Digital Commons Network^™

Creating A Culture Of Learning: Improving Patient Mobility In A Medical-Surgical Unit, Camille Cabalsa

Master's Projects and Capstones

Abstract

PROBLEM: Hospitalization, especially among older adults aged 65 or over, can result in decreased mobility and functional decline. This decreased mobility can lead to accelerated bone loss, falls, increased length of stay, and delirium. In this medical-surgical unit, a pattern reflecting lack of adequate patient mobility has persisted over one year.

CONTEXT: Northwest (NW), a 42-bed community hospital medical-surgical unit- part of an integrated regional health care delivery system, has not been maximizing the mobilization of their patients for the past year based on internal data.The improvement project described in this paper focused on creating a culture of continuous …

Automatic Modulation Classification Using Cyclic Features Via Compressed Sensing, Andrew J. Ramsey

Theses

Cognitive Radios (CRs) are designed to operate with minimal interference to the Primary User (PU), the incumbent to a radio spectrum band. To ensure that the interference generated does not exceed a specific level, an estimate of the Signal to Interference plus Noise Ratio (SINR) for the PU’s channel is required. This can be accomplished through determining the modulation scheme in use, as it is directly correlated with the SINR. To this end, an Automatic Modulation Classification (AMC) scheme is developed via cyclic feature detection that is successful even with signal bandwidths that exceed the sampling rate of the CR. …

Mothers’ Voices: A Narrative Study Of The Experiences And Perspectives Of Mothers Raising School Age Children With Disabilities In One Of Zimbabwe’S Urban Areas, Emillia Masaka

Special Education ETDs

This narrative study examined (1) how women raising school age children with disabilities in one of Zimbabwe’s urban areas, articulated and conceptualized (a) their children’s disabilities and (b) their experiences as mothers of children with disabilities and (2) how their social status, marital status, age, ethnicity, and/or race intersected with their experiences of raising children with disabilities. A localized understanding of how mothers view their children’s disabilities was important because it influences results of any interventions their children might receive. Eight participants volunteered to have three interviews each, with me. Utilizing the social construction of disability, intersectionality, and thematic analysis …

Lindenwood Digest, December 14, 2018, Lindenwood University

Lindenwood Digest

The Lindenwood Digest has been a digital employee newsletter since 2009.

An Assessment Of Preparations Made In The United States For Highly Hazardous Communicable Diseases Following The 2014-2016 Ebola Virus Disease Epidemic, Jocelyn J. Herstein

Theses & Dissertations

The 2014-2016 Ebola virus disease (EVD) epidemic in West Africa was unprecedented in magnitude and scope. The threat of imported cases of EVD in the United States prompted the Centers for Disease Control and Prevention (CDC) to establish a tiered network of hospitals to enhance domestic isolation capacity, including the designation of select hospitals as Ebola treatment centers (ETCs). As of spring 2015, no information existed on the capacity, physical infrastructure, staffing models, or infection control protocols of these newly-established ETCs, nor was there information on other highly hazardous communicable diseases (HHCDs) these units would admit. Moreover, no documentation was …

Boom And Bust: How Private Detention Centers Wreak Economic Havoc On The Counties That Turn To Them For Stability, Max W. Parrott, Reynaldo Leanos Jr.

Capstones

In 2015, a riot broke out at a federal prison in a small Texas town not far from the U.S.-Mexico border. Prisoners tore through the kevlar tents of their dorms and a fire broke out, rendering the private prison uninhabitable. The facility was an economic engine for the impoverished, Rio Grande Valley county, so when the facility closed, it left the county $2 million short of its estimated budget, with $78 million in unpaid bonds and 400 fewer jobs for a population of about 21,000 people. This summer, three years after experiencing near economic collapse, Willacy County rushed back into …

Overcoming Barriers For The Implementation Of Evidence-Based Practice Through Journal Clubs, Regina Thomas

Doctor of Nursing Practice Projects

Many barriers exist at a 134-bed rural hospital in southern Illinois that hinder generation, evaluation, and implementation of evidence-based research into practice. This DNP project was completed through a phase approach utilizing a modified version of Kotter’s Model of Change, the RNcEBP Survey to self-rate individual confidence in the EBP process, and the Iowa Model of Evidence-Based Practice to facilitate implementation of journal clubs. The RNcEBP survey revealed that nurses were familiar with the concept of EBP, have positive attitudes, and are confident that EBP changes can improve patient outcomes, but lack experience in evaluating literature to support implementing evidence-based …

Transitioning With Grace: Improving Quality Of Life For Comfort Care Patients In The Intensive Care Unit, Melissa Ashley

Doctor of Nursing Practice Projects

The primary aim of this project was to develop and execute a standard protocol of interventions for comfort care patients on a medical intensive care unit. Staff at a 15 bed MICU at a Midwest urban teaching hospital from June 1 until August 11, 2018 were trained to execute a standardized protocol of interventions for comfort care patients. Seventeen MICU patients who transitioned to comfort care were offered a standardized set of evidence-based interventions, after staff attended educational in-services on providing high quality end of life (EOL) care. Checklists were used to determine intervention compliance. Pre-project and post-project surveys were …

Implementation Of High Blood Pressure Guidelines In Clinical Practice, Jessica Walker

Doctor of Nursing Practice Projects

Abstract

This quality improvement project implemented 2017 Guidelines for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults. An in-service education session on the 2017 High Blood Pressure Guidelines was provided to clinical staff. In addition, the AHA/ACC pooled cohort 10-year risk calculator was installed to computer desktops or smart phones, for providers. “Seven simple tips to get an accurate blood pressure reading” (American Medical Association, 2016) was posted in exam rooms and proper measurement and documentation techniques were reviewed with clinical staff. Review of recommended non-pharmacological treatment methods with proper patient education documentation was also conducted. …

Strong Recommendation Towards Hpv Vaccination, Danielle Bogue

Doctor of Nursing Practice Projects

Risk of future HPV related cancers remains high in individuals unvaccinated against HPV, leading to too many people dying from this preventable cancer. However, primary care providers’ strong recommendation to vaccinate and family education about HPV and vaccine efficacy have a positive impact on a family’s decision to vaccinate. The setting for this project was a Midwest suburban family healthcare practice. This process was implemented by providing the guardian with a handout, a short video on HPV, a question and answer period with the provider, and ended with the provider giving a strong recommendation towards HPV vaccination. Of the 35 …

Emphasizing The Importance Of Cultural Identity Of Second Language Learners In Lesson Plans, Sreyasi De

Master's Projects and Capstones

A sky rocketing trend of one in three United States residents is estimated to be either an immigrant or the child of an immigrant by 2065. How well immigrants and second-generation immigrants are inhabiting in United States is of great significance to the state of being happy, healthy, prosperous, and full of energy and resonance of the United States in general. While economic, political, and social aspects of immigration are frequently contemplated for policy-making, comparatively small investigations have examined the cultural identity of the immigrants. In the review of literature, topics of intercultural competence, cultural competence, and culturally responsive teaching …

Would You Do Cognitive Trainings Again: A View From Participants With First Episode Of Schizophrenia, Mehgan Sierra

Master's Projects and Capstones

Purpose: The purpose of this project is to identify if individuals with first episode of schizophrenia would utilize computerized cognitive trainings after the study. Using this information, we can identify better ways to support individuals with first episode of schizophrenia in utilizing cost-effective interventions to improve cognition such as attention, memory, and problem solving among ages 18-35 individuals.

Methods: One-hour semi-structured interviews were conducted with twelve participants in community-based programs who completed cognitive trainings in the Prodromal Assessment Research and Treatment (PART) lab at UCSF. Fifteen participants who completed their post-testing or dropped out of the study were given …

Determination Of Salient Design Elements Through Eye Movements, Aesthetics, And Usability, Bryan C. Asuncion

Theses and Dissertations

The goal of study 1 was to use a remote eye tracker to understand how eye movements change with 7 geometrically varied remote controls to determine design element saliency. 20 participants were used to measure the following eye metrics: number of fixations prior to first fixation of any AOI, time to first fixation of an AOI, number of fixations on an AOI, dwell time of the first fixation on an AOI, total dwell time of an AOI, and the percentage of time spent on an AOI. The results of the study showed that all participants spent between 75-85% of their …

Effect Of Stress Mindset And Adverse Childhood Experiences On College Students' Academic Success And Psychological Well-Being, Alice Cathryne Long

Theses and Dissertations

Adverse life events that occur in childhood may decrease an individual’s ability to effectively cope with challenges throughout their lives. The proper management of stress is essential to avoid problems that can crop up in all areas of life. College students who employ stress management tactics are better able to achieve well-being and academic success. This study examined the potential moderating association between “from within” coping supports or internal risk factors and academic success, mental health, and resilience qualities. Using a sample of college students at a large public university in the southeastern United States, this study demonstrates that viewing …

Estimating Clapper Rail (Rallus Crepitans) Survivorship And Implementation Of Estimates Into Individual-Based Population Models, Jared Feura

Theses and Dissertations

Sea-level rise is a concern for the future of coastal marsh obligate species such as the Clapper Rail (Rallus crepitans). Clapper Rails possess the potential to indicate changes to marsh ecological state due to population variation related to habitat features exhibited in previous study. Estimates for Clapper Rail survival are among the key missing parameters to create predictive models for Clapper Rail populations. I estimated Clapper Rail survival using data collected from six automated telemetry towers located in two Mississippi marshes. Thirty adult rails were harnessed with radio transmitters around telemetry towers to provide evidence of a rail’s status, alive …

Scaling Undergraduate Scientific Writing Via Prominent Feature Analysis, Katarzyna Zaruska Gallo

Theses and Dissertations

Prominent Feature Analysis (PFA) is a reliable and valid writing assessment tool, derived from the writing it is used to assess. PFA, used to assess on-demand expository essays in Grades 3-12, uncovers positive and negative characteristics of a sample. To extend PFA to a new academic level and genre, I assessed scientific writing of 208 undergraduates, identifying 35 linguistic and 20 scientific prominent features. An essay could earn up to 28 positive (24 linguistic and four scientific), and up to 27 negative marks (11 linguistic and 16 scientific). The minimum prominent features number in a paper was 3, the maximum …

Smoke Signals: New Contexts For The Emergence, Spread, And Decline Of Effigy Pipes In Southeastern North America, A.D. 1000-1600, Charles Van De Kree

Theses and Dissertations

The cultural significance of effigy pipes among southeastern groups during the Mississippian period (A.D. 1000-1600) has yet to be fully understood. Recent studies, however, have provided new archaeological contexts for framing explanations of their possible use and distribution among such groups. Apart from conjectures about their use as ceremonial objects, selection for effigy pipes in the Mississippian Southeast was directly related to fluctuating environmental and demographic conditions under which such objects were manufactured and distributed. These conditions provided the appropriate context for their emergence as costly signaling devices through which elite or special interest groups advertised fitness levels, typically expressed …

Healthcare Experiences Of Transgender Mississippians: A Qualitative Study, Micah D. King

Theses and Dissertations

For this study, in-depth, semi-structured interviews were conducted with 16 transgender adults who lived, or had previously lived, in Mississippi and sought healthcare services in the state. The questions asked focused on identifying the barriers to care that these individuals faced as well as the strategies for navigating the barriers they employed. Recommendations for providers were also considered.

Health Science Curriculum For Early Childhood: Teacher Implementation And Impact On Child Health Knowledge, Carla J. Mays

Theses and Dissertations

This dissertation contains two secondary quantitative data analyses studies. In the first, implementation of the WannaBee Healthy? Be Smart! Be Active! Be a Leader! health science curriculum was examined to expand understanding about teacher usage of an integrated health curriculum. Specifically, researchers assessed the amount of activities within each curriculum domain (i.e., books, creative expressions, language/literacy, math, science) and the number of activities within each theme of the lessons (i.e., nutrition, physical activity, sleep) utilized by participating teachers. Prior to implementation, teachers (N = 68; M age = 35.5 years old) attended a one-hour training where use of the curriculum …

Complex Network Analysis For Early Detection Of Failure Mechanisms In Resilient Bio-Structures, Reena R. Patel

Theses and Dissertations

Bio-structures owe their remarkable mechanical properties to their hierarchical geometrical arrangement as well as heterogeneous material properties. This dissertation presents an integrated, interdisciplinary approach that employs computational mechanics combined with flow network analysis to gain fundamental insights into the failure mechanisms of high performance, light-weight, structured composites by examining the stress flow patterns formed in the nascent stages of loading for the rostrum of the paddlefish. The data required for the flow network analysis was generated from the finite element analysis of the rostrum. The flow network was weighted based on the parameter of interest, which is stress in the …

Land Mollusks Of The California Channel Islands: An Overview Of Diversity, Populations, And Conservation Status, Charles A. Drost, Jeffrey C. Nekola, Barry Roth, Timothy A. Pearce

Western North American Naturalist

The land snails and slugs have the highest level of endemism among all major animal groups on the California Channel Islands, with nearly 75% of the native terrestrial species confined to one or more of the 8 islands. In spite of this endemism, and in spite of the rarity of some species, the snails and slugs are one of the most poorly known groups. We present the first comprehensive overview of the land mollusk fauna of the Channel Islands, along with the results of recent intensive inventory studies. Surveys on San Clemente Island have increased the number of land mollusk …

Quarterly Meeting Agenda, Wku Board Of Regents

Board of Regents Documents

Quarterly meeting agenda.

Methanogens: Pushing The Boundaries Of Biology, Nicole R. Buan

Department of Biochemistry: Faculty Publications

Methanogens are anaerobic archaea that grow by producing methane gas. These microbes and their exotic metabolism have inspired decades of microbial physiology research that continues to push the boundary of what we know about how microbes conserve energy to grow. The study of methanogens has helped to elucidate the thermodynamic and bioenergetics basis of life, contributed our understanding of evolution and biodiversity, and has garnered an appreciation for the societal utility of studying trophic interactions between environmental microbes, as methanogens are important in microbial conversion of biogenic carbon into methane, a high-energy fuel. This review discusses the theoretical basis for …

Bankruptcy Declaration

Catholic Dioceses in Bankruptcy

Declaration of bankruptcy of the Diocese of Winona-Rochester, filed on December 14, 2018.

Gradubique: An Academic Transcript Database Using Blockchain Architecture, Thinh Nguyen

Master's Projects

Blockchain has been widely adopted in the last few years even though it is in its infancy. The first well-known application built on blockchain technology was Bitcoin, which is a decentralized and distributed ledger to record crypto-currency transactions. All of the transactions in Bitcoin are anonymously transferred and validated by participants in the network. Bitcoin protocol and its operations are so reliable that technologists have been inspired to enhance blockchain technologies and deploy it outside of the crypto-currency world. The demand for private and non-crypto-currency solutions have surged among consortiums because of the security and fault tolerant features of blockchain. …

Teaching Equity, Jennifer Saunders

UNH Today Archive

No abstract provided.

Intra- And Inter-Molecular Signaling In A Cardiac Connexin: Role Of Cytoplasmic Domain Dimerization And Phosphorylation, Andrew J. Trease

Theses & Dissertations

As critical mediators of cell-to-cell communication, gap junctions (GJs) are comprised of membrane channels that directly link the cytoplasm of adjacent coupled cells thereby allowing for the passage of ions, small metabolites, and secondary messengers. Each channel is formed by the apposition of two connexons from adjacent cells, each composed of six connexin (Cx) proteins. Each GJ channel functions to promote signal propagation and synchronization of cells and tissues in organs. Furthermore, GJs are essential for proper propagation of cardiac action potentials from one cell to the next, leading to the coordinated contraction and relaxation of heart muscle powering circulation. …

Accelerating Synchronization On Futuristic 1000-Cores Multicore Processor With Moving Compute To Data Model, Halit Dogan

Doctoral Dissertations

Single chip multicore processors are now prevalent and processors with hundreds of cores are being proposed and explored by both academia and industry. Shared memory cache coherence is the state-of-the-art technology for these processors to enable synchronization and communication between cores. However, since the synchronization of cores on shared data using hardware cache coherence suffers from instruction retries and cache line ping-pong overheads, it prevents performance scaling as core counts increase on a chip.

This thesis proposes to utilize a novel moving computation to data model (MC) to overcome this synchronization bottleneck in a 1000-cores scale shared memory multicore processor. …

Improving Nursing Communication Outcomes Through The Tell-Us Card, Jeffrey Salao, Nina Park, Laura Le, Brittney Pilker, Jillian Cule, Maricarmen Reyes

Master's Projects and Capstones

Abstract

Nursing communication plays a pivotal role in patient-centered care. However, statistics have shown that failures in communication exist in more than 20% of all hospital settings (Sethi & Rani, 2017). Within the explored microsystem, a gap in patient communication was identified through the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys. Reports revealed that the microsystem was performing at 69%, which is 11% below the national average for nursing communication (Centers for Medicare and Medicaid Services [CMS], 2018). After performing a microsystem assessment, there was a measurable communication opportunity between the patients and nurses. It was determined …

Museum-School Partnerships: From Creative Discourse To Resource Development, Emma Doctors

Master's Projects and Capstones

This paper aims to explore museum-school partnerships and best educational practices within each entity's efforts to collaborate. The project surveys museum education and explores programmatic and curriculum development that help to serve as enrichment for students. These partnerships are important to the museum studies field as it fulfills a fiduciary responsibility that museums hold - to educate the public. By fulfilling the needs of both entities (museums and schools), creative discourse ensues, creating solutions for students to enrich their learning. I end with a project to propose the development of an exhibition resource guide that would combine the knowledge and …