Digital Commons Network^™

Development Of A Step Counting Algorithm Using The Ambulatory Tibia Load Analysis System For Tibia Fracture Patients, Arad Lajevardi-Khosh, Ben Tresco, Ami Stuart, Sarina Sinclair, Matt Ackerman, Erik Kubiak, Tomasz Petelenz, Robert Hitchcock

School of Medicine Faculty Research

Introduction: Ambulation can be used to monitor the healing of lower extremity fractures. However, the ambulatory behavior of tibia fracture patients remains unknown due to an inability to continuously quantify ambulation outside of the clinic. The goal of this study was to design and validate an algorithm to assess ambulation in tibia fracture patients using the ambulatory tibial load analysis system during recovery, outside of the clinic. Methods Data were collected from a cyclic tester, 14 healthy volunteers performing a 2-min walk test on the treadmill, and 10 tibia fracture patients who wore the ambulatory tibial load analysis system during …

An Engineered Fit-For-Purpose Polymer Nanocomposite Seal Repair Material For Wellbores, Moneeb Genedy

Civil Engineering ETDs

Seal integrity of wellbores has become of significant interest due to repeated leakage and spill incidents occurring worldwide that jeopardize both human health and the environment in addition to causing significant economic burden. This is attributed to the fact that wellbores intersecting geographical formations contain potential leakage pathways. The cement-steel and cement-rock formation interfaces are recognized as two critical leakage pathways.

A seal repair material that has good bond strength with both steel and rock formations in addition to the ability to completely fill thin microcracks is needed to restore the seal integrity of wellbores. In this research, engineered polymer …

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 …

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. …

Understanding Women´S Empowerment Through Indigenous Epistemologies: An Alternative Approach To Development?, Melissa Klara Vonimary Søvik

Master's Theses

Development projects that aim at empowering women have gained popularity among many actors and institutions in the field of development for their capacity to contribute in development and economic growth. Nevertheless, the concept of empowerment has also gained critics from various stands claiming it to be too technical, and not taking into account social relations in contexts where other epistemologies exist. It is necessary to adapt these kind of terms taking into account local world-views. This thesis explores the dynamics of women's empowerment in Tzeltal Mayan communities in Chiapas, Mexico. It aims at understanding the way empowerment is manifested in …

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 …

Employing Natural History Collections In The Aid Of Conservation: Streamlining An Approach To Model Species Distributions En Masse For The Preservation Of Biodiversity, Alice Fornari

Master's Projects and Capstones

Using species distribution models (SDMs) in Natural History Collections (NHCs) can influence how humans implement conservation changes in flora and fauna communities and ecosystems. Through the use of legacy data (old NHCs and their associated locality/collection information), data correction (background data or pseudo absences added to presence-only data), and the SDM software, Maxent (and its associated geographic information systems or GIS projected models), it has been shown that it is feasible to create a low budget protocol/setup to project the past, present and future of species population changes. This has been done in the past few decades as more collections …

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 …

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 …

A New-Old Way To Explore Civic Engagement: Learning From The Past, Peter A. Nagler, Harry Basehart

eJournal of Public Affairs

No abstract provided.

Short Sleep Duration And Obesity Among Children: A Meta-Analysis, Katherine Faye Real Villar

International Nursing Research Congress (INRC)

This meta-analytical study examined whether there is an association between lesser sleep duration and risk of childhood obesity and to determine which gender is more common in childhood obesity.

Understanding Cauda Equina Syndrome: Protocol For A Uk Multicentre Prospective Observational Cohort Study, Julie Woodfield, Ingrid Hoeritzauer, Aimun A.B. Jamjoom, Savva Pronin, Nisaharan Srikandarajah, Michael Poon, Holly Roy, Andreas K. Demetriades, Philip Sell, Niall Eames, Patrick F.X. Statham

Peninsula Medical School

IntroductionCauda equina syndrome (CES) is a potentially devastating condition caused by compression of the cauda equina nerve roots. This can result in bowel, bladder and sexual dysfunction plus lower limb weakness, numbness and pain. CES occurs infrequently, but has serious potential morbidity and medicolegal consequences. This study aims to identify and describe the presentation and management of patients with CES in the UK.Methods and analysisUnderstanding Cauda Equina Syndrome (UCES) is a prospective and collaborative multicentre cohort study of adult patients with confirmed CES managed at specialist spinal centres in the UK. Participants will be identified using neurosurgical and orthopaedic trainee …

Combination Therapy: Parp Inhibitor Synergizes The Therapeutic Efficacy Of Doxorubicin In The Treatment Of Prostate Cancer, Momin Ansare

Electronic Theses & Dissertations

Men are most susceptible to prostate cancer in the United States. The general treatment options include surgery, hormone therapy, chemotherapy, and radiation therapy. But in recent days, the nanoformulation have shown promising applications in overcoming the drawbacks of the currently available treatment options. To complement, we tried to enhance the capability of the nanoparticle formulation by loading them with a novel drug combination for the treatment of prostate cancer. Herein, we synthesized folate conjugated iron oxide nanoparticles encapsulated with doxorubicin and olaparib for imaging and targeted treatment of prostate cancer. Both drugs are approved by FDA for clinical cancer treatment. …

A Graduate Recital In Voice, Patrick O'Halloran

Electronic Theses & Dissertations

This graduate thesis consists of a vocal recital and the accompanying program notes. The recital includes a compilation of traditional Neapolitan songs, “5 Songs of Laurence Hope” by the H.T. Burleigh, and selections from the French opera “Werther” by Jules Massenet,. The program notes for each selection will include biographical information, musical analysis, performance history and culture, as well as other pertinent information

The Drug Discovery Of Potential Anti-Cancer Agents To Inhibit The Demethylation Catalytic Activity Of The Jmjc Domain Of Kdm3a, Balgees Alshanqeti

Electronic Theses & Dissertations

Lysine demethylase 3A (KDM3A) is an enzyme that specifically catalyzes the removal of 2 or three methyl groups from lysine 9 of histone 3 (KH3). It belongs to the family of histone demethylases that contain the Jumonji C (JmjC) domain, which means cruciform in Japanese. KDM3A also belongs to a family of hydroxylases that are alpha-ketoglutarate dependent. The role of KDM3A in the cell is not yet understood, however, and based on its demethylation of studies have showed that its expression is elevated in embryonic stem cells in humans and in mice. In general, patterns of elevated expression of KDM3A …

Improving Knowledge And Attitude Of Primary Healthcare Givers Towards Vulnerable Populations: A Quality Improvement Project, Kimberly Shankel

Master's Projects and Capstones

Improving Knowledge and Attitude of Primary Healthcare

Givers Towards Vulnerable Populations

Kimberly Shankel

University of San Francisco

Abstract

Problem

This project aims to improve patient satisfaction for vulnerable population patients while in hospital, namely transgender and gender non-conforming people. A major roadblock for this population in seeking medical care is their fear of discrimination when accessing healthcare, resulting in a delay, or avoidance of medical care. Multiple studies agree there is a need for nursing education on cultural competence to improve care and satisfaction for vulnerable populations.

Context

The site for this quality improvement project is a small suburban hospital …

Raising Oas Cahps Scores: Using Patient Education, Katrina Pangilinan

Master's Projects and Capstones

At the Golden Gate Endoscopy Center (GGEC), the Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery (OAS CAHPS) survey results on patient satisfaction have been below the 50th percentile for the last three quarters of 2018. Patient satisfaction scores are a quality measure for the patient care experience and important for the success of the organization and its providers. Based on patient comments from previous surveys, patients feel that the center does not explain the possible side effects of the anesthesia in a way they can understand. Other patient comments and concerns included confusion regarding dietary restrictions …

Bullying In Schools: Exploring The Lived Experiences Of Early-Career Elementary School Principals, Jason Q. Harris

Theses and Dissertations

Since the latter part of the 19th Century, researchers have been studying the bullying phenomenon and the devastating short- and long-term impact it has on children’s lives. In an attempt to reduce bullying incidents that arise in school, many have set up anti-bullying programs. The goal of these programs is twofold: (a) to reduce the number of bullying incidents in school and (b) create a safe and welcoming learning environment for all students. Although principals work tirelessly to establish conditions to sustain learning for others, they receive very little support for their own learning and development. As principals’ on-going experiences …

Secondary Organic Aerosol Production From Local Emissions Dominates The Organic Aerosol Budget Over Seoul, South Korea, During Korus-Aq, Benjamin A. Nault, Pedro Campuzano-Jost, Douglas A. Day, Jason C. Schroder, Bruce Anderson, Andreas J. Beyersdorf, Donald R. Blake, William H. Brune, Yonghoon Choi, Chelsea A. Corr, Joost A. De Gouw, Jack E. Dibb, Joshua P. Digangi, Glenn S. Diskin, Alan Fried, L. Gregory Huey, Michelle J. Kim, Christoph J. Knote, Kara D. Lamb, Taehyoung Lee, Taehyun Park, Sally E. Pusede, Eric Scheuer, Kenneth L. Thornhill, Jung-Hun Woo, Jose L. Jimenez

Faculty Publications

Organic aerosol (OA) is an important fraction of submicron aerosols. However, it is challenging to predict and attribute the specific organic compounds and sources that lead to observed OA loadings, largely due to contributions from secondary production. This is especially true for megacities surrounded by numerous regional sources that create an OA background. Here, we utilize in situ gas and aerosol observations collected on board the NASA DC-8 during the NASA–NIER KORUS-AQ (Korea–United States Air Quality) campaign to investigate the sources and hydrocarbon precursors that led to the secondary OA (SOA) production observed over Seoul. First, we investigate the contribution …

Contested Education, Continuity, And Change In Arizona And New Mexico, 1945-2010, Stephen D. Mandrgoc

History ETDs

Sibling states split from the original New Mexico Territory, Arizona and New Mexico are neighbors geographically but very different otherwise: in how they were founded, in their ethnic makeup, in their sociocultural values, and in the forms of structural racism that are part of this history of both states. Mexican American residents who found themselves suddenly American citizens struggled in response to discrimination aimed at “Mexicans” by their Anglo American neighbors fueled by racist stereotypes built on the Spanish Black Legend and the mythology of the Alamo in Texas. Above all, Mexican Americans contested Anglo Americans for the right for …

Housing Condition Impact On Pae Learning And Bdnf Expression., Annette K. Fernandez Oropeza

Biomedical Engineering ETDs

Prenatal alcohol and early life stress exposure are associated with reduced levels of BDNF in the frontal cortex. Several studies have implicated (BDNF) in frontal cortex as important contributor of learning and memory. In the present study, we look to determine whether early housing conditions could mitigate the impact of prenatal alcohol exposure on learning as well as BDNF expression in sex-specific manner in frontal cortex of mice. Compared to control, prenatal alcohol mice expresses reduced total BDNF levels and displayed reduced freezing behavior response during contextual fear conditioning in both female and male mice. Female displayed increased BDNF levels …

Trapped In The Towers, Jaclyn Jeffrey-Wilensky

Capstones

New York City’s public housing, known as NYCHA, is a popular choice for disabled and elderly adults. 40% of NYCHA residents receive support from government programs intended to help older New Yorkers and New Yorkers with disabilities, and 32% of NYCHA households include an elderly person. Contrast that to New York City as a whole, where 11.2% of the population is disabled and 13% is elderly. For many disabled and elderly New Yorkers, NYCHA is one of precious few affordable options in an increasingly expensive city. But recent reporting suggests that NYCHA housing may be especially poorly suited for people …

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 …

A Modern-Day Affliction: Did Wifi Make Joel Dean Sick?, Dominic Mckenzie

Capstones

Electromagnetic Hypersensitivity is one of many disorders that exist in a strange border zone between recognized syndromes and discredited ones. One young man, a computer engineer by trade, had his life turned upside down by the disorder that has doctors and scientists across the world confused on how to treat it. Here's his story:

https://medium.com/@dominic.mckenzie/capstone-1dd7ff866a29

Eternally Poor, Kalah Siegel

Capstones

Dying poor in, and around, New York City practically guarantees a hard-won fight for a dignified funeral. Eternally Poor examines the hardships low-income families face when a loved one dies in New York and the options available to them. It also explores the added emotional stress from financial hardship combined with grief.

Failing The Mothers Of New York City, Irene Spezzamonte, Vanessa Swales

Capstones

Between 2015 and 2011, about 4,000 women lost their lives while delivering a baby in the United States. That’s 1,000 lost lives every year.

The causes of these deaths are often preventable and are the mere result of racial discrimination. African-American mothers, for instance, have a three-time higher rate of dying than White mothers. Several investigative investigations have been conducted on the racial disparities and the lack of resources offered nationwide, but, so far, none has focused on the local level. This capstone focuses solely in New York City and the three populations that are being affected the most by …

The Art Of Fortune-Taking, Allison Weintraub

Capstones

People suffering grief or emotional distress turn to many places for comfort, which can make them a target of psychic scam artists. Stigma about falling for scams might prevent victims from seeking help. https://medium.com/@allison.weintraub/the-art-of-fortune-taking-5cdedb6718d0