Digital Commons Network^™

Local Anesthesia Before Intravenous Cannula Insertion: Recommendations For Registered Nurses In Practice, Vera Campbell-Jones

Electronic Theses and Dissertations

Abstract

Administering local anesthetics, such as intradermal, should become standard practice for RNs in pretreatments for pain control prior to intravenous insertion. Peripheral venous cannulation has provoked the most fear and anxiety in adult patients about everyday practice in hospitals. Adult patients often state that this procedure causes considerable discomfort. Local anesthesia for cannulation is usually not offered to adult patients who are on general medical units. Evidence has indicated inconsistency in the use of pain management strategies during these procedures. The researcher’s goal in this project was to educate RNs about the intradermal pretreatment procedure, provide education on the …

The Implementation Of Online Classroom Management Professional Development For Beginning Teachers, Kaytlynn Milliken

Electronic Theses and Dissertations

Effective classroom management practices are well known, yet the most efficient ways to teach them to beginning teachers is not. Online professional development is growing in popularity—though there are few examples of online classroom management training in the literature. The purpose of this qualitative study was to evaluate the experiences and implementation practices of beginning teachers that participated in online classroom management training as part of their new teacher induction program. The results suggest that online classroom management professional development as part of new teacher induction is a practical option. The beginning teachers were observed utilizing the classroom management strategies …

Using Behavior Economic Nudges To Facilitate Client Follow-Through In Financial Coaching, Charlene Hurst

Electronic Theses and Dissertations

While benevolence-based programs have been a large part of meeting immediate financial needs of the poor, they lack the relational aspect needed to facilitate long-term behavior change. Recently many social service organizations have adopted financial coaching as a promising replacement for benevolence programming. The field of coaching has dealt with its own challenges. Most coaching practitioners surveyed in 2016 and 2019 acknowledged lack of client follow-through as their number one challenge. Behavior economics offered nudges as a solution. Nudges are cues placed within the physical environment to prod clients toward behavior change. A quantitative field study was conducted to evaluate …

The Shape Of Translation Policy: A Comparison Of Policy Determinants In Bangor And Brownsville, Gabriel Gonzalez Nunez

Writing and Language Studies Faculty Publications

RÉSUMÉ L’idée qu’il y a quelque chose que les chercheurs appellent «politique de traduction» existe depuis les tout débuts de ce domaine. Au fur et à mesure que les études avancent, de nouvelles perspectives continuent de contribuer à notre compréhension de l’évolution de la politique de traduction. D’une manière générale, ces études ont tendance à examiner de près le rôle que jouent les autorités dans la définition de la politique de traduction. Une telle approche a permis de dégager des perspectives utiles et, dans un avenir prévisible, elle continuera probablement d’offrir des perspectives enrichissantes. Mais souvent, la politique de traduction …

Semantic And Qualitative Physics-Based Formal Reasoning For Functional Decomposition In Mechanical Design, Xiaoyang Mao

Theses and Dissertations

Function modeling plays an essential role in academy design studies, yet a lack of acceptance in industry. A possible reason is that the designer must have well understand of the controlled vocabularies and grammars to utilize this method. The research presented in this dissertation is to fill this gap so that designers can use function-based design method without relevant knowledge. In graph-based function models, the function verbs and flow nouns are usually chosen from predefined vocabularies. The vocabulary class definitions, combined with function modeling grammars defined at various levels of formalism, enable function-based reasoning. However, the text written in plain …

Addressing Health Literacy Needs Of The Older Adult Focused On Improving Medication Adherence: An Online Education Program For Nurse Practitioners, Angela D. Pickerel

Doctoral Scholarly Projects & Capstones

As healthcare providers, nurse practitioners are tasked with assuring patients have a clear understanding of their medical health, know how to navigate the healthcare system, and recognize the need to develop self-care skills. Several populations are known to be at risk for the effects of inadequate health literacy; however, the older adult population is at greater risk because of increased burdens related to negative effects of aging on cognitive skills and increased prevalence of chronic disease requiring complex medication regimens. Inadequate health literacy has been linked to increased risk of hospitalizations, emergency room visits, adverse drug reactions and interaction, and …

An Application Of The Ising Model, Juliano A. Everett

Publications and Research

Understanding how the Ising model works,what it represents, and how it can be applied to neurology. Given that an Ising model is an Entropy model that could be representative of the firing of neurons, some assumptions of the system are made and then the process is simulated through Monte Carlo methods.

Long-Term Index Fund Ownership And Stock Returns, Ekkehart Boehmer, Wanshan Song, Ashish Tiwari, Zhe Zhang

Research Collection Lee Kong Chian School Of Business

We examine the implications of stock ownership by index funds for shareholder value. Consistent with recent findings that stock ownership by passive funds contributes to improved governance, we document a strong positive relation between the duration of passive fund holdings and subsequent stock performance. This positive relation is more pronounced for firms with recent poor performance, and for smaller firms and firms with higher allocation weights in passive funds’ portfolios. Our results support the view that index funds, although passive in their investment decisions, successfully contribute to long-term value creation by actively engaging with firms on matters of governance.

Exploring Self-Determination And Recreational Sports Participation For Adolescents With Disabilities, Samantha K. Papp

Honors Theses

Self-determination is a vital skill for individuals with disabilities and provides significant benefits, such as more positive adult outcomes and greater quality of life. Recreational sports participation is another fundamental aspect of life for individuals with disabilities, as it leads to increased physical activity, enhanced self-esteem, and improved peer acceptance. Despite the well-researched benefits of both self-determination skills and recreational sports participation, a literature review revealed few studies that examined the relationship between self-determination and recreational sports participation for individuals, particularly adolescents, with disabilities. This mixed methods study was designed to fill this void, using questionnaires, interviews, and observations to …

To My Room’S Future Tenant, Abigail Garcia

Honors Theses

To My Room’s Future Tenant is an original collection of poems accompanied by a critical preface.

Evaluative Discourse As Community Identity Among Expatriates In Shenzhen, China, Karyn Harding

Theses and Dissertations

Expatriates are a modern-day community built by a rapid advance towards globalization. Expatriates are now likely to be self-initiated; that is, they chose to live in a foreign country rather than having been sent there by an employer, and they are changing the face of the global job market. However, their social interactions have not been the subject of much previous study. This paper delves into the ways that expatriates build and maintain their communities. In this case, participant observation and discourse analysis are used to study an expat community living in Shenzhen, China. As a group not defined by …

Structural Basis Of Amino Acid Surveillance By Higher-Order Trna-Mrna Interactions, Shuang Li, Zhaoming Su, Jean Lehmann, Vassiliki Stamatopoulou, Nikoleta Giarimoglou, Frances E Henderson, Lixin Fan, Grigore D Pintilie, Kaiming Zhang, Muyuan Chen, Steven J Ludtke, Yun-Xing Wang, Constantinos Stathopoulos, Wah Chiu, Jinwei Zhang

Faculty, Staff and Students Publications

Amino acid availability in Gram-positive bacteria is monitored by T-box riboswitches. T-boxes directly bind tRNAs, assess their aminoacylation state, and regulate the transcription or translation of downstream genes to maintain nutritional homeostasis. Here, we report cocrystal and cryo-EM structures of Geobacillus kaustophilus and Bacillus subtilis T-box-tRNA complexes, detailing their multivalent, exquisitely selective interactions. The T-box forms a U-shaped molecular vise that clamps the tRNA, captures its 3' end using an elaborate 'discriminator' structure, and interrogates its aminoacylation state using a steric filter fashioned from a wobble base pair. In the absence of aminoacylation, T-boxes clutch tRNAs and form a continuously …

A Hardy Case Makes Bad Law, Victoria Sahani

Faculty Scholarship

This Article is the first ever to analyze a direct clash between the inherent power of US courts regarding the enforcement ofjudgments and the obligations of the United States as one of the 163 member countries of the 1965 Convention on the Settlement of Investment Disputes between States and Nationals of Other States, commonly known as the "ICSID Convention. " The ICSID Convention includes a self-enforcement mechanism whereby the courts of the member countries are obligated to enforce the pecuniary obligations in multimillion (and sometimes over one billion) dollar ICSID arbitration awards as though they were court judgments of the …

The Case Against Expanding Defamation Law, Yonathan A. Arbel, Murat C. Mungan

Faculty Scholarship

It is considered axiomatic that defamation law protects reputation. This proposition—commonsensical, pervasive, and influential—is faulty. Underlying this fallacy is the failure to appreciate audience effects: the interaction between defamation law and members of the audience.

Defamation law seeks to affect the behavior of speakers by making them bear a cost for spreading untruthful information. Invariably, however, the law will also affect members of the audience, as statements made in a highly regulated environment tend to appear more reliable than statements made without accountability. Strict defamation law would tend to increase the perceived reliability of statements, which in some cases can …

A Natural Right To Copy, Glynn Lunney

Faculty Scholarship

In this symposium, we gather to celebrate the work of Wendy Gordon. In this essay, I revisit her article, A Property Right in Self-Expression: Equality and Individualism in the Natural Law of Intellectual Property. In the article, Professor Gordon first used the "no-harm" principle of John Locke to justify copyright as natural right and then used his “enough-and-as-good” proviso to limit that right. Her second step turned natural rights approaches to copyright on its head. Through it, she showed that even if we accept copyright as natural right, that acceptance does not necessarily lead to a copyright of undue breadth …

Spine Kinematics And Muscle Activities In Non-Specific Chronic Low Back Pain Subgroups In Sitting, Mansoor Ahmed Alameri

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Although, non-specific chronic low back pain (NSCLBP) has been associated with motor control impairments, little is known about the possible driving mechanisms of pain development overtime during prolonged sitting period. Therefore, the purpose of this study was to examine the differences in lumbosacral postures and muscle activities in adults with and without NSCLBP, and their role on pain development during a 1-hour of prolonged sitting task.

Methods: Twenty NSCLBP subjects with motor control impairment (MCI) [10 classified as having flexion pattern (FP) disorder, and 10 with active extension pattern (AEP) disorder], and 10 healthy controls participated in …

Effects Of Gestational Corticosteroids And Caloric Restriction On The Neonatal Cerebrovasculature, Naomi Franco

Loma Linda University Electronic Theses, Dissertations & Projects

The prenatal environment plays a major role in influencing the health of adult offspring. Maternal food restriction (MFR) during pregnancy is a common stressor that correlates to long-term consequences, including increased risk of cardiovascular and metabolic diseases in adult offspring. Numerous studies report persistent changes following MFR, with an emphasis on the heart and kidney. These consequences are thought to occur via programming, in which a stressor, during critical developmental windows, permanently alters the structure and function of selective fetal tissues. Furthermore, the elevation of maternal glucocorticoids associated with intrauterine stressors is a proposed mechanism of several programming events, including …

Sociocultural Pressures, Thin Ideal Internalization, Body Appreciation, & Eating Pathology In Women, Gabriela Joanna Bolivar

Loma Linda University Electronic Theses, Dissertations & Projects

Sociocultural appearance pressures (i.e. family, peers, media) are linked to thin ideal internalization and body dissatisfaction, key risk factors for eating disorders in young adult women (Rodgers, McLean, & Paxton, 2015). However, positive body image, specifically body appreciation, has not been explored in the relationship between sociocultural appearance pressures, thin ideal internalization, and eating pathology. The aims of the present study were to examine the structural relations among sociocultural appearance pressures (family, peer, media), thin ideal internalization, body appreciation, and eating pathology, as well as to examine the mediating role of body appreciation in the relationship between thin ideal internalization …

Comparison Of Neurofeedback Treatment On Ptsd Symptoms Within Military And Non-Military Populations, Lelah S. Villalpando

Loma Linda University Electronic Theses, Dissertations & Projects

Novel, effective, and accessible therapeutic interventions for treating Posttraumatic Stress Disorder (PTSD) symptoms are in demand given the significant physical and psychosocial impairment associated with the disorder. Although PTSD is largely treated using various forms of cognitive behavioral therapy, treatment-resistance, or non-response, rates continue to remain high. Research has shown that talk-therapies can often trigger the limbic system, keeping it in a continual state of fight or flight. Consequently, many trauma survivors are motivated to consider alternative treatments for PTSD, such as artifact corrected EEG neurofeedback training, shifting the primary focus of the intervention away from the emotional part of …

Fibs And Fripperies: References To The Real In Digital Illustration, Sm Black

School of Art, Design and Architecture

This paper considers the phenomenon of illustrators digitally mimicking traces of the hand-made as ornament. It will explore whether these decorative tendencies are Loos’ backward or degenerative tendency, or a generous contribution to our visual environment. It will ask why illustrators falsify the smudges, spills, textures and shadows of paper-based work within the digital workspace, what is gained and lost by doing so, and for whom? These questions will be explored in relation to examples of digital illustration and interviews with practitioners to unpick the professional benefits of the phenomenon, coupled with a foray into theoretical perspectives on ornament. In …

Daur Al-Internet Fī Taḥsīn Mahārāt Al-Tadrīs Min Wijhat Naẓar Asātidzah Wa Al-Ṭullāb Al-Dirāsāt Al-‘Ulyā Bi Jāmi‘At Mālang Al-Ḥukūmiyyah, Mohamad Gaafar Mosbah

Al-Arabi: Journal of Teaching Arabic as a Foreign Language

The present study aimed to identify the role of the Internet in improving the teaching skills from the perspective of professors and graduate students at Malang State University. Therefore, two questionnaires were set, the first for the professors in the Department of Arabic Language at the Malang State University and the second for the students of the higher studies in the same department. These questionnaires were applied to a sample of 25 and a sample of 10 graduate students respectively.The research reached, through the preparatory study, to the following results :To begin with, creating groups, or online mailing groups, is …

Results Of A Phase 1 Multicentre Investigation Of Dexmedetomidine Bolus And Infusion In Corrective Infant Cardiac Surgery, Athena F Zuppa, Susan C Nicolson, Nicole S Wilder, Juan C Ibla, Erin A Gottlieb, Kristin M Burns, Mario Stylianou, Felicia Trachtenberg, Hua Ni, Tera H Skeen, Dean B Andropoulos

Faculty, Staff and Students Publications

BACKGROUND: Dexmedetomidine (DEX) is increasingly used intraoperatively in infants undergoing cardiac surgery. This phase 1 multicentre study sought to: (i) determine the safety of DEX for cardiac surgery with cardiopulmonary bypass; (ii) determine the pharmacokinetics (PK) of DEX; (iii) create a PK model and dosing for steady-state DEX plasma levels; and (iv) validate the PK model and dosing.

METHODS: We included 122 neonates and infants (0-180 days) with D-transposition of the great arteries, ventricular septal defect, or tetralogy of Fallot. Dose escalation was used to generate NONMEM® PK modelling, and then validation was performed to achieve low (200-300 pg ml …

Bipolar Fresh Osteochondral Allograft Transplantation And Joint Reconstruction For Patellar And Trochlear Cartilage Defects, Omid Jalali, Zachary Vredenburgh, John Prodromo, Neilen Benvegnu, George Frederick Rick Hatch

Faculty, Staff and Students Publications

Patellar instability is a debilitating condition, and trauma due to the dislocations may severely damage the articular cartilage of the patellofemoral joint. The lack of healing capacity of cartilage makes treatment of such lesions challenging. In young patients, preservation of native bone and cartilage is a priority, and therefore arthroplasty procedures should be avoided even in relatively larger lesions. Fresh osteochondral allografting has been described for these difficult and complex cases, with recent studies showing promising results. In this surgical technique, we describe the use of bipolar osteochondral allografts of the patella and trochlea and patellofemoral joint reconstruction for large …

Gna11 Brain Somatic Pathogenic Variant In An Individual With Phacomatosis Pigmentovascularis, Joseph M Sliepka, Sarah C Mcgriff, Linda Z Rossetti, Peyman Bizargity, Haley Streff, Yi-Shan Lee, Hongzheng Dai, Satyamaanasa Polubothu, Grace Lee, Vicky Ren, Jill V Hunter, Daniel J Curry, Fernando Scaglia, Adekunle M Adesina, Irfan Ali, Veronica Kinsler, Lindsay C Burrage, Dana Marafi

Faculty, Staff and Students Publications

OBJECTIVE: To describe the findings of histopathology and genotyping studies in affected brain tissue from an individual with phacomatosis pigmentovascularis (PPV).

METHODS: A retrospective chart review of a 2-year 10-month-old male with a clinical diagnosis of PPV cesiomarmorata (or type V) was performed. Clinical features, brain imaging and histopathology findings, and genotyping studies in his affected brain tissue are summarized.

RESULTS: The proband had a clinically severe neurologic phenotype characterized by global developmental delay, generalized hypotonia, and recurrent episodes of cardiac asystole in the setting of status epilepticus. A somatic pathogenic variant in

CONCLUSIONS: The finding of this variant in …

De Serpiente A Santo: La Cara Maleable Del Diablo En La Literatura Hispana, Crosby Tinucci

World Languages and Cultures Student Papers and Posters

In biblical literature, the devil serves as an archetype of evil. He appears as a deceptive serpent, a roaring lion and a vanquished dragon. Each one of the great charlatan’s faces serves to add levels of meaning to this complex character. Like biblical authors, Hispanic authors have incorporated this archetype in their own literary works in distinct ways, taking advantage of its complexity and levels of meaning. During the Middle Ages in Spain, Gonzalo de Berceo incorporated the devil as a figure of deception and enmity in Los milagros de Nuestra Señora. Two centuries later, in the Spanish baroque …

Association Between Lifetime Adverse Events, Emotion Dysregulation, Posttraumatic Stress Symptoms, Acculturation, And Chronic Pain: A Moderated Mediation Model, Miriam El-Haj

Theses and Dissertations

The association between traumatic experiences and chronic pain is well established. Lesser is known about how acculturation might affect this relation, specifically with Hispanics. In the present study, self-report measures on traumatic experiences, posttraumatic stress symptoms, emotion dysregulation, chronic pain, and acculturation were administered to 140 participants (71.4% females) aged 18–65 years old (M = 35.06, SD = 11.55), to determine whether acculturation moderates the relation between adverse lifetime experiences and chronic pain as mediated by posttraumatic stress symptoms and emotion dysregulation.

Those who were highly acculturated to the U.S. Anglo culture were higher on chronic pain than those who …

Cultural Clashes And Cultural Bridges: My Story In Afghanistan, Joe A. Hinojosa Jr.

Theses and Dissertations

Narrative inquiry and grounded theory are the methodology used to tell the story of the researcher’s experiences in Afghanistan. This entailed identifying and researching a process of storytelling and weaving experiences together into a coherent and meaningful whole. The narrative inquiry method is appropriate for this project because the critical sources of data consist of the researcher’s perceptions and experiences in Afghanistan, as reported in the form of narrative stories. This qualitative analysis focuses on examining and interpreting concrete pieces of evidence, formulating quantitative analysis along with sharing personal and professional experiences. To that end, external resources, including letters and …

Non-Space: The Perception Of Reality, Carlos Limas

Theses and Dissertations

This is a formal study of real-world images that try to convey a clear approach to the way we look and relate to unexpected places that at first glance don’t exist in a metaphorical way or just don’t strike us as interesting or attractive. There’s no particular story to tell only the need to expose a different kind of beauty through my own personal subjective view and sensitivity expanding the criteria of my own esthetic values and context of a captured image in a particular scenario.

The perception of Non-Space relates directly to a well establish photography technique called Deadpan, …

Measuring Disaster Resiliency In The Rio Grande Valley, Alma R. Provencio

Theses and Dissertations

People are now becoming more conscious of the effects of climate change. They are seeking to understand how to manage their resources and prepare for when a disaster strikes. The growing studies of disaster resilience lend that opportunity. In this spatial and temporal study, disaster resilience was measured for each census tract within the four counties of the Rio Grande Valley. Utilizing GIS tools and methods, the study examines resilience patterns between 2010 and 2017.

Results showed that even though various census tracts from each of the four counties increased in resilience from 2010 to 2017, the overall total resilience …

Mapping Product And Service Innovation: A Bibliometric Analysis And A Typology, Anton Klarin

Research outputs 2014 to 2021

Research conducted in the innovation field lags behind organizations’ general technological development and innovativeness. Literature that previously depicted innovation types in developed markets is markedly different from progressively publicized emerging market innovation types. While capital-abundant firms tend to engage in respective pioneering and incremental innovation loops, resource-constrained firms and firms in emerging countries may partially free-ride on existing products and services through innovations such as copycat and frugal. To date, there have been no attempts to holistically consolidate product and service innovation types into one overarching typology. Using novel methods of text mining and co-citation analysis, this study systematically maps …