Digital Commons Network^™

Reducing Mortality From Severe Sepsis And Septic Shock: A Macro System Approach, Scott D. Baker

Doctor of Nursing Practice (DNP) Projects

Healthcare organizations must be able to provide quality patient care from arrival to disposition that is both expedient and safe. The Agency for Healthcare Research and Quality ranks septicemia as the number one most expensive condition treated in U.S. hospitals, resulting in aggregate costs of $20.3 billion or 5.2% of the total aggregate cost for all hospitalizations. Starting October 2015, the Centers for Medicare & Medicaid Services began tying financial reimbursement to improvement of sepsis outcomes. For success to be achieved, organizations should partner with prehospital providers to improve sepsis care, similar to partnerships which have historically improved acute myocardial …

Optimizing Engagement In The Acute Care Setting: A Nurse Driven Staffing Model, Denise D. Fall

Doctor of Nursing Practice (DNP) Projects

Health care is on the threshold of major reform. Central to this reform will be the ability to maximize patient outcomes and resource allocation. The delivery of nursing care is essential to these concepts. Nursing care delivery impacts both patient outcomes and labor costs. Every aspect of care delivery has changed over time: length of stay, acuity, payment methodologies, documentation, technology, and regulatory requirements. Yet the model by which we allocate resources to the bedside is based on an archaic notion and forecasting model around one variable. The development of effective nurse staffing strategies will ensure those delivering care are …

Transforming Self And Systems Through Implementation Of A Caring Coach Leader Program, Priscilla Javed

Doctor of Nursing Practice (DNP) Projects

Assistant nurse managers and nurse managers, often referred to as middle managers, have a direct impact on daily hospital operations, clinical work environments, delivery of high quality safe patient care, and patient outcomes. The stressful demands of this role have caused turnover rates to soar above the national average on some of the inpatient hospital units. Instability of nursing management oversight negatively effects staff job satisfaction and delivery of high quality safe patient care. In reviewing the organizations initial orientation program for transitioning middle managers into their new role, it was missing the supportive guidance of a coach. A Caring …

Helping Students Find Their Way, Unh Communications And Public Affairs

UNH Today Archive

No abstract provided.

The Binding Thread Of Forestry, Unh Communications And Public Affairs

UNH Today Archive

No abstract provided.

Search For Dark Matter In Proton-Proton Collisions At 8 Tev With Missing Transverse Momentum And Vector Boson Tagged Jets, M M. Baarmand, Vallary Bhopatkar, Stefano Colafranceschi, Marcus Hohlmann, D Noonan, Tuhin S. Roy, Francisco X. Yumiceva, Cms Collaboration

Aerospace, Physics, and Space Science Faculty Publications

A search is presented for an excess of events with large missing transverse momentum in association with at least one highly energetic jet, in a data sample of proton-proton collisions at a centre-of-mass energy of 8 TeV. The data correspond to an integrated luminosity of 19.7 fb−1 collected by the CMS experiment at the LHC. The results are interpreted using a set of simplified models for the production of dark matter via a scalar, pseudoscalar, vector, or axial vector mediator. Additional sensitivity is achieved by tagging events consistent with the jets originating from a hadronically decaying vector boson. This search …

December 16, 2016 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.

How U.S. Executive Expatriates Work In Environments Of Pervasive Corruption, Carl H. Greppin

Student Scholarship

How do U.S. expatriate executives who live and work in countries with pervasive corruption make choices about the degree to which they participate in corruption? To answer this question, I interviewed 30 U.S. executives who worked in such countries. Some refused to participate in corrupt practices, others chose to reluctantly succumb to extortion, while others willingly participated in corruption. I illustrate costs the executives incur from making the decisions and reasons for why they make the decisions. I found that social norms played a significant role in their decisions. There are four social norms - personal norms (individuals' standards for …

Nonpharmacological Approaches In Dementia Care, Gay Lynn Warren

Master's Projects and Capstones

The 6A acute care unit has been seeing a higher number of patients that are afflicted with dementia. Often times, these patients display challenging dementia-related behaviors. It is commonplace for these patients to be medicated with a psychotropic medication in order to halt the challenging behavior. The global aim of this project is to improve dementia care on the 6A acute care unit. The specific aim, educating staff members about the benefits of nonpharmacological approaches in the management of challenging dementia-related behaviors and to encourage their use, is relative as the education is necessary before improvement can be expected to …

Education Through Simulation, Melody A. Padilla-Collings

Master's Projects and Capstones

SourceURL:file://localhost/Users/Mac/Desktop/653Abstract.docx

Abstract

The purpose of this study was to determine if education through simulation was effective in an undergraduate ADN nursing program to improve nursing confidence, knowledge, skill competency, and nursing care. Two groups of second year RN students were selected in their fall semester to participate in a before and after survey to compare traditional learning (required course readings, assignments, and lectures) with the PROMPT Birthing Simulator that allows hands on, interactive learning, and feedback in preparation for the Mother-Baby clinical setting. The first PDSA cycle with Group A revealed 21% were confident in their knowledge with the traditional …

Geographical Incidence Of Antimicrobial Resistant Gonorrhea, Christofer A. Rodriguez

Master's Projects and Capstones

Evolving throughout the last century, Gonorrhea has become a superbug, becoming difficult to treat. As the second most commonly reported notifiable disease, gonorrhea rates have been increasing, despite efforts in prevention and treatment. Populations at risk are mainly MSM and FSW. In 2015, men’s gonorrhea rates in the United States were higher compared to women, at 140.9 and 107.2 per 100,000 population, respectively. Illinois has consecutively had higher rates of infection compared to the US, at 133.5 per 100,000 population compared to the US rate of 123.9 per 100,000 population. The surveillance of gonococcal isolate resistance to current antimicrobials began …

An Interactive Environmental Approach To Teaching English As A Second Language, Jennifer L. Young

Master's Projects and Capstones

This field project offers lessons related to ecoliteracy and environmental understanding for intermediate to advanced English Language Learners. It contains an ESL Ecoliteracy Student Handbook and an ESL Ecoliteracy Teacher Guide. There are two comprehensive units focused on understanding and acknowledging ecosystems in urban areas and foraging. The lessons formed in these units stem from Howard Gardner’s theory of multiple intelligences and the pedagogical theories of place based and experiential learning. Each unit has an outdoor activity build into the language learning framework, and the lessons are focused on building communicative, reading, vocabulary and grammar skills within an authentic learning …

Using Multi-Modal Education In A Public Health System To Increase Rates Of Cervical Cancer Screening, Christina Nardi

Doctor of Nursing Practice (DNP) Projects

While Papanicolaou (Pap) screening has been implemented since the 1950’s, and is linked to decreased rates of cervical cancer, national screening rates are still below the national target screening rate. In Contra Costa County (CCC), the current cervical cancer screening rate is 50.92% (Contra Costa Health Services [CCHS], 2016a). This is far below the national goal of 93% and the first benchmark of 54.33% needed in order to receive state funding under the California Department of Health Care Services (DHCS) Medi-Cal 2020 waiver. The Medi-Cal 2020 waiver has a 5-year Public Health Incentives and Redesign in Medi-Cal (PRIME) program requiring …

Designing And Improving A System Of Proactive Management-Based Regulation To Help Lawyers And Protect The Public, Susan Saab Fortney

Faculty Scholarship

Increasingly, lawyers and decision-makers are recognizing the limitations and consequences of current approaches to attorney regulation. Inspired by developments in other countries, regulators in the United States and Canada have started the process of exploring innovative approaches, including proactive management-based regulation. The term, proactive-management regulation (PMBR), was first used by Professor Ted Schneyer to refer to a regulatory approach designed to promote ethical law practice by assisting lawyers with practice management.

The seed for PMBR was first planted in the Australian state of New South Wales (NSW). It grew out of the legislation that allowed limited liability and non-lawyer ownership …

The Relationship Between Perceived Multicultural Disability Competence, Multicultural Counseling Coursework, And Disability-Related Life Experience, Melissa D. Deroche

LSU New Orleans Theses and Dissertations

The aim of this study was to explore the perceived multicultural disability competence of master’s-level counseling students in CACREP-accredited programs given their disability-related life experience(s) and multicultural counseling course completion and to assess the extent to which the topic of ability/disability is addressed in multicultural counseling coursework. Participants (n = 285) were electronically surveyed using the Counseling Clientswith Disabilities Survey (CCDS; Strike, 2001) and a researcher developed biographical questionnaire. Collectively, study results indicated that both disability-related life experience(s) and multicultural counseling course completion positively impacted participant perceived multicultural disability competence. However, disability-related life experience(s) seemed to have a greater …

Supervision Experiences Of School Counselors-In-Training: An Interpretive Phenomenological Study, Anita M. Pool

LSU New Orleans Theses and Dissertations

Students pursuing a master’s degree in CACREP-accredited school counseling programs are required to complete supervised field experiences as a part of their course requirements. During their practicum and internships experiences, they receive university supervision by a faculty member or doctoral student supervisor, as well as site supervision at the placement site, typically from a school counselor. University supervisors may lack experience in school counseling and knowledge of the unique roles and supervision needs of school counselors. In addition, site supervisors may lack training or knowledge of clinical supervision. Furthermore, the multiple systems in which SCITs function may have differing goals …

Interpretive Phenomenological Analysis Of Student Perceptions Of Bullying Based On Family, School, And Media Influences, Decina H. Rodriguez

LSU New Orleans Theses and Dissertations

Though many studies have been conducted on bullying and ways to prevent it, there is still little evidence that bullying has been reduced (Bauman, 2008). Since bullying behaviors have become prevalent, incidences of negative outcomes for students who are bullies and victims have increased, hence more discussion of the topic is taking place at school, home, and in the media (Bauman, 2008; Kaiser & Raminsky, 2001; Salmon, James, & Smith, 1998). This study proposes to learn how students make sense of these multiple messages. Through an Interpretive Phenomenological Analysis (IPA) (Smith & Osborn, 2003), 8-10 year old students were interviewed …

The Diary And Notes Of Marcus Christian As A Site Of Rhetorical Education, Entries 1924-1945, Nordette N. Adams

LSU New Orleans Theses and Dissertations

This thesis asserts that Marcus Bruce Christian (1900-1976), a New Orleans, Louisiana, black poet, writer, and historian, used his diary and notes as a site of rhetorical education and as a space in which he constructed and reinforced a Duboisian ethos, a particular type of black identity and character shaped by the political rhetoric of W. E. B. Du Bois. Maintaining this ethos, Christian, an autodidact throughout most of his life, negotiated a society strangled by white supremacist ideology and resisted being interpellated into the negative black identity constructed by a hostile and stifling Jim Crow South.

Merrimack College Record, Merrimack College

Merrimack College Record

No abstract provided.

Doctoring Undercover: Updating The Educational Tradition Of Shadowing, Claire D. Clark

Behavioral Science Faculty Publications

Background: Premedical students are educated in basic biological and health sciences. As a complement to traditional premedical coursework, medical school applicants are encouraged to shadow practitioners, with the hope that observation will introduce students to the culture and practice of healthcare. Yet the shadowing experience varies widely across practitioners and institutions; resources that guide students’ critical reflection and structure the experience are scarce.

Development: A pilot experiential learning course, Doctoring Undercover: Shadowing and the Culture of Medicine, was developed to fill this gap. The course consisted of three parts: an introduction to medical culture through the disciplines of medical sociology, …

Ms 014 Guide To William Fields, Md Papers (1930-1987), William Fields (1913-2004)

Manuscript Finding Aids

The William Fields, MD papers contain scientific meeting booklets, academic books, binders containing case histories, research, symposium notes, and correspondence relating to the publication of his research of materials related to his career in Neurology. The collection consists of five boxes and equals 2.5 cubic feet. See more at MS 014.

The Application Of The Literature Review Appraisal Toolkit On Environmental Health Systematic Reviews, Kristen M. Davis

Master's Projects and Capstones

Environmental health systematic reviews have long been of poor quality when comparing them to clinical health systematic reviews. The main reason for the poor quality of environmental health systematic reviews is the lack of a specific protocol. The University of California-San Francisco’s Program for Reproductive Health and the Environment has, because of the discrepancy, created a protocol specific to conducting environmental health systematic reviews. The protocols efforts would be futile without a nonbiased way to evaluate systematic reviews and therefore the protocol used. The Literature Review Appraisal Toolkit is a valuable tool created to navigate and evaluate the credibility of …

Developing Children’S Education Materials For The Sfo Museum At The San Francisco International Airport, Lauren Dare

Master's Projects and Capstones

This capstone project developed as a result of my Summer 2016 museum studies internship with the SFO Museum at the San Francisco International Airport. This unique museum is located within the airport terminals and is the only airport museum in the United States accredited by the American Alliance of Museums. Though the SFO Museum conducts education programs, it does not have an education department, instead relying on the curatorial staff to execute the museum education tours. The Museum’s tours cover children’s education materials for second and third grade students in the San Francisco Bay Area. I propose creating pre-visit materials …

Comparison Of Outcomes Following A Switch From A Brand To An Authorized Vs. Independent Generic Drug, Richard Hansen, Jingjing Qian, Richard L. Berg, James G. Linneman, Enrique Seoane-Vazquez, Sarah Dutcher, Saeid Raofi, C. David Page, Peggy L. Peissig

Pharmacy Faculty Articles and Research

Authorized generics are identical in formulation to brand drugs, manufactured by the brand company but marketed as a generic. Generics, marketed by generic manufacturers, are required to demonstrate pharmaceutical and bioequivalence to the brand drug, but repetition of clinical trials is not required. This retrospective cohort study compared outcomes for generics and authorized generics, which serves as a generic vs. brand proxy that minimizes bias against generics. For the seven drugs studied between 1999-2014, 5,234 unique patients were on brand drug prior to generic entry and 4,900 (93.6%) switched to a generic. During the 12-months following the brand-to-generic switch, patients …

Anywhere And Everywhere: Third Cultured Kids And Their ‘Stabilizing Factors’, Aman D. Singh Mr.

Capstone Collection

The purpose of this research is to explore the significance of the Third Culture Kid (TCK) and the impact their ‘stabilizing factors’ or ‘constants’ have on their occupation outcome. Third Culture Kid is a term used for people who have travelled and lived in many different countries during their development years. Within that definition there are other subgroups such as: Bi/multi-cultural and/or bi/multi-racial families, immigrants, international adoptees, refugees and Domestic TCKs or CCKs. Ever since the term was first coined by Ruth Hill Useem, a sociologist, in the early 50s, there have been more and more families having the TCK …

Target Validation And Pharmacological Characterization Of Novel Nmdar Modulators, Kiran Sapkota

Theses & Dissertations

The N-methyl-D aspartate receptors (NMDARs) are ligand-gated ion channels, which play important roles in learning and memory. Excessive activity of NMDARs is implicated in damage due to stroke and neurodegenerative diseases, whereas hypoactivity of NMDARs contributes to schizophrenia. The initial goal of my dissertation is to evaluate the potential role of the GluN2D-containing NMDARs in neuropathological, behavioral and cognitive alterations associated with schizophrenia and characterize the pharmacology and mechanisms of action of NMDAR modulators which could potentially be used to modulate these receptors in schizophrenia.

A subanesthetic dose of the NMDAR antagonist ketamine elicits symptoms of schizophrenia. This property led …

Comment On “Sr-Nd Isotope Composition And Clay Mineral Assemblages In Eolian Dust From The Central Philippine Sea Over The Last 600kyr: Implications For The Transport Mechanism Of Asian Dust” By Seo Et Al., Zhaokai Xu, Tiegang Li, Peter D. Clift, Shiming Wan, Mingjiang Cai, Hongjin Chen

Faculty Publications

No abstract provided.

Constraining Ribbon Rock Dolomitization By Mg Isotopes: Implications For The ‘Dolomite Problem’, Fang Bing Li, Fang Zhen Teng, Ji Tao Chen, Kang Jun Huang, Shui Jiong Wang, Xian Guo Lang, Hao Ran Ma, Yong Bo Peng, Bing Shen

Faculty Publications

© 2016 Elsevier B.V. Modern dolomite formation is conditional and restricted in specific environmental and geochemical conditions, accordingly cannot be used as the analog of ancient dolostones, which normally have platform-wide distribution. The key to understand ancient dolostone formation is to find a dolomitization process that is independent of physical/geochemical environments. It is well-known that ribbon rock (one type of calcareous rhythmites, sensu stricto referring to the alternating limestone and marlstone layers or the limestone-marl alternations) that are deposited in nearly all marine environments throughout the Earth's history, are exclusively, though normally partially, dolomitized. Thus, understanding ribbon rock dolomitization may …

Lactation Clinic: Improving Patient Lactation Support, Iana Johnson

Master's Projects and Capstones

Despite the numerous health benefits and recommendations that breastfeeding is the optimal method for nourishing infants, many still choose other ways to feed their babies during the first year of life. This project considers the initiation and future implementation of a Lactation Clinic as an additional patient support service provided in the inpatient and outpatient settings. A Failure Modes and Effects Analysis (FMEA) was conducted in an effort to evaluate and eliminate “what could go wrong” before such an establishment becomes operational. The Risk Priority Numbers (RPNs) from the analysis reveal the lack of use (RPN 50) and streamlining (RPN …

Through The Eyes Of Our Neighbors: A Collaborative Model For Cultural, Educational, And Community Organizations To Meaningfully Address Homelessness In San Francisco, Lauren Kingsley

Master's Projects and Capstones

Abstract

The following paper proposes a collaborative model in which an arts institution, a community organization, and a university come together to present a dual photography and architecture/ design exhibition, along with a series of public programs and education initiatives, to raise awareness regarding the issue of homelessness, empower members of the homeless community, and encourage museum-goers to take action. Furthermore, the project aims to partner with the City of San Francisco to implement design solutions to homelessness. The project, while large in scope, was inspired by a rather simple idea: that the museum should respond more effectively to its …