Digital Commons Network^™

Capstone Portfolio: Four Health Stories, Starring Unruly Uteri, Julie S. Schneider

Capstones

This capstone portfolio by Julie Schneider features four health stories, each starring unruly uteri. Articles include a feature story about hysterectomy and grief, an explainer about what happens to a uterus after a hysterectomy, a deep dive into funding for “femtech,” and a look at the potential impact that updated guidelines might have on endometriosis patients.

Link to capstone project: http://julie-schneider-capstone.tilda.ws/
(username = capstone & password = capstone)

Nyfw Can't Handle Texture On The Runway, Treashure Lewis

Capstones

NYFW has seemingly made great strides over the years regarding inclusivity and diversity within its runway. But how are they accommodating the models of color that they are hiring? This year, unfortunately, black models are still showing up to runway sets in which the hair stylists hired do not know how to do their hair. This issue dates back to the reign of Naomi Campbell and still has yet to be resolved.

Link: https://brownlewiscapstone.wordpress.com/

In A Country Obsessed With Mexican Food And Culture, Why Do Mexican People Not Receive The Same Reverence?, Elba T. Rodriguez

Capstones

For centuries, the U.S. has had a complicated relationship with immigration policies and people of color. And the U.S./Mexican border has long been a source of contention. From Operation Wetback to Trump’s “Build the Wall” campaign, Mexicans have faced outright prejudice and hate. This work will delve into the contradictory policies of the U.S. using Mexicans for physical labor while simultaneously deporting them back to Mexico. It will investigate the experiences of Mexicans in this country and the incongruity of many Americans that maintain anti-Mexican sentiments while also celebrating Mexican holidays, such as Dia de los Muertos or Cinco de …

To Destroy Or Transform? Two Fossil Fuel Transitions Offer Glimpse Into Industry’S Future, Chloe Bennett, Sarah Kerson

Capstones

In 2019, the Philadelphia Energy Solutions oil refinery closed after a dangerous explosion. But for years before the accident, members of the local environmental justice organization Philly Thrive had been advocating for its closure. Neighborhood residents who live near the refinery site had been complaining for years of health problems, ranging from asthma to cancer. “Enough is enough,” says Sylvia Bennett, 79, who lives in the Grays Ferry neighborhood near where the refinery is located. Her two daughters have both been diagnosed with cancer.

What will become of the refinery site remains to be seen as conversations between Hilco and …

Nyfw Can't Handle Texture On The Runway, Yvette M. Brown, Treashure Lewis

Capstones

During NYFW, a model went viral after exposing the fact that the stylist did not understand how to style her hair. This is very common in the fashion world, where there are no proper hairstylists to care for natural curls and coils.

https://brownlewiscapstone.wordpress.com/

Reducing Risk Factors Of Diabetes Mellitus Type Ii Development In Veterans Post Military Discharge Through The Patient Aligned Care Team Model And The Utilization Of Preventive Programs Involving Lifestyle Changes., Jeni Grundy

Doctor of Nursing Practice (DNP) Manuscripts

Diabetes Type II (T2DM) prevalence is rising in America, becoming a focus for disease prevention. The American Diabetes Association (ADA) has highlighted the need to tackle the increased T2DM precursor, prediabetes, which ultimately leads to T2DM if risk factors remain unaddressed. One group of the American population with a high rate of prediabetes is the 9/11 Veteran cohort. The Veterans Affairs (VA) system has numerous health promotion missions. This system has highlighted its initiatives to address the development of T2DM. Specific to the 9/11 group, their primary T2DM contributory risk factor is obesity paired with the low utilization of already …

Improving Home Health Nurses' Knowledge Of Heart Failure Self-Care Management, Nenette Hoffman

Doctor of Nursing Practice (DNP) Projects

Abstract

Background: Heart failure results in life-altering and devastating illnesses, predominantly among older adults. Heart failure management is complex, and requires patients and their caregivers to actively monitor symptoms and sufficiently understand care management to maintain health-promoting behaviors. While home health nurses have the primary role as patient educators of their patients with heart failure, evidence from the literature indicates that nurses lack sufficient knowledge to fulfill this role.

Local Problem: Nurses’ inadequate knowledge of heart failure self-care management has been associated with insufficient patient education, the inability of patients to perform heart failure self-care management, worse clinical outcomes, and …

The Health And Health Care Needs And Experiences Of Mexican Heritage Individuals In A Nonmetro Location: An Ethnonursing Study, Karla Adu

Electronic Theses and Dissertations

Introduction: The population of Mexican heritage individuals has grown significantly in nonmetro, emerging communities. The purpose of this study was to explore the health and health care needs and experiences of this population in the Midwest. Methods: Leininger’s Culture Care Theory and Ethnonursing Research Methods were used as the guiding theory and methodology for the qualitative study. Interviews were conducted with 27 informants. Recordings were transcribed and analyzed according to Leininger’s phases of data analysis. Results: Three themes emerged from the data: 1. living a better life in a nonmetro community with and for family, 2. barriers to understanding …

Revelations In The Blood: Determination Of Biomarkers And Analytes, Jeremiah Jamrom

Electronic Theses and Dissertations

Changes in body chemistry have long been utilized as a tool for medical diagnosis. Whether blood panel, toxin level, antigen testing or any of the myriad other tests performed annually, searching for molecules which confer health status is a long-established practice. These tests give physicians more information and allow them to make a more accurate diagnosis, from which appropriate treatment can stem. Awareness of, and the subsequent search for, biomarkers for disease states have grown substantially in the past years as analytical, biochemical, and instrumental techniques have become more precises and powerful. In an era of increasingly personalized medicine, novel …

Speciated Isotope Dilution Mass Spectrometry In Combination With Thor’S Hammer Metaspike Technology For The Assessment Of Low-Level Biomarkers For Human Health Evaluation, Ashley Ebert

Electronic Theses and Dissertations

Our research team has been focused on quantifying important biological analytes in human blood samples to delineate the biochemical processes underlying certain states of dysfunction and evaluate treatment efficacy. These efforts have been guided by laboratory measurements with the input of medical experts. Speciated isotope dilution mass spectrometry (SIDMS) explained in detail in EPA Method 6800 has been successfully applied in the quantification of an important biomarker analyte for immune function and detoxification processes: glutathione. Past research has proven the molecule a biomarker for autism spectrum disorder (ASD) in the form of the reduced/oxidized glutathione (GSH/GSSG) ratio, and literature has …

The Ethical Imperative Of Inclusion In Healthcare Innovation: Scaling And Sustaining Digital Health Equity, Lukas E. Chandler

Electronic Theses and Dissertations

The COVID-19 pandemic revealed the harm of digital health exclusion. Excluded groups could not benefit from virtual care due to device access gaps, broadband connectivity, and digital and language literacy levels. A lack of engagement with historically excluded populations in digital health innovation is an ethical harm and a maleficent form of social exclusion. Digital tools in healthcare delivery represent more than just a strategy for promoting health equity; they signify an opportunity to address health inequities in the health technology design process.

The historical focus of healthcare ethics on bedside decision-making issues largely explains why the field lacks concerted …

A Qualitative Study Into Modern Psychoanalytic Joining And Mirroring Through Psychotherapeutic Exchanges, Tricia Shihui Wang

Electronic Theses and Dissertations

This dissertation intends to address current deficits in knowledge regarding the modern psychoanalytic interventions of joining and mirroring, including substantial definition issues in the literature and the absence of current writings on the psychotherapeutic interventions of joining and mirroring in practice. The focus of the study was on the ever-dynamic landscape between modern analytically-informed practitioners and their clients in psychotherapeutic exchange(s) that the practitioners believed encompassed joining and/or mirroring interventions. Participants were six experienced practitioners who described their clinical work as being informed by modern psychoanalysis and who have engaged or were currently engaging in individual psychotherapy with a client. …

Quantum Computations And Molecular Dynamics Simulations: From The Fundamentals Of Antimicrobial Resistance To Neurological Diseases, Angel Tamez

Electronic Theses and Dissertations

Biophysical phenomena are modeled using a combination of quantum and classical methods to interpret and supplement three distinct and diverse problems in this dissertation. In the first project, decarboxylation reactions are ubiquitous across chemical and biological disciplines, yet the origin of non-catalytic solvent effects remains elusive. Specific solvent structure and energetics have not been well described for the monoanion of malonate, nor corrected from the gas-phase charge-assisted intramolecular hydrogen bond model known as “pseudochair”. In the aqueous phase, a low-lying energy conformer known as the “orthogonal conformation” is computed to be preferred by a three-water cluster of hydrogen bonding over …

Examining The Effects Of An Early Mand Training Intervention On Mand Acquisition In Children With Autism Spectrum Disorder (Asd), Maram Alnahari

Electronic Theses and Dissertations

Children with autism spectrum disorder (ASD) often show language delays. Their limited communication skill may lead them to engage in the same disruptive behavior that previously got them what they wanted. Verbal behavior (VB), specifically mand training (MT), is one of the early language intervention strategies used to target language development and facilitate functional communication with young children with autism. This study aimed to examine the effectiveness of an early mand training intervention on mand acquisition in children with ASD. This study specifically targeted the application, the implementation, and their effects. A multiple baseline across participants research design was used …

Comparing The Effectiveness Of Traditional Taped-Problems Intervention With A Remote Delivery Version For Increasing Math Fact Fluency, Cortney Chelecki

Electronic Theses and Dissertations

The knowledge of math fact fluency skills is crucial for children to develop both related and subsequent necessary math skills. Students require fluency in basic math facts in order to successfully understand and perform more complicated math problems. Research has shown that students demonstrating math skill deficits are likely to have limited cognitive capacity to devote to higher math tasks, and also suffer from math-related anxiety, a lack of engagement, and limited vocational and career opportunities (Delli Sante et al., 2001; Gersten & Chard, 1999; Parkhurst et al., 2010; Poncy et al., 2007; Riconscente, 2013). During the COVID-19 pandemic, all …

Facial Expression Recognition Deficits In Autism Spectrum Disorder, Zachary Friedman

Electronic Theses and Dissertations

Autism Spectrum Disorders (ASD) are an umbrella term for lifelong neurobehavioral disorders characterized by a set of social (verbal and nonverbal) communication challenges and behaviors and restricted, repetitive behaviors. Emotions serve many functions, but primarily they help with the appraisal of stimuli and driving of responses. Emotional processing and facial recognition are integral abilities that influence the acquisition of social skills. For individuals with ASD, it is hypothesized that facial recognition deficits contribute to social communication traits. The bulk of previously conducted research has utilized static images of facial expressions. This study utilized videos of spontaneous expressions. Participants were tasked …

Covenant-Apocalyptic Soteriology: N. T. Wright’S Apocalyptic Jesus In Conversation With The Liberationist Critique Of Atonement, Joseph Smith

Electronic Theses and Dissertations

This dissertation develops a theory of atonement in accordance with N. T. Wright’s covenant-apocalyptic interpretation of the ministry and message of the historical Jesus. A covenant-apocalyptic atonement theory, in opposition to the trajectory of contemporary soteriology, prioritizes divine causality in the means of salvation, because, as is generally expected from an apocalyptic hermeneutic, it peers behind systems of violence and oppression to the intangible powers that underlie them. Unlike other strands of apocalyptic theology, though, a covenant-apocalyptic soteriology can stand up to a liberationist critique of the escapism and the divine sadism of a certain popular form of Christian soteriology, …

Thirdspace Leadership: Depicting Fbcoai Leaders’ Transitional Identities And Expe- Riences Of Breaking “Fbcoai Bamboo Ceiling” In Chinese Immersion Programs, Shengnan Yue

Electronic Theses and Dissertations

This qualitative study explores how the transitional identities and experiences of Foreign Born Chinese Origin Asian Immigrant (FBCOAI) leaders influence their leadership practices in American Immersive Chinese Language Program. In the Chinese immersion programs, FBCOAI leaders are those with ethnicity Chinese who entered the United States during adulthood, and immigrated during their adulthood. This study is to explore the Thirdspace leadership, an actual-and-virtual place, where the FBCOAI leaders reconcile their professional development and leadership into practice. FBCOAI leaders are bilingual, experiencing a transitional stage of immigration status, and geographical/cultural/occupational changes. This study stands on “an-Other” perspective to know the FBCOAI …

Computational Symmetric Grain Boundary Energy Of Thorium Dioxide, Brendan J. Carroll

Honors College Theses

With fossil fuels being depleted at a faster rate than ever, there has been an effort to convert fossil fuel energy to different forms of green energy. One of these forms is nuclear power, and while nuclear power itself is not new, new fuel sources for different types of reactors are being developed. This study aims to do computational experiments on Thorium Dioxide (a potential new nuclear fuel source) to look for the lowest grain boundary energy and what the effect of grain boundary conditions on the energy. Different orientations of the materials grain boundary were modeled and molecular dynamic …

Advancing Fluorescent Contrast Agent Recovery Methods For Surgical Guidance Applications, Brook Kennedy Byrd

Dartmouth College Ph.D Dissertations

Fluorescence-guided surgery (FGS) utilizes fluorescent contrast agents and specialized optical instruments to assist surgeons in intraoperatively identifying tissue-specific characteristics, such as perfusion, malignancy, and molecular function. In doing so, FGS represents a powerful surgical navigation tool for solving clinical challenges not easily addressed by other conventional imaging methods. With growing translational efforts, major hurdles within the FGS field include: insufficient tools for understanding contrast agent uptake behaviors, the inability to image tissue beyond a couple millimeters, and lastly, performance limitations of currently-approved contrast agents in accurately and rapidly labeling disease. The developments presented within this thesis aim to address such …

Wells Fargo Bank Minn., Nat’L Ass’N V. Holoway, Arthur H. Pearcy

Journal of Civil Law Studies

No abstract provided.

The Constitutional Reshaping Of South Africa's Succession Laws, François Du Toit

Journal of Civil Law Studies

The South African Constitution of 1996 has had a significant im-pact on all the branches of South African law, including its succes-sion laws. The Constitution has transformatively reshaped im-portant aspects of South Africa's succession laws over the past two-and-a-half decades. This Article surveys the reshaping of two such aspects critically, namely (i) the extension of spousal inheritance under the Intestate Succession Act of 1987 and the Wills Act of 1953 as well as the extension of parental inheritance under the former statute; and (ii) the limitation of testamentary freedom. The afore-mentioned developments occurred by and large at the hands of …

Bilingual English-Spanish Louisiana Civil Code, Book Ii, Mariano Vitetta

Journal of Civil Law Studies

No abstract provided.

The Doctrine Of Veil-Piercing Liability In Poland And Selected Countries: A Comparative Law Study, Mariusz Fras

Journal of Civil Law Studies

The separation of a company from its members, based on legal personality, is recognized as one of the fundamental principles of corporate law. It expresses the legal distinction between the two entities. A consequence of the separateness principle is that members are not liable for the debts of their companies, and companies cannot be held liable for the debts of their members. However, such consequences of the principle of mutual autonomy of companies and their members are in sharp contrast with commercial reality, in which intertwined corporate groups operate as a single economic entity. In market transactions, a subsidiary often …

Efl Teachers’ Understandings Of The Role Of Assessment In Second Language Learning, Evelyn Almeida

Language, Literacy, and Sociocultural Studies ETDs

Given the important role of assessment in the process of Second Language Learning (SLL) and framed within Vygotsky’s Zone of Proximal Development (ZPD), this study aims to analyze: (1) how EFL teachers’ understanding of the role of assessment in SLL can be improved, (2) how effective dynamic assessment is in their teaching practices, (3) how EFL teachers’ assessment practices reflect their understanding of the concept of assessment/dynamic assessment, and (4) what strategies can help them understand these concepts. These four points are studied within the context of English classes at a Language Institute in Quito, Ecuador. This project’s contribution brings …

My Shoulder Is On Backwards?! Reverse Total Shoulder Arthroplasty Vs Hemi- Arthroplasty In Complex Humeral Fractures Of Elderly, Kyle Wilson

Physician Assistant Capstones, 2020-current

No abstract provided.

The Safety And Efficacy Of Pravastatin In The Treatment Of Preeclampsia, Miranda Shelly, Tara Riley

Physician Assistant Capstones, 2020-current

Objective: Assess the efficacy of pravastatin in the prevention or treatment of preeclampsia in women who are at risk. Design: Systematic literature review. Methods: A search was performed using Pubmed utilizing the terms preeclampsia and pravastatin. The results were limited to studies that were double blind and placebo controlled and that occurred in the last 5 years. Results: None of the studies found statistical significance in the rate of preeclampsia between the experimental and control groups. Only one study found statistically significant differences in fetal birth weight and age at delivery. The other two studies found no differences between groups …

Risking The Wrist, Tyler Mosier, Evan White

Physician Assistant Capstones, 2020-current

Abstract:

Background: Carpal tunnel syndrome (CTS) is now one of the most common workplace injuries, with nearly 50% of patients eventually requiring CTS release surgery as a permanent solution. With a concern of a younger incidence of CTS developing in a technology dependent society, some patients may fear even a minimal loss of function. To our knowledge there has been no study comparing forearm grip strength before symptoms develop to grip strength after the procedure has been performed.

Objectives: The aim of this study was to determine if there was a significant change in strength of the flexor digitorum superficialis …

Plantar Fasciitis: Steroids Or Prp?, Alexandra Lepecha, Grant Rankins

Physician Assistant Capstones, 2020-current

Abstract

Objective: The aim of this review is to compare the therapeutic effects of corticosteroids injections and platelet rich plasma therapy in the treatment for chronic plantar fasciitis that is refractory to conventional treatment options, using the Foot Function Index (FFI) score as an indicator of improvement

Design: Meta Analysis

Methods: A search of PubMed and CINAHL was performed in 2021 using the terms “‘plantar fasciitis’, and ‘prp or platelet rich plasma’ and ‘corticosteroids’ and ‘foot function index.’” Three articles were chosen to be included in qualitative synthesis.

Results: Studies from Peerbooms et al, Ugurlar et al, and Tabrizi et …

An Enhanced Enrollment Process To Impact Appointment Compliance In The Hf-Optimize Clinic, Carolyn Coons, Teri Diederich, Kyana Holder

Doctor of Nursing Practice Projects: College of Nursing

Background The HF-Optimize clinic showed improved utilization of guideline-directed medical therapy (GDMT) along with improved clinical outcomes from 2018 to 2020. Appointment compliance was poor with only 44% of patients completing all HF-Optimize visits. Missed appointments led to worse health outcomes, fragmented care, and provider inefficiencies. Interventions to improve appointment compliance are vital to improving heart failure outcomes. Objective The purpose of this quality improvement project is to evaluate the impact that an enhanced enrollment process has on appointment compliance in a culturally diverse, adult population referred to the HF-Optimize clinic at Nebraska Medicine. Methods This prospective quality improvement project …