Digital Commons Network^™

Lost In Translation, Daniel Pena

Master's Projects and Capstones

At the conclusion of a patient’s hospitalization the Registered Nurse (RN) will review all discharge instructions in the patients room in their preferred language. Plan time for the discharge and facilitate a calm quiet environment, such as the patient’s room with the door closed, if possible. Get the discharge instructions printed out in their preferred language and a set for yourself in English would be best so you are able to review the instructions line by line with them. When the patients medical team, such as but not limited to, medical doctors, pharmacists, physical therapists, and social work have completed …

Clostridium Difficile: An Investigation On A Medical Surgical Unit, Neftali Cabezudo

Master's Projects and Capstones

The objectives for this CNL Internship Project were to: (1) identify the strongest contributors to the rising trend of Clostridium difficile cases on this medical-surgical unit, (2) review all Clostridium difficile cases for correlational factors that are of significant relevance, (3) examine current unit practices and adherence to established policies, and (4) provide recommendations for enhancing existing prevention strategies. The population examined included male adults between 56-83 years old being treated for other medical conditions. The methods used to address this clinical issue included a joint venture between nursing and housekeeping staff to ensure proper terminal cleaning and a renewed …

Interdisciplinary Team Approach In Fall Prevention: Physician Perspective Focus, Anna Gryn

Master's Projects and Capstones

An in-hospital fall is a devastating event for patients and care providers resulting in injuries, physiological and psychological patient declines, and sometimes deaths. Furthermore, fall related costs greatly increase hospitals’ expenses and cause massive distress to caregivers and health providers. Many patient-specific, organizational, and seemingly erratic factors contribute to the occurrence of in-hospital falls. Despite this, hospitals must undertake consistent evidence-based measures to prevent fall occurrences as much as possible.

The traditional nursing approach to falls prevention is not sufficient to control fall rates because the issue is too complex and must be approached from multiple perspectives rather than just …

Improving Nurse Proficiency: Breastfeeding And The Opioid-Dependent Mother And Infant Diagnosed With Neonatal Abstinence Syndrome (Nas), Lauren Mountanos

Master's Projects and Capstones

Management of the opioid-dependent mother-infant dyad is complex. Evidence suggests breastfeeding may decrease the severity of NAS symptoms, delay its onset, and decrease the need for pharmacologic treatment (Macmullen et al., 2014). Therefore, education of nursing staff on the benefits of breastfeeding for opioid-dependent dyads will enable them to safely recommend breastfeeding for long-term health (Pritham, 2013). The Clinical Nurse Leader (CNL) project, “Improving Nurse Proficiency: Breastfeeding and the Opioid-Dependent Mother and Infant Diagnosed with Neonatal Abstinence Syndrome (NAS)” aims to globally increase the number of infants diagnosed with NAS discharged on breast milk by 10% by June 30, 2018. …

Fall Prevention Protocol In Acute Care Setting, Allie Di Angelo

Master's Projects and Capstones

Purpose:

Purpose: The purpose of this quality improvement project is to implement a falls intervention to improve falls on the Medical Telemetry unit in the large metropolitan hospital.

Background: Between 700,000 and 1,000,000 falls occur in hospitals every year. Furthermore, approximately 30-35% of these falls result in injury and 11,000 falls result in death (Health Research & Educational Trust, 2016). Falls harm patients, families, and providers. They are also a high cost, as many insurance companies will not reimburse care when a patient falls. As a hospital organization it is important to ensure funds are going to the appropriate places. …

Improving Early Sepsis Identification, Stephanie Senda

Master's Projects and Capstones

Sepsis is a serious complication which is initiated by the body’s extreme response to an infection. If sepsis is not identified and treated promptly, it can rapidly lead to tissue damage, organ failure and death. Accounting for high morbidity and mortality rates in the United States, sepsis has become an area of focus within the healthcare spectrum as it is frequently unrecognized and undertreated. The focus of this project is for the Clinical Nurse Leader (CNL) students to evaluate the policies and processes in place within a large metropolitan hospital as well as the hospitals ability to recognize and treat …

Improving Early Sepsis Identification On Inpatient Units, Yee Yang

Master's Projects and Capstones

Sepsis is a serious complication caused by an overwhelming immune response to infection that affect millions of people worldwide each year. Sepsis is a time sensitive illness that requires early identification and quick interventions to improve patient outcomes. This quality improvement project includes a team of clinical nurse leader (CNL) students and gathering information on the nursing compliance of the sepsis protocol at a large metropolitan hospital. The observations on different inpatient units and chart review conducted at the large metropolitan hospital led to increased awareness of gaps that prolong the identification of sepsis among patients; also to the creation …

Network Structures As A Way To Build A Global Organization And The Role Of Modern It Tools, Jerzy Kisielnicki

European Management Studies

The subject of the article is an analysis of network organizational structures as part of the organizational management system. The considerations are illustrated in practical examples: System Information Science and Technology (design SYNAT) and the analysis of changes in the company Bayer CropScience (BCS). Changes in management systems are due to the need to transform hierarchical systems. The direction of change is the global creation of global organizations. In management, we observe the transition from centralized hierarchical structures to decentralized network structures. The paper argues that the construction of global organizations requires the use of network management structures in them, …

The Users’ Needs As Determinants Of The Organization Model Of The Information Platform Activating Seniors. Conclusions From The Study, Maja Leszczyńska, Karol Łopaciński, Wiesława Gryncewicz, Robert Kutera

European Management Studies

Due to the aging of society, the authors have developed a concept of ICT platform aimed at increasing the activity of people at the retirement age. It is dedicated to members of local communities, can be used to support entrepreneurship, self-fulfillment and activation in the field of social life. In the article, based on quantitative and qualitative research, the key needs of users have been identified, and in their context, the concept of organization of the ICT platform for activating seniors has been presented.

Inpatient Hospice Home: A Needs Assessment And Business Plan, Stacey Middleton

Doctor of Nursing Practice Scholarly Project

An Abstract of the Scholarly Project by

Stacey Middleton

There are two constants that every person can count on in life, being born and dying. No amount of research is required, and there is no need to challenge the inevitable. When a child is born, people celebrate and congratulate the new parents and their family. When a person dies, people are saddened by the loss of a friend and loved one. Death comes to all and is either, fast and unexpected or a slow drawn out process. Every dying patient deserves to die with dignity, be free from pain, and …

Residential Life Curriculum: Wyoming Seminary, Allie Maxwell

Capstone Collection

This course linked capstone will focus on creating a residential life curriculum that is student centered, increases cultural competencies, and strengthens the community of the Wyoming Seminary Upper School. Many boarding schools have accepted international students into their schools to respond to a growing revenue need while simultaneously adding to a school’s diversity. The shift in student demographics has created a secondary level international education sector without many people specializing in this arena. Additionally, there has been a push to increase residential life resources in schools to help increase student support. With the drive for additional support and a growing …

Anti-Japanese Sentiment Among Graduates Of South Korean Public Schools, Jamal Barbari

Capstone Collection

This capstone paper aims to explore how South Koreans, who have graduated public high school within the past seven years (from 2010 to 2017) view Japan and Japanese people, and what (if at all) information concerning Japan and Japanese people was established and received during their presence in the public school system. Through a brief analysis into the history and intricate relationship between Korea and Japan, introduction into hidden curriculum and its significance in this context, as well as ten personal interviews with South Korean graduates who fit the criteria for this research, this capstone paper offers a distinctive insight …

Development Of A Curriculum Analysis And Simulation Library With Applications In Curricular Analytics, Michael S. Hickman

Electrical and Computer Engineering ETDs

Higher education institutions are currently investing significant resources in attempts to improve student success by improving instruction quality, implementing tutoring programs, and providing other services to help students. While these are all worth- while, one area that tends to be overlooked is the structure of the curricula that are offered. When viewing curricula as data, or more specifically, a graph, it is intuitive to see how its structure can influence a student’s ability to move through it. How- ever, there are currently no tools to analyze a curriculum’s structural properties and how they might affect student success. This thesis describes …

Phyllium (Phyllium) Brossardi Sp. Nov. (Phasmida, Phylliidae), A New Species Of Leaf Insect From Northern Borneo, Royce T. Cumming, Stéphane Le Tirant, Sierra N. Teemsma

Insecta Mundi

A new species of leaf insect, Phyllium (Phyllium) brossardi Cumming, Le Tirant, and Teemsma, new species (Phasmida, Phylliidae), is described from a series of three males. A key to males of the currently known species from the siccifolium species group from Borneo is provided.

In Police We Trust, Rachel Moran

Villanova Law Review (1956 - )

No abstract provided.

The Effects Of A Mandatory Body-Worn Camera Policy On Officer Perceptions Of Accountability, Oversight, And Departmental Culture, Jordan M. Hyatt, Renee J. Mitchell, Barak Ariel

Villanova Law Review (1956 - )

No abstract provided.

Board Of Trustees Agenda, Dec. 15 2017, Indiana State University Board Of Trustees

Board of Trustees

No abstract provided.

The Right To Work And The Right To Strike, Laura Weinrib

Articles

No abstract provided.

Pari Passu Clauses And The Skeuomorph Problem In Contract Law, Douglas G. Baird

Articles

No abstract provided.

The Blurred Blue Line: Municipal Liability, Police Indemnification, And Financial Accountability In Section 1983 Litigation, Teresa E. Ravenell, Armando Brigandi

Villanova Law Review (1956 - )

No abstract provided.

Genome Evolution In Najas And Hydrilla (Hydrocharitaceae)., Ursula King

Doctoral Dissertations

Archival abstract submitted

The Future Of Nuclear Security: A Medical Physicist’S Perspective, Katharine E. Thomson

International Journal of Nuclear Security

Planning for the future of nuclear security is a vital and complex task, requiring cooperation and contribution from many disciplines and industries. This diversity of expertise should include the medical sector, which faces many of the same challenges as the nuclear industry: controlling access to dangerous material, creating a strong security culture, cooperating with the wider world and engaging the public.

Medical physicists, of which the author is one, oversee all aspects of small-scale radiation use. This paper discusses three key areas increasingly important to both medical and nuclear uses of radioactive materials: public engagement, prevention of nuclear and radiological …

The Future Of Nuclear Security In Moroccan Territory After The Creation Of The New Moroccan Agency Of Nuclear And Radiological Safety And Security: Opportunities And Challenges, Amal Touarsi, Amina Kharchaf

International Journal of Nuclear Security

Nowadays, a security regime for protecting nuclear and radiological material—providing an intelligent national regulatory institution and establishing national security laws—is necessary in order for a state to ensure security of nuclear and radiological materials used within its borders.

This paper focuses on discussing the opportunities and challenges facing the future of nuclear security after the creation of the new Moroccan Agency of Nuclear and Radiological Safety and Security.

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 …

Effect Of Metal Ion Substitution On Electrochemical Properties Of Cobalt Oxide For Energy Applications, Dalal Alqahtani

Electronic Theses & Dissertations

Metal oxides are being used for various applications, such as batteries, supercapacitors, and catalysts. This research is mainly to produce high-performance energy storage devices capable of working at high temperatures and causing no pollution in the environment. To this end, the effect of metal ion substitution on the electrochemical properties of Co₃O₄ for energy applications was studied. Different metal oxides, such as FeCo₂O₄, MnCo₂O₄, Co₃O₄, NiCo₂O₄, CuCo₂O_4, and ZnCo₂O₄, were synthesized using a hydrothermal …

Synthesis And Electrical Properties Of Copolymers Containing 3-Phenyl[5]Ferrocenophane-1,5-Dimethylene And Vinylimidazole, Muteb H. Alshammari

Electronic Theses & Dissertations

Ferrocene is a well-known organometallic compound and its structure consists of an iron atom sandwiched between two cyclopentadienyl rings. Ferrocene has unique properties such as redox chemistry, high electron density, thermal stability and aromaticity. In addition, the ferrocene can be incorporated into polymers either into the backbone or on the side chains. Ferrocene incorporated polymers have received considerable attention in the areas of electro-catalysis, electrode coating, and battery applications. Therefore, the main purpose of this study is to characterize the electrochemical behavior of copolymers of 3-phenyl[5]ferrocenophane-1,5-dimethylene with vinyl imidazole in aqueous solutions with various electrolytes: sodium perchlorate, zinc perchlorate, cadmium …

Assessment Of Falls On A Medical-Telemetry Unit, Andie Reed

Master's Projects and Capstones

The purpose of this quality improvement project aimed at reducing falls on a medical-telemetry unit in a large metropolitan Magnet hospital. It was important for the MSN/CNL students to focus on falls because it is not just a concern for this institution, it is a national dilemma that needs to be addressed. Due to the complexities and intricate details of the IRB process, the MSN/CNL students were unable to collect data or further advance their project into the microsystem. Instead, information was attained from the University of San Francisco database to allow the MSN/CNL students to continue with the steps …

The March Of The Union Armies: James Henry Lane, The Union, And The Development Of Total War On The Kansas-Missouri Border, Alex Lahasky

Electronic Theses & Dissertations

James Henry Lane was a giant of Kansas politics during the mid-nineteenth century. His leadership during the territorial crisis of 1855—commonly known as the “Bleeding Kansas” era—contributed mightily to Kansas’s entry as a free state in 1861. During the early stages of the ensuing Civil War, Lane’s political and military presence on the plains was ubiquitous; he served simultaneously as a United States Senator and a brigadier general of the Union Army. Lane’s activities during the first year of the war provide the focal point of the present study.

With Kansas under threat from secessionist elements in neighboring Missouri, Lane …

First Low-Frequency Einstein@Home All-Sky Search For Continuous Gravitational Waves In Advanced Ligo Data, B. P. Abbott, R. Abbott, T. D. Abbott, F. Acernese, K. Ackley, C. Adams, T. Adams, P. Addesso, R. X. Adhikari, V. B. Adya, C. Affeldt, M. Afrough, B. Agarwal, K. Agatsuma, N. Aggarwal, O. D. Aguiar, L. Aiello, A. Ain, B. Allen, G. Allen, A. Allocca, P. A. Altin, A. Amato, A. Ananyeva, S. B. Anderson, W. G. Anderson, S. Antier, S. Appert, K. Arai, M. C. Araya, J. S. Areeda, N. Arnaud, S. Ascenzi

Faculty Publications

We report results of a deep all-sky search for periodic gravitational waves from isolated neutron stars in data from the first Advanced LIGO observing run. This search investigates the low frequency range of Advanced LIGO data, between 20 and 100 Hz, much of which was not explored in initial LIGO. The search was made possible by the computing power provided by the volunteers of the Einstein@Home project. We find no significant signal candidate and set the most stringent upper limits to date on the amplitude of gravitational wave signals from the target population, corresponding to a sensitivity depth of 48.7 …

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 …