Digital Commons Network^™

Utilizing A Mentorship Approach To Address The Underrepresentation Of African Americans And Ethnic Minorities In Senior Nursing Leadership, Dewi Vivica Brown-Deveaux

Yale School of Nursing Digital Theses

Healthcare organizations must be intentional and purposeful in creating diversity programs. To meet this need, a nursing leader mentorship program for racial and/or ethnic minority nurse managers was introduced at a large academic medical center. The program design was based on the successful Leadership Institute for Black Nurses, first conducted at a university school of nursing. The particpants in the four-month program were 16 nurse managers from two city hospitals, and their mentors.

Procurement Of Housing In Depressed, African-American Homeless Patients In A Large Urban Federally Qualified Health Center: A Pilot To Improve Workflow Processes, Identify Best Practices And Impact Outcomes, Asa Tavares Briggs

Yale School of Nursing Digital Theses

Homelessness is a chronic issue in the United States (US)-impacting individuals from every socio-economic class. African Americans in the US disproportionately experience rates of homelessness higher than those in the general population. These individuals are vulnerable to poor physical and chronic mental health problems, chief among them is depression. African-American homeless individuals have high rates of depression and experience disparities in utilization and access to health care. To address this problem within a healthcare systems level context, this Doctorate of Nursing Practice (DNP) project examined the association between homelessness and depression in African-Americans. A pilot project focused on the targeted …

Nursing Workforce Development In Rural Home Health: Design Of A Nurse Fellowship Curriculum, Johanna Beliveau

Yale School of Nursing Digital Theses

As the population of the United States ages, so does the population of registered nurses. The result of this phenomenon is an increased demand for nursing services at the same time there is a growing shortage of nurses; this is particularly true in rural home health. It is imperative that organizations develop strategies to combat the widening divide between supply and demand. One opportunity is implementation of structured transition in practice programs, such as residencies and fellowships, to attract nurses into rural home health settings. While these programs are on the rise in hospitals, there are few in rural areas …

Implementation Of A Standardized Electronic Handoff Tool For Advance Practice Provider Pass-Off, Christopher Curtis

Yale School of Nursing Digital Theses

Objective: To increase the rate of documentation and satisfaction by APPs using a standardized handoff tool to and from a neurology intensive care unit.

Background: A comprehensive literature review showed that there was minimal literature on handoff tools for advance practice providers (APPs), and presently at the implementation site, there was no formal handoff process for patients transferring from a neurology intensive care unit.

Methods: This project was implemented between December 1, 2019 - January 31, 2020. The first step was to have APPs complete a pre-assessment. Based on the results of the pre-assessment, an electronic handoff tool was created. …

Empowering Health Care Professionals: An Interprofessional Education Model Implementation And Evaluation Using Mentorship And Teamstepps Methodology, Therese Ngunyi Fotabong Binfon

Yale School of Nursing Digital Theses

Medical error was reported in 2016 by the Institute of Medicine (IOM) as the 3rd leading cause of death in the United States healthcare system. Effective communication across healthcare disciplines is critical to ensure patient safety, care quality, and operational efficiency. The purpose of this quality improvement project was to implement an interprofessional education (IPE) model using mentorship and Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS™).

A 4-hour course titled “Using TeamSTEPPS Principles and Mentorship to Enhance Interprofessional Education within Highly Reliable Teams” was offered to 47 staff members from the Radiology Department (RD) and Interventional …

A Pilot Program Evaluating The Acceptability And Feasibility Of A Health Care Ethics Curriculum For Critical Care Nurses, Jennifer Rebekah Rendon

Yale School of Nursing Digital Theses

Abstract

Background: Critical care units are demanding practice settings filled with daily stressors including the ethical climate (America Association of Critical-Care Nurses 2015a; Mealer, & Moss, 2016). Navigating this ethically sensitive area requires critical care nurses have an understanding of ethics at a level appropriate for their practice setting (Bertolini, 1994; Hadjibalassi et al., 2012; Hughes & Dvorak, 1997; Indhraratana & Kaemkate, 2012; Mealer, & Moss, 2016; Rushton & Stutzer, 2015; Schluter, Winch, Holzhauser, & Henderson, 2008; Sellman, 1996). However, current ethics education for critical care nurses is limited to a general understanding of basic ethical principles (American Association of …

Admissions Viewbook, 2020-2021, Illinois State University, Office Of Admissions

Admissions Viewbook

Recruitment booklet created by Illinois State University's Office of Admissions

High Fat Diet Significantly Changed The Global Gene Expression Profile Involved In Hepatic Drug Metabolism And Pharmacokinetic System In Mice., Yuqi He, Tao Yang, Yimei Du, Lin Qin, Feifei Ma, Zunping Wu, Hua Ling, Li Yang, Zhengtao Wang, Qingdi Zhou, Guangbo Ge, Yanliu Lu

PCOM Scholarly Works

Background: High fat diet impact transcription of hepatic genes responsible for drug metabolism and pharmacokinetics. Until now, researches just focused on a couple specific genes without a global profile showing. Age-dependent manner was also not noted well. This study aims to investigate the high fat diet effect on transcriptome of drug metabolism and pharmacokinetic system in mouse livers and show the age-dependent evidence.

Methods: C57BL/6 male mice were used in this experiment. High fat diet was used to treat mice for 16 and 38 weeks. Serum total cholesterol, low density lipoprotein cholesterol, aspartate transaminase, and alanine transaminaselevels were measured. Meanwhile, …

Myo/Nog Cells Are Nonprofessional Phagocytes, Jacquelyn Gerhart, Lindsay Gugerty, Paul Lecker, Fathma Abdalla, Mark Martin, Olivia Gerhart, Colby Gerhart, Karanveer Johal, Jake Bernstein, John Spikes, Keith Mathers, Arturo Bravo Nuevo, Mindy George-Weinstein

PCOM Scholarly Works

Myo/Nog cells were discovered in the chick embryo epiblast. Their expression of MyoD reflects a commitment to the skeletal muscle lineage and capacity to differentiate into myofibroblasts. Release of Noggin by Myo/Nog cells is essential for normal morphogenesis. Myo/Nog cells rapidly respond to wounding in the skin and eyes. In this report, we present evidence suggesting that Myo/Nog cells phagocytose tattoo ink in tissue sections of human skin and engulf cell corpses in cultures of anterior human lens tissue and magnetic beads injected into the anterior chamber of mice in vivo. Myo/Nog cells are distinct from macrophages in the skin …

Revision Of The Eocene 'Platyrhina' Species From The Bolca Lagerstätte (Italy) Reveals The First Panray (Batomorphii: Zanobatidae) In The Fossil Record, Giuseppe Marramà, Giorgio Carnevale, Kerin M. Claeson, Gavin J P Naylor, Jürgen Kriwet

PCOM Scholarly Works

The fossil-Lagerstätte of Bolca (Italy) is well known for the diversity and exquisite preservation of its bony and cartilaginous fishes documenting tropical shallow-water marine environments associated with coral reefs in the western Tethys during the early Eocene. In this study, the taxonomic, systematic and phylogenetic position of two batoid species traditionally assigned to the living thornback ray genus Platyrhina is re-evaluated. †Platyrhina bolcensis Heckel, 1851 is recognized as a separate species of the Platyrhinidae because of its plate-like antorbital cartilage with an irregular outline and a small horn on the nasal capsules. Also, the rostral cartilage does not reach …

Barriers To Care Among Uninsured Patients With Chronic Disease In A Free Clinic: A Quantitative Study, Stephanie Jinright

DNP Research Projects

No abstract provided.

Reducing Hypertension Through Faith Community Nursing, Michelle White

DNP Research Projects

Hypertension affects approximately 31.1% of adults (1.39 million) worldwide. It continues to be a significant risk factor for cardiovascular disease and strokes, the leading causes of death in the United States (Mills, Stefanescu, & He, 2020). Hypertension is expected to increase due to the aging population and unhealthy lifestyle choices of the American people (American Heart Association [AHA], 2018a). Therefore, effective strategies are required to manage hypertension in order to decrease stroke and cardiovascular events that can save the lives of many Americans. National programs such as Healthy People 2020 are working to achieve blood pressure control within the United …

Molecular Genetic Cancer Screening: Role Of Prediction Of Colorectal Disease In The Clinic Setting, Samantha Spinks

DNP Research Projects

Colorectal Cancer is the third most common cancer in men and women and the second leading cause of cancer related deaths (ACS, 2019). Colonoscopy screening can prevent colon cancer by early detection and removal of adenomatous colon polyps. The ACS has been lowered from age 50 to 45 due to an increase in the prevalence of colon cancer in people below the age of 50 years of age. Molecular genetic screening is a tool that providers can use to identify patients who are at risk for premature adenomas. People who have a genetic variant are more likely to develop adenomas …

Breastfeeding Issues Leading To Early Cessation, Brandy Kirstein

DNP Research Projects

Breastfeeding has come to the forefront in modern research as a necessary and important phenomenon to understand and address due to the vast amount of evidence revealing its health benefits for both Mom and baby. Disparities exist related to socioeconomic status, education level, poverty, young age, obesity, alcohol use, smoking, and living in rural areas. This project aims to discover the areas that need the most awareness and change specific to the state of Tennessee to increase the prevalence of exclusive breastfeeding for six months (EBF6) creating healthier future generations and society. This project was a non-experimental, retrospective, correlational design, …

Art Making To Inform Dialogue Across Spiritual Otherness In The Therapeutic Space, Caitlin Brosious, Emma Burgin, Andrea Dyer, Maggie Knobbe

LMU Theses and Dissertations

This research was a preliminary pilot study meant to encourage further exploration on the intersection of art therapy, art making, spirituality, and dialogue. This study topic is an important area of investigation due to the long-standing challenges of interfaith dialogue, both historically and currently. An abundance of reviewed literature linking interfaith dialogue and dialogue through art making guided the research hypothesis, which states that the act of viewing and being viewed by the spiritual other through art making could deepen one’s own spiritual practice, increase empathy, foster dialogue, and inform clinical work as psychotherapists. To explore this, the researchers held …

Gale Presents: Udemy, Rob Tench

Libraries Faculty & Staff Publications

No abstract provided.

Enhancing The Self-Efficacy Of Nurses In The Reduction Of Potentially Avoidable Nursing Home To Hospital Transfers, Marjorie Elena Tapia

Yale School of Nursing Digital Theses

Nursing home hospitalizations are classified as potentially avoidable when they do not improve quality of life or change the course of illness. These hospitalizations are costly, disruptive and detrimental to the quality of nursing home care. Nurses maintain the interconnection amongst the key stakeholders involved in the decision to hospitalize and are integral to the efforts employed in reducing potentially avoidable transfers. The purpose of this project is to enhance the self-efficacy of long-term care nurses with respect to reducing potentially avoidable nursing home hospitalizations, utilizing an expert validated educational module. A review of the literature on potentially avoidable nursing …

Training Pre-Licensure Nursing Students As First Responders In Clinical Emergencies, Poy Yamada

Yale School of Nursing Digital Theses

The Joint Commission requires formal education for healthcare providers who are first responders giving care to patients whose conditions are deteriorating. However, most nursing programs do not include education about the role of first responders during clinical emergencies in the pre-licensure curricula. A literature search shows positive outcomes of increased knowledge, skills competences, and confidence, and that additional education training of the role of the first responder was needed. While there are positive outcomes from the current literature, additional research is needed to further the argument that first responders training is essential in the pre-licensure nursing programs.

This Doctor of …

Factors Affecting The Microbiome Of Ixodes Scapularis And Amblyomma Americanum, R. Jory Brinkerhoff, Chris Clark, Kelly Ocasio, David T. Gauthier, Wayne L. Hynes

Biological Sciences Faculty Publications

The microbial community composition of disease vectors can impact pathogen establishment and transmission as well as on vector behavior and fitness. While data on vector microbiota are accumulating quickly, determinants of the variation in disease vector microbial communities are incompletely understood. We explored the microbiome of two human-biting tick species abundant in eastern North America (Amblyomma americanum and Ixodes scapularis) to identify the relative contribution of tick species, tick life stage, tick sex, environmental context and vertical transmission to the richness, diversity, and species composition of the tick microbiome. We sampled 89 adult and nymphal Ixodes scapularis (N …

Patterns Of Genetic Diversity In Highly Invasive Species: Cogongrass (Imperata Cylindrica) Expansion In The Invaded Range Of The Southern United States (Us), Rima D. Lucardi, Lisa E. Wallace, Gary N. Ervin

Biological Sciences Faculty Publications

The spatial expansions of invasive organisms in the novel range are generally expected to follow an isolation-by-distance relationship (IBD) if the invasion is biologically driven; however, many invasions are facilitated anthropogenically. This research focused on the extant expansion patterns of cogongrass (Imperata cylindrica). Cogongrass is a widespread invasive species throughout the southern United States (US). Patterns of infestation vary among US states. Cogongrass is pyrogenic, and its invasion threatens softwood (Pinus spp.) plantations, a substantial economic market for this US region. Over 600 individuals were sampled from seven invaded US states, using amplified fragment length polymorphisms (AFLPs) …

Phenotypic Variation Of Partridge Pea (Chamaecrista Fasciculata) From Mississippi Persists In A Common Garden, Lisa E. Wallace, Mahboubeh Hosseinalizadeh-Nobarinezhad, Robert Coltharp

Biological Sciences Faculty Publications

Intraspecific phenotypic variation occurs for many different reasons and understanding its basis has applications in taxonomy, ecology, and evolution. Chamaecrista fasciculata (partridge pea) is a widely distributed species with much phenotypic variation and varied interactions with other species in communities where it grows. Botanists have often noted that phenotypic variation in some traits of this species increases from north to south in the eastern United States. In this study, we grew seeds collected from five Mississippi populations in a common greenhouse environment to determine if the observed variation in leaf and stem traits is maintained in this environment. Interpopulation variation …

Tick-Borne Flavivirus Inhibits Sphingomyelinase (Issmase), A Venomous Spider Ortholog To Increase Sphingomyelin Lipid Levels For Its Survival In Ixodes Scapularis Ticks, Pravesh Regmi, Supreet Khanal, Girish Neelakanta, Hameda Sultana

Biological Sciences Faculty Publications

Our previous study showed that cells from medically important arthropods, such as ticks, secrete extracellular vesicles (EVs) including exosomes that mediate transmission of flavivirus RNA and proteins to the human cells. Understanding the molecular determinants and mechanism(s) of arthropod-borne flavivirus transmission via exosome biogenesis is very important. In this current study, we showed that in the presence of tick-borne Langat Virus (LGTV; a member of tick-borne encephalitis virus complex), the expression of arthropod IsSMase, a sphingomyelinase D (SMase D) that catalyzes the hydrolytic cleavage of substrates like sphingomyelin (SM) lipids, was significantly reduced in both Ixodes scapularis ticks (in vivo) …

Discovery Of Exosomes From Tick Saliva And Salivary Glands Reveals Therapeutic Roles For Cxcl12 And Il-8 In Wound Healing At The Tick-Human Skin Interface, Wenshuo Zhou, Faizan Tahir, Joseph Che-Yen Wang, Michael Woodson, Michael B. Sherman, Shahid Karim, Girish Neelakanta, Hameeda Sultana

Biological Sciences Faculty Publications

Ticks secrete various anti-coagulatory, anti-vasoconstrictory, anti-inflammatory, and anti-platelet aggregation factors in their saliva at the bite site during feeding to evade host immunological surveillance and responses. For the first time, we report successful isolation of exosomes (small membrane-bound extracellular signaling vesicles) from saliva and salivary glands of partially fed or unfed ixodid ticks. Our data showed a novel role of these in vivo exosomes in the inhibition of wound healing via downregulation of C-X-C motif chemokine ligand 12 (CXCL12) and upregulation of interleukin-8 (IL-8). Cryo-electron microscopy (cryo-EM) analysis revealed that tick saliva and salivary glands are composed of heterogeneous populations …

College Of Psychology Doctoral Program Practicum Brochure 2020-2021, Nova Southeastern University

College of Psychological Services / College of Psychology Postgraduate Student and Course Catalogs

No abstract provided.

Nsu College Of Psychology Graduate Student Catalog 2020–2021, Nova Southeastern University

College of Psychological Services / College of Psychology Postgraduate Student and Course Catalogs

No abstract provided.

Spinal Motor Neuron Excitability And Balance Control Changes Following Downslope Walking, Nikki Aitcheson-Huehn

Theses and Dissertations (Comprehensive)

Downslope walking (DSW) has been proposed as a rehabilitation tool for people with Multiple Sclerosis (PwMS) although there are mixed findings in young adults (YA) regarding the balance control changes, despite both populations experiencing depressed spinal motor neuron (MN) pool excitability. Our aim was to determine whether YAs could demonstrate improved balance control in conjunction with SOL H reflex depression (estimate of spinal MN excitability) following DSW. We also aimed to determine whether reciprocal inhibition was a potential mechanism for H reflex depression via conditioned SOL H reflexes. Thirty young adults (23±1.4y, 6 males) were assigned to 30-minutes of DSW …

Spatial Memory And Executive Functioning In The Goto-Kakizaki Rat Model Of Diabetes, Lorielle Dietze

Theses and Dissertations (Comprehensive)

Type 2 diabetes mellitus is a disease that adversely affects cognitive function in areas extending to memory and executive functioning. The Goto-Kakizaki (GK) rat provides a model of type 2 diabetes that can illustrate the mechanisms by which this disease works. The present study compared hyperglycaemic GK rats and age-matched Wistar rats in the Morris water maze to assess spatial memory, and in a perceptual attentional set-shifting task to assess putative prefrontal-dependent executive functioning. Results showed there was no difference in path length during training trials, however, GK and Wistar rats differed in the path length travelled in the target …

(Subjective) Time Heals All Wounds: The Competing Roles Of Objective And Subjective Time In Reactions To Past Events, Sarah L. Williams

Theses and Dissertations (Comprehensive)

Although folk wisdom states that “time heals all wounds,” the truth of this claim is questionable and may be contingent on the nature of time in question. People think about and represent time in different ways: they consider how far away events (objectively) are, as well as how close or far away they (subjectively) feel. How close or distant a temporal event feels from the present is quite malleable and can be affected by a host of psychological factors independent of chronological time. However, little research has explicitly investigated the extent to which objective, calendar time, and one’s subjective sense …

Fanm Pa Chita: Mobilities, Intimate Labour, And Political Subjectivities Among Haitian Women On The Move, Masaya Llavaneras Blanco

Theses and Dissertations (Comprehensive)

This dissertation asks: how does intimate labour interact with the mobility and political subjectivities of Haitian migrant women and women of Haitian descent in the Dominican Republic (DR)? It answers this question in three specific ways. First, it explains the relationship between intimate labour and the spatial trajectories of women of Haitian ancestry who work as domestic workers. Second, it examines how the interaction between intimate labour and human mobility plays out in the Dominican border regime. Third, it explains how these subaltern women act politically in the midst of the intersections between borders, mobilities, and intimacy.

The dissertation proposes …

Exploring Young Acb Women’S Experiences Of Navigating Sexual Health In The Greater Toronto Area., Natasha Afua Darko

Theses and Dissertations (Comprehensive)

This thesis explores the experiences of young African, Caribbean, and Black (ACB) women in the Greater Toronto Area (GTA) regarding how they navigate sexual health. Young ACB women face challenges that put them at increased risk for HIV and other sexually transmitted infections. Despite this, few studies have focused on the social contexts that affect sexual health for ACB women in Canada. This Community Based Participatory Research ( CBPR) study (N = 24) utilized focus groups to examine young ACB women's experiences navigating sexual health. In the following thesis document, I present two manuscripts where I share a) a reflection …