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2018

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The Impacts Of Acculturation Patterns And Processes On Immigrants' Success In Higher Education: A Multiple Case Study Of 1.25-Generation Third-Wave Iranian Immigrants To The United States, Fereshteh Rezaeian Dec 2018

The Impacts Of Acculturation Patterns And Processes On Immigrants' Success In Higher Education: A Multiple Case Study Of 1.25-Generation Third-Wave Iranian Immigrants To The United States, Fereshteh Rezaeian

UNLV Theses, Dissertations, Professional Papers, and Capstones

The United States of America is inherently a pluralistic society composed of various groups of immigrants. As scholars (Camarota & Zeigler, 2016; Gibson, 1998) state, the number of immigrant children accounts for 20% of the total number of school-age children. Despite all attempts to provide the best education to such a great number of immigrant students, the achievement gap between immigrant and non-immigrant students still exists (Baum & Flores, 2011; Rong & Preissle, 2008). Some scholars (e.g., Ramos & Sanchez, 1995) have proposed that the key factor for immigrants to be successful in the United States is to adapt to …


The Use Of Chemical Element Fingerprints To Investigate The Transformation Of Lake Sediments To Land Soils In Drying Lakes: A Case Study At Lake Mead, Nevada, Ji Hye Park Dec 2018

The Use Of Chemical Element Fingerprints To Investigate The Transformation Of Lake Sediments To Land Soils In Drying Lakes: A Case Study At Lake Mead, Nevada, Ji Hye Park

UNLV Theses, Dissertations, Professional Papers, and Capstones

Drying lakes are a worldwide catastrophe. The goals of this dissertation research were (1) to investigate whether chemical fingerprints of lake sediments, and nearby land soils, could be established by the analysis of 44 chemical elements, moisture content, Eh, pH, and leachable anions and if so, (2) whether the fingerprints could help explain the process of physical and chemical changes in the lake sediments as they became soils when the lake's water level fell and the anoxic sediments were exposed to the air and weather.

Lake Mead was chosen to model drying lakes because its water level has fallen over …


On The Development Of Computational Methods To Help In Performing Medical Physics Tasks Leveragin The Portal Dosimetry Application, Enea Rrokaj Dec 2018

On The Development Of Computational Methods To Help In Performing Medical Physics Tasks Leveragin The Portal Dosimetry Application, Enea Rrokaj

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this project is to build software that can programmatically analyze dosimteric images and reduce the QA time when performing gamma analysis at varying test criteria and evaluating the results of the Winston-Lutz test. The application leverages the Eclipse Scripting API (ESAPI) within the Eclipse Treatment planning system of Varian Medical Systems. The Portal Dosimetry Application of Eclipse is used to collect the image pixels. The pixels are then displayed in a Windows Presentation Foundation using Microsoft Visual Studio and C#.

The purpose of the Gamma Index pass rates software is to benchmark the Portal Dosimetry Application by …


Air Pollution Related Asthma Inpatient Hospital Admission In The Las Vegas Valley, Joshua Allen Jensen Dec 2018

Air Pollution Related Asthma Inpatient Hospital Admission In The Las Vegas Valley, Joshua Allen Jensen

UNLV Theses, Dissertations, Professional Papers, and Capstones

Asthma is a chronic respiratory condition characterized by inflammation in the lungs that causes airflow to be restricted. In Southern Nevada’s Las Vegas Valley, the natural basin geography causes air pollutants to accumulate. Research has linked air pollution with worsening asthma symptoms. The goal of this study was to determine the non-linear lagged relationship between Asthma Related Inpatient Hospital Admissions (ARIHA) and the Environmental Protection Agency’s (EPA) criteria air pollutants in the Las Vegas Valley using hospital and pollution monitoring station data. Overall, a statistically significant increased RR of ARIHA between 7 and 13 days after exposure to PM2.5 24-hour …


Fluid Structure Interaction Study Of The Obstructive Sleep Apnea And Surgical Treatment Using Suture-Patch Device On The Patient’S Tongue, Yang Liu Dec 2018

Fluid Structure Interaction Study Of The Obstructive Sleep Apnea And Surgical Treatment Using Suture-Patch Device On The Patient’S Tongue, Yang Liu

UNLV Theses, Dissertations, Professional Papers, and Capstones

Up to 14% of the U.S. population is estimated to have obstructive sleep apnea (OSA) related to obesity, and there is increased incidence occurring worldwide. While treatment with continuous positive airway pressure (CPAP) resolves airway obstruction, patient compliance is relatively low. Alternative interventions are available to treat OSA patients; however, their outcomes have had variable results. For example, current technologies have demonstrated an inability to define and treat the specific anatomical site(s) causing the obstruction, resulting in suboptimal modifications of the airway and poor control of OSA.

In the current study, a three-dimensional (3-D) fluid-structure interaction (FSI) numerical simulation has …


Personality Patterns Of Students Who Make A Threat Of Targeted School Violence, Tawnya Michelle Ayim Dec 2018

Personality Patterns Of Students Who Make A Threat Of Targeted School Violence, Tawnya Michelle Ayim

UNLV Theses, Dissertations, Professional Papers, and Capstones

Although school shootings date back to the 1760’s (Dixon, 2005), recent attacks at schools in our country have raised awareness of school violence. This study investigates how students from one large school district responded to the personality pattern items on the Millon Adolescent Clinical Inventory, Second Edition after having made a threat to harm another student or staff member. Personality patterns were investigated in the overall sample, as well as within groups designated to be at a Low/Moderate risk level and High/Imminent risk level following a threat assessment. The minimal Differences between the sample for the current study and the …


The Roles Of Biophilic Attitudes And Auditory Stimuli Within Attention Restoration Theory, Jason B. Boggs Dec 2018

The Roles Of Biophilic Attitudes And Auditory Stimuli Within Attention Restoration Theory, Jason B. Boggs

UNLV Theses, Dissertations, Professional Papers, and Capstones

Attention Restoration Theory indicates that interacting with nature allows one’s fatigued, directed attention to be restored. This effect has been documented and produced through directed interaction with nature, such as a walk in the park, as well as through indirect interactions (e.g., photographs). The current dissertation was designed to: 1) investigate whether and how biophilic attitudes affect the attention-restoring effects incurred from interactions with nature, and 2) extend the research on ART by assessing the impact of nature-related audio stimuli. A total of 184 participants completed an assessment of biophilic attitudes, engaged in attention fatiguing exercises, and participated in one …


Comparison Of Cervical Angle During Different Equipment Removal Techniques Used In Ice Hockey For Suspected Cervical Injuries, Kendell Sarah Galor Dec 2018

Comparison Of Cervical Angle During Different Equipment Removal Techniques Used In Ice Hockey For Suspected Cervical Injuries, Kendell Sarah Galor

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of the study was to compare cervical movement between two different methods of removal of the helmet and shoulder pads. Seven college age male subjects (height: 172.54 ± 7.98 cm; weight: 85.70 ± 15.75 kg) with hockey experience volunteered to participate in the study. Each subject agreed to and signed the institutional review board approved informed consent before articipation. Subjects used their own game fit hockey helmet and were fitted with a pair of shoulder pads (CCM Tacks 1052 Sr Shoulder Pads). Cervical spine motion was measured using 3D kinematics (Vicon Motion Systems Ltd., UK). Reflective markers affixed …


Identifying Youth At Risk For Problematic Absenteeism Using Nonparametric Modeling: The Impact Of Youth Psychopathology And Family Environment Risk Factors, Mirae Fornander Dec 2018

Identifying Youth At Risk For Problematic Absenteeism Using Nonparametric Modeling: The Impact Of Youth Psychopathology And Family Environment Risk Factors, Mirae Fornander

UNLV Theses, Dissertations, Professional Papers, and Capstones

The best cutoff to differentiate problematic school absenteeism from nonproblematic school absenteeism has yet to be identified in the literature (Lyon & Cotler, 2007). Contemporary classification systems, including Multi-Tiered Systems of Support (MTSS), depend upon cutoffs to clearly define the various tiers (Jimerson, Burns, & VanDerHeyden, 2016). The current study aimed to inform the MTSS approach while also contributing to early identification, assessment, and intervention methods for those youth and families at the highest risk of problematic school absenteeism and its negative consequences. The current study identified subgroups of youth at the highest risk of problematic absenteeism, defined as equal …


Influencing Hawai‘I Hotel Patrons To Use Reef-Safe Sunscreens, Rochelle Good Dec 2018

Influencing Hawai‘I Hotel Patrons To Use Reef-Safe Sunscreens, Rochelle Good

UNLV Theses, Dissertations, Professional Papers, and Capstones

The health of Hawaiian coral reefs is threatened by pollution from common sunscreen ingredients such as oxybenzone. Hawai‘i hotel patrons using sunscreens with harmful ingredients contaminate coral reefs when these products wash off while swimming or bathing. Reef-safe sunscreens are alternative sunscreens that provide effective sun protection while averting damage to coral reefs. The purpose of this research was to determine the dominant factors leading to the pro-environmental behavior of using reef-safe sunscreen and identify practices that Hawai‘i hotel operators could implement to influence patrons to engage in this behavior. This research applied an integrative conceptual framework to model pro-environmental …


Optimization Of Useful Hard X-Ray Photochemistry, David Lewis Goldberger Dec 2018

Optimization Of Useful Hard X-Ray Photochemistry, David Lewis Goldberger

UNLV Theses, Dissertations, Professional Papers, and Capstones

X-ray induced damage is generally considered a nuisance, but in the field of Useful Hard X-ray Photochemistry we harness the highly ionizing and penetrating properties of hard X-rays (> 7 keV) to initiate novel photochemical decomposition and synthesis at ambient and extreme conditions. Preliminary experiments suggest that the energy of irradiating photons and the sample pressure play roles in determining the nature of X-ray induced damage. Here, we present the X-ray energy dependence of damage induced in strontium oxalate, strontium nitrate, and barium nitrate, as well as the pressure dependence of X-ray induced damage of strontium oxalate. Our results indicate …


A Qualitative Multiple Case Study Of The Transition Experiences Of Parents And Service Providers Of Individuals With Intellectual/Developmental Disabilities (Idd) In A Postsecondary Educational Program, Rebecca S. Rogers Dec 2018

A Qualitative Multiple Case Study Of The Transition Experiences Of Parents And Service Providers Of Individuals With Intellectual/Developmental Disabilities (Idd) In A Postsecondary Educational Program, Rebecca S. Rogers

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this qualitative case study was to explore the transition experiences of parents of young adults with IDD who are currently enrolled in a postsecondary educational

program in the Southwest part of the United States. This qualitative multiple-case study used Schlossberg’s transition theory to frame the cases for this report. Schlossberg’s transition theory examines the way in which adults move through various transitions in their lives and what strategies they use to cope with the transitions. The theory identifies three different types of transitions: anticipated transitions, unanticipated transitions, and nonevent transitions. In addition, the theory identifies four coping …


Video-Based Diabetes Education For A Culturally Diverse Population, Heather Harris Dec 2018

Video-Based Diabetes Education For A Culturally Diverse Population, Heather Harris

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Immigrants and refugees represent an underserved population in need of quality, accessible, and culturally appropriate healthcare and education. Diabetes is a chronic condition frequently seen in this population. The author utilized the Wagner Chronic Care Model (CCM) as a theoretical framework for planning diabetes education delivery in this diverse population. Studies report significant health disparities in diabetes care and subsequent poor diabetes quality indicators in refugees and immigrants. Research has found that culturally sensitive diabetes education can improve diabetes outcomes in ethnically diverse populations. The author implemented a translational project to develop and evaluate a video-based diabetes health education intervention …


A New Guideline For Diagnosis And Treatment Of Syncope In Children And Adolescents That Stimulates Further Thought And Discussion, Julian M. Stewart Dec 2018

A New Guideline For Diagnosis And Treatment Of Syncope In Children And Adolescents That Stimulates Further Thought And Discussion, Julian M. Stewart

NYMC Faculty Publications

No abstract provided.


Theorizing Development Of Parasocial Engagement, Riva Tukachinsky, Gayle S. Stever Dec 2018

Theorizing Development Of Parasocial Engagement, Riva Tukachinsky, Gayle S. Stever

Communication Faculty Articles and Research

The article proposes a theoretical model of the development of parasocial relationships (PSRs) building on Knapp’s model of relationship development. Through synthesis of research across disciplines, the model conceptualizes the relational goals and parasocial interactions (PSIs) specific to the PSR. The model identifies variables that predict engagement at that level, describes the stage’s outcomes/effects, and considers the utility of existing measures to assess these stages. The conceptualization of PSRs as a dynamic process rather than intensity of a monolithic experience offers new directions worthy of empirical examination.


A Pilot Study On Real-Time Monitoring Of Heart Rate And Movement Speed In Middle-Distance Race Of Physical Education Classes, Daqing Zhu, Xingui Zhang, Lanying Fu, Peiyong Wang, Shaohong Zhai Dec 2018

A Pilot Study On Real-Time Monitoring Of Heart Rate And Movement Speed In Middle-Distance Race Of Physical Education Classes, Daqing Zhu, Xingui Zhang, Lanying Fu, Peiyong Wang, Shaohong Zhai

Journal of Educational Technology Development and Exchange (JETDE)

In Chinese universities, students need to participate in the middle-distance-race. Normally, female students are required to participate in the race of 800 meters, while male students are required to participate in the race of 1000 meters. However, it is difficult for teachers to grasp the real time information of students during the race. And there is a lack of timely communications between the teachers and students. Focusing on this issue, this study, with the use of POLAR heart rate sensor and other modern information technologies, expands the original function of the sensor to achieve a concurrent operation of detecting heart …


A Controlled Trial Of Mobile Short Message Service Among Participants In A Rural Cardiovascular Disease Prevention Program, Maria Odette Gore, Mori J. Krantz, Karen Albright, Brenda Beaty, Stephanie Coronel-Mockler, Sheana Bull, Raymond O. Estacio Dec 2018

A Controlled Trial Of Mobile Short Message Service Among Participants In A Rural Cardiovascular Disease Prevention Program, Maria Odette Gore, Mori J. Krantz, Karen Albright, Brenda Beaty, Stephanie Coronel-Mockler, Sheana Bull, Raymond O. Estacio

Sociology and Criminology: Faculty Scholarship

The statewide Colorado Healthy Heart Solutions (CHHS) program provides cardiovascular disease (CVD) risk factor screening and education to the medically underserved and has been shown to improve CVD risk profiles. We aimed to enhance its effectiveness through addition of a mobile health (mHealth) intervention using SMS messaging (termed Cardio SMS). We conducted a prospective, non-randomized controlled pilot trial of this intervention implemented at 5 rural program sites (number of participants N = 204) compared with a contemporaneous propensity-score matched control group from 14 CHHS sites not receiving the intervention (N = 408) between 2012 and 2014. All participants were …


Soldiers’ Motivations To Fight In World War Ii: The United States Army And The German Wehrmacht In The European Theatre, Anthony E. Hart Dec 2018

Soldiers’ Motivations To Fight In World War Ii: The United States Army And The German Wehrmacht In The European Theatre, Anthony E. Hart

History & Classics Undergraduate Theses

The European theatre of the Second World War has often been perceived as an ideological conflict driven by nationalism and patriotism. Ideology, patriotism, and nationalism may have been the motivations of leaders and citizens on the home front in Germany and the United States, but what about the men in the American and German armies fighting on the front lines? They may have been similarly motivated prior to their deployment, but what motivated soldiers in the U.S. Army and the Wehrmacht to continue fighting as the war dragged on and as they endured the horrors of combat? Were the motivational …


Serum Nutrient Levels And Aging Effects On Periodontitis, Jeffrey L Ebersole, Joshua Lambert, Heather Bush, Pinar Emecen Huja, Arpita Basu Dec 2018

Serum Nutrient Levels And Aging Effects On Periodontitis, Jeffrey L Ebersole, Joshua Lambert, Heather Bush, Pinar Emecen Huja, Arpita Basu

Biostatistics Faculty Publications

Periodontal disease damages tissues as a result of dysregulated host responses against the chronic bacterial biofilm insult and approximately 50% of US adults > 30 years old exhibit periodontitis. The association of five blood nutrients and periodontitis were evaluated due to our previous findings regarding a potential protective effect for these nutrients in periodontal disease derived from the US population sampled as part of the National Health and Nutrition Examination Survey (1999–2004). Data from over 15,000 subjects was analyzed for blood levels of cis-β-carotene, β-cryptoxanthin, folate, vitamin D, and vitamin E, linked with analysis of the presence and severity of periodontitis. …


A Force Sensor That Converts Fluorescence Signal Into Force Measurement Utilizing Short Looped Dna, Golam Mustafa, Cho-Ying Chuang, William A. Roy, Mohamed M. Farhath, Nilisha Pokhrel, Yue Ma, Kazuo Nagawawa, Edwin Antony, Matthew J. Comstock, Soumitra Basu, Hamza Balci Dec 2018

A Force Sensor That Converts Fluorescence Signal Into Force Measurement Utilizing Short Looped Dna, Golam Mustafa, Cho-Ying Chuang, William A. Roy, Mohamed M. Farhath, Nilisha Pokhrel, Yue Ma, Kazuo Nagawawa, Edwin Antony, Matthew J. Comstock, Soumitra Basu, Hamza Balci

Biological Sciences Faculty Research and Publications

A force sensor concept is presented where fluorescence signal is converted into force information via single-molecule Förster resonance energy transfer (smFRET). The basic design of the sensor is a ~100 base pair (bp) long double stranded DNA (dsDNA) that is restricted to a looped conformation by a nucleic acid secondary structure (NAS) that bridges its ends. The looped dsDNA generates a tension across the NAS and unfolds it when the tension is high enough. The FRET efficiency between donor and acceptor (D&A) fluorophores placed across the NAS reports on its folding state. Three dsDNA constructs with different lengths were bridged …


Elevated Temperature Progressive Damage And Failure Of Duplex Stainless Steel, Darren P. Luke Dec 2018

Elevated Temperature Progressive Damage And Failure Of Duplex Stainless Steel, Darren P. Luke

Civil Engineering ETDs

Ductile failure of metals has been the focus of research efforts within academia and industry for many years since it is tremendously important for understanding the failure of structures under extreme loading conditions. However, limited research has been dedicated to elevated temperature ductile failure, which is critical for evaluating catastrophic events such as industrial, structural or shipping vessel fires. A detailed investigation was conducted on the structural response of Duplex Stainless Steel at elevated temperatures. The temperature dependence of elastic modulus, yield strength, ultimate strength, and ductility was measured up to 1000°C and a continuum damage plasticity model was developed. …


Chemically Modified Monolayer Surfaces Influence Valvular Interstitial Cell Attachment And Differentiation For Heart Valve Tissue Engineering, Matthew N. Rush Dec 2018

Chemically Modified Monolayer Surfaces Influence Valvular Interstitial Cell Attachment And Differentiation For Heart Valve Tissue Engineering, Matthew N. Rush

Nanoscience and Microsystems ETDs

As a cell mediated-process, valvular heart disease (VHD) results in significant morbidity and mortality world-wide. In the US alone, valvular heart disease VHD is estimated to affect 2.5% of the population with a disproportionate impact on an increasing elderly populous. It is well understood that the primary driver for valvular calcification is the differentiation of valvular interstitial cells (VICs) into an osteoblastic-like phenotype. However, the factors leading to the onset of osteoblastic-like VICs (obVICs) and resulting calcification are not fully understood and a more complete characterization of VIC differentiation and phenotypic change is required before treatment of valve disease or …


Doing Business In America: A Jewish History, Purdue University Press Dec 2018

Doing Business In America: A Jewish History, Purdue University Press

The Jewish Role in American Life: An Annual Review

American and Jewish historians have long shied away from the topic of Jews and business. Avoidance patterns grew in part from old, often negative stereotypes that linked Jews with money, and the perceived ease and regularity with which they found success with money, condemning Jews for their desires for wealth and their proclivities for turning a profit. A new, dauntless generation of historians, however, realizes that Jewish business has had and continues to have a profound impact on American culture and development, and patterns of immigrant Jewish exploration of business opportunities reflect internal, communal, Jewish-cultural structures and their relationship to …


Clinical Pharmacology Of Tisagenlecleucel In B-Cell Acute Lymphoblastic Leukemia., Karen Thudium Mueller, Edward Waldron, Stephan A. Grupp, John E. Levine, Theodore W. Laetsch, Michael A. Pulsipher, Michael W. Boyer, Keith August, Jason Hamilton, Rakesh Awasthi, Andrew M. Stein, Denise Sickert, Abhijit Chakraborty, Bruce L. Levine, Carl H. June, Lori Tomassian, Sweta S. Shah, Mimi Leung, Tetiana Taran, Patricia A. Wood, Shannon L. Maude Dec 2018

Clinical Pharmacology Of Tisagenlecleucel In B-Cell Acute Lymphoblastic Leukemia., Karen Thudium Mueller, Edward Waldron, Stephan A. Grupp, John E. Levine, Theodore W. Laetsch, Michael A. Pulsipher, Michael W. Boyer, Keith August, Jason Hamilton, Rakesh Awasthi, Andrew M. Stein, Denise Sickert, Abhijit Chakraborty, Bruce L. Levine, Carl H. June, Lori Tomassian, Sweta S. Shah, Mimi Leung, Tetiana Taran, Patricia A. Wood, Shannon L. Maude

Manuscripts, Articles, Book Chapters and Other Papers

PURPOSE: Tisagenlecleucel is an anti-CD19 chimeric antigen receptor (CAR19) T-cell therapy approved for the treatment of children and young adults with relapsed/refractory (r/r) B-cell acute lymphoblastic leukemia (B-ALL).

PATIENTS AND METHODS: We evaluated the cellular kinetics of tisagenlecleucel, the effect of patient factors, humoral immunogenicity, and manufacturing attributes on its kinetics, and exposure-response analysis for efficacy, safety and pharmacodynamic endpoints in 79 patients across two studies in pediatric B-ALL (ELIANA and ENSIGN).

RESULTS: Using quantitative polymerase chain reaction to quantify levels of tisagenlecleucel transgene, responders (N = 62) had ≈2-fold higher tisagenlecleucel expansion in peripheral blood than nonresponders ( …


Tetra-Glucopyranosyl Diterpene Ent-Kaur-16-En-19-Oic Acid And Ent-13(S)-Hydroxyatisenoic Acid Derivatives From A Commercial Extract Of Stevia Rebaudiana (Bertoni) Bertoni, Wilmer Perera, Ion Ghiviriga, Douglas Rodenburg, Kamilla Alves, Frank Wiggers, Charles Hufford, Frank Fronczek, Mohamed Ibrahim, Ilias Muhammad, Bharathi Avula, Ikhlas Khan, James Mcchesney Dec 2018

Tetra-Glucopyranosyl Diterpene Ent-Kaur-16-En-19-Oic Acid And Ent-13(S)-Hydroxyatisenoic Acid Derivatives From A Commercial Extract Of Stevia Rebaudiana (Bertoni) Bertoni, Wilmer Perera, Ion Ghiviriga, Douglas Rodenburg, Kamilla Alves, Frank Wiggers, Charles Hufford, Frank Fronczek, Mohamed Ibrahim, Ilias Muhammad, Bharathi Avula, Ikhlas Khan, James Mcchesney

Faculty and Student Publications (Open Access)

Stevia rebaudiana and its diterpene glycosides are one of the main focuses of food companies interested in developing novel zero calorie sugar substitutes since the recognition of steviol glycosides as Generally Recognized as Safe (GRAS) by the United States Food and Drug Administration. Rebaudioside A, one of the major steviol glycosides of the leaves is more than 200 times sweeter than sucrose. However, its lingering aftertaste makes it less attractive as a table-top sweetener, despite its human health benefits. Herein, we report the purification of two novel tetra-glucopyranosyl diterpene glycosides 1 and 3 (rebaudioside A isomers) from a commercial Stevia …


Looming Large: An Analysis And Evaluation On The Growth Of The Urban Informal Economy In Nigeria., Tamunotonye A. Sekibo Iii Dec 2018

Looming Large: An Analysis And Evaluation On The Growth Of The Urban Informal Economy In Nigeria., Tamunotonye A. Sekibo Iii

Master's Theses

The Informal Economy looms large! The importance, magnitude and significance of the vast range of socio-economic activities taking place within and across diverse spaces of informality, particularly in nations situated in the Global South; can neither be overstated or underestimated. According to the International Labor Organization (ILO, 2018 p.v), approximately 60% of the world’s employed population - 2 billion people - obtain their source of income through their engagement in informal spaces.


Improving Infection Management Of The Institutionalized Elderly, Jovel Angela Viloria Broqueza Dec 2018

Improving Infection Management Of The Institutionalized Elderly, Jovel Angela Viloria Broqueza

Doctor of Nursing Practice Projects

Abstract

As the elderly population rapidly grows in the United States, the burden of managing infection in long-term care facilities (LTCF) escalates. The use of evidence-based infection identification algorithms for early recognition and treatment of pneumonia, urinary tract infections (UTI) and skin and soft tissue infections (SSTI) was evaluated at a Midwest suburban 110-bed long-term care facility. Focus group sessions were conducted at the facility with four nurse practitioners, the medical director, eight nurses and certified nursing assistants (CNAs) prior to an educational in-service which was provided to all staff at the facility. As criteria of infection were reported, nurses …


Transitions Of Care: Implementing Early Follow-Up Appointment To Help Decrease Readmission Rate, Lualhati Espina Dursun Dec 2018

Transitions Of Care: Implementing Early Follow-Up Appointment To Help Decrease Readmission Rate, Lualhati Espina Dursun

Master's Projects and Capstones

Abstract

Problem – The rate of readmission in the country is at a severe level. According to CMS, in 2017 the average national readmission rate was 18.4%(CMS, 2018). Hospitals are penalized for unnecessary readmissions (HRRP, 2018). In addition to the financial burden of readmissions, quality of life is decreased with readmission.

Context – Early or timely outpatient follow-up after hospitalization has been projected as a means of decreasing readmission rates.

Interventions – Integrating follow-up appointment to the current care transition - HUB process as a means in reducing readmission rates.

Measures & Results – Identified high-risk patients that need timely …


The Role Of Information Literacy In The Actualization Of Healthy Living: A Case Study Of Abia State, Juliana Obiageri Akidi Phd, Cln Dec 2018

The Role Of Information Literacy In The Actualization Of Healthy Living: A Case Study Of Abia State, Juliana Obiageri Akidi Phd, Cln

Library Philosophy and Practice (e-journal)

The study examines the role of information literacy in the actualization of healthy living in Nigeria, with a special focus on Abia State. Information literacy is viewed as the ability to recognise the need for information, identify and locate appropriate sources of information, access the information, evaluate and use it effectively. Information literacy empowers people to have skills that will assist them to become independent lifelong learners, with better decision making abilities, especially in healthy living. Healthy living is defined as maintaining a state of complete physical, mental, and social well-being, which is not necessarily devoid of disease or infirmity. …


December 2018, Randy Curry, Cindy Brooks Dec 2018

December 2018, Randy Curry, Cindy Brooks

RURAL ROCKS

Rural Rocks, the Rural Health Network newsletter by the SWOSU College of Pharmacy