Digital Commons Network^™

Adoption Of Medication Management Technologies By U.S. Acute Care Hospitals After The Hitech Act, Aastha Chandak

Theses & Dissertations

Medication errors and adverse drug events (ADEs) are a significant public health concern in the United States as they pose a threat to patient safety. The medication management process is a complicated process in U.S. acute care hospitals, consisting of a series of steps such as ordering, transcribing, dispensing and administration and each step is prone to medication errors.The use of technology is considered to be an important intervention in improving the medication management process and thereby reducing medication errors and ADEs and further improve patient safety. The Health Information Technology for Economic and Clinical Health (HITECH) Act, implemented in …

911 Calls In Homicide Cases: What Does The Verbal Behavior Of The Caller Reveal?, Jon D. Cromer

Masters Theses, 2010-2019

Each year, numerous 911 calls reporting a death or a serious injury that leads to death are received by emergency communications centers; many of these turn out to be related to a homicide. Interestingly, a small percentage of these calls are made by the perpetrator. These calls constitute the first available evidence in most homicide cases. They are recorded at times of great stress and are the first versions of what the callers purport to know. The ability to develop hypotheses about a caller’s truthfulness enhances the police response by objectively informing the process of formulating early investigative strategies. For …

Primer On Perspectives And Practices Of Trauma, Trevor P. Haase

Educational Specialist, 2009-2019

A large majority of the general population has endured at least one traumatic event in their lifetime and many will seek counseling services to process and resolve the impact from the traumatic experience. Counselors and mental health providers will likely encounter trauma survivors in a high frequency in the majority of therapeutic settings. Practicum and internship level counselors are often not prepared for navigating the complexities that arise working with trauma survivors. This paper outlines the various perspectives and practices of the works of Dr. Bessel van der Kolk, Narrative Therapy, and Trauma Focused-Cognitive Behavioral Therapy. These orientations were designed …

Gender Inequity Within Public Accounting, Paige Petersen

Honors Thesis

Traditionally a male-dominated field, the public accounting industry has seen recent progress in the presence and advancement of women in the profession. Today, women comprise half of accounting students, Certified Public Accountant test-takers, and employees at public accounting firms. However, women in public accounting face an invisible barrier when it comes to reaching the level of partner, where they represent only nineteen percent of partners. Uneven distribution of female representation should be of concern to public accounting firms seeking to maximize the potential of their talent pool and gain the benefits of diverse leadership. Traditional viewpoints on this issue promote …

Geometric Phase Effects In The Ultracold D + Hd → D + Hd And D + Hd ← H + D2 Reactions, B. K. Kendrick, Jisha Hazra, Balakrishnan Naduvalath

Chemistry and Biochemistry Faculty Research

The results of accurate quantum reactive scattering calculations for the D + HD(v = 4, j = 0) D + HD(v′,j′), D + HD(v = 4, j = 0) → H + D2( v′,j′) and H + D2(v = 4, j = 0) → D + HD(v′,j′) reactions are presented for collision energies between and . The ab initio BKMP2 PES for the ground electronic state of H3 is used and all values of total angular momentum between are included. The general vector potential approach is used to include the geometric phase. The rotationally resolved, vibrationally resolved, and total reaction …

Improving Cal Nagpra: Honoring Native American Rights, Kim Turner

Master's Projects and Capstones

The California Native American Graves Protection and Repatriation Act (Cal NAGPRA) became state law in 2001. Its purpose was to create a process whereby California tribes could seek to repatriate human remains and objects from their cultural heritage from museums and custodial institutions. Cal NAGPRA includes a number of shortcomings that have impeded the ability of tribes to successfully reclaim objects from their heritage. The ethical implications of museums retaining cultural objects and human remains, often confiscated from Native peoples or their tribal lands, has been a principal social justice topic of USF’s museum studies program. This capstone describes a …

Hidden Museum: A Behind-The-Scenes Tour For Contemporary Audiences, Michael B. Glazier

Master's Projects and Capstones

The mystery of what lies behind a museum’s closed doors has intrigued visitors and perpetuated museum mythology for decades. Whether it’s peeking into collections storage, or being guided through rooms off the exhibition floor, visitors want unique access to museum collections. This Master’s Capstone project investigates the topic of behind-the-scenes tours within museums, asks what they look like today, and how they will develop in the future. Using this research I have created a project proposal to film a behind-the-scenes tour that will solve questions of public visibility and collection access for a San Francisco area history museum. A successful …

Inside The Juvenile Justice System, Megan Phalon

Master's Projects and Capstones

The United States of America is known for freedom and integrity and being a nation that stands for justice and equality for all. Within the United States there are systems in place to better the people and communities in order to provide safety and order. However, just as any nation, there is a struggle with violent behavior and tendencies among adults and adolescents. Within the last three decades, the United States has created a correctional system that specifically targets adolescents, and that acknowledges the differences between adult and juvenile development and deviant behavior. Within this literature review, academic databases were …

The Political Economy Of Conflict In Liberia, Sierra Leone, And Côte D'Ivoire: Foreign Economic Intervention And The Spatial Distribution Of Violent Conflict, Sarai-Anne N. Ikenze

Master's Theses

Between 1989 and 2011, the three neighboring West African countries of Liberia, Sierra Leone, and Côte d’Ivoire each experienced at least one major civil conflict; and the combined devastation of the conflicts claimed over a million lives, generated millions of refugees, and crippled infrastructure in ways that continue to impact the development of the sub-region today. The occurrence of conflict in the three countries and the fact that they share borders has raised questions about whether the conflicts were caused by domestic factors or were the result of transborder processes of conflict diffusion. This paper will assess the causes of …

Teaching Place: Heritage, Home And Community, The Heart Of Education, Judy Kay Lorenzen

Department of English: Dissertations, Theses, and Student Research

This dissertation examines the implementation of a Place-conscious pedagogy as a means to teach heritage and sense of place. This pedagogy is framed upon the premise that trying to understand our heritage and place—ourselves—are crucial elements in our ability to live well as individuals who are connected school/community members, who help our schools/communities thrive, becoming Place-conscious citizens. I argue that in teaching in such a culturally diverse community, tensions rise as immigration has become a main focus. Our school/community has experienced many ethnic groups with vast social differences for which Place-conscious education offers practical solutions. These students have a great …

Input Parameters In Discrete Element Modeling, Seyedali Yousefi

Civil Engineering ETDs

The discrete element method (DEM) is employed to study complex behaviors of particulate media. Input parameters may greatly affect the response of DEM models and should therefore be selected carefully. Scaling techniques are employed to enlarge prohibitively small time-steps. To study these techniques, dimensionless input parameters were defined. Responses of models in the dimensionless scale were invariant with choice of density, elastic modulus, and characteristic length if the dimensionless parameters were kept constant. Hence, density scaling is equivalent to use of a higher strain-rate, and stiffness scaling results in a higher strain-rate and an elevated stress state in the dimensionless …

Pelvic And Breast Examination Skills Curricula In United States Medical Schools: A Survey Of Obstetrics And Gynecology Clerkship Directors., Lorraine Dugoff, Archana Pradhan, Petra Casey, John L. Dalrymple, Jodi F. Abbott, Samantha D. Buery-Joyner, Alice Chuang, Amie J. Cullimore, David A. Forstein, Brittany S== S. Hampton, Joseph M. Kaczmarczyk, Nadine T. Katz, Francis S. Nuthalapaty, Sarah M. Page-Ramsey, Abigail Wolf, Nancy A Hueppchen

Department of Obstetrics and Gynecology Faculty Papers

BACKGROUND: Learning to perform pelvic and breast examinations produces anxiety for many medical students. Clerkship directors have long sought strategies to help students become comfortable with the sensitive nature of these examinations. Incorporating standardized patients, simulation and gynecologic teaching associates (GTAs) are approaches gaining widespread use. However, there is a paucity of literature guiding optimal approach and timing. Our primary objective was to survey obstetrics and gynecology (Ob/Gyn) clerkship directors regarding timing and methods for teaching and assessment of pelvic and breast examination skills in United States medical school curricula, and to assess clerkship director satisfaction with current educational strategies …

Pelvic And Breast Examination Skills Curricula In United States Medical Schools: A Survey Of Obstetrics And Gynecology Clerkship Directors, Lorraine Dugoff, Archana Pradhan, Petra Casey, John L Dalrymple, Jodi F Abbott, Samantha D Buery-Joyner, Alice Chuang, Amie J Cullimore, David A Forstein, Brittany S Hampton, Joseph M. Kaczmarczyk, Nadine T Katz, Francis S Nuthalapaty, Sarah M Page-Ramsey, Abigail Wolf, Nancy A Hueppchen

PCOM Scholarly Works

BACKGROUND: Learning to perform pelvic and breast examinations produces anxiety for many medical students. Clerkship directors have long sought strategies to help students become comfortable with the sensitive nature of these examinations. Incorporating standardized patients, simulation and gynecologic teaching associates (GTAs) are approaches gaining widespread use. However, there is a paucity of literature guiding optimal approach and timing. Our primary objective was to survey obstetrics and gynecology (Ob/Gyn) clerkship directors regarding timing and methods for teaching and assessment of pelvic and breast examination skills in United States medical school curricula, and to assess clerkship director satisfaction with current educational strategies …

A Green Oasis: What Makes Community Gardens Worth Saving? While Researchers Amass Evidence Of Benefits, Advocates Develop New Strategy To Prove Their Value., Joel Wolfram

Capstones

Green Valley Community Garden in Brownsville, Brooklyn, is one of about a dozen gardens on land owned by the New York City Department of Housing Preservation and Development that are being uprooted by plans to build affordable housing. The gardeners are fighting back to prevent the garden’s destruction, saying that the food-producing green space is a source of healthy eating in a community with high rates of health problems, like diabetes and obesity. Researchers are attempting to tease out the public health benefits of community gardens as one metric of their value, but the science is still catching up with …

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 …

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.

Stigmatizing Attitudes Towards Men And Women Combat Veterans With Combat Related Ptsd, Heather L. Caldwell

Electronic Theses & Dissertations

Veterans with PTSD experience stigma and discrimination. The extent to which women combat veterans with PTSD may experience stigma and discrimination has yet to be investigated. This is critical given the increasing number of women veterans exposed to combat and combat trauma. Level of familiarity may affect stigmatizing beliefs. Gender may also affect stigmatizing beliefs. To assess this, 126 undergraduate students (men, n = 69) were randomly assigned to view videos of a man or woman veteran describing combat experience and their PTSD symptoms. Participants completed questionnaires assessing PTSD symptoms, level of familiarity with veterans, and stigmatizing attitudes toward the …

University Students' Involvement In A Health Promoting Lifestyle: Influencing Factors Of The Health Promotion Model, Madison Estrada

Electronic Theses & Dissertations

Abstract: This is a correlational study utilizing Nola Pender’s Health Promotion Model (HPM) for examining the key influential factors regarding involvement in a health promoting lifestyle (HPL) among undergraduate students at Pittsburg State University. Ninety-six (96) undergraduate students enrolled in general psychology courses at Pittsburg State University completed the Health Promoting Lifestyle Profile-II (HPLP-II; Walker, Sechrist, & Pender, 1987), the Exercise Benefits/Barriers Scale (EBBS; Pender, Walker, & Sechrist, 1987), the Self-Efficacy for Exercise Scale (SEE Scale; Resnick & Jenkins, 2000), and the Physical Activity Stages of Change Questionnaire (Marcus, Selby, Niaura, & Rossi, 1992). Spearman Correlation coefficients (one-tailed tests), were …

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 …

A Paradigm Shift In The Diagnosis And Treatment Of Polycystic Ovarian Syndrome: A Practice Change In Primary Care, Patricia L. Sullivan

Doctor of Nursing Practice Scholarly Project

An Abstract of the Scholarly Project by

Patricia Lynn Sullivan

The purpose of this Doctor of Nursing Practice (DNP) Scholarly Project was to determine whether participants’ knowledge of the updated guidelines on the diagnosis and treatment of the obese patient with polycystic ovarian syndrome (PCOS) is increased following a continuing education presentation. The increase in the knowledge of PCOS guidelines for an obese patient is documented using a pretest/ posttest method following the continuing education program which utilizes a PowerPoint presentation. PCOS is the most common endocrine disorder in women. This DNP capstone project was designed to provide a literature …

Sorption And Metabolism Of Explosives In Sediment Of Coastal Marine Ecosystems, Thivanka S. Ariyarathna

Doctoral Dissertations

The lack of knowledge on fate and transport of explosive compounds, 2,4,6-trinitrotoluene (TNT) and hexahydro-1,3,5-trinitro-1,3,5-triazine (RDX) in marine ecosystems limits the ability to predict toxicological impacts and natural attenuation of these suspected carcinogens in contaminated coastal sites. This study focuses on improving our understanding of the sorption and transformation of TNT and RDX in coastal ecosystems by using stable nitrogen isotopes.

Abiotic and biotic bench-top experiments using sediment slurries evaluated sorption kinetics and anaerobic biotransformation. Marine silt showed higher compound-uptake rates (> ~100) than freshwater silt for both compounds though equilibrium partition constants (Kp’s) were on the same order of …

Design And Synthesis Of Next Generation Propargyl-Linked Antifolates, Eric Scocchera

Doctoral Dissertations

Antibiotic resistance is an ever-present problem that reduces the arsenal of antibiotics human’s possess to fight pathogenic infections. New generations of antibiotics are therefore always required. Recent history has seen few novel classes of antibiotics, instead structural modifications of previous classes are often the source of new antibiotics. Antifolates are a colloquial name given to various compound classes that are capable of inhibiting the bacterial production of folate or enzymes that require folate for proper cellular function. Dihydrofolate reductase (DHFR) is a crucial enzyme in this pathway, and is inhibited in bacteria only by trimethoprim (TMP). TMP is used clinically …

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 …

Vitamin D, Calcium And Blood Pressure In The U.S., Sarah Bean

Master's Projects and Capstones

Vitamin D and calcium have received increased attention for their potential roles in improving cardiovascular health. The active form of vitamin D, 1,25-hydroxyvitamin D (25[OH]D), may influence blood pressure by increasing gastrointestinal calcium absorption. The objectives of this study were to first examine the association between blood pressure and blood serum 25(OH)D levels, and then explore the interaction between 25(OH)D, calcium intake, and blood pressure. Cross-sectional analysis featured 24,844 U.S. adults aged 20-80 years from three cycles of the National Health and Examination Survey (NHANES 2001-2006). Linear regression models were used to determine the adjusted association of 25(OH)D categories with …

Mental Health Workout: Lifting Stigma, Jeremy Bambery

Master's Projects and Capstones

Mental illness affects one out of every five Americans between the ages 13-18, and it is estimated that two-thirds of these individuals will not seek treatment due to the stigma associated with having a mental illness or mental health issue (National Alliance on Mental Illness). Access to information and the ability to talk openly without fear will aid in creating a stigma free future. The goal of this project is to supply high school students in the San Francisco Bay Area with information regarding the stigma associated with mental health and mental illness via videos that will be used as …

The Museum Wiki: A Model For Online Collections In Museums, Morgan Schlesinger

Master's Projects and Capstones

Museums increasingly use the Internet, digitization, and social tagging to publicize their collections in online databases. However, these online collections museums frequently lack contextual and interpretive information that objects require to be understood by the general public. Other sources, such as Wikipedia, consistently deliver more in-depth information on artworks than museums. The Museum Wiki proposes a solution for the Museum Studies field to address this information gap by emulating Wikipedia’s framework of interlinked articles for online museum collections. Additionally, this model raises the online visibility of these collections by editing relevant Wikipedia articles with information from articles written for …

Single Particle Tracking: Analysis Techniques For Live Cell Nanoscopy., Peter K. Relich

Physics & Astronomy ETDs

Single molecule experiments are a set of experiments designed specifically to study the properties of individual molecules. It has only been in the last three decades where single molecule experiments have been applied to the life sciences; where they have been successfully implemented in systems biology for probing the behaviors of sub-cellular mechanisms. The advent and growth of super-resolution techniques in single molecule experiments has made the fundamental behaviors of light and the associated nano-probes a necessary concern among life scientists wishing to advance the state of human knowledge in biology. This dissertation disseminates some of the practices learned in …

Ionospheric Signatures Of Gravity Waves Produced By The 2004 Sumatra And 2011 Tohoku Tsunamis: A Modeling Study, Michael P. Hickey, Yonghui Yu, Wenqing Wang

Publications

Ionospheric fluctuations inferred from observations of total electron content have previously been attributed to tsunamis and have confirmed the strong coupling between Earth’s ocean and ionosphere via atmospheric gravity waves (AGWs). To further advance our understanding of this wave coupling process we employ a linear full-wave model and a nonlinear time-dependent model to examine the ionospheric response to the AGW perturbations induced by the 2004 Sumatra and the 2011 Tohoku tsunamis. In the 2004 case, our modeling analyses reveal that one component of the propagating AGWs becomes dynamically unstable in the E-region ionosphere at a range exceeding 2000 km in …