Surviving Sepsis: A Treatment Process Improvement In High Volume Emergency Departments, Brittney Burns

Doctor of Nursing Practice

Sepsis is the 3rd leading cause of death in the United States, accounting for approximately 270,000 deaths annually (CDC, 2017). It is the number one cause of death in hospitals, the number one cause of hospital readmissions, and the costliest diagnosis in the hospital setting (Fingar & Washington, 2015; Torio & Andrews, 2015). This quality improvement project aimed to increase the percentage of antibiotics administered within 1 hour for sepsis patients. Mortality rates significantly decrease when this goal is met (Howell & Davis, 2017). There is an 8% increase in mortality risks with every hour that passes with elevated lactic …

Using The Adam Questionnaire In Primary Care To Identify Hypoandrogenism In Males Aged 40 Years Or Older, Jeremy Burns

Doctor of Nursing Practice

Testosterone replacement therapy (TRT) has been shown to improve the symptoms of metabolic syndrome by reducing Hemoglobin A1C, belly fat, cholesterol, and blood pressure (Cunningham, 2015). The ultimate goal for testosterone-deficient patients is to have an improved quality of life by starting TRT. This quality improvement project was conducted at a small primary care clinic in South Texas. The project was started by screening 84 male patients ≥ 40 years of age using the Androgen Deficiency in Aging Males (ADAM) questionnaire. The ADAM questionnaire was considered positive for anyone who answered “yes” to 3 or more questions or “yes” to …

Improving Provider Adherence To Guidelines And Screening For Adult Depression In Primary Care, Amber Crenshaw

Doctor of Nursing Practice

The purpose of this QI project was to improve provider adherence to the Institute for Clinical Systems Improvement (ICSI) Guidelines for Adult Depression in Primary Care to enhance the screening, diagnosis, treatment, and management of adult major depressive disorder (MDD). MDD is a widespread, disabling, and treatable psychiatric disorder that is primarily treated and managed by primary care providers (PCPs). Untreated depression is prone to become chronic and can lead to pain, suffering, disability, increased morbidity and mortality, and premature death, with serious repercussions for the individual and society. Universal and routine screening in primary care for depression in adults, …

A Quality Improvement Initiative To Improve Depression Screening In Prenatal And Postpartum Mothers, Britanni Greene

Doctor of Nursing Practice

Screening for depression during the prenatal and postpartum period is essential. The United States has the highest mortality rate in the developed world, with mental health complications being 1 of the top 5 reasons women expire within the 1st year of childbirth. The purpose of this quality improvement project was to increase depression screening during the gestational and postpartum periods in an obstetric and gynecological clinic. An administration schedule was created to administer the Edinburgh Postnatal Depression Scale (EPDS). The EPDS was administered during the initial prenatal, 32-weeks prenatal, and 6-week postpartum appointments. Women scoring 10 or higher on the …

Increasing The Incidence Of Referrals And Execution Of Diabetic Eye Examinations In A South Texas Primary Care Clinic, Marisa Macias

Doctor of Nursing Practice

Diabetes is a significant public health problem, decreasing quality of life, causing disability and death (CDC, 2017; Foos et al., 2015; Grover & Joshi, 2015). Uncontrolled diabetes can lead to several eye complications including retinopathy and blindness (ADA, 2013; Liu & Swearingen, 2017). As the number of people afflicted with diabetes rises, the need for diabetic eye examination screenings also increases to prevent disability, improve quality of life and prevent blindness (ADA, 2018; Fisher et al., 2016; Garber et al., 2015; Raman et al., 2016).

The purpose of this project was to increase the rate of diabetic eye examination referrals, …

Program Evaluation Of An Aprn-Led Home-Based Psychiatric Care (Hbpc) Program For Vulnerable Geriatric Patients, Stacey A. Poole

Doctor of Nursing Practice

Background: Mental illness remains under-treated in older adults, especially those that are home-bound. In response to access to care gaps, an innovative advanced practice registered nurse led Home-Based Psychiatric Care program was developed as an adjunct to an established home-based counseling agency. The program involves the research supported provision of home-based psychiatric evaluations and medication management by the agency’s PMHNP. Purpose/Objectives: To evaluate the HBPC Program’s effectiveness at increasing access to timely and effective psychopharmacological treatment and management as evidenced by: (a) an increased percentage of referred patients who are being managed by the agency’s PMHNP, (b) a decrease in …

The Effect Of Social Comparison Feedback On Task Completion In A Human-Service Setting, Curtis Thomas Phillabaum

Theses and Dissertations

There has been much debate over the most successful types of feedback, but little research has examined the use of social comparison feedback. The purpose of the present study was to assess the effects of social comparison feedback on the percentage of end-of-shift cleaning tasks completed by three behavior technicians identified as exhibiting lower performance. The social comparison feedback consisted of a bar graph depicting the percentage of tasks completed by the individual participant in relation to two behavior technicians identified as high performers. Following the client shift, the researcher shared the graph and delivered vocal social comparison feedback during …

Monitoring And Correlating Toxic Gases Emitted By Cars In Public Indoor Garage In Real-Time Using Internet Of Things (Iot), Khalid Altheiab

Theses and Dissertations

The study was developed to adequately depict the behavior of indoor pollutant matter in public garages, the underlying factors influencing this behavior and gauge the pollutant exhaust emission patterns. In depicting the behavior of indoor pollutant matter, the research aimed at studying the emission-pollutant relationship and any variations in concentrations found at different locations within the study site. In terms of measuring the factors influencing the pollutant behavior, the research quantified the concentrations of four gaseous contaminants. The pollutant behavior was studied to better understand the different variables influencing the indoor air-quality. Finally, based on these parameters overall patterns in …

Machine Learning Models On Prognostic Outcome Prediction For Cancer Images With Multiple Modalities, Gengbo Liu

Theses and Dissertations

Machine learning algorithms have been applied to predict different prognostic outcomes for many different diseases by directly using medical images. However, the higher resolution in various types of medical imaging modalities and new imaging feature extraction framework brings new challenges for predicting prognostic outcomes. Compared to traditional radiology practice, which is only based on visual interpretation and simple quantitative measurements, medical imaging features can dig deeper within medical images and potentially provide further objective support for clinical decisions. In this dissertation, we cover three projects with applying or designing machine learning models on predicting prognostic outcomes using various types of …

Business Leaders’ Strategies For Addressing Employee Turnover And Promoting Stability, Ke Huang

Leadership Education Capstones

One of the major issues that business leaders face are high rates of employee turnover. From 2013 to 2017, the annual total separation rate increased by 38.1 to 43.0 across all industries (Bureau of Labor Statistics, 2018). This demonstrates that employee turnover is increasing over time in the United States. Turnover is problematic because it forces business leaders and managers to replace reliable and trained employees with new employees, which is a timeconsuming process that is often quite costly. Out of all industries that deal with employee turnover, the hospitality industry is known for having one of the highest employee …

Self-Determination Through Circus Arts: Exploring Youth Development In A Novel Activity Context, Jennifer Agans, Jacqueline Davis, Spyridoula Vazou, Tal Jarus

Journal of Youth Development

Youth development takes place in many contexts, with different resulting participant outcomes. Broadening the scope of research to include non-traditional contexts such as youth circus arts programs, which are both similar to and different from other out-of-school-time contexts, may promote better understanding of the ways in which these programs impact youth development. The present study examined the prevalence of support for basic psychological needs and positive developmental outcomes among youth circus program participants. Single time-point quantitative surveys were completed by 111 youth members of the American Youth Circus Organization (62% female), ranging in age from 10 to 21. Results indicated …

A Content Analysis Of The Contributions In The Narratives Of Daca Youth, Darlene Xiomara Rodriguez, Sanjuana Rodriguez, Banti Zehyoue

Journal of Youth Development

This study utilized cultural community wealth (Yosso, 2005) to explore the ways in which Deferred Action for Childhood Arrivals (DACA) youth make use of social media. Through the use of content analysis (Hay, 2005), the authors analyzed social media interviews publicly posted by DACA youth. Findings reveal that DACA youth engage in social media as a form of activism and to mobilize their communities. The findings support and extend our understanding of the ways that DACA youth are an asset to the wider community. Implications for those working with DACA youth are provided.

Examining Resiliency In Adolescent Refugees Through The Tree Of Life Activity, Marcella Stark, Brandy Quinn, Katharine Hennessey, Amanda Rutledge

Journal of Youth Development

Grounded in both resiliency science and positive youth development, the research team set out to understand the strengths and resources of adolescent refugees living in northeast Texas. In coordination with a local refugee services agency, members of the research team conducted the Tree of Life activity with 16 participants ranging in age from 13 to 20 years. Identifying 16 codes in the qualitative analyses of participants’ drawings, they organized these codes into 3 themes: self-efficacy, values, and relationships. The authors recommend the use of Tree of Life and other creative arts activities to facilitate the discovery of strengths and resources …

Christian Faith In The Immigration And Acculturation Experiences Of Filipino American Youth, Gayle Gabriel

Journal of Youth Development

The Filipino immigration experience began in the Philippines via American-modeled schools and Spanish-enforced Christian Catholicism, and this historical experience may have translated to smoother acculturation experiences for Filipinos immigrating to the United States. However, a smooth acculturation experience may not be the case for all Filipino youth. The purpose of this study is to explore the impact of Christian faith in the immigration and acculturation of Filipino American youth. Data were collected through semi-structured interviews with 5 Filipino American emerging adults between the ages of 18 and 30 years old. Interview data went through 3 levels of coding and categorization; …

Life Skill Development And Financial Impact Associated With A Youth Livestock Sales Program, Holly Evans, Dean Jousan, Erdogan Memili, Leigh Beckman

Journal of Youth Development

he Sale of Junior Champions is a premier livestock auction and youth scholarship program held at Dixie Nationals as a part of Mississippi’s junior livestock program. The sale is open to 4-H and FFA members who qualified their livestock at the annual Dixie National Junior Round-Up. While youth livestock sales programs are commonly found at state and county fairs throughout the United States, demographic information and information concerning financial and life skill impacts of the program on participants is limited. Therefore, a survey instrument for the 2018 sale was designed to determine how the event has impacted the financial burden …

Partner Build Grow: Resources To Sustain Partnerships And Advance Prevention Initiatives, Evelyn Frankford, Rachel Sadlon, Olga Acosta Price, Linda Sheriff

Journal of Youth Development

Alignment of programs, practices, and policies by practitioners at the state and local levels can create health-promoting environments for all children. Such alignment, guided by principles of prevention science and public health, can enhance school–community partnerships involved with the mental, emotional, and behavioral well-being and positive development of children and youth. The key to success of such prevention approaches is sustaining the work over time. Partner Build Grow, an online Action Guide, supports sustainability through cross-sector collaborations and systems change to create school–community environments that promote equity. Informed by local and national experts along with field experience and application of …

Partner Build Grow: Resources To Sustain Partnerships And Advance Prevention Initiatives, Evelyn Frankford, Rachel Sadlon, Olga Acosta Price, Linda Sheriff

Journal of Youth Development

Alignment of programs, practices, and policies by practitioners at the state and local levels can create health-promoting environments for all children. Such alignment, guided by principles of prevention science and public health, can enhance school–community partnerships involved with the mental, emotional, and behavioral well-being and positive development of children and youth. The key to success of such prevention approaches is sustaining the work over time. Partner Build Grow, an online Action Guide, supports sustainability through cross-sector collaborations and systems change to create school–community environments that promote equity. Informed by local and national experts along with field experience and application of …

Using The Delphi Technique To Determine Challenges Facing Oklahoma’S 4-H Program, Kristin Young, Jeff Sallee, Jon Ramsey, Dwayne Cartmell

Journal of Youth Development

As youth development organizations continue to evolve and grow, professionals are faced with the challenges to address the ever-changing needs of their clientele. In order to maintain the longevity of the Oklahoma 4-H program, Extension professionals must address challenges prohibiting, discouraging, or discontinuing participation of youth, families, and volunteers in the program. Additionally, state administrators should examine the challenges their staff face in efforts to execute the mission of 4-H Youth Development. A modified Delphi technique was employed in this study to determine the challenges facing Oklahoma 4-H. Two expert panels were used in this study: Extension educators and 4-H …

Effects Of Mercury On The Dopamine Transporter Cell Surface Expression In Pc12 Cells, Christina Hui

Student Theses

Environmental factors, such as heavy metal exposures, have been suggested to have an impact not only on neurodegenerative disease, such as Parkinson’s disease, but also on psychostimulants abuse and their toxicity. In this study, two questions were addressed: 1) effects of mercuric chloride on parkinsonian toxicant 1-methyl-4-phenylpyridinium (MPP⁺) induced cytotoxicity and 2) effects of mercuric chloride on cell surface dopamine transporter. Pheochromocytorma cells (PC12) were treated with various concentrations of mercuric chloride (0.02~2.0 ppm) for 4 hours with and without 0.1 mM MPP⁺. Significant potentiation of toxicity was observed when there was co-treatment with 0.5 ppm …

Cattle Industry Funding Scheme Annual Report 2018/2019, Department Of Primary Industries And Regional Development, Western Australia

Biosecurity published reports

In June 2010 the Cattle Industry Funding Scheme (IFS) was introduced to address biosecurity threats relevant to the Western Australian (WA) cattle industry. The Scheme was established under the Biosecurity and Agriculture Management Act 2007 to enable cattle producers to identify the pest and disease priorities at a whole-of-industry level and to raise funds for activities to address these priorities.

There are currently three Industry Funding Schemes in operation. In addition to the Cattle IFS, there is a Sheep and Goat IFS and a Grains, Seeds and Hay IFS. The three IFSs operate in a similar manner.

The purpose of …

Implementation Of Provider Education For A Subanesthetic Ketamine Infusion For Acute Analgesia In Opioid Tolerant Postpartum Patients, Leah Baecht

Doctor of Nursing Practice Projects

The current opioid epidemic demands the development of new management policies and staff education to increase awareness of issues and improve care of patients with Opioid Use Disorder (OUD). A recent dramatic increase in OUD during pregnancy has paralleled the epidemic observed in the general population. The combination of OUD and cesarean delivery, place both the mother with OUD and neonate at risk for increased postoperative complications. The purpose of this project was to evaluate and increase staff knowledge regarding OUD in obstetrics. An analysis of staff knowledge was performed via surveys both pre and post dissemination of evidence. The …

Pentraxin 3 Might Be Better Prognostic Serum Marker Than Il-6, Il-10, And High-Sensitivity C-Reactive Protein For Major Adverse Cardiovascular Events In Patients With St-Elevation Myocardial Infarction After Bare-Metal Stent Implantation, Farid Ljuca, Bahrudin Hadžiefendić, Elmir Jahić, Nijaz Tihić, Saša Lukić

Saudi Medical Journal

Objectives: To assess the prognostic value of pentraxin 3 (PTX3) in patients with ST-elevation myocardial infarction (STEMI) after bare-metal stent (BMS) implantation. Methods: In this prospective study, PTX3, interleukin (IL-6), IL-10, high-sensitivity c-reactive protein (hsCRP), and cardiac troponin I (cTnI) plasma values were determined before and 24hours after BMS implantation in 97 consecutively enrolled patients with STEMI who were admitted to University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina between February 2016 and February 2017. Patients were followed for 24 months to assess major adverse cardiovascular events (MACEs). Results: At 24 hours after percutaneous coronary intervention (PCI), plasma values of …

In This Issuereview Articleoriginal Articlecase Report

Saudi Medical Journal

No abstract provided.

New Who-Led Study Says Majority Of Adolescents Worldwide Are Not Sufficiently Physically Active, Putting Their Current And Future Health At Risk

Saudi Medical Journal

No abstract provided.

Late Preterm Infants: A Guide For Nurses, Midwives, Clinicians, And Allied Health Professionals, Samya M. Hegazy

Saudi Medical Journal

No abstract provided.

Understanding Barriers To Attending Food Distributions, Janell Jimenez

Capstone Projects and Master's Theses

The Second Harvest Food Bank provides food access to all of the population through Santa Cruz County. Too many people in the community are suffering from food insecurity due to lack of healthy meals, financial instability, and other living expenses not allowing them to purchase healthy meals. This lack of healthy meals which is leading to people at risk of serious health issues, development, and poor academics amongst children. Distribution sites and nutrition programs are provided on a daily basis at different locations and times of the day at no cost to the community However the number of participants has …

Evaluating The Effectiveness Of Cultural Competency Trainings Within The Monterey County Behavioral Health Department, Maritza Gutierrez

Capstone Projects and Master's Theses

Monterey County Behavioral Health Department (MCBH) provides a cultural competency training for their employees; this training includes a foundation in culture, diversity, humility and equity. There was a pre-post survey that was sent out in the beginning and at the end of the training. Participants rated themselves on their skills, knowledge, commitment and awareness. The survey also consists of open-ended questions, and demographic information such as age, gender, ethnicity and their job description. The surveys were entered into a statistical package for social sciences (SPSS) and the data was analyzed. The goal for this project was to examine people’s self …

Collection Of Analyzed Data From Health And Human Services Professionals: Stressors And Self-Care Practices, Yesenia Alcala

Capstone Projects and Master's Theses

Alliance on Aging is a nonprofit agency in Salinas, California. It was established in 1970, and they help serve the needs of the senior citizen community by offering multiple services. Working professionals experience high levels of stress in the workplace. Although there are many contributing factors for high stress in the workplace, the main factors at play are the lack of self-care and lack of support Zastrow (pg. 332, 2015). Because working professionally in the human services field experience high stress the consequences they may face are burnout, high turnover rates, and poor overall health. The capstone project will assess …

Parent Involvement In Elementary Schools, Maria Miramontes

Capstone Projects and Master's Theses

The current Smarter Balanced Assessment Consortium results prove that the Greenfield Union School District is academically low in English and Mathematics. This is a problem that the school district is facing because students are not engaged with their education. Poverty and low parental involvement puts students at risk to not be engaged in their education, since the socioeconomic status of parents can prohibit parents with the level of engagement in their children’s education. The majority of the students at Greenfield Union School District are English learners, this is another risk factor because at times parents cannot help their children in …

Waste Reduction At La Isla, Alexandria Rangel

Capstone Projects and Master's Theses

Community Solutions is a non-profit organization that serves the community of South Santa Clara and San Benito Counties. At La Isla, Community Solutions’ safe house, a new program was implemented, which focused on reducing waste. Food waste is an issue at La Isla, because a lot of food expires before it is used. The program focused on three key factors to reduce waste, including: creating and implementing a new inventory system, educational cooking classes and the creation of a recipe book in English and Spanish. The classes provided life skills such as cooking, nutritional information and awareness of the amount …