Bridging The Gaps Of Healthcare Inequity And Nurse Well-Being, Kevin Moore, Paulette Sepe, Maricon Dans

Group: American Nurses Credentialing Center (ANCC)

The American Nurses Credentialing Center's Pathway to Excellence® (PTE) and Pathway to Excellence in Long-term Care® programs provide a framework to assist healthcare organizations across the continuum in their pursuit of a positive practice environment. The Pathway standards address the recommendations from the National Academy of Medicine (NAM) report, The Future of Nursing 2020-2030: Charting a Path to Health Equity, released in 2021. Drafted during the height of the global pandemic, the report highlights healthcare disparities in communities and the risks to the well-being of healthcare workers, primarily nurses. This article aims to describe the alignment between the Pathway standards …

Shelf-Life Extension And Campylobacter Jejuni Inhibition By Application Of Zinc Oxide Nanoparticles In Chicken Fillets, Amina Elrais, Reyad Rabea, Wlaa Abdel Megid, Mona Abdallah, Walid Sobhy Arab

Mansoura Veterinary Medical Journal

Because of its unique physical and chemical features, zinc oxide can be considered a versatile material. Campylobacter jejuni was intentionally inoculated into broiler breast fillets, and the practical application of zinc oxide nanoparticles (ZnO NPs) suspension with varying concentrations (5 mM and 10 mM) with 3 different sizes (25 nm, 50 nm, and 75 nm) for each concentration was examined. The results showed that ZnO suspensions had a strong inhibitory effect on Campylobacter jejuni growth after 8 days in the refrigerator at 4°C. When compared to other concentrations of 5 mM, ZnO NPs, 10 mM demonstrated the largest reduction percentage …

Molecular Characterization Of Some Pathogenic Bacterial Strains And Hematobiochemical Profile In Barki Sheep With Diarrhea In Siwa Oasis, Amani A. Hafez, Mohamed T. Ragab, Marwa A. Fawzy, Adel M. El-Kattan, Ahmed A. Elsayed

Mansoura Veterinary Medical Journal

Objective: To explore the incidence of several bacterial enteropathogens in Barki sheep with diarrhea and their antimicrobial resistance (AMR) trends and their hematobiochemical alteration in Siwa Oasis.Design: Descriptive study.Animals: A total of 500 adult Barki sheep were allocated into two equal-sized groups: 250 Barki ewes with diarrhea and 250 normal sheep taken as the control group. 250 faecal samples were taken from sheep with diarrhea. The bacterial enteropathogens were extracted, identified biochemically and determined using polymerase chain reaction (PCR). The Kirby-Bauer Disk-Diffusion Method was used to determine the sensitivity of positive samples from each organism to ten antimicrobials. Blood samples …

Effect Of Protein Reduction With Indispensable Amino Acid Supplementation At Different Levels In Practical Diets Of Nile Tilapia (Oreochromis Niloticus) Fish., Sara Youssef, Shimaa Salem, Rania Mahmoud, Tarek Ibrahim

Mansoura Veterinary Medical Journal

Objective: To estimate the effect of reducing dietary protein levels in Nile tilapia (Oreochromis niloticus) with dietary supplementation of commercially-available synthetic amino acids at different levels on growth performance, whole-body composition, morphometric indices, and serum metabolites.Design: Randomized controlled experimental study.Animals: One hundred eighty male Nile tilapia fingerlings.Procedures: One hundred eighty male Nile tilapia fingerlings were equally distributed in twelve glass aquaria (15 fish per aquarium) and fed the formulated diets at 4-5% of the body weight. Every two weeks, tilapia were weighed and the amount of feed intake was adjusted according to the increase in the tilapia weight. Results: By …

Internet Of Things Solutions (Iots) Adoption For Capital Goods In The Business To-Business (B2b) Market, Amit Bakshi

Dissertations and Theses Collection (Open Access)

The excitement created by the introduction of Internet of things solutions (IoTS) is yet to be converted to an all-pervasive adoption and implementation across industries for capital goods in the B2B market. Proof of concepts (POC) and pilot projects are implemented but getting to the next phase of adoption and implementation across the B2B market for capital goods, has been lacking.

An exploratory mixed method is used for this research. Qualitative analysis of the semi-structured interviews with subject matter experts from users, OEMs, and service providers helped identify asset criticality, analytic intelligence, and interoperability as three core significant factors and …

The Importance Of Hand Motions For Communication And Interaction In Virtual Reality, Alex Adkins

All Dissertations

Virtual reality (VR) is a growing method of communication and play. Recent advances have enabled hand-tracking technologies for consumer VR headsets, allowing virtual hands to mimic a user's real hand movements in real-time. A growing number of users now utilize hand-tracking when using VR to manipulate objects or to create gestures when interacting with others. As VR grows as a tool and communication platform, it is important to understand how the rising prevalence of hand-tracking technology might affect users' experiences.

The goal of this dissertation is to investigate, through a series of experiments, how using hand motions in VR influences …

Data-Driven Biomarker Panel Discovery In Ovarian Cancer Using Heterogenous Data Fusion On Exosomal And Non-Exosomal Microrna Expression Data, Paritra Mandal

All Dissertations

Ovarian cancer (OC) is an aggressive gynecological cancer and is currently the 5th leading cause of deaths due to cancer in women. High mortality rates are attributable to the vague pathogenesis and asymptomatic nature of the early stages. The development of a liquid biopsy for routine OC screening could help identify the disease at an earlier stage, making treatments more likely to be effective thereby increasing survival rates. Exosomes, small (~100nm) extracellular vesicles present in body fluids, have been shown to contain cancer-progression, onset, and related factors, making them good candidates for use in liquid biopsies. However, to date, only …

Highly Adherent Antimicrobial Coatings For Orthopedic Implants, Mikhail Bredikhin

All Dissertations

Fracture-related infections (FRIs) are the most devasting sort of complications associated with fracture fixation devices, as they lead to patients’ morbidity, prolonged hospitalization, amputations, and even death.External fixators additionally suffer from pin site infections (PSIs), which initiate at the skin entry points of the skin-metallic pin interface present in the external fixation of the damaged bones, often causing deep tissue infection and osteomyelitis. Small percutaneous pins, commonly known as Kirschner wires (K-wires), are used to treat complex fractures and deformities.They are drilled inside the diseased bone for the healing period and are left protruding outside the skin for fixation adjustments …

Scuba Diving Social Identity, Type Of Experience, Sociopsychobio Health, Health-Related Quality Of Life, Self-Efficacy, Disability Level, And Personality Among People With Physical Impairments: A Mixed Methods Study, Tania Santiago Perez

All Dissertations

The most common type of disability in the US is mobility or physical impairment, occurring in one in seven adults. Globally, musculoskeletal and neurological conditions account for nearly two-thirds (65.6%) of total physical rehabilitation needs. Approaches that promote healthy community living, rehabilitation, and reduce relapse and rehospitalization among people with physical impairments are critical. Participation in recreational activities and identification with social recreational groups may promote the health, quality of life, and functional abilities of people with physical impairments, contributing to reducing their hospitalization and healthcare needs. This explanatory sequential mixed methods research study had two aims. Using the experience-type …

Essays On Perioperative Services Problems In Healthcare, Amogh S. Bhosekar

All Dissertations

One of the critical challenges in healthcare operations management is to efficiently utilize the expensive resources needed while maintaining the quality of care provided. Simulation and optimization methods can be effectively used to provide better healthcare services. This can be achieved by developing models to minimize patient waiting times, minimize healthcare supply chain and logistics costs, and maximize access. In this proposal, we study some of the important problems in healthcare operations management. More specifically, we focus on perioperative services and study scheduling of operating rooms (ORs) and management of necessary resources such as staff, equipment, and surgical instruments. We …

The Role Of Leisure Engagement In Fostering Cognition In Aging, Karen Wenzel

All Dissertations

Leisure activities are a major component of healthy aging, associated with reduced risk of cognitive decline and enhanced cognitive function. However, there is wide variation in the conceptualization and measurement of leisure. Specific leisure activities or domains have been studied in association with cognition in aging. More recently, researchers have noted that attributes of the activity, rather than the activity itself, may be significant. This study explored the current state of knowledge regarding attributes of leisure activities that foster cognition in aging. A literature review using PRISMA Scoping Review guidelines identified objectively and subjectively measured attributes of leisure engagement in …

Metabolic Engineering Of Yarrowia Lipolytica For Enhanced Peroxisomal Production Of Polyhydroxyalkanoates, Michael Spagnuolo

All Dissertations

Traditional chemical processes are made inefficient by the generation of side products and reactions that fail to reach completion. Bioprocesses, on the other hand, lose product potential due to the necessity of growing the organism required to produce the desired compounds. The field of metabolic engineering often seeks to alter this balance between product formation and cell growth to generate more product from the same quantity of feed (reagent). In addition to balance, such organisms may also be engineered to produce the desired products from nontraditional substrates, such as waste compounds. In resource-poor environments, the ability to produce a wanted …

Exploring Soil-Tree Interactions After Applying Organic Matter Amendments To Peach Orchards In The Subtropical Climate Of The Southeastern United States, Brian Lawrence

All Dissertations

Soil disturbance from the cultivation and intensive management of orchards in hot and humid subtropical climates can reduce soil organic matter (OM). This research explored how the addition of OM amendments impact soil and tree parameters in two field studies and how proximity to OM may elicit unique genomic response of peach roots in a split-root pot study. The first field study applied two rates of compost (1x and 2x) and subsequently reduced fertilizer applications annually to a virgin and replant orchard location. While both compost rates successfully replaced fertilizers, only the 2x rate in the replant location increased soil …

Needs Assessment For Systematic Cultural Competence Training In The Field Of Applied Behavior Analysis, William Edwards

All Dissertations

As the prevalence rates of Autism Spectrum Disorder (ASD) continue to increase, Applied Behavior Analysis (ABA) is now universally recognized as the most effective and empirically based treatment option for children. This recognition has led to greater accessibility to services for families, a broader range of funding sources, increased client diversity, and an unprecedented demand for qualified service providers. With this increased demand for qualified providers and the increased diversity of clients, a needs assessment for cultural competence training was conducted.

The Needs Assessment for Systematic Cultural Competence Training in Applied Behavior Analysis captured demographic information related to providers and …

Ligand-Promoted Dissolution Of Uranyl Phosphate Across Scales, Brennan Ferguson

All Dissertations

The formation of uranyl phosphate precipitate is a remediation strategy because the low solubility of uranyl phosphate minerals, like chernikovite, limits the mobility of uranium in contaminated soils. However, organic ligands can complex with aqueous metal cations to form more soluble species. For example, citrate is a commonly occurring organic ligand produced by plants and microbes that increases the solubility of uranium and therefore the dissolution of uranyl phosphate minerals in the uranyl phosphate-citrate system. This effect is an important control on the mobility of uranium in organic-rich, and near-surface vegetated environments. Nevertheless, key aspects of the citrate-uranyl phosphate system …

Machine Learning Solutions For Biomedical Applications, Madeleine St. Ville

All Dissertations

This dissertation proposes three novel Bayesian modeling techniques to addresses the challenges arising from the complex, underlying features of biomedical data. These models are motivated by three different biomedical studies. The first is an analysis of data collected from six efficacy and safety clinical trials of buprenorphine maintenance treatment for opioid use disorder. The focus of this study is to overcome the problem of non-adherence by trial participants that, if left unaccounted for, obscures the true effect of buprenorphine on illicit opioid use. The second study is the assessment of hemodialysis cannulation skill through the use of a sensor-based simulator …

Multi-Criteria Performance Evaluation And Control In Power And Energy Systems, Payam Ramezani Badr

All Dissertations

The role of intuition and human preferences are often overlooked in autonomous control of power and energy systems. However, the growing operational diversity of many systems such as microgrids, electric/hybrid-electric vehicles and maritime vessels has created a need for more flexible control and optimization methods. In order to develop such flexible control methods, the role of human decision makers and their desired performance metrics must be studied in power and energy systems. This dissertation investigates the concept of multi-criteria decision making as a gateway to integrate human decision makers and their opinions into complex mathematical control laws. There are two …

Statistical Methods For Modern Threats, Brandon Lumsden

All Dissertations

More than ever before, technology is evolving at a rapid pace across the broad spectrum of biological sciences. As data collection becomes more precise, efficient, and standardized, a demand for appropriate statistical modeling grows as well. Throughout this dissertation, we examine a variety of new age data arising from modern technology of the 21st century. We begin by employing a suite of existing statistical techniques to address research questions surrounding three medical conditions presenting in public health sciences. Here we describe the techniques used, including generalized linear models and longitudinal models, and we summarize the significant associations identified between research …

Quantifying And Identifying Mechanisms Of Resistance To Thrips (Thysanoptera: Thripidae) In Landraces Of Upland Cotton (Gossypium Hirsutum), Sophia Christian

All Dissertations

Throughout the southeastern USA, tobacco thrips (Frankliniella fusca Hinds) are the primary thrips (Thysanoptera: Thripidae) pest species of cotton (Gossypium spp.) seedlings and are often detrimental to the establishing crop. In 2020, cotton yield losses from thrips and their management cost USA growers $70.7 million. Heavy reliance on prophylactic insecticides, primarily used as seed treatments, has led to insecticide-resistant populations of tobacco thrips. Currently, no known commercial cotton cultivar provides protection to prevent injury from thrips feeding. A sustainable, alternative management tactic is needed to address insecticide-resistant populations of and reduce damage from thrips in cotton. Our research evaluated day-neutral, …

A New Comprehensive And Practical Taxonomy Of Demands Healthcare Professionals Experience: The Development Process And Testing Using Machine Learning, Phoebe Xoxakos

All Dissertations

Given the complex (Ratnapalan & Lang, 2020) and high stress environment of healthcare organizations (Freshwater & Cahill, 2010), a better understanding of the conditions in which healthcare professionals work is important. Although previous research has resulted in somewhat limited categories of the demands on healthcare professionals (Borteyrou et al., 2014; Shanafelt et al., 2020), a comprehensive taxonomy that covers the breadth and depth of demands is lacking. Using longitudinal data collected over 28 measurement waves spanning two years during the COVID-19 pandemic, the present studies outline the development of a taxonomy based on an in-depth literature review of related workplace …

Understanding The Aspirations And Challenges Of Michigan’S Black School Superintendents: A Toolkit For Building Equity In The Superintendency, Kevin Simmons

Dissertations

Black superintendents are significantly underrepresented in our nation’s schools. Despite a slight increase in representation of female Black superintendents, minorities of all races continue to be underrepresented (Tienken & Domenech, 2020). In this study, I examined the experiences of Black superintendents in Michigan who currently hold superintendent roles, along with the obstacles they faced and their personal characteristics and associated factors that attributed to their resilience and longevity in their role as superintendent. Using a phenomenological qualitative study approach of personal and confidential interviews and survey questions of 12 Black superintendents, data was collected to formulate a toolkit for aspiring …

The Speculative Artifact 2022, Students Of Risd, Risd Archives

All Student Newspapers

The Speculative Artifact was a student publication created for the Graphic Design seminar/studio Critical Issues Studio, taught by Anther Kiley in Fall 2022. The publication features designs and concepts for artifacts of the future created by students. Artifacts include language aids, a sex worker kit, food packaging, a garden pack, style-transferred furniture, a post-taste apartment, a maze sculpture, a personality magazine, animal-human cohabitation, signage, a friend-dating system, coding tech, a transhuman sticker book, and television programming with animal languages

Mitochondrial Functions Are Major Targets Of Isocyanide Activity In Saccharomyces Cerevisiae, Morgan A. Siemek

School of Biological Sciences: Dissertations, Theses, and Student Research

The isocyanide functional group is important in the synthesis of many organic compounds and is found in natural products produced by plants, bacteria, marine invertebrates, and fungi. The antimicrobial activities of isocyanide compounds have been documented for almost 70 years, however, the biochemical targets and mechanisms of action remain poorly defined. We report antimicrobial activity of 4-para-nitrophenyl-isocyanide (p-NPIC) against a model fungus, Saccharomyces cerevisiae, and the human fungal pathogen Candida albicans. To identify the cellular and molecular targets of p-NPIC, we screened the non-essential single gene-deletion collection of S. cerevisiae. We …

Household Size And Household Wealth In Indonesia With The Influence Of Spatial Aspects, Thomas Soseco

Economics and Finance in Indonesia

Investigating household wealth should also include spatial analysis to capture the influence of location on the households’ net wealth and to avoid underestimation of the effect of the change of variables due to estimation that ignores spatial aspects. This paper examines factors influencing household net wealth in Indonesia with the influence of spatial lag using data from the Indonesian Family Life Survey (IFLS) for 1993–2014. The article relies on the Spatial Durbin Model (SDM) to analyze the data. Results show that household net wealth in Indonesia is spatially related to each other, and the spillover effect makes the change of …

Economic Growth And Co2 Emission In Asean: Panel-Ardl Approach, Feriansyah Feriansyah, Hari Nugroho, Aura Asyda Larre, Qori’Atul Septiavin, Cintya Khairun Nisa

Economics and Finance in Indonesia

This paper investigates the relationship between economic growth and CO2 emissions from 1994 to 2018 using a panel approach from eight ASEAN countries. We found an established result using the Panel ARDL Pooled Mean Group method. First, the panel Cointegration analysis shows a significant long-term relationship between GDP and CO2 emissions. Second, the error correction mechanism shows a stable and consistent value. Third, we found that GDP has a significant long-term effect on CO2 emissions in ASEAN countries. Fourth, our results also show that GDP significantly impacts CO2 emissions in the short term for four countries: Indonesia, Malaysia, Thailand, and …

Size And Determinants Of The Shadow Economy In Nigeria: Evidence From A Monetary Approach, Tari M. Karimo, Mohammed M. Tumala, Ibrahim U, Wambai

CBN Journal of Applied Statistics (JAS)

Thiis study investigates the size and determinants of the shadow economy in Nigeria. It adopts an aggregation approach within the monetary framework and utilises the ARDL estimation technique to analyse quarterly data from 2010 Q1 to 2019 Q4. On average, the results suggest that the quarterly size of the shadow economy is about 55 per cent of the country’s GDP. The findings show that government size reduces the size of the shadow economy in the short run but increases it in the long run. The study also finds that interest rate, which is the opportunity cost of holding cash, and …

Does Mainstream Brca Testing Affect Surgical Decision-Making In Newly-Diagnosed Breast Cancer Patients?, Quratul Ain, Caroline Richardson, Miriam Mutebi, Angela George, Zoe Kemp, Jennifer E. Rusby

General Surgery, East Africa

Background: Germline pathogenic variants mutations) in the BRCA1 and BRCA2 genes cause an increased risk of breast cancer and ovarian cancer. Mainstream cancer genetic testing (MCG) was introduced for breast cancer patients in our unit in 2013. Non-geneticist clinicians have been trained to offer genetic testing during initial treatment planning. We assessed the impact of timely test results on surgical decision-making.

Methods: Women who had undergone mainstream genetic testing for breast cancer between September 2013 and September 2018 were identified from a prospective database. Surgical data were collected retrospectively.

Results: 580 eligible women had mainstream genetic testing. …

Heat Waves And A Public-Private Partnership In Alaska, Sarah A. Matsumoto, Karen Sandrik

Publications

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Criterion: A Journal of Literary Criticism

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The Only Way Out Is Through: Community, Death, And The Desacralization Of Trauma In George Saunders’ Lincoln In The Bardo, Josey Gardner

Criterion: A Journal of Literary Criticism

The arrival of George Saunders’ novel Lincoln in the Bardo as yet another trauma narrative is not surprising. What began as a desire for representation of trauma in media and literature has morphed into an obsession in which trauma is the gold standard. Upon becoming so, trauma is inevitably placed upon a pedestal—the shining object that all other decisions are measured against and based upon. Its placement on this pedestal marks the “sacralization” of trauma. However, Lincoln in the Bardo fills a unique niche in the current portrayals of trauma found in popular media by seeking to minimize its importance …