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2022

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Virtual Procedural Facilitator Training With Video Modeling: Impact On The Opinion Writing Of Elementary School- Aged Children With Autism Spectrum Disorder, Susanna M. Launder Jan 2022

Virtual Procedural Facilitator Training With Video Modeling: Impact On The Opinion Writing Of Elementary School- Aged Children With Autism Spectrum Disorder, Susanna M. Launder

Electronic Theses and Dissertations 2020 - Present

Autism Spectrum Disorder (ASD) impacts one in every 44 children in the United States (CDC, 2022) and is characterized by marked deficits in social communication with the presence of restricted interests and repetitive behaviors. Students with ASD are increasingly being educated in the general education classroom and are expected to meet the curricular demands thereof (Roberts & Webster, 2020). Due to the core features of their disability, these students often experience significant challenges in written expression. Writing, across content areas, is a primary means in which student learning is measured and evaluated. The COVID-19 pandemic forced educators to explore the …

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Wall Pressure Fluctuation In A Turbulent Channel Flow, Lyubov Denissova Jan 2022

Wall Pressure Fluctuation In A Turbulent Channel Flow, Lyubov Denissova

Electronic Theses and Dissertations 2020 - Present

Turbulent flow is a complex three dimensional system of velocity and pressure fluctuations in a fluid that creates vorticity, eddies and other flow structures. In this study we are specifically concerned with the surface pressure fluctuations below a turbulent boundary layer which is one of the primary sources of panel vibration on aircraft fuselages and ship hulls as well a major issue in ship hydrodynamics. The most accepted analytical approaches to describe the surface pressure fluctuations are the Chase model [1] for the surface pressure wavenumber spectrum and Goody’s model [2] for the pressure spectrum at a point. The most …

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What Do Road Impact Fees Have To Do With It? Resolving Transportation Problems In Palm Beach County, Florida, Laurie Leora Harari Jan 2022

What Do Road Impact Fees Have To Do With It? Resolving Transportation Problems In Palm Beach County, Florida, Laurie Leora Harari

Electronic Theses and Dissertations 2020 - Present

This thesis examined the road impact fee realities of 11 of Palm Beach County’s public and private sector land development stakeholders. To learn more about how the county’s road impact fee ordinance works in practice, in 2021, 11 stakeholders were interviewed about their experiences with the county’s road impact fee program. Transportation impact fee programs may help relieve development-driven traffic externalities and cost burdens, so long as suitable methodologies are applied (Burge & Ihlanfeldt, 2013; Stahl, 2021). In 2021, Palm Beach County’s road impact fee ordinance required all county development applicants to pay a specified road impact fee dollar amount, …

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Impact Of Heart Failure Education Program On Haitian Older Adults With Heart Failure, Farah Cesar Jan 2022

Impact Of Heart Failure Education Program On Haitian Older Adults With Heart Failure, Farah Cesar

Electronic Theses and Dissertations 2020 - Present

Heart failure (HF) is a clinical syndrome with various manifestations (Groenewegen, Rutten, Mosterd, & Hoes, 2020). However, self-care for patients with complex illnesses, such as HF, can be very challenging. The Centers for Disease Control and Prevention [CDC] (2020) reported that an estimated 6.2 million adults in the United States had HF. It is generally estimated that between 1% and 2% of adults in developed countries have HF (Groenewegen et al., 2020). Although important advances in managing HF were made before approximately 1990, improvements have been significant since that time (Choi et al., 2019). However, some patients with HF still …

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Prenatal Depression Screening In African American Women To Initiate Early Referral And Treatment, Sabrina Etienne Jan 2022

Prenatal Depression Screening In African American Women To Initiate Early Referral And Treatment, Sabrina Etienne

Electronic Theses and Dissertations 2020 - Present

Aim: In the United States, prenatal depression is an underdiagnosed mental health disorder that can result in complications for the mother and fetus. Approximately 7 to 12 % women are affected by prenatal depression (Sidebottom et al., 2021). African American women experience more stressors during the prenatal period which places them at a higher risk for depression than other racial groups (Liu et al., 2016). Early screening can help identify and treat prenatal depression which may reduce the risk of postpartum depression. The purpose of this quality improvement project (QI) was to screen African American pregnant women, using the Edinburgh …

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Implementation Of A Community Prevention Program To Reduce Cardiovascular Risks, Altavia Evans Jan 2022

Implementation Of A Community Prevention Program To Reduce Cardiovascular Risks, Altavia Evans

Electronic Theses and Dissertations 2020 - Present

Cardiovascular disease is a serious health condition that affects the blood flow to and from the heart. It is currently one of the leading causes of death globally as it accounts for approximately 32% of deaths each year (WHO, 2021). In Palm Beach County, cardiovascular disease is the leading cause of death accounting for 23.7% of overall deaths (Palm Beach County, 2022). The risk for developing this disease increases when other comorbidities exist such as diabetes, hypertension, hyperlipidemia, or an elevated Body Mass Index (BMI). With proper knowledge and lifestyle modifications, risks from complications are lowered. It is for this …

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Community-Based Approach To Promote Heart Healthy Behaviors In Hispanic Women, Yesenia Gonzalez Jan 2022

Community-Based Approach To Promote Heart Healthy Behaviors In Hispanic Women, Yesenia Gonzalez

Electronic Theses and Dissertations 2020 - Present

The purpose of this Doctor of Nursing Practice (DNP), quality improvement (QI) project was to increase heart disease risk awareness while implementing healthy lifestyle behaviors in Hispanic women between the ages of 30-65. The literature presents that all women are at risk for cardiovascular disease (CVD); with ethnic minorities being disproportionally affected. Following recruitment, participants attended a weekly wellness program guided by the Pasos Adelante curriculum over a 12 week period. Lifestyle behaviors were assessed by using the Health Promoting Lifestyle Profile II (HPLP II) questionnaire, CV knowledge was assessed with a brief true or false questionnaire, and the Godin-Shephard …

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The Effect Of Peer Support On Weight Loss In Young Adults, Astride Honore Jan 2022

The Effect Of Peer Support On Weight Loss In Young Adults, Astride Honore

Electronic Theses and Dissertations 2020 - Present

The current generation of youth may be the first in the United States who dies sooner than their parents and lives sicker. Stereotyping and discrimination may degrade communication between overweight/obese patients and their providers, exacerbating this negative trend. The purpose of this quality improvement project was to determine if participation in online support groups is an effective tool to assist obese young adults in weight management. Six participants followed a low-calorie diet (1500 cal/day for women and 1800 cal/day for men) and engaged in 30 minutes of daily exercise. All participants also filled out the Obesity and Weight Loss Quality …

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Impact Of A Telehealth-Based Program On Hospital Readmission, Patient Knowledge, And Self-Care Among Older Adults With Heart Failure, Elisee Jacques Jan 2022

Impact Of A Telehealth-Based Program On Hospital Readmission, Patient Knowledge, And Self-Care Among Older Adults With Heart Failure, Elisee Jacques

Electronic Theses and Dissertations 2020 - Present

Heart failure (HF) is a global epidemic that affects older populations at an unprecedented rate. It is one of the leading causes of hospital readmission in patients 65 years and older. Although many strategies have been used to properly manage the disease, HF remains a complex condition due to several factors such as disease progression, comorbidities, inadequate patient knowledge, and non-adherence to the treatment plan. Despite the impact of HF on quality of life, morbidity, and mortality in older adults, they have been markedly underrepresented in most major cardiovascular trials. Besides the use of traditional methods for HF management, studies …

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Improvement Of Diabetes Knowledge, Management, And Self-Efficacy In Haitian Patients With Type 2 Diabetes Through Utilization Of A Powerpoint Presentation: A Quality Improvement Project, Alexandra Noel Jan 2022

Improvement Of Diabetes Knowledge, Management, And Self-Efficacy In Haitian Patients With Type 2 Diabetes Through Utilization Of A Powerpoint Presentation: A Quality Improvement Project, Alexandra Noel

Electronic Theses and Dissertations 2020 - Present

Background: The prevalence of Type 2 diabetes is substantially significant in the United States and has been this way for several years. Diabetes is a complex, chronic disease that, without proper control, may result in avoidable complications. Once the diagnosis of diabetes is made, it is critical to establish clear treatment goals on increasing knowledge, self-efficacy and enhancing self-care. Implementing a program that supports self-care strategies for adults with diabetes to help achieve optimal health outcomes. For US adults aged 18 years or older the prevalence of diagnosed diabetes in non-Hispanic blacks is 12.1% which is the second highest (CDC,2019). …

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The Effects Of Integrating A Palliative Care Screening Tool At An Outpatient Oncology Clinic To Enhance Understanding And Utilization Of Palliative Care Services, Katarzyna E. Rela Jan 2022

The Effects Of Integrating A Palliative Care Screening Tool At An Outpatient Oncology Clinic To Enhance Understanding And Utilization Of Palliative Care Services, Katarzyna E. Rela

Electronic Theses and Dissertations 2020 - Present

Palliative Care services are underutilized in patients who have cancer primarily due to lack of understanding of what it encompasses by both, the patients and providers. The purpose of this quality improvement project was to facilitate Palliative Care referrals by the use of a Palliative Care screening tool: the Edmonton Symptom Assessment Scale with the Canadian problem Checklist and the PCQN Distress Screener. The Representational Approach and Jean Watson’s theory of Unitary Caring were utilized in the teaching moment. The screening tool was implemented at initiation and change of treatment during teaching visits by the nurse practitioners with the goal …

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Reducing Antibiotic Misuse For Sinusitis In A Pediatric Urgent Care, Delilah Rivera Jan 2022

Reducing Antibiotic Misuse For Sinusitis In A Pediatric Urgent Care, Delilah Rivera

Electronic Theses and Dissertations 2020 - Present

Antibiotic misuse has been linked to increased health care costs, potential adverse reactions, and antibiotic resistance (Weddle, 2017). The purpose of this DNP project is to examine if implementation of an Antibiotic Stewardship checklist and algorithm at two After Hours Pediatrics (AHP) urgent care clinics, would affect provider knowledge and prescribing practices in the management of sinusitis. Antibiotic stewardship is the effort to measure antibiotic prescribing, improve antibiotic prescribing by clinicians, minimize diagnoses, and ensure the correct antibiotics are selected when needed (Sanchez et al., 2021). The overall goal is to minimize unnecessary antibiotic prescriptions for sinusitis to reduce the …

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