Chamber By Liquid Chromatography Coupled With Tandem Mass Spectrometry, Sébastien Gagné, Yves Cloutier

Études primaires

Isocyanate thermal degradation characterization by liquid chromatography coupled with electrospray tandem mass spectrometry has been performed to elucidate the methylene diphenyl diisocyanate (MDI) thermal degradation structure emitted in a generation chamber using a temperature between 50°C and 180°C to produce MDI vapors. [M+H]⁺ ions containing an isocyanate functional group were studied by tandem mass spectrometry. The [M+H]⁺ ion analyses based on the combination of full scans and precursor ion scans were useful for identifying all structures. The compounds emitted were identified and validated as a mixture of compounds containing amine and isocyanate functions. Residual MDI, methylene diphenyl amino-isocyanate, …

Implementation And Evaluation Of An Analytical Method For A Novel Derivatizing Agent To Measure 4,4'-Methylene Diphenyl Diisocyanate Atmospheres, Silvia Puscasu, Simon Aubin, Mark Spence, Sébastien Gagné

Études primaires

Accurate measurement of 4,4'-methylene diphenyl diisocyanate (MDI) atmospheres is a challenge since the molecule is both chemically reactive and likely to be present in aerosol form when heated and sprayed because of its low vapor pressure. Meeting this challenge requires optimizing both the sampling device used and the derivatization agent employed to stabilize the isocyanate functional group. This study describes the use of a novel derivatization reagent for isocyanate sampling to address the challenge of MDI aerosol exposure sampling. Like most conventional derivatizing agents for isocyanates, 1,8-diaminonapthalene (DAN) reacts with isocyanate functional groups to form a urea. However, unlike other …

Two Related Occupational Cases Of Legionella Longbeachae Infection, Quebec, Canada, Marianne Picard-Masson, Élisabeth Lajoie, Judith Lord, Cindy Lalancette, Geneviève Marchand, Éric Levac, Marc-André Lemieux, Patricia Hudson, Louise Lajoie

Études primaires

Two patients with no exposure to gardening compost had related Legionella longbeachae infections in Quebec, Canada. Epidemiologic investigation and laboratory results from patient and soil samples identified the patients’ workplace, a metal recycling plant, as the likely source of infection, indicating a need to suspect occupational exposure for L. longbeachae infections.

Wellness Needs Survey For Residents In A Community-Housing Complex, Sara Johnson

Undergraduate Theses and Senior Projects

No abstract provided.

Integrin Alpha 5 Expression In Arsenic And Cadmium Transformed Cell Lines And The Potential Link To Bladder Cancer, Desire'e Marie Enzminger

Undergraduate Theses and Senior Projects

No abstract provided.

A Survey Of Nepalese Immigrants And Dental Providers : Perceptions, Ideas, And Education Regarding Mastication Of The Areca Nut, Cameron Dutt

Undergraduate Theses and Senior Projects

No abstract provided.

County-Level Patterns Of Voter Turnout : The Case Of 2012, Derek Labrie

Undergraduate Theses and Senior Projects

No abstract provided.

The Adaptive Memory Effect: Exploring Need For Cognition And Survival Processing, Nora Del Giudice

UNF Graduate Theses and Dissertations

Adaptive memory demonstrates that memory is enhanced when information is processed because of its relevance to survival (Nairne, Thompson, & Pandeirada, 2007). In the present experiments we examined whether there was a difference in individuals Need for Cognition (NFC) in regards to adaptive memory. Need for Cognition is characterized as the differences in individual’s preference for engaging in thought that requires effort. Specifically, individuals high in NFC could think of numerous ways to survive, thus being more likely to generate more thoughts and ideas, ultimately leading to better memory compared to low-NFC individuals. For both experiments participants read survival and …

The Effect Of Gender Threat On Implicit Sexism And Stereotyping, Shelby Speegle

UNF Graduate Theses and Dissertations

Gender threat occurs in situations in which one is threatened by the possibility of acting like the opposite gender (Vandello et al., 2008) and is most pervasive for men (e.g., “you throw like a girl”). This study examined the question of whether men, after being told they performed like women, would respond with negative implicit evaluations of women. In addition, competence threat (with no reference to gender) was examined to see if it would affect men in the same way. Women were threatened by being told they performed like men, although it was hypothesized there would be no effect of …

Transcriptional Regulation Of Dual-Specificity Phosphatase 4 (Dusp4) By Muscle Ring Finger 1 (Murf1) And Myogenic Regulatory Factors, Ashley Noel Haddock

UNF Graduate Theses and Dissertations

Skeletal muscle atrophy can occur at any age and as a result of numerous physiological conditions and thus, it was necessary to better identify the molecular underpinnings of the atrophy cascade so that new therapeutic targets to treat muscle wasting might be identified. MuRF1 was first identified as a marker of skeletal muscle atrophy over a decade ago; however, recent work suggests that this E3 ubiquitin ligase may participate in muscle wasting by regulating the transcriptional activity of genes differentially expressed in response to muscle atrophy. Dusp4, a dual-specificity phosphatase and member of the MAPK cascade, is induced in response …

Safety Implications Of Transit Operator Schedule Policies, Hung Hoang

UNF Graduate Theses and Dissertations

In the bus transit community, driving long hours or spending extra hours at work are very common. This is true in the State of Florida, where bus transit is a very popular mode of public transportation. Although the correlation between a bus driver’s schedule and a crash event appears intuitive, further study regarding the effects of operator driving schedules on accident rates is needed to evaluate safety measures. The focus of this research is on the examination of bus driver schedules, and the effects of scheduling on accident rates in Florida. Data were collected at five bus transit agencies including …

Population Ecology Of Invasive Lionfish (Pterois Volitans/Miles) In The South Atlantic Bight, Mary Swenarton

UNF Graduate Theses and Dissertations

Invasive species are a top threat to global biodiversity. Lionfish (Pterois volitans/miles) are a marine invasive predator that are now established in the Western Atlantic, Caribbean Sea and Gulf of Mexico. Studies that have documented impacts of lionfish suggest they can reduce fish recruitment and native species biomass by up to 80%. Research on lionfish impacts, biology and ecology is heavily focused in tropical and subtropical systems, with considerably less research effort occurring in the temperate regions of their invaded range, such as the South Atlantic Bight. Lionfish life history estimates are important to modeling lionfish population growth, …

Thinking About How You Feel: The Relationship Between Cognitive Variables In The Context Of Depressive Symptoms, John C. Horton

UNF Graduate Theses and Dissertations

Major depressive disorder is a mental disorder characterized by multiple symptoms such as psychomotor retardation, sleep disturbances, and cognitive deficits in decision making. The current study explores the relationships between cognitive variables and depressive symptomology and seeks to determine what predictive relationships exist between these constructs and if items from these constructs can accurately classify depressed persons. A normal sample of N = 116 participants were administered the Center for Epidemiologic Studies Depression Scale (CES-D; Radloff, 1977) as well as the Adult Hope Scale (ADH; Snyder et al., 1991), the Index of Autonomous Functioning(IAF; Weinstein, Przybylski, & Ryan, 2012), the …

Active Analytics: Adapting Web Pages Automatically Based On Analytics Data, William R. Carle Ii

UNF Graduate Theses and Dissertations

Web designers are expected to perform the difficult task of adapting a site’s design to fit changing usage trends. Web analytics tools give designers a window into website usage patterns, but they must be analyzed and applied to a website's user interface design manually. A framework for marrying live analytics data with user interface design could allow for interfaces that adapt dynamically to usage patterns, with little or no action from the designers. The goal of this research is to create a framework that utilizes web analytics data to automatically update and enhance web user interfaces. In this research, we …

Seft-Monitoring And Attitude Polarization: Individual Differences In The Role Of Belief Consistency And Belief Confidence In The Mere-Thought Effect, Rosanna Rodriguez

UNF Graduate Theses and Dissertations

The mere thought effect is the tendency for favorable attitudes to become more favorable and unfavorable attitudes to become more unfavorable following thought (Tesser, 1978). Changes in belief-consistency and belief-confidence mediate this effect (Tesser, Martin, & Mendolia, 1995). However, there are self-monitoring differences in the extent to which people are driven by consistency in their beliefs (Fuglestad & Snyder, 2009; Snyder, 1974). It was predicted that mere-thought and self-monitoring will interactively influence attitude polarization. We also hypothesized that the interactive effects of mere-thought and self-monitoring on attitude polarization will be mediated by belief-consistency and belief-confidence. After indicating their initial attitudes …

Investigating The Psychometric Properties Of The Self-Compassion Scale: Using Confirmatory And Exploratory Factor Models, Jennifer Marie Barton

UNF Graduate Theses and Dissertations

Self-compassion has quickly gained recognition for its many cognitive, emotional, and psychological benefits (Neff, 2003b). The Self-Compassion Scale (SCS; Neff, 2003a) is currently the only instrument measuring self-compassion and is commonly used. The current model contains six factors: self-kindness, self-judgment, common humanity, isolation, mindfulness, and over-identification. However, the SCS has recently come under fire due to limited evidence of its psychometric properties (Lopez et al., 2015). Researchers who have attempted to replicate the factor structure proposed by Neff have found mixed results using both exploratory and confirmatory methods. Our primary aim is to establish the factor structure of the SCS …

Ability And Abnormality, Jessica West

UNF Graduate Theses and Dissertations

This thesis addresses questions relating to perceptions of abilities and abnormalities found in everyday life. Abilities in this paper range from a total lack of ability to function in extreme disability to a level of ability expected by society to enhanced and radically enhanced abilities and their place in the realm of abnormality. We begin by establishing the differences between abilities and enhancements. Following this is a discussion regarding the ethical concerns of human enhancement. After this we turn to a discussion of abnormality and the social experience of abnormality. These discussions lead into establishing a basis for how many …

Categorizing Pro-Environmental Behaviors Using The Laypeople's Perspective, Ashley Jade Gillis

UNF Graduate Theses and Dissertations

Most efforts to categorize pro-environmental behaviors (PEBs) have focused on researchers’ – rather than laypeople’s – perceptions of PEBs. Drawing on the psychometric paradigm used to categorize environmental risks, we aimed to identify the PEB attributes salient to laypeople and, from that, determine the underlying dimensions of PEB. In Study 1, participants (n = 157) evaluated 30 PEBs through open-ended questions. The results revealed 21 attributes that laypeople commonly associate with PEBs. In Study 2, 250 MTurk participants rated 74 PEBs on the 21 attributes. An exploratory factor analysis revealed four factors underlying PEB: Factor 1 (Financial and Behavioral Cost), …

Modeling Older Driver Behavior On Freeway Merging Ramps, Lina Lwambagaza

UNF Graduate Theses and Dissertations

Merging from on-ramps to mainline traffic is one of the most challenging driving maneuvers on freeways. The challenges are further heightened for older drivers, as they are known to have longer perception-reaction times, larger acceptance gaps, and slower acceleration rates. In this research, VISSIM, a microscopic traffic simulation software, was used to evaluate the influence of the aging drivers on the operations of a typical diamond interchange. First, drivers were recorded on video cameras as they negotiated joining the mainline traffic from an on-ramp acceleration lane at two sites along I-75 in Southwest Florida. Several measures of effectiveness were collected …

Loss Of Resources And Demoralization In The Chronically Ill: A Mediation Model, Maria Inês Torri Dischinger

UNF Graduate Theses and Dissertations

In order to obtain a closer look into the psychosocial impact of chronic conditions, symptom severity, loss of resources, and demoralization were investigated through a mediation analysis. The function and implication of social support was also explored within the circumstances of chronic conditions. Lastly, symptom chronicity was probed as an influential element in the understanding of the consequences of being chronically ill. Participants were 200 men and women, with a mean age of 46 years, and the dataset came from the VOICE (Verification of Illness and Coping Experience) survey. The concepts of Conservation of Resources (COR) theory and Demoralization Syndrome …

Vulnerabililty Analysis Of Multi-Factor Authentication Protocols, Keith Garrett

UNF Graduate Theses and Dissertations

In this thesis, the author hypothesizes that the use of computationally intensive mathematical operations in password authentication protocols can lead to security vulnerabilities in those protocols. In order to test this hypothesis: 1. A generalized algorithm for cryptanalysis was formulated to perform a clogging attack (a formof denial of service) on protocols that use computationally intensive modular exponentiation to guarantee security. 2. This technique was then applied to cryptanalyze four recent password authentication protocols, to determine their susceptibility to the clogging attack. The protocols analyzed in this thesis differ in their usage of factors (smart cards, memory drives, etc.) or …