Digital Commons Network^™

An Evidence-Based Implementation Project On High Utilizers In The Emergency Department, Bernadette Martin Ruggles

Doctor of Nursing Practice (DNP) Projects

Abstract

Challenges have been presented to the Emergency Department (ED) over the last several years as the dramatic rise in health insurance enrollment continues. Although, with the Republican bill, the American Health Care Act, changes to Medicaid may alter the health program leaving many uncertainties (Kaplan & Pear, 2017). Evidence reflects EDs are inundated with even more patients taking advantage of the availability of a one-stop shop for their care and treatment. Costs of ED services and resource allocation are rising as a result of these unnecessary visits contributing to a total healthcare expenditure of approximately 17.6% of the US …

Teaching A Primary Prevention Falls Program: Using The Stop Elderly Accidents, Deaths, And Injuries (Steadi) Toolkit, Janice Mark

Doctor of Nursing Practice (DNP) Projects

Problem: Falls in the community dwelling older adult (CDOA) are a growing health concern, placing large financial and social burdens. Primary care providers (PCPs) are not engaging in falls assessment and prevention activities due to the lack of knowledge and time. Context: Falls are the leading cause of fatal and nonfatal injuries, and is projected to worsen with the increase in the aging population. STEADI is a fall assessment and prevention toolkit created by the CDC to tackle this problem designed to address the knowledge and practice gaps of PCPs. Interventions: A DNP project was crafted and implemented to train …

Leadership Development, Succession Planning And Simulation: A Succession Plan For Organizational Success, Beth Eichenberger

Doctor of Nursing Practice (DNP) Projects

Future executive nurse leaders must be identified and prepared for the challenges of 21st century health care. The literature suggests a lack of existing standardized succession plans for these leaders. Senior leaders are often faced with the complex issue of how to develop and validate the competencies required for these leadership roles (Dyess, Sherman, Pratt, & Chiang- Hanisko, 2016). Therefore, in the absence of a succession plan, creating a leadership development program, which provides a pipeline of new executive leaders, would alleviate this gap. The motivating force is an effort to promote current talent and provide a higher level of …

Context-Dependent Chemosensory Signaling, Aggression And Neural Activation Patterns In Gravid Female African Cichlid Fish, Karen E. Field, Karen P. Maruska

Faculty Publications

© 2017. Published by The Company of Biologists Ltd . Social animals must constantly assess their environment to make appropriate behavioral decisions. The use of various sensory modalities is imperative in this process and it is hypothesized that the highly conserved brain nuclei comprising the social decisionmaking network (SDMN) integrates social information with an animal's internal state to elicit behavioral responses. Here, we used the highly social African cichlid fish, Astatotilapia burtoni, to investigate whether reproductively receptive (gravid) females show contextual chemosensory signaling, social behaviors and neural activation patterns within the SDMN. We exposed gravid females to different social contexts: …

Global Awakening Of Cryptic Biosynthetic Gene Clusters In Burkholderia Thailandensis, Ashish Gupta, Renesh Bedre, Sudarshan Singh Thapa, Afsana Sabrin, Guannan Wang, Maheshi Dassanayake, Anne Grove

Faculty Publications

© 2017 American Chemical Society. Many bacteria encode biosynthetic proteins that produce a vast array of natural products. These compounds are often synthesized during host invasion as they function as virulence factors. In addition, such secondary metabolites have yielded numerous molecular scaffolds with pharmaceutical and clinical importance. The gene clusters that encode proteins responsible for synthesis of these compounds are typically silenced or "cryptic" under laboratory growth conditions, hampering discovery of novel lead compounds. We report here that MftR is a global repressor of secondary metabolite synthesis in Burkholderia thailandensis and that urate functions as a physiologically relevant inducer of …

Characterization Of Pathogenic Vibrio Parahaemolyticus From The Chesapeake Bay, Maryland, Arlene J. Chen, Nur A. Hasan, Bradd J. Haley, Elisa Taviani, Mitch Tarnowski, Kathy Brohawn, Crystal N. Johnson, Rita R. Colwell, Anwar Huq

Faculty Publications

Vibrio parahaemolyticus is the leading cause of bacterial gastroenteritis associated with seafood consumption in the United States. Here we investigated the presence of virulence factors and genetic diversity of V. parahaemolyticus isolated from water, oyster, and sediment samples from the Chesapeake Bay, Maryland. Of more than 2,350 presumptive Vibrio collected, more than half were confirmed through PCR as V. parahaemolyticus, with 10 encoding both tdh and trh and 6 encoding only trh. Potentially pathogenic V. parahaemolyticus were then serotyped with O1:KUT and O3:KUT predominant. Furthermore, pulsed-field gel electrophoresis was performed and the constructed dendrogram displayed high diversity, as did results …

Healthy People Are Bad For Capitalism, Eri King

Theses and Dissertations

Healthy People are Bad For Capitalism is a four part installation that creates an alternative space for the chemicals, Red 40 and Monosodium Glutamate. Presented as a holistic center that offers healing services and remedies, Center for the Red 40 and MSG Healing explores the homeopathic doctrine of Like Cures Like (what make a human ill also cures them) through the relationship between Traditional Japanese Healing Practices, and Western Capitalism.

Healthy People are Bad For Capitalism presents Red 40 MSG Apothecary, Red 40 Zen MSG Healing Rock Garden, Theta Wave Eternal Flame Meditation and Red 40 MSG …

Music From The Harpsichord House, Julie Zhu

Theses and Dissertations

Music from the Harpsichord House is an installation and series of concerts that exists in the binary of in and out of performance. During a concert, the harpsichordist is hidden inside the house and his face is live-projected outside. Fifteen new musical compositions were commissioned for the harpsichord house.

Green Card Veterans - Deported And Forgotten, Vicki Adame

Capstones

Green card holders are allowed to serve in the US military, but once discharged, if they commit a felony they will be deported. There is no firm number of how many veterans have been deported, estimates range from 300 to 3000.

https://vickiadame.com/

Four Legs Good, Two Legs Bad: How Slaughterhouse Safety Hasn’T Kept Up With The Times, Emily Ziemski

Capstones

From legal loopholes and outdated rules to undetectable infections and understaffing, the United States Department of Agriculture may not be doing all it can to make sure the American public’s health isn't at risk. As the people of the United States consume over 500 million pounds of beef a year, food safety policy and slaughterhouses are falling behind in proper procedural measurements in the beef industry.

emziemski.com/capstone

Starting Over On Stage, Keydra Manns

Capstones

RTA is a non profit organization based out of New York that uses the arts as a way to rehabilitate inmates. Research shows that this type of rehabilitation strongly impacts an inmates behavior, self esteem and possibly reduces their likelihood to return to prison. This is one man’s story on how practicing theater during his prison sentence changed his life.

https://medium.com/@keydra.manns/starting-over-on-stage-3614e7bc0dd9

How The “Greatest Rapper Alive” Returned Hip Hop To Its Political Roots, Meeran Karim

Capstones

Rapper Kendrick Lamar’s powerful documentation of his own personal struggles and that of a country overcome with racial strife have revitalized the genre of hip hop music. More than just the “greatest rapper alive,” Lamar is also one of the most important storytellers in America today.

Capstone Link:

https://medium.com/@meeran.karim/kendrick-lamar-hiphop-political-roots-19e3f5e48385

A Guatemalan Trans Woman Navigates New York City In Hopes Of A Better Future, Manolo Morales

Capstones

Jamileeth, 25, is a trans woman from Guatemala. She's been in New York City for about 3 months. Before coming to NYC, she spent 26 days in a detention center in Cibola, New Mexico. Today she is navigating her way in the Big Apple to seek asylum.

Link to capstone: https://medium.com/@manolo.morales/a-guatemalan-tans-woman-navigates-new-york-city-in-hopes-of-a-better-life-bdfc5796f9d4

The Shunned Speak Out: Former Members On Life In The Jehovah's Witnesses And After, Nour Saudi, Joy Notoma

Capstones

"The Shunned Speak Out" is an interactive feature that explores the practice of religious shunning among Jehovah's Witnesses. When Jehovah's Witnesses opt to leave the group or are punished for an indiscretion, they are shunned and have to completely start their lives over without their families and the only community they have known. This piece profiles 13 former Jehovah's Witnesses, including their journeys and the emotional repercussions of shunning. Their personal stories are weaved in with expert voices and research on the organization.

https://jwshunning.github.io/jw/

Lost Wisdom Of The Elders, Miamichelle Abad

Capstones

This capstone project explores the gap of Intergenerational communication and why people should connect and interact with the older people in their lives. Social science experts say that the gap is caused by negative stereotypes of older people that younger people have.

Older people possess knowledge gained through experience—things that can’t be learned from a textbook. Parents, uncles and aunts and other older relatives can pass down life lessons, skills, and stories—from a secret family recipe for fried chicken to how to change a tire or save for retirement.

This knowledge can provide benefits that go beyond the practical, shaping …

The Gift That Keeps One Living, Scott R. Axelrod

Capstones

This long-form narrative feature article reports on the shortage of living kidney donors and those in desperate need of kidney transplants. It features interviews with doctors, transplant coordinators, patients, living kidney donors, and kidney recipients. The story culminates with my own personal experience as a kidney donor to my late dad over a decade ago. The presentation includes an extensive photo component capturing characters and elements from the story through a series of detailed portraits, photo essays, and infographics.

https://saxelrod718.wixsite.com/livingkidneydonors

State V. Mckie Respondent's Brief Dckt. 45239

Idaho Supreme Court Records & Briefs, All

No abstract provided.

Type 2 Neural Progenitor Cell Activation Drives Reactive Neurogenesis After Binge-Like Alcohol Exposure In Adolescent Male Rats, Chelsea Rhea Geil Nickell, Hui Peng, Dayna M. Hayes, Kevin Y. Chen, Justin A. Mcclain, Kimberly Nixon

Pharmaceutical Sciences Faculty Publications

Excessive alcohol consumption during adolescence remains a significant health concern as alcohol drinking during adolescence increases the likelihood of an alcohol use disorder in adulthood by fourfold. Binge drinking in adolescence is a particular problem as binge-pattern consumption is the biggest predictor of neurodegeneration from alcohol and adolescents are particularly susceptible to the damaging effects of alcohol. The adolescent hippocampus, in particular, is highly susceptible to alcohol-induced structural and functional effects, including volume and neuron loss. However, hippocampal structure and function may recover with abstinence and, like in adults, a reactive burst in hippocampal neurogenesis in abstinence may contribute to …

Fluoroethoxy-1,4-Diphenethylpiperidine And Piperazine Derivatives: Potent And Selective Inhibitors Of [3H]Dopamine Uptake At The Vesicular Monoamine Transporter-2, Emily R. Hankosky, Shyam R. Joolakanti, Justin R. Nickell, Venumadhav Janganati, Linda P. Dwoskin, Peter A. Crooks

Pharmaceutical Sciences Faculty Publications

A small library of fluoroethoxy-1,4-diphenethyl piperidine and fluoroethoxy-1,4-diphenethyl piperazine derivatives were designed, synthesized and evaluated for their ability to inhibit [³H]dopamine (DA) uptake at the vesicular monoamine transporter-2 (VMAT2) and dopamine transporter (DAT), [³H]serotonin (5-HT) uptake at the serotonin transporter (SERT), and [³H]dofetilide binding at the human-ether-a-go-go-related gene (hERG) channel. The majority of the compounds exhibited potent inhibition of [³H]DA uptake at VMAT2, with Ki values in the nanomolar range (K_i = 0.014–0.073 μM). Compound 15d exhibited the highest affinity (K_i = 0.014 μM) at VMAT2, and had 160-, 5-, …

Dispossession And Protection In The Neoliberal Era: The Politics Of Rural Development In Indigenous Communities In Chaco, Argentina., Mercedes Biocca

Tipití: Journal of the Society for the Anthropology of Lowland South America

Neoliberal reforms and technological innovations associated with the agribusiness model have led to profound transformations in the Argentine agricultural sector. These transformations, far from being limited to a central region, are expanding rapidly into areas previously considered marginal, causing major changes in the socio-economic and cultural dynamics of those territories. As argued by Sanyal and Chatterjee, the state has played a dual role in these processes of ‘accumulation by dispossession.’ On the one hand, it has created the necessary conditions for the displacement of peasants and indigenous peoples while on the other hand, it has implemented programs that seek to …

Development Of A Nurse Practitioner First Assistant Orientation Program, Romoanetia Lofton

Doctor of Nursing Practice (DNP) Projects

The demand for surgical services continues to increase, creating a strain in our healthcare system and causing increasing backlog hours for the operating room. Allowing nurse practitioners (NP) to function in an expanded role in the perioperative environment requires additional training beyond the generic NP program. With this additional training, the NP can function as a first assistant, providing delegated medical functions in the perioperative environment. An in-house NP registered nurse first assistant orientation program was developed based on the adult learning theory as a conceptual framework combined with the AORN perioperative standards as a foundation. The cost of using …

Increasing Faculty Knowledge And Empathy Related To Nursing Students With Learning Disabilities, Jodi Kushner

Doctor of Nursing Practice (DNP) Projects

The purpose of this paper is to provide a project overview for the implementation of a disability training module and simulation experience offered to university school of nursing faculty to increase faculty knowledge and empathy related to nursing students with learning disabilities. The number of students with learning disabilities in the postsecondary education setting has tripled in the past decade (Orr & Hammig, 2009). This growing student population makes faculty preparation essential in order to effectively meet the needs of these students. The literature indicated that best practices include disability training, faculty support, student support, inclusive strategies such as Universal …

Simulation Based Post-Partum Hemorrhage Training In Nigeria: A Pilot Project, Nneka Chukwu

Doctor of Nursing Practice (DNP) Projects

Postpartum hemorrhage (PPH) is one of the leading causes of mortality and morbidity among childbearing women globally (Ononge, Mirembe, Wandabwa, & Campbell, 2016). Although this outcome is preventable, it remains a significant cause of death among women, especially in underdeveloped countries. This paper examines an educational project that was aimed to increase the knowledge of student midwives and registered midwives in a rural academic setting in Nigeria.

Methods: A one-day educational pilot training which consisted of a didactic component and a case-based simulation training focused on identifying risk factors, assessment techniques, and management protocols for the PPH patient. There were …

The Development Of A Cardiovascular Competency Checklist For Chinese Nurses, Amy B. Xiong

Doctor of Nursing Practice (DNP) Projects

Cardiovascular disease is a global issue affecting millions of lives around the world. Today, countries like the U.S. and China have joined forces to take on the global issue. In the U.S., the American Heart Association is the largest organization dedicated to reducing the mortality rate of cardiovascular disease by requiring healthcare services to uphold standard cardiovascular guidelines. Astonishingly, within the last 10 years, the U.S. has reduced their cardiovascular mortality rate by 30%.

This quality improvement project sought to determine the gap between the United States and China’s standard nursing education and practices and to help Chinese nurses achieve …

All Hands In Interactive Resource Guide, Veronica Benavides

All Faculty and Staff Papers and Presentations

This guide is a culmination of a year long All Hands In community-based project where the working team of staff from Bronxworks, Highbridge Advisory Council, and Bank Street College of Education co-identified, co-developed, and co-designed the project and content around family engagement practices and community strengths and needs.

Voluntary And Involuntary Isolation In Mary Shelley's The Last Man, Jessica Pope Mudrow

Criterion: A Journal of Literary Criticism

No abstract provided.

Beyond A Zero-Sum Federal Trust Responsibility: Lessons From Federal Indian Energy Policy, Monte Mills

American Indian Law Journal

The federal government’s trust relationship with federally- recognized Indian tribes is a product of the last two centuries of Federal Indian Law and federal-tribal relations. For approximately the last 50 years, the federal government has sought to promote tribal self-determination as a means to carry out its trust responsibilities to Indian tribes; but the shadows of prior federal policies, based largely on notions of tribal incompetence and federal paternalism, remain. Perhaps no other policy arena better demonstrates the history, evolution, and promise for reform of the federal trust relationship than Federal Indian energy policy, or the range of federal statutes …

Understanding Behavioral Health And Treatment Engagement With Former Users Of Prenatal Substances: A Strengths-Focused Mixed Methods Inquiry, Jennifer G. Benson, Peggy Maclean, Andrew Hsi, Sarah J. Erickson

Psychology ETDs

Accessible services for users of prenatal substances are lacking, and treatment engagement is poor with services that are available. Furthermore, legal consequences are often punitive, which ultimately damages the well-being of mother and child. Milagro and FOCUS are two New Mexico programs that provide comprehensive, coordinated care, including medication-assisted treatment, to former users of prenatal substances during pregnancy (in the Milagro Program) and for three years post-birth (in the FOCUS Program). This mixed methods study explored the lived experiences of women from this complex, high-risk population, using a high-engagement sample of women who utilized services at both Milagro and FOCUS. …

Protecting The Silence Of Speech: Academic Safe Spaces, The Free Speech Critique, And The Solution Of Free Association, Trevor N. Ward

William & Mary Bill of Rights Journal

No abstract provided.

Touch Dna And Chemical Analysis Of Skin Trace Evidence: Protecting Privacy While Advancing Investigations, Mary Graw Leary

William & Mary Bill of Rights Journal

This Article addresses touch DNA, chemical analysis of skin traces, and the implications for crime scene investigation, arguing that changes in how trace evidence is analyzed require alterations in the law’s approach to its use. Part I discusses the history of traditional DNA analysis. Part II examines the emergence of touch DNA and related technologies and how they differ from traditional DNA analysis. Part III outlines the specific risks created by the collection and storing of results under the current outdated jurisprudence. Part IV focuses on specific risks to suspects and victims of crime. Part V proposes a legal framework …