Digital Commons Network^™

Infektion’S Evolution: Digital Technologies And Narrative Laundering, Darren Linvill, Patrick Warren

Media Forensics Hub Reports

Perhaps Russia’s most notorious disinformation campaign to date was Operation INFEKTION, an activemeasures campaign designed to persuade the world that the United States was responsible for the creation of the AIDS virus (Boghardt, 2009; Selvage & Nehring, 2019). The effort, perhaps more properly referred to by its Russian codename, Operation Denver, began in 1983 with the planting of a fictious letter to the editor in The Patriot, an Indian newspaper created some years earlier by the KGB for the purposes of spreading pro-Soviet propaganda. The letter, entitled “AIDS may Invade India,” was purported to be written by a respected American …

Beyond The Physical Wounds: A Proactive Approach To Mental Health Recovery After A Traumatic Injury, Christine Mcgahey

Doctor of Nursing Practice (DNP) Projects

Beyond the Physical Wounds: A Proactive Approach to Mental Health Recovery After a Traumatic Injury

Background: Every year, millions of Americans incur a life-threatening traumatic event and are admitted to trauma centers to treat their acute physical injuries. While traumatic injury is closely associated with developing post-traumatic stress disorder (PTSD), patients are rarely evaluated for PTSD risk or educated about long-term psychological sequelae.

Local Problem: The predictive value of early screening to quantify PTSD risk in trauma patients is well documented in the literature. However, in a 241-bed Level II Trauma acute care hospital, there was no protocol to evaluate …

A Man Ahead Of His Time: Lee Kuan Yew’S Iron First Beneath The Velvet Glove, Yi Chen Zhai

Master's Projects and Capstones

This study examines the role of Lee Kuan Yew, the founding father of Singapore, in the country's development from a third-world nation to a first-world economic powerhouse. Lee Kuan Yew was the Prime Minister of Singapore for over three decades and was responsible for implementing policies that transformed Singapore's economy, infrastructure, education, and social systems. This paper analyzes the various policies and strategies, as well as personal values and ideologies, adopted and implemented by Lee Kuan Yew that were instrumental in Singapore's growth. Additionally, the paper discusses the challenges faced by Lee Kuan Yew during his leadership in his public …

Social Determinants Of Health: Evidence-Based Practices For Hospitals To Screen And Address Their Patients’ Needs, Lanna N. Anderson

Master's Projects and Capstones

There is an increasing acknowledgment that addressing the specific social, economic, and environmental factors contributing to health inequalities would improve the overall health and wellbeing of individuals. Arguably, hospitals and other healthcare systems are getting more conscious of their responsibilities in dealing with SDOHs, with an increase need to address these SDOHs to improve patients' healthcare outcomes and lessen the prevailing healthcare inequalities. To reach this aim, there is a need for screening and addressing SDOH at different levels, including healthcare system. This paper examined the existing evidence-based practices that screen and address social determinants of health (SDOH) among disadvantaged …

Toxic Fashion: Evaluation Of Chemicals In Clothing And Recommendations For The Amended Tsca, Gregory Zajac

Master's Projects and Capstones

The fashion industry is one of the largest polluting industries in the world and its rising environmental impact is partly due to the dominance of fast fashion business models. Recently researchers and advocates have found that large amounts of chemicals are used by textile manufacturers to produce clothing, some proven to be toxic in other applications. The risk of exposure to these classes of chemicals is a growing concern. With the risk management model, a qualitative examination was conducted on existing policies in the United States that regulate chemicals used by the industry. Despite some policy changes regarding chemical exposure …

Campaigning Beyond: Sepsis Awareness Among Non-Clinical Staff, Cynthia Wong

Master's Projects and Capstones

Problem: Sepsis stands as the foremost cause of illness and death among hospitalized patients globally, yet a considerable number remain oblivious to this critical condition. Based on the pre-implementation survey among non-clinical staff members of an urban hospital, awareness of sepsis must be heightened to ensure swift recognition and response.

Context: The project conducted takes place in five distinct non-clinical departments at a large hospital organization in Northern California. Each department plays an essential role in the holistic and efficient functioning of the organization to provide quality patient care.

Interventions: A sepsis awareness campaign was implemented throughout the month of …

Dodge The Fall: A Newborn Fall Prevention Initiative, Lenora Thompson

Master's Projects and Capstones

Problem: This newborn fall prevention initiative was developed in response to an increase in the number of newborn falls at a Bay Area hospital on the postpartum unit. This hospital had gone six years without a newborn fall but by September of 2023 had three falls on the postpartum unit.

Context: The setting for this newborn fall prevention initiative is an urban, NICU level III Bay Area hospital that provides high-risk obstetric care. This Bay Area hospital has 247 licensed patient beds; 10 beds make up the postpartum unit and 11 beds make up the antepartum unit which serve as …

Improving Triage Accuracy In The Emergency Department, Joselyn Silverman

Master's Projects and Capstones

Problem: High rates of patients being mis-triaged was occurring at Hospital X leading to poor patient outcomes and incorrect staffing levels.

Context: This quality improvement project took place at Hospital X’s emergency department. A stakeholder analysis and a microsystem assessment along with a staff survey was created in order to determine areas of improvement and staff responsiveness.

Interventions: Eight educational seminars were conducted along with Hospital X leadership and students created supplemental materials for the staff to use on a daily basis.

Measures: Two data pulls were conducted over the course of the quality improvement project; one prior to the …

Resocialization Of An Inpatient Handoff Sepsis Bundle Checklist On A Medical-Surgical Unit, Sophia Kawada

Master's Projects and Capstones

Problem: In September 2023, it was found that only 25% of nurses were familiar with an inpatient handoff sepsis bundle checklist (IHSBC) on a Medical-Surgical Unit in Hospital A. This evidence-based project aimed to improve resocialization of the IHSBC such that compliance to the bundle continues to be maintained well above the benchmark of 75%. Context: Clinical Nurse Leader (CNL) students at the University of San Francisco conducted a microsystem assessment of the Medical-Surgical Unit at Hospital A. This hospital aimed to maintain high rates of compliance with the IHSBC. Interventions: Resocialization of the IHSBC was completed in October, and …

Addressing Linguistic Isolation Through Community Based Esl And Emergency Preparedness, Lisa Guay

Master's Projects and Capstones

Linguistic isolation acts as a barrier to the well-being and social integration of Limited English Proficient (LEP) adults. Community-based English as a Second Language (ESL) classes, designed with learner-centric curricula, may help LEPs gain access to social and navigational capital in the form of English proficiency, confidence and social integration. Community-based ESL programs provide adult English Language Learners (ELLs) with a path to English proficiency and social integration, but curricula should be geared toward ELLs’ needs. There is a need for ESL curricula focused on emergency and disaster preparedness, curricula which may contribute positively to adult ELLs’ speaking skills and …

Cultivating Well-Being In English As A Second Language: Teaching Stress Reduction Techniques In The Adult Esl Classroom, Sara C. Coronado

Master's Projects and Capstones

Adult immigrant and refugee speakers of English as a Second Language (ESL) including California community college students may suffer trauma and stressors that can lead to negative mental health outcomes during the stages of migration, yet underutilize mental health services owing to cultural stigma, structural barriers, and a lack of English language proficiency. In addition, ESL speakers may also suffer from language anxiety evoked by speaking the less-developed language in the classroom as well as outside of the classroom during interactions with the majority language community. Both forms of anxiety share symptoms including tense muscles, rapid breathing, shortness of breath, …

Self-Calibrated Subspace Reconstruction For Multidimensional Mr Fingerprinting For Simultaneous Relaxation And Diffusion Quantification, Jessie E.P. Sun, Ken Sakaie, Mark A. Griswold

Faculty Scholarship

Purpose: To propose a new reconstruction method for multidimensional MR fingerprinting (mdMRF) to address shading artifacts caused by physiological motion-induced measurement errors without navigating or gating. Methods: The proposed method comprises two procedures: self-calibration and subspace reconstruction. The first procedure (self-calibration) applies temporally local matrix completion to reconstruct low-resolution images from a subset of under-sampled data extracted from the k-space center. The second procedure (subspace reconstruction) utilizes temporally global subspace reconstruction with pre-estimated temporal subspace from low-resolution images to reconstruct aliasing-free, high-resolution, and time-resolved images. After reconstruction, a customized outlier detection algorithm was employed to automatically detect and remove images …

Association Of Covid-19 Coinfection With Increased Mortality Among Patients With Pseudomonas Aeruginosa Bloodstream Infection In The Veterans Health Administration System, Leila S. Hojat, Brigid M. Wilson, Federico Perez, Maria F. Mojica, Mendel E. Singer, Robert A. Bonomo

Faculty Scholarship

Objective: Pseudomonas aeruginosa bloodstream infection (PA-BSI) and COVID-19 are independently associated with high mortality. We sought to demonstrate the impact of COVID-19 coinfection on patients with PA-BSI. Design: Retrospective cohort study. Setting: Veterans Health Administration. Patients: Hospitalized patients with PA-BSI in pre-COVID-19 (January 2009 to December 2019) and COVID-19 (January 2020 to June 2022) periods. Patients in the COVID-19 period were further stratified by the presence or absence of concomitant COVID-19 infection. Methods: We characterized trends in resistance, treatment, and mortality over the study period. Multivariable logistic regression and modified Poisson analyses were used to determine the association between COVID-19 …

Reducing Hospital-Acquired Pressure Injury In An Inpatient Medical-Surgical Telemetry Adult Unit By Educating And Encouraging Basic Wound Care Prior To Wound Care Consult, See Wai (Amy) Kong

Master's Projects and Capstones

Problem: A medical center in the Diablo Service Area had one of the highest rates in hospital-acquired pressure injury (HAPI), benchmarking with other facilities, with the project unit one of the top offenders. The patients and the medical center both suffered from the harm. Barriers to HAPI prevention included lack of patient turnings, skin assessment, and early standard wound care treatment.

Context: This project focused on the primary care team standardizing early wound care treatment to avoid wound progression.

Interventions: Interventions included re-educating the primary care team on early basic wound care using a standard wound care guideline created by …

Enhancing Diabetic Patient Continuous Glucose Monitoring Access, Colleen Ildefonso

Master's Projects and Capstones

Problem: Diabetic patients utilize treatments that require frequent monitoring and medication changes based on their blood sugar results. Continuous Glucose Monitoring (CGM) is more commonly used for diabetes management as time in range is becoming more prevalent to measure diabetes outcomes. Many diabetic patients find CGM use more accessible than finger sticks and glucometers. In contrast, others utilize the technology to closely monitor their blood sugars for interventions throughout the day. However, older adults have difficulty facilitating new CGM technology and may require further reinforcement using additional education methods such as teach-back.

Context: The endocrinology clinic serves a patient population, …

Reducing Care Companion Utilization In Medical-Surgical And Telemetry Units, Mary Jane B. Sagabaen

Master's Projects and Capstones

Abstract

Problem: The facility highly utilized sitters or care companions, negatively impacting the staffing plan, budget, and productivity. An average of 56 hours of care companions were used daily. This greatly exceeded the budget of 33 hours a day. Reassigning Patient Care Technicians (PCT) as care companions resulted in inadequate nurse support for patient care and increased cost for additional staffing needs. Despite this, the fall rate remained higher than the target.

Context: The patient population is mainly 65 years old and above, sometimes with confusion, dementia, delirium, and at high risk for falls and elopement. The culture included promptly …

Utility Of T-Cell Immunosequencing In Distinguishing Mycosis Fungoides Progression From Treatment Related Cutaneous Adverse Events, Safiyyah Bhatti, Daniel Joffe, Lauren Banner, Sahithi Talasila, Jenna Mandel, Jason Lee, Pierluigi Porcu, Neda Nikbakht

Department of Dermatology and Cutaneous Biology Faculty Papers

Cutaneous adverse events of both topical and systemic drugs in patients with mycosis fungoides (MF) present a diagnostic challenge as it is often difficult to distinguish drug associated rash from disease progression in the skin. Mogamulizumab and mechlorethamine gel are approved treatments for MF, both of which can cause treatment related cutaneous adverse events. It can often be challenging to distinguish mogamulizumab associated rash (MAR) and mechlorethamine gel associated hypersensitivity dermatitis from MF progression both clinically and histologically. High-throughput sequencing (HTS) of the T-cell receptor (TCR), also known as immunosequencing, can be used to assess T-cell clonality to support a …

Green Nation Building: Children’S Book Authors In The Arab World, Christian Bevilacqua

The Crown: Syracuse Honors Research Journal

No abstract provided.

About The Authors - V1, The Crown

The Crown: Syracuse Honors Research Journal

No abstract provided.

World Without End: Vita Nova Xlii, Anne C. Leone

Languages, Literatures, and Linguistics - All Scholarship

The point I would like to make about this chapter is related to what Barański and Ledda claim: the last chapter of the Vita nova is also a beginning. Of course, in the most basic and functional sense, by declaring the hope to write of his beloved what has never been said of “alcuna,” the final chapter of the libello announces the beginning of a new work. Yet, the issue of what that new work is (or will be) has divided critics. Mark Musa and Robert Pogue Harrison have each referred to the final chapter as an admission of the …

Hunted: A Tale Of Identity, Self-Discovery, Mourning, And Acceptance, Ash Murray

The Crown: Syracuse Honors Research Journal

No abstract provided.

The Hidden History Of The Norseman And Celts, Amber Nicole Johnson

Whittier Scholars Program

When people hear the word Celts or Vikings there seems to be a common stigma or romanticization of them. This seems to stem from the early iron age and has shifted over to the 21st century with the production of movies and franchises. They are often depicted as being savage, barbaric, or warrior based (a term used to describe them) when there is a whole other side to these people. In the Spring of 2023, I took an independent study course that allowed me to examine the available archaeological and other evidence to understand the identities of the Germanic and …

On The Dimensions Of Managerial Readiness Among Middle-Level Academic Managers In Philippine Colleges Of Nursing: An Exploratory Sequential Design, Blaise B. Nieve

Dissertations

The study aimed to establish a valid and reliable research tool to measure managerial readiness among middle-level academic managers in Philippine colleges of nursing. This study employed a mixed methods design, specifically exploratory sequential design. For the qualitative phase of this study, a total of nine participants were purposefully selected for the in-depth interviews, five for the focus group discussions. They were selected on the basis of the following criteria: must be full-pledged registered nurses, currently a full-time employee in a CHEDaccredited college of nursing in the Philippines, must have at least three years of teaching experience, at least three …

Perceived Neuroscience Knowledge And Counselor Self-Efficacy, Cristina Buus

Dissertations and Theses

There has been an increase in neuroscience research within the counseling field which has then been integrated into counseling practice. There is limited research, however, that investigates how this neuroscience information impacts counselors directly. This study investigated the association between counselor self-efficacy and perceived neuroscience knowledge. This study also sought to understand what factors were predictive of perceived neuroscience knowledge (gender, age, licensure tier, years of experience, CACREP-status, and perceived benefit of neuroscience knowledge). To answer the research questions, a multiple regression design was utilized to identify any factors that were predictive of perceived neuroscience knowledge. Additionally, a correlation was …

The Impact Of Sitting And Crawling On The Acquisition Of Object Permanence In Infants With Motor Delays And Infants With Typical Development, Karl Jancart

Electronic Theses and Dissertations

Object permanence (OP) is the ability to understand that objects continue to exist even when they cannot be perceived. During play, infants with an understanding of OP will continue searching for toys when the toys have been obscured by other items. Searching requires movement. The theory of embodied cognition maintains that the form and function of an organism’s body influence how the organism learns; Therefore, if a child has difficulties with movement, as demonstrated by children with motor delays, they will likely have difficulty engaging in play, the modality by which children learn about their world. The current research is …

Difference And Alterity: On Hegel And Deleuze, Thomas Szwedska

Electronic Theses and Dissertations

This dissertation is a study in ontology. Its central question is: can we think difference without alterity and still think of difference as an essential determination of what something is? I answer that it is possible to ontologically disambiguate difference from alterity. The central thesis of my dissertation is that thinking difference without otherness not only produces meaningful differences, but if we are committed to a complete understanding of what difference is and how it functions, then it is necessary to account for this determination. Thus, I find two cases in the history of philosophy which do think difference without …

Board Of Trustees Agenda, Dec. 15 2023, Indiana State University Board Of Trustees

Board of Trustees

No abstract provided.

Honeysuckles & Irises: Effigies Of The Land, Ami` L. Hanna-Huff

English Creative Writing Theses

Here is a memoir of my paternal line through the lens of my Great-Grandmother and myself. A reclamation of the land I hail from and a connection to a history previously felt distant, this examination of race and gender explicitly focused on the African American Southern female experience; I try to make sense of the juxtaposing positions in our lives. The culture built from its creation through Tennessee personified. Here, I integrate history and theory with lyrics and prose to experience the eighty-one years of progress brought between our births and the lingering anxiety of slavery. My great-grandmother, Hazel Irene …

Drug-Free Noninvasive Thermal Nerve Block: Validation Of Sham Devices, Michael Fishman, Ahish Chitneni, Alaa Abd-Elsayed, Samuel Grodofsky, Ashley Scherer, Brendan Schetzner, Malvina Klusek, Stephen Popielarski, Stephen Meloni, Steven Falowski, Philip Kim, Konstantin Slavin, Stephen Silberstein

Department of Jefferson Headache Center Papers and Presentations

Headache is a leading cause of disability and suffering. One major challenge in developing device treatments is demonstrating their efficacy given devices' often-high placebo rate. This paper reviews the importance of validating sham devices as part of finalizing the design for larger-scale prospective randomized controlled trials in patients with chronic headache as well as the results of a prospective, single-blind trial to validate two potential sham noninvasive thermal nerve block devices. Study participants were trained to self-administer thermal nerve block treatment using sham devices in an office visit. Two different sham systems with different temperature profiles were assessed. Devices were …

Terriers Unleashed, Allison C. Douglass

Student Scholarship

This zine was created in Fall 2023 by the students in English 346: American Political Rhetoric with Dr. Douglass, and it captures their engagement with important issues at Wofford. Often, when we think of “politics,” we are thinking about party politics surrounding systems of state governance. However, this class was interested in politics as a broader category of activities that influence decision-making within communities. Our class asked: What does the Wofford we want to attend look like, and what changes could we advocate for in order to move toward that Wofford? Each student crafted a message intended to influence our …