Digital Commons Network^™

Improving Knowledge, Confidence, And Competency Among Icu Nurses Concerning The Benefits Of Using The Uk Ventilator Separation Protocol, Brittany Monroe

DNP Projects

Background: The trauma intensive care unit (ICU) at University of Kentucky (UK) Healthcare uses a ventilator separation protocol which provides specific guidelines on the successful weaning of patients from mechanical ventilation. However, many of the nurses are not aware of this protocol as formal education is not included in their orientation or training. This lack of knowledge can lead to risks such as increased patient morbidity, mortality, ICU length of stay, and healthcare-related costs. Research shows that using structured mechanical ventilator weaning tools in the ICU can shorten the duration of mechanical ventilation, which in turn, lowers these associated risks. …

The Effects Of An Educational Intervention On Nursing Knowledge Of Post-Operative Care Of Patients After Minimally Invasive Esophagectomy Surgery, Kelli Curry

DNP Projects

Abstract

Background: Minimally invasive esophagectomy surgery is commonly performed by thoracic surgeons on patients with esophageal cancer. The post-operative care of these patients is meticulous and follows a protocol developed by the thoracic surgeons at the University of Kentucky. At UK Chandler Medical Center, concerns have been raised regarding nurses’ lack of education of the protocol, and therefore decreased implementation. Increasing nursing knowledge pertaining to this protocol by performing educational in-services periodically and standardizing and implementing formal education as part of nursing orientation will decrease the knowledge gap and improve patient outcomes and increase utilization of the post-operative protocol.

Purpose: …

The Effect Of An Educational Intervention On Early Mobility Compliance In Oncology Nurses, Jonathan A. Hacker

DNP Projects

Background: Geriatric adult patients admitted into acute care hospital settings are at risk of functional decline in their capacity for activities of daily living and independent ambulation. Many of these patients fail to achieve pre-hospitalization levels of function and continue to decline, requiring additional support and care after discharge. Current literature supports early mobilization and ambulation during hospitalization. However, ambulation and patient mobilization has been shown to be the most missed item of nursing care. There is a gap in literature and patient outcome data regarding the impact of early mobilization on medical-surgical patient populations.

Purpose: The purpose of this …

Provider And Staff Education Surrounding Universal Hcv Screening And Linkage To Care In An Ambulatory Care Setting, Lauren Clifford

DNP Projects

Abstract

Background: In the United States, it is estimated that there are more than 2 million cases of Hepatitis C (HCV), with over 66,000 new cases since 2020 However, an estimated 75% of those with HCV go undiagnosed and less than 35% receive treatment within a year of diagnosis. In 2018, UK Healthcare (UKHC) implemented a universal HCV screening method using a Best Practice Advisory (BPA) for anyone 18 and older who presented to the Emergency Department and had labs ordered. Patients who screened positive were then referred to outpatient clinics for HCV treatment. Approximately ten percent of positive patients …

Improving Education On Routine Echocardiograms In Reducing Right Sided Heart Failure When Managing Vv- Ecmo Patients, Ashley Williams

DNP Projects

Background: Patients who are placed on veno- venous extracorporeal membrane oxygenation (VV- ECMO) are at high risk for developing right sided heart failure. An echocardiogram is essential for diagnostics and recovery in ECMO patients and should be a standard of care when managing this patient population. More research is needed to understand the effect of reducing right sided heart failure using routine echocardiograms. Purpose: The purpose of this study is to evaluate if there is a significant difference in outcomes of VV- ECMO patients who received routine echocardiograms compared to those who did not, and appropriately manage once RV dysfunction …

Enhancing Communication Between Nurses And First Call Providers Using A Secure Chat Algorithm, Karen Hilt

DNP Projects

BACKGROUND: Healthcare requires quality multidisciplinary communication for patient care. Secure Chat is a feature within the Epic electronic health record to facilitate communication without violating Health Insurance Portability and Accountability Act (HIPPA). An algorithm to streamline communication utilizing this feature is needed to improve patient care.

PURPOSE: The purpose of this study was to determine, develop, implement, and evaluate a communication protocol between nurses and first call providers. The overall goal was to improve the knowledge, attitudes, efficacy, and address barriers with communication of nursing staff and providers through efficient messaging embedded within Epic, electronic health record

CONCEPTUAL MODEL: …

Electroconvulsive Therapy: Improving Psychiatric Rn Knowledge And Attitudes Using An Educational Module, Garrett Payne

DNP Projects

Abstract

Background: Electroconvulsive Therapy (ECT) is a robust, versatile treatment option for many psychiatric disorders and diseases, but systemic low levels of knowledge and negative attitudes exist towards the procedure among healthcare workers, specifically among psychiatric RNs. The negative attitudes surrounding ECT are most attributable to a misunderstanding of its uses, efficacy, procedures, and safety. Psychiatric RNs hold more negative beliefs and misconceptions about ECT than any other group of healthcare workers who directly care for patients receiving the treatment. Psychiatric RNs also demonstrate poor understanding of ECT treatment procedures and outcomes. Current evidence-based practice shows that providing psychiatric RNs …

An Educational Intervention To Improve Neonatal Icu Nurses’ Breastfeeding Support Knowledge, Self-Efficacy, And Breastfeeding Rates At Discharge, Sarah Money

DNP Projects

Background: The benefits of breastfeeding for both mother and baby are known. It is recommended that all infants be exclusively breastfed until six months (Meek & Noble, 2022; North et al., 2021). Despite this, breastfeeding rates remain low, especially in medically fragile infants requiring care in the neonatal intensive care unit (NICU) (Rollins et al., 2016). Receipt of evidence-based breastfeeding support by healthcare providers has been shown to improve breastfeeding success; however, many healthcare providers report not being comfortable or knowledgeable enough to offer support consistently (Mulcahy et al., 2022; Rollins et al., 2016).

Purpose: This study aims …

Surveys, Field Studies, And Laboratory Incubation Experiments To Improve Alfalfa Production In The Mid-South, William Fleming

Theses and Dissertations--Plant and Soil Sciences

The objective of the alfalfa survey was to determine the role of soil fertility in the alfalfa yield plateau. Soil samples at depths of 10, 15, and 30 cm and tissue samples were collected from 114 alfalfa stands across Kentucky and surrounding states. Results indicate that soil fertility is likely contributing but not driving the alfalfa yield plateau. The main objective of the polyhalite incubation study is to determine if POLY4 was soluble enough to support potassium (K) and sulfur (S) for plant growth. The design of the study included four fertilizer treatments, three soil types, and four incubation times. …

Identifying Physiological, Morphological, And Genetic Drivers Of Key Intermediary Phenotypic Traits Associated With Stalk Lodging Resistance Within Genetically Diverse Maize Germplasm And Sorghum, Norbert Bokros

Theses and Dissertations--Plant and Soil Sciences

Maize stalk lodging reduces grain yields due to the permanent breakage or deformation of stalk tissue before grain harvest. To reveal new insights into the complex problem of maize stalk lodging, this dissertation will examine three primary objectives. First, the direct, diurnal influence of turgor pressure will be shown to have only marginal effects on stalk bending strength, a key trait associated with stalk lodging resistance. Up to a dozen individual stalks, grown to physiological maturity within the same field, were tested using a DARLING testing device. In parallel, stalk turgor status as measured by leaf water potential and turgor …

The Effect Of Spring And Winter Killed Cover Crops On Soil Physical Properties And Soil Organic Carbon, Danielle Doering

Theses and Dissertations--Plant and Soil Sciences

Maintaining soil organic carbon (SOC) and healthy soil physical structure in agroecosystems is crucial to sustainable production. To assess medium term impacts of cover crops on soil health in the top 90 cm, we conducted a field experiment in central Kentucky with varying levels of winter cover: spring and winter kill cover crops, weedy and bare winter fallows. After eight years of cover crop use, some soil physical properties improved: 35% greater mean weight aggregate diameter at 0-30 cm with spring kill covers and 5.2% more C held within large aggregates for both cover crop treatments compared to winter fallow. …

Beat It: A Proposal To End Masturbation Bans In Prisons, Madison Dougherty

Cardozo Journal of Equal Rights & Social Justice

The note argues that bans on masturbation in prisons are unconstitutional under the Fourteenth and Eighth Amendments. It contends that such bans infringe upon prisoners' rights to privacy, bodily autonomy, and protection against cruel and unusual punishment. The author proposes reforms to prison policies to allow private masturbation while prohibiting assaultive behavior, advocating for a shift towards rehabilitation over punishment.

(In)Dependence Day: Why The Modern Streaming Industry Requires Modern Antitrust Enforcement, Samuel Kahn

Cardozo Arts & Entertainment Law Journal

The note argues that the contemporary streaming industry, dominated by a few major platforms, mirrors the pre-Paramount era's anticompetitive practices, necessitating a reexamination of antitrust laws to address oligopolistic structures, protect independent creators, and ensure consumer access to diverse content. It contends that the repeal of the Paramount Decrees and the failure of current antitrust frameworks to adapt to the streaming industry's unique challenges have allowed media giants to grow unchecked, stifling competition and innovation.

Can Chatgpt And The Like Be Your Co-Authors?, Hadar Y. Jabotinsky, Michal Lavi

Cardozo Arts & Entertainment Law Journal

On November 30, 2022, OpenAI released an AI based chatbot called ChatGPT (Generative Pre-trained Transformer). This AI system uses natural language processing (NLP) techniques to generate written text by learning the patterns and structures of natural language. ChatGPT is a versatile chatbot with the ability to write speeches, news articles, and essays either wholly or partially. Some users acknowledge ChatGPT as a co-author of the generated text, while others only acknowledge its use in writing the document. In fact, this issue became so pressing in academia that Springer Nature, the world's largest academic publisher, announced that software like ChatGPT cannot …

Panel 1: Copyright Law, Michael W. Carroll, Peter Karol, Christopher Sprigman, Jacob Noti-Victor

Cardozo Arts & Entertainment Law Journal

The Warhol v. Goldsmith case has reshaped the interpretation of fair use in copyright law, emphasizing market competition and the commercial purpose of the use. The Supreme Court's decision focused on the commercial licensing of Warhol's work, highlighting the importance of assessing whether the use competes with the original work's market. This shift could influence future cases, particularly in technology and art, by potentially altering how transformative use and market competition are evaluated.

Panel 2: Trademark Law, Stacey Dogan, Christine Haight Farley, Jessica Silbey, Rebecca Tushnet, Felix Wu

Cardozo Arts & Entertainment Law Journal

No abstract provided.

Why Courts Should Not Interpret The Meaning Of Art, Amy Adler

Cardozo Arts & Entertainment Law Journal

The article argues that courts are ill-equipped to interpret the meaning of art, particularly in fair use cases, as seen in the Supreme Court's decision in Warhol Foundation v. Goldsmith. The Court's reliance on determining the meaning of art exacerbates confusion and inconsistency in fair use jurisprudence, highlighting the need for alternative approaches that avoid judicial interpretation of artistic meaning.

Why The Supreme Court Rejected The Prospect Theory Of Copyright Scope, Michael W. Carroll

Cardozo Arts & Entertainment Law Journal

In Google LLC v. Oracle America, Inc. ("Google v. Oracle"), and again in Andy Warhol Found. for the Visual Arts, Inc. v. Goldsmith ("Warhol"), the parties and various amici presented the Court with a variety of arguments about the relationship between a copyright owner's right to make derivative works from a protected work and a user's right to make fair uses of that same work. At bottom, these arguments were about the proper, or even optimal, scope of copyright.

This Essay argues that these arguments were instead grounded in a form of "prospect theory" of copyright scope that …

Enhancing Consistency Of Maximal Responding In Behavior Description Interviews: An Exploration Of Priming And Response Length, Allen I. Huffcutt, Satoris S. Howes, Dianne D. Murphy, Sara A. Murphy

Management Faculty Research and Publications

In a Behavior Description Interview (BDI), candidates are asked to describe past experiences that demonstrate skills and abilities important for the position (Janz, 1982). A recent study by Huffcutt et al. (2020) found that only around half of participants (48.1 percent) describe an experience reflecting maximal performance capability. Random mixing of maximal capability with day-to-day typical performance tendencies is problematic psychometrically because candidates are not all providing comparable information and top candidates could be overlooked. Given notable methodological concerns with Huffcutt et al.’s approach, our first purpose was to provide empirical confirmation that maximal responding in BDIs is, in fact, …

Chinese Masculinities During The Maoist Era: Representations Of Model Men, Daniel L. Izadirad Mr.

Graduate Thesis and Dissertation post-2024

This thesis analyzes male characters from Maoist era movies, novels, and posters to argue that the Importance of Wen masculinity, a man’s intellectual and artistic talents, was downplayed, and even feminized while the importance of Wu masculinity, a man’s martial and athletic talents, was increased and encouraged as these forms of media came under increasingly stringent regulation from the Chinese Communist Party. This thesis examines sources from 1949-1976 dividing them into three periods: the Early People’s Republic (1949-1965), the Early Cultural Revolution (1966-1969), and the Late Cultural Revolution (1970-1976). Each chapter studies revolutionary protagonists and counterrevolutionary antagonists and explores how …

A Legal Whirlwind: An Exploration And Evaluation Of Legal Claims Relating To The South Fork Wind Farm And Revolution Wind Project, Sarah Mikolay, Ava Cafasso, Aryanna Clasby, Elizabeth Erwin, Maigen Leach

ENV 334 Environmental Justice

With the Biden Administration’s national goal of net-zero emission by 2050 and Rhode Island’s state goal of carbon-neutrality by 2035, progressive steps towards renewable energy goal are critical. As the state adopt more renewable energy practices, public and private organizations voice concern over offshore wind farm projects and their adherence to local, state, and national laws. Through extensive research it has been determined that many of these claims are misguided. However, this skepticism emphasizes key issues regarding the transparency of the permitting process. Steps towards streaming and uniting the legal processes of wind farm construction, such as the COLLABORATE Act, …

The Pursuit Of Peace: Adlai Stevenson’S Impact On The Cuban Missile Crisis, Alexandra M. Buonanno

Pell Scholars and Senior Theses

This paper explores the idea that Adlai Stevenson was a more significant member of the Executive Committee of the National Security Council and voice for peace than given credit for. It includes the betrayal of Stevenson by JFK during the Bay of Pigs fiasco and how many members of the Kennedy administration felt Stevenson was too naive and weak to be an ambassador to the United Nations during the Cold War. This papers seeks to prove that without Adlai Stevenson the Cuban Missile Crisis would have ended horrifically rather than peacefully.

The Early Warning Of Financial Failurefor Iraqi Banks Based On Robust Adaptive Lasso Logistic Regression, Hassan S. Uraibi, Aqeel Jaafar Abbas

Iraqi Journal for Computer Science and Mathematics

It is wellknown that there are many mathematical financial failure models that have been proposed in the financial literature for specific stock markets. Some researchers are not aware these mathematical models were constructed to be fitted for that market data, not for other markets. Iraq stock market exchange is one of these markets in which the researchers used imported models such as Kida, Sherrod, Altman, and others to predict financial failure. Therefore, the development of a financial failure warning model for banks has become very crucial for the Iraqi bank sector in the stockmarket exchange. Unfortunately, there is no clear …

Bitcoin Layer Two Scaling Solutions:Lightening Payment Channels Network Comprehensive Review, Mechanisms, Challenges, Open Issues And Future Research Directions, Mohd Najwadi Bin Yusoff, Hasan Falah Hasan, Shams Mhmood Abd Ali

Iraqi Journal for Computer Science and Mathematics

Blockchain technology era is triggered due to current advancement in the decentralized paradigms via facilitating secure collaboration among untrusted entities consequently superseding the necessity for the trusted third parties’ existence. Notwithstanding its potential, blockchain scalability faces severe limitations such as low throughput, high fees, and confirmation time latency. Several scaling solutions have been proposed, including layer one solutions that substantially require fundamentallyamending blockchain underlying infrastructure resulted in further scalability complications. Layer two solutions, specifically Lightning Network, is a successful cryptographic layer built atop of the Bitcoin blockchain that aims to alleviate these implications by deporting transaction processing outside blockchain while …

การพัฒนาจีโอพอลิเมอร์ซีเมนต์เพื่อใช้งานเป็นคอนกรีตอัดแน่นด้วยตัวเอง, ภัทรีวรรณ อิ่มสุวรรณ์

Chulalongkorn University Theses and Dissertations (Chula ETD)

ในงานวิจัยนี้เป็นการพัฒนาวิธีการเตรียมจีโอพอลิเมอร์ซีเมนต์ เพื่อใช้งานเป็นคอนกรีตอัดแน่นด้วยตัวเองโดยวิธีการเตรียมแบบจีโอพอลิเมอร์ซีเมนต์ เพื่อนำมาใช้ในงานก่อสร้างโดยใช้แนวคิดแบบเดียวกับการเตรียมปูนซีเมนต์ที่เมื่อทำการเติมน้ำลงไปผสมก็พร้อมใช้งาน ด้วยวิธีการนี้จะช่วยลดขั้นตอนและความยุ่งยากในการผสมเมื่อเทียบกับวิธีการเตรียมจีโอพอลิเมอร์แบบดั้งเดิม ในการศึกษานี้เถ้าลอยจะถูกนำมาผสมกับสารกระตุ้นด่างทั้งสามชนิด ได้แก่ โซเดียมเมต้าซิลิเกต แคลเซียมไฮดรอกไซด์ และโซเดียมไฮดรอกไซด์ ในอัตราส่วนต่างๆ ดังนี้ 49:49:2, 47.5:47.5:5, 46:46:8 และ 45:45:10 ส่วนผสมเหล่านี้ถูกนำไปบดด้วยลูกบดในช่วงเวลาที่แตกต่างกัน คือ 0, 6, 12 และ 24 ชั่วโมง จะได้ออกมาเป็นจีโอพอลิเมอร์ซีเมนต์ชนิดผง สารลดน้ำพิเศษในกลุ่มพอลิคาร์บอกซิเลตอีเทอร์จะถูกเติมลงไปปริมาณ 2% ของน้ำหนักเถ้าลอย ส่วนผสมทั้งหมดจะถูกนำมาผสมกับน้ำและหล่อในแม่พิมพ์ขนาด 2.5 x 2.5 x 2.5 ลูกบาศก์เซนติเมตร ก่อนนำไปบ่มที่อุณหภูมิห้องเป็นเวลา 24 ชั่วโมง และบ่มต่อเนื่องอีก 7 และ 28 วัน และนำตัวอย่างขีโอพอลิเมอร์ซีเมนต์ไปทำการทดสอบสมบัติทางกายภาพ สมบัติเชิงกล และสมบัติทางเคมีของจีโอพอลิเมอร์ซีเมนต์ที่เตรียมได้ ผลการทดสอบพบว่าระยะเวลาที่ทำการบดส่วนผสมและปริมาณของโซเดียมไฮดรอกไซด์ที่เติมลงในส่วนผสม ส่งผลต่อสมบัติต่างๆของจีโอพอลิเมอร์เป็นอย่างมาก โดยส่งผลกับระยะเวลาการก่อตัว ค่ากำลังอัด และอัตราการไหล ผลการศึกษาพบว่าการเพิ่มปริมาณโซเดียมไฮดรอกไซด์ส่งผลให้ค่ากำลังอัดสูงขึ้น และไม่ควรเกิน 8% โดยค่ากำลังอัดสูงสุดที่ได้คือ 21.16 MPa ในอัตราส่วนโซเดียมเมต้าซิลิเกต/แคลเซียมไฮดรอกไซด์/โซเดียมไฮดรอกไซด์ 46:46:8 ที่ผ่านการบดเป็นเวลา 24 ชั่วโมง

Identification Of A New Human Disease Gene For Dilated Cardiomyopathy (Dcm), Rutairat Wongong

Chulalongkorn University Theses and Dissertations (Chula ETD)

Pathogenic BAG5 variants recently linked to dilated cardiomyopathy (DCM) prompt further investigation into phenotypic, mutational, and pathomechanistic aspects. We explored the clinical and molecular characteristics of DCM associated with BAG5 variants, uncovering the consistently severe manifestation of the disease and its impact on the endoplasmic reticulum (ER) stress response. Analysis involved three siblings affected by DCM, along with their four unaffected siblings and consanguineous parents. Exome and Sanger sequencing identified a novel BAG5 variant, c.444_445delGA (p.Lys149AsnfsTer6), homozygous in affected siblings and heterozygous in parents and unaffected siblings. We generated heterozygous and homozygous Bag5 point mutant knock-in (KI) mice and evaluated …

Experimental Investigation Of Self-Mixing Interferometric Technique For Displacement Assessment, Dulanjana Anuhas Egodagamage

Chulalongkorn University Theses and Dissertations (Chula ETD)

The self-mixing interferometric (SMI) technique has proven effective for achieving precise, contactless measurements of submicron displacements. This study aims to further investigate and experimentally assess the capabilities of the SMI technique in displacement sensing. While extensive research has been conducted on the SMI technique for displacement sensing, its performance can still be further explored in scenarios where the target exhibits varying displacement amplitudes and oscillation frequencies. Understanding the limitations and ranges of the SMI technique is crucial for advancing laboratory-based setups into practical applications. An experimental optoelectronic setup was used in this work, employing a semiconductor laser diode module integrated …

Closing Dichloramine Decomposition Nitrogen And Oxygen Mass Balances: Relative Importance Of End-Products From The Reactive Nitrogen Species Pathway, Huong T. Pham, David G. Wahman, Julian L. Fairey

Civil Engineering Faculty Publications and Presentations

In drinking water chloramination, monochloramine autodecomposition occurs in the presence of excess free ammonia through dichloramine, the decay of which was implicated in N-nitrosodimethylamine (NDMA) formation by (i) dichloramine hydrolysis to nitroxyl which reacts with itself to nitrous oxide (N₂O), (ii) nitroxyl reaction with dissolved oxygen (DO) to peroxynitrite or mono/dichloramine to nitrogen gas (N₂), and (iii) peroxynitrite reaction with total dimethylamine (TOTDMA) to NDMA or decomposition to nitrite/nitrate. Here, the yields of nitrogen and oxygen-containing end-products were quantified at pH 9 from NHCl₂ decomposition at 200, 400, or 800 μeq Cl₂·L …

A Multicenter Feasibility Randomized Controlled Trial Using A Virtual Reality Application Of Pain Neuroscience Education For Adults With Chronic Low Back Pain, Ryan Mcconnell, Elizabeth Lane, Grace Webb, Dana Lapeze, Hailey Grillo, Julie Fritz

Funded Scholarship

Background

Chronic low back pain (CLBP) is a highly prevalent condition among adults and is correlated to high levels of pain, high disability, and lower quality of life. Pain neuroscience education (PNE) helps to explain the pain experience and can affect psychosocial factors, such as fear of movement, anxiety, socioeconomic status, work life satisfaction, etc. More recently, virtual reality (VR) programs have emerged allowing for immersive PNE experiences.

Objective

The purpose of this randomized clinical trial is to determine the feasibility of using a VR application for the delivery of immersive PNE (VR-PNE) and other activity training for patients with …

The Influence Of Apoe Status On Rate Of Cognitive Decline, Cassandra Morrison, Michael Oliver, Virginia Berry, Farooq Kamal, Mahsa Dadar

Funded Scholarship

Background

Apolipoprotein (APOE) ɛ4 positivity and subjective cognitive decline (SCD) both increase risk of Alzheimer’s disease (AD) development. However, few studies have examined the relationship between SCD and APOE status, especially using longitudinal data. The current study examined whether APOE is associated with the rate of cognitive change in SCD and mild cognitive impairment (MCI).

Methods

A sample of 3494 older adults (1990 normal controls, NC, 775 SCD, and 729 MCI) with a mean follow-up of 9.09 years were included from the Rush Alzheimer’s Disease Center Research Sharing Hub. Linear mixed effects models examined the relationship between APOE status and …