Digital Commons Network^™

Improving Accuracy Of I&O Documentation For Patients On A Medical-Surgical Telemetry Unit, Corinna Moskal

Master's Theses and Capstones

Background

This paper explores suggested ways to increase intake and output (I&O) monitoring accuracy on a medical-surgical telemetry unit. I&O is a crucial marker for many patients to examine their hydration status and intervention efficacy. Various articles were explored to see best practices and varied in setting and outcomes.

Local Problem

A medical-surgical telemetry unit was analyzed and found to have miscommunication in their ability to monitor I&O for patients' ordered fluid restrictions accurately. Patients may be ordered fluid limits for various reasons; however, the most frequent indication on this unit is for heart failure patients.

Methods

A medical-surgical telemetry …

Improving Communication Between The Emergency Department And Prehospital Emergency Medical Services Through The Use Of A Secure Messaging Application: A Quality Improvement Project, Jacob G. Petlon

Master's Theses and Capstones

Background: Communication between emergency medical services (EMS) and the emergency department (ED) is a key part of treating patients being transported by ambulance. This communication is moving away from traditional radio and cell phone calls to the use of secure text-based apps. These apps can generate metrics and provide real time location information that is not available using traditional methods. Increased use of these apps can improve communication between EMS and receiving EDs.

Local Problem: Wildcat hospital introduced the EMS communication app Twiage in May of 2023. There is low utilization of the app and some EMS and ED …

Support Their Sleep: Enhancing Nurses' Knowledge And Implementation Of Non-Pharmacological Sleep Protocols To Improve Patient Rest, Recovery, And Reduce Cognitive Impairment., David C. Barry

Master's Theses and Capstones

Background: Sleep and rest play an influential role in promoting recovery and healing in humans. Hospitalized patients are at risk for altered sleep from hospitalization, illness, and stimulation from a hospital environment. Non-pharmacologic interventions preformed by nurses can help to improve sleep and sleep environment for patients.

Local problem: There was no protocol or available information regarding patient sleep promotion for nurses to references when caring for patients.

Methods: Nurses in the microsystem (n=8) were administered a pre/post questionnaire containing Likert scales and a short quiz containing knowledge-based questions. Questionnaires were distributed to nurses prior to and after …

Reducing Blood Culture Contamination Rates Through Staff Education: A Quality Improvement Initiative, Kirsten M. Mutuberria

Master's Theses and Capstones

BACKGROUND: Blood cultures are a widely utilized tool that aids in diagnosis and treatment plans. Contaminated cultures are incredibly costly, resulting in increased length of stay, opportunistic infections, pharmacy costs, repeated laboratory tests, and decreased reimbursements. Evidence suggests higher incidence rates of blood culture contaminations (BCCs) are seen in emergency departments (ED) compared to any other unit within a hospital system. The internationally accepted threshold of 3% is not often met, although recent studies suggest a lower rate is possible, even in critical care environments. A literature review resulted in data showing that educational-based interventions focusing on adherence to facility …

Reducing Violence In The Workplace: A Quality Improvement Project, Molly Mcqueeney

Master's Theses and Capstones

Abstract

BACKGROUND: Violence in the United States has significant impacts on the healthcare system. On average, there are about 7.8 per 1,000 workers yearly that experience violent injuries (Grossman & Choucair, 2019). In 2016, it was estimated that approximately $429 million was added to treat and prevent injuries to healthcare workers (Grossman & Choucair, 2019). By implementing the Broset Violence Checklist (BVC) as a screening tool for early identification of risk for violence, there is a possibility for a reduction in the number of violent occurrences in the workplace.

LOCAL PROBLEM: Within the given microsystem, there is a lack of …

Registered Nurse Competencies And The Implementation Of Self-Care Interventions Among Surgical Patients With Type Two Diabetes: A Quality Improvement Project, Elizabeth Fossum

Master's Theses and Capstones

Background: Type 2 Diabetes is a chronic disease that requires a holistic approach, an in-depth understanding of self-care, education comprehension, and an effective relationship between healthcare professionals and the individual patient (Saeed et al., 2018). Due to a variety of factors such as increased nurse-to-patient ratios, inconsistent education methods, and limited confidence levels among registered nurses, important treatment measures and discussion of one’s T2DM diagnoses are often not addressed. Initiatives to improve education methods and nursing confidence levels will create more effective treatment measures and discharge education. Local Problem: Registered nurses spend minimal time educating patients on the severity of …

Chopin’S Polonaise In Ab Major, Op.53: Constructing An Informed Interpretation, Arielle X. Lu

Theses : Honours

This dissertation centers around Chopin’s Polonaise in Ab Major and charts the various steps undertaken in forming an interpretation of the work. Four approaches inform the interpretation: 1) early prints and manuscripts, 2) later 19th-century performer editions, 3) analysis of historic recordings, and 4) interacting with relevant secondary literature. The results offer both new findings in relation to the broader field of Chopin studies and also offer scholar-performers new possibilities and paradigms in the performance of Chopin’s piano music.

Nanomaterials-Based Biosensors For The Detection Of Prostate Cancer Biomarkers: Recent Trends And Future Perspective, Baljit Singh, Shiliang Ma, Tony O. Hara, Sargun Singh

Articles

Cancer is among the leading causes of death and an important barrier to improving life expectancy globally. Prostate cancer is the second most common cancer in men worldwide. The detection of biomarkers in body fluids is the key topic for the diagnosis and prognosis of prostate cancer. Despite advances in prostate cancer detection methods, therapeutic agents and new biomarkers, prostate cancer remains a serious challenge. Prostate-specific antigen (PSA) is widely recognized as an important biomarker for the diagnosis of prostate cancer although researchers have also investigated the use of alternative biomarkers. Design and development of novel biosensors for prostate cancer …

Assessing The Evidential Value Of Mental Fatigue And Exercise Research, Darias Holgado, Cristian Mesquida, Rafael Roman-Caballero

Articles

It has often been reported that mental exertion, presumably leading to mental fatigue, can negatively affect exercise performance; however, recent findings have questioned the strength of the effect. To further complicate this issue, an overlooked problem might be the presence of publication bias in studies using underpowered designs, which is known to inflate false positive report probability and effect size estimates. Altogether, the presence of bias is likely to reduce the evidential value of the published literature on this topic, although it is unknown to what extent. The purpose of the current work was to assess the evidential value of …

Theoretical Background Of Cryptography, Rusul Mansoor Al-Amri, Dalal N. Hamood, Alaa Kadhim Farhan

Mesopotamian Journal of CyberSecurity

Cryptography is the practice of secure communication and the study of secure communication techniques. The theoretical foundations of cryptography include concepts such as cryptography, secure key exchange, digital signatures, and authentication. These technologies are used to protect the confidentiality, integrity, and reliability of information while it is being transmitted over a network or stored in digital form. The core of encryption is the concept of an encryption algorithm, which is a set of mathematical rules used to encrypt and decrypt data. The security of a cryptographic system depends on the strength of the underlying algorithm and the confidentiality of the …

The Impact Of Blockchain Technique On Trustworthy Healthcare Sector, Nour Sadeq, Zeid Hamzeh, Ghalia Nassreddine, Tamima Elhassan, Tamima Elhassan

Mesopotamian Journal of CyberSecurity

Following the COVID epidemic, the healthcare sector faced numerous issues as telehealth became more prevalent and the necessity for a safe and efficient healthcare record system became critical. Many issues plague the healthcare industry today, including security, trust, data availability, and drug traceability. Blockchain technology is a relatively new technology that has demonstrated its effectiveness in a variety of industries, including finance, banking, bitcoin, and healthcare. This research investigates the impact of blockchain on the trustworthiness of healthcare. The authors adopt a descriptive-analytical methodology. The trustworthiness of the healthcare sector is considered a dependent variable. However, blockchain technology is considered …

Now You See Them, Now You Don’T: International Court-Appointed Experts, Wartime Reparations, And The Drc V. Uganda Case, Sean D. Murphy, Yuri Parkhomenko

GW Law Faculty Publications & Other Works

One intersection between scholarship and practice in international humanitarian law (IHL) is observable in international litigation concerning violations of the law of war. An interesting example in this regard recently arose in the case before the International Court of Justice (ICJ) by the Democratic Republic of the Congo against Uganda for war-related claims. At the reparations phase, the Court decided not to rely solely on the submissions of the Parties, but to task certain scholars and other experts to answer evidentiary questions. Yet, when the Court’s judgment was issued in February 2022, the role of these experts turned out to …

The Heritage Of The Articles On State Responsibility For The International Law Commission, Sean D. Murphy

GW Law Faculty Publications & Other Works

In the two decades since their adoption in 2001, the International Law Commission (ILC)’s Articles on the Responsibility of States for Internationally Wrongful Acts (ASR) have had an extraordinary influence, not just on the field of international law generally, but also on the work of the ILC itself. Indeed, the ILC concluded four projects that directly resulted from or were closely related to the ASR in the first decade after its adoption. Moreover, references to the ASR have worked their way into most (albeit not all) of the ILC topics completed since 2001.

Yet those express references tell just part …

Congressional Testimony: Shareholder Proposals, Index Fund Voting And The Need For Proxy Advisor Reform, Lawrence A. Cunningham

GW Law Faculty Publications & Other Works

This Congressional testimony, requested by the House Financial Services Committee, reviews the history and current state of the federal shareholder proposal rule and how it has been seized by special interests to push agendas at odds with shareholder interests; ponders the conundrum that passive investment funds deign to actively vote shares without either knowledge or authority; and laments how proxy advisors, intended to support such passive funds, make matters worse through a lack of both accountability and incentives to promote accuracy rather than expediency. Congress should restore the legitimacy of the shareholder proposal process, revisit and/or eliminate voting by index …

How To Make A Zoning Atlas 2.0: The Official Methodology Of The National Zoning Atlas, Sara C. Bronin, Scott Markley, Aline Fader, Evan Derickson

GW Law Faculty Publications & Other Works

This methodology, How to Make a Zoning Atlas 2.0, followed on How to Make a Zoning Atlas and was used for a period by the National Zoning Atlas team. It has since been superseded in several key respects and no longer reflects the current process, but is maintained here for historical reference. The National Zoning Atlas has two workflows – one involving analysis of zoning texts, the other involving analysis of zoning maps – the products of which are merged and published to an online, interactive map. This methodology tracks methods used to create both workflows, giving zoning code and …

Decentralizability Of Efficient Allocations With Heterogenous Forecasts, Shurojit Chatterji, Atsushi Kajii

Research Collection School Of Economics

Do price forecasts of rational economic agents need to coincide in perfectly competitive complete markets? To address this question, we define an efficient temporary equilibrium (ETE) within the framework of a two period economy. Although an ETE allocation is intertemporally efficient and is obtained by perfect competition, it can arise without the agents forecasts being completely coordinated on a perfect foresight price. Nevertheless, it entails price forecasts delicately related with each other: we show that regardless of the number of agents, there is a one dimensional set of such Pareto efficient allocations for generic endowments.

A Mixture Autoregressive Model Based On Student’S T–Distribution, Mika Meitz, Daniel Preve, Pentti Saikkonen

Research Collection School Of Economics

A new mixture autoregressive model based on Student’s t–distribution is proposed. A key feature of our model is that the conditional t–distributions of the component models are based on autoregressions that have multivariate t–distributions as their (low-dimensional) stationary distributions. That autoregressions with such stationary distributions exist is not immediate. Our formulation implies that the conditional mean of each component model is a linear function of past observations and the conditional variance is also time-varying. Compared to previous mixture autoregressive models our model may therefore be useful in applications where the data exhibits rather strong conditional heteroskedasticity. Our formulation also has …

Is Democracy Good For Growth? Development At Political Transition Time Matters, Di Sima, Fali Huang

Research Collection School Of Economics

Is democracy a better political regime for economic prosperity than autocracy? This paper shows that the answer depends on the initial economic development level during the democratic transition when the foundation of institutions was laid. Democracy facilitates growth only in countries that already have adequate development at transition time. These countries are more likely to create and sustain growth-enhancing institutions than others. Without appropriate development, democracy does not improve growth; this applies to about 40% of the third-wave democratized countries. These results are based on a sample of 153 countries in 1960–2010 and robust to various specifications and endogeneity issues.

School Attendance Information Or Conditional Cash Transfer? Evidence From A Randomized Field Experiment In Rural Bangladesh, Tomoki Fujii, Christine Ho, Rohan Ray, Abu S. Shonchoy

Research Collection School Of Economics

Low school attendance remains an important challenge in resource-poor settings with cash and information constraints. We compare conditional cash transfer (CCT) treatments with framing variations (gain and loss) against attendance information treatment as interventions to address these constraints in a unified framework. Our randomized evaluation shows CCT treatments increase attendance by 11 percentage points, about half of which is attributable to attendance information. These treatments improve girls’ academic aspirations and reduce early marriage. Daily CCT set at a quarter of local child wage maximizes attendance impact. We highlight the importance of low-cost information technology to boost attendance sustainably and cost-effectively.

Retail Pharmacies And Drug Diversion During The Opioid Epidemic, Aljoscha Janssen, Xuan Zhang

Research Collection School Of Economics

This study investigates the role of retail pharmacy ownership in the opioid epidemic. Using data of prescription opioid orders, we show that compared with chain pharmacies, independent pharmacies dispense 39.1% more opioids and 60.5% more OxyContin. After an independent pharmacy becomes a chain pharmacy, opioid dispensing decreases. Using the OxyContin reformulation, which reduced non-medical demand but not the legitimate medical demand, we show that at least a third of the difference in the amount of OxyContin dispensed can be attributed to non-medical demand. We show that differences in competitive pressure and whether pharmacists own the pharmacy drive our estimates.

Volatility Puzzle: Long Memory Or Antipersistency, Shuping Shi, Jun Yu

Research Collection School Of Economics

The log realized volatility (RV) is often modeled as an autoregressive fractionally integrated moving average model ARFIMA(1, d, 0). Two conflicting empirical results have been found in the literature. One stream shows that log RV has a long memory (i.e., the fractional parameter d > 0). The other stream suggests that the autoregressive coefficient α is near unity with antipersistent errors (i.e., d

Spatiotemporal Analyses Of Pelagic Sargassum : Biodiversity, Morphotypes And Arsenic Content, Kristie Alleyne

World Maritime University Ph.D. Dissertations

Pelagic sargassum blooming in the Tropical Atlantic has been linked to the mass shoreline inundations observed over the last decade in Caribbean and West African countries. Since the onset in 2011, affected countries have and continue to experience multiscale impacts across fisheries, tourism, nearshore coastal ecosystems, maritime transport and public health. Impacts associated with influx events have generated significant economic damage across the region. Moreover, clean-up efforts in response to mass shoreline strandings placed further strain on national economies and in some instances amplified the negative environmental effects caused by inundations.

Evidence suggests that influx events are likely to continue …

Deciphering The Salivary Microbiome In Crohn’S Disease Patients With Different Factors Contributing To Dysbiosis, Hala Elzayat

Theses

Crohn’s Disease (CD) is a chronic Inflammatory Bowel Disease (IBD), common in the UAE. Microbiota is necessary to maintain a balanced gut environment which is essential for good health. Dysbiosis can predispose to many diseases including CD. The oral cavity has the second largest and most diverse microbiota after the gut harboring over 700 species of bacteria. This study aims to investigate the alterations in the salivary microbiome in patients with CD compared to Healthy controls (HC). It also aims to compare CD patients for salivary microbiome complexity and diversity according to different factors that can contribute to dysbiosis, including …

Readiness For Transfer: A Mixed-Methods Study On Icu Transfers Of Care, Soo-Hoon Lee, Clarice Wee, Phillip Phan, Yanika Kowitlawakul, Chee-Kiat Tan, Amartya Mukhopadhyay

Management Faculty Publications

Objective Past studies on intensive care unit (ICU) patient transfers compare the efficacy of using standardised checklists against unstructured communications. Less studied are the experiences of clinicians in enacting bidirectional (send/receive) transfers. This study reports on the differences in protocols and data elements between receiving and sending transfers in the ICU, and the elements constituting readiness for transfer.

Methods Mixed-methods study of a 574-bed general hospital in Singapore with a 74-bed ICU for surgical and medical patients. Six focus group discussions (FGDs) with 34 clinicians comprising 15 residents and 19 nurses, followed by a structured questionnaire survey of 140 clinicians …

Joint Congestion And Contention Avoidance In A Scalable Qos-Aware Opportunistic Routing In Wireless Ad-Hoc Networks, Ali Parsa, Neda Moghim, Sasan Haghani

VMASC Publications

Opportunistic routing (OR) can greatly increase transmission reliability and network throughput in wireless ad-hoc networks by taking advantage of the broadcast nature of the wireless medium. However, network congestion is a barrier in the way of OR's performance improvement, and network congestion control is a challenge in OR algorithms, because only the pure physical channel conditions of the links are considered in forwarding decisions. This paper proposes a new method to control network congestion in OR, considering three types of parameters, namely, the backlogged traffic, the traffic flows' Quality of Service (QoS) level, and the channel occupancy rate. Simulation results …

Heart Disease Prediction Using Stacking Model With Balancing Techniques And Dimensionality Reduction, Ayesha Noor, Nadeem Javaid, Nabil Alrajeh, Babar Mansoor, Ali Khaqan, Safdar Hussain Bouk

School of Cybersecurity Faculty Publications

Heart disease is a serious worldwide health issue with wide-reaching effects. Since heart disease is one of the leading causes of mortality worldwide, early detection is crucial. Emerging technologies like Machine Learning (ML) are currently being actively used by the biomedical, healthcare, and health prediction industries. PaRSEL, a new stacking model is proposed in this research, that combines four classifiers, Passive Aggressive Classifier (PAC), Ridge Classifier (RC), Stochastic Gradient Descent Classifier (SGDC), and eXtreme Gradient Boosting (XGBoost), at the base layer, and LogitBoost is deployed for the final predictions at the meta layer. The imbalanced and irrelevant features in the …

Werewolf On Campus: A Case Study In Inoculation Theory And Gamified One-Shot Library Instruction, Abigail Adams

University Libraries Faculty Scholarship

This case study details the development and results of an information literacy game in which undergraduate students evaluated fictional sources to learn how to recognize a werewolf on campus. The game relied on inoculation theory and fiction to teach students to identify indicators of mis and disinformation outside of any real-world examples that might affect their learning experience. The game showed promise as students were far more engaged and demonstrated better retention later in the semester than students who received a more traditional lecture about disinformation and source evaluation. However, the game would likely be more effective if it were …

Systematic Review Of Necrophilia Aetiology Focusing On The Link Between Childhood Sexual Abuse And Necrophiliac Behaviours, Sophie Foxcroft

Theses : Honours

Sexual attraction to corpses is a disturbing concept to those who do not achieve sexual gratification from the stimuli. Due to this reason, as well as ethical concerns with relations and methods of obtaining, there has been little to no research on correlations between behaviours and psychological concepts. This is especially evident since the 1980s after the bulk of the literature on necrophilia was published. This systematic review looked at the existing literature on necrophilia and, in addition to reviewing the aetiology, aimed to identify cases that included individuals' upbringings and childhoods. Out of all existing literature, only 11 sources …

The Space Between Writing And Dancing: Dancingwords/Wordsthatdance, Lara Dorling

Theses : Honours

This practice-led research investigates the figurative space between writing and dancing through a looped feedback cycle. The project explores the ‘conversation’ between writing and improvisational dance and how it forms a responsive process named dancingwords/wordsthatdance. Conducted in sessions lasting 30 minutes at a time, this project asks: how can writing and dancing intersect to create a broader and clearer understanding of embodied knowledge, improvisation, creative research process and personal practice? This research project involved solo studio investigation and an hour-long interview with dancer, writer, researcher, and choreographer Dr Jo Pollitt, who is a Post-Doctoral Research Fellow at the ECU School …

Extending Aerial Surveys Beyond Target Marine Mammal Species: An Application Of Strip Transect Methodology To Humpback Whale And Dugong Abundance Estimation In Exmouth Gulf, Western Australia, Jennah Tucker

Theses : Honours

Aerial surveys are commonly used to estimate abundance of marine mammal populations, to detect trends over time and inform conservation management. Estimating abundance in areas critical to a species’ survival and reproduction is important to assess that population’s status and its vulnerability. Aerial surveys allow relatively large areas to be covered over short periods of time which can be important for highly mobile species with wide-ranging movement patterns such as marine mammals. While aerial surveys are often designed for specific target species, information on additional non-target species is often recorded, as surveys are generally infrequent due to expense and logistical …