Addressing End-Of-Life Care Education Gaps For Registered Nurses: A Quality Improvement Project, Mayra Villalba, Alejandra Angel, Arvinder Singh

Nursing & Health Sciences Research Journal

Background: As the global elderly population grows rapidly, end-of-life care (EOLC) needs have expanded, warranting comprehensive nursing education. There is a significant gap in exposure to EOLC during nursing undergraduate education, clinical experiences, and training opportunities in the professional setting. The purpose of this quality improvement project was to educate nurses about end-of-life care. Methods: In an established medical-surgical unit, hospice patients with comfort-only measures were placed into a cohort labeled Transitional Care Unit (TCU). Between October 2023 and May 2024, nurses working in the TCU were surveyed on their knowledge regarding EOLC. Staff attended mandatory education sessions after the …

Optimization Of Long-Acting Erythropoietin Stimulating Agents In Dialysis Patients During Transitions Of Care To A Community Hospital, Ryan Falcon, Erika Dittmar, Radhan Gopalani, Stephanie Palma, Heidi Clarke, Jessica Wine, Leyner Martinez

Nursing & Health Sciences Research Journal

Introduction: Many outpatient dialysis centers have transitioned to long-acting erythropoietin-stimulating agents (ESAs). However, upon admission to a hospital, long-acting ESAs are often overlooked during the medication reconciliation process, leading to therapeutic duplications and increased hospital expenditures. The purpose of this quality improvement project was to evaluate the financial impact of pharmacist prospective review and assessment of outpatient ESAs and appropriate scheduling during a hospital stay. Methods: This was a single-centered, prospective chart review of dialysis patients with initial ESA orders that took place in a non-profit community hospital in South Florida from January to March 2024. The pharmacist reviewed inpatient …

The New Anthropocentrism: The Problem Of Water Conservation And Water Justice, Benjamin Stuart Milam

Open Access Theses & Dissertations

My objective with my thesis is to argue for and reinforce a type of anthropocentrism that is both environmentally conscious and consumable for an audience that is not necessarily well versed in philosophical literature. In the first chapter I go over philosophical frameworks, such as Anthropocentrism and Biocentrism, and why I believe they do not meet both of those criteria listed. After that I discuss New Anthropocentrism, coined by Clive Hamilton, and why I believe that a slightly modified version possesses qualities that I believe are needed for the crisis at hand. In chapter 2 I use that framework and …

Ni Uno Mas: A Critical Examination Of Zero Tolerance Policies, Marcos Eduardo Peã±A

Open Access Theses & Dissertations

This study investigates the impact of zero-tolerance policies on minority students, emphasizing the school-to-prison pipeline (STPP). Using a qualitative methodology and testimonios, the study reveals how these policies, initially aimed at severe offenses, have disproportionately targeted minor infractions among ethnic minority students, exacerbating systemic inequities. Through a comprehensive literature review and personal narratives, the research highlights the cultural mismatch between strict disciplinary measures and the lived realities of these students, shedding light on the profound consequences these policies have on their educational journey and personal development. The findings underscore the urgent need for policy reform, advocating for restorative justice practices …

“Don’T Bring Your Feminism Here!”: The African Hair Braiding Salon As A Rhetorically Charged Space For Feminist Activism, Efe Plange

Open Access Theses & Dissertations

This project extends scholarship on Black beauty and hair care spaces in the US as rhetorically charged for various forms of activism. It specifically explores the nature of work, conversations and feminist ways of being among a group of braiders working together in an African hair braiding salon to legitimize the African hair braiding salon as a site with unique contributions to this body of work. Grounded in Feminist Geo-criticism and Conversational Rhetoric, the study seeks to make contributions that are relevant to the field of Rhetoric and more specifically the sub-field of feminist rhetorics, African and non-Western feminist rhetorics, …

Optimal Route Planning Considering Microlevel Sequence Of Delivery Task Using Computer Simulation, Dana Alejandra Zamorano Orozco

Open Access Theses & Dissertations

As globalization reshapes our industries worldwide, supply chain management has evolved into a highly interconnected world that oversees traditional management, making countries more interdependent. Driven by rapid technological advancements, this shift allows companies to share information in a matter of seconds across continents, aligning operations and building adaptability to quick changes. Therefore, industries have greatly needed to adjust to and use the new technology to their advantage. However, even when this impact can be observed globally, the general impact can be analyzed and eradicated by performing micro-level analysis within the supply chain using technologies to their advantage. AnyLogic is a …

Practical Model Of A Labview Controlled Active Magnetic Bearing On A Bently Rotor Kit Validated With Matlab And Msc Adams, Luis Herrera-Delgado

Master's Theses

This thesis aimed to model a rotor supported by an active magnetic bearing (AMB). The magnetic force equation due to a single electromagnet was first derived which served as the basis of AMB modeling. The finalized model utilized Matlab, Simulink, and MSC Adams to simulate a rotor supported by an AMB. Matlab and Simulink were used to model the AMB control system and actuator output. MSC Adams was used to capture the dynamics of a flexible rotor. This model was verified by comparing the model’s simulated vibration to real vibration data measured from a modified Bently Nevada rotor kit equipped …

Exploring Secure Methods For Ensuring Data Integrity: A Theoretical Analysis Of Cryptographic And Detection Techniques, Haryam Garcia Martinez

Electronic Theses, Projects, and Dissertations

This study investigates cryptographic methods to ensure data integrity within cloud environments, with a particular focus on comparing the security, performance, and efficiency of MD5 and SHA-256 hash algorithms. Data integrity is critical for protecting sensitive information, especially in sectors like healthcare, where cloud storage solutions are increasingly prevalent. Through a theoretical analysis, the study evaluates the advantages and limitations of MD5 and SHA-256, emphasizing SHA-256’s stronger security capabilities in preventing collision attacks compared to MD5, albeit with higher resource consumption.

The literature review draws from recent advancements in cryptography, blockchain, and artificial intelligence (AI) technologies, presenting a comprehensive view …

The House Elena Built: Historical Archaeology Of Las Violetas (Ca-Sdi-4674), Sue Hagen

Electronic Theses, Projects, and Dissertations

Las Violetas, also known as the Dear Adobe, is a late 19th century structure in Escondido, California, that was nearly lost to history. Elena Couts Dear, her husband Parker, and their five sons lived on the property from 1895 to 1904, and it is Elena who will be the primary focus of this project. She grew up in a wealthy, well known family in San Diego County, and Parker Dear owned a large rancho in what is now Riverside County. However, their fortunes changed, and they settled in this small home and property, a stark contrast to the life they …

Penny-Wise But Not Pound-Foolish: The Second Circuit Limits The Scope Of Scheme Liability For Securities Fraud In Sec V. Rio Tinto Plc, Julia Sullivan

Villanova Law Review (1956 - )

No abstract provided.

Investigating The Link Between Over-The-Counter Pain Medication Use And Hypertension Risk, Maheen Zahidi, Saira Saeed Khan, Sadaf Naeem, Anosh Tahir, Gufran Ullah Khan, Maryam Mehmood, Afshan Bano

The Thai Journal of Pharmaceutical Sciences

Background: Non-steroidal anti-inflammatory drugs (NSAIDs), both non-selective and selective cyclooxygenase-2 (COX-2) inhibitors, are among the most widely prescribed drugs worldwide. NSAIDs alter renal function if given in high enough doses, reducing renal blood flow and the glomerular filtration rate and causing sodium retention. An issue of interest is the association between the consumption of self-medicated over-the-counter (OTC) drugs analgesics, specifically NSAIDs and hypertension (HTN), which is considered as a cardiovascular risk factor. Objectives: This research aims to establish the relationship between the frequent use of OTC NSAIDs and an increased risk of hypertensive disease, emphasizing the implications of …

Addressing The Teen Mom Situation In Thailand: A Systematic Review On Challenges, Initiatives And Recommendations For Improvement, Junkkrit Wunggrath, Phinphot Phrommasen, Wanchalerm Ritthimon

Jurnal Keperawatan Indonesia

Teenage pregnancy in Thailand poses significant public health challenges with implications for societal welfare and economic development. This systematic review analyzed the challenges faced by teenage mothers in Thailand, evaluated existing initiatives, and proposed evidence-based recommendations. A comprehensive literature search was conducted using the Scopus and Web of Science databases and others focusing on literature from 2016 to 2023. Keywords included “teenage pregnancy,” “teen mom,” “unwanted pregnancy,” and “unintended pregnancy” resulting in the selection of 36 studies. The PRISMA framework was followed to ensure a systematic approach. Data extraction focused on societal, educational, economic, and health-related challenges as well as …

Exploring The Content Of Introductory Quantitative Methods Courses For Education Doctoral Students, Samantha Brooke Patterson

Dissertations

Quantitative methods training is an integral part of an Education Doctoral Degree (EdD). Students tend to struggle with the content of these courses and consequently their quantitative proficiency has suffered. Currently, there is no consensus on the learning outcomes of introductory quantitative methods classes, leaving instructors to individually decide the content and teaching methods of their classes. The aim of this study was to capture the content of introductory quantitative methods course and determine their alignment with current best practices in statistics education.

• Q1 What curricular and pedagogical techniques are used in introductory quantitative methods course for EdD students?
• Q2 …

The Inheritance And Breakthrough Of Twentieth-Century Harpsichord Music: Stylistic Analysis And Performance Guide Of Selected Works, Hanguang Wang

Dissertations

The twentieth century saw a notable revival of early music, with the harpsichord, one of the key instruments in this movement, gradually gaining attention as a vehicle for new compositions. However, most research still focuses primarily on early music, leaving the phenomenon and specific works of modern harpsichord music underexplored, despite the substantial body of compositions it has inspired.

This dissertation traces the development of harpsichord music across four historical periods, while also examining the stylistic and technical shifts in compositions from the eighteenth to the twentieth centuries. By analyzing Bohuslav Martinů’s Deux Pièces pour Clavecin, H. 244, and …

Ensuring Successful Bond Referendums In Rural South Carolina School Districts: Key Strategies Employed By Superintendents, David Fallaw

All Dissertations

The purpose of this study was to develop a better understanding of the strategies of superintendents that lead to the successful passage of referendums within small, rural districts in South Carolina. Federal, state and local revenue streams make up the majority of funding for operating expenses for districts in South Carolina. For capital projects, however, the majority of districts must rely on local funding. The primary method to acquire the needed revenue is through a referendum which can be a costly and time-consuming process that moves the focus of school and district leadership from teaching and learning to pursuing funding …

Computational Representation, Analysis And Verification Of Requirements In Engineering Design And Systems Engineering, Chandan Kumar Sahu

All Dissertations

Systems are developed to satisfy a set of requirements derived from stakeholders’ needs, defining the problem space for which the system is created as a feasible solution. The system design process begins with eliciting these requirements and concludes with validating whether the created system meets them. Requirements engineering (RE) encompasses elicitation, representation, analysis, documentation, verification, and validation. However, challenges in RE, such as imprecision in natural language (NL), proprietary restrictions, and a lack of standardized quality metrics, hinder the creation of well-formed and comprehensive requirements. These challenges complicate formalization and analysis of requirements.

This dissertation addresses these challenges by proposing …

Nanostructured Silicon Meta-Waveguides And Surfaces For Enhanced Light-Matter Interaction, Saddam Gafsi

All Dissertations

In this study, we tackle the challenge of light-matter interaction engineering and local field enhancement using various silicon photonic platforms based on three different approaches. (i) The first approach is based on boundary condition engineering where we present and show through simulation and experimental results, a silicon nanodisk “diabolo” configuration able to support significant local field enhancement levels in the range ~102 to 104 in the high index medium through proper structural modifications at the nanoscale. We show that the presented optical behavior is consistent with the anapole modes characterized by the observed near-field enhancement and coinciding with far-field suppression. …

Selective Hydroxyl Functionalization Using Novel Bifunctional Macrocyclic Catalysts And Sufex-Based Methodologies, Austin Seilkop

All Dissertations

The research behind this dissertation explores innovative strategies for the functionalization of alcohols. Alcohols are abundant in biologically relevant molecules and pharmaceutical drugs, so designing new methods for modifying them has gained significant interest over the years. The first and second chapters of this dissertation focus on the selective functionalization of a particular class of alcohols, amino alcohols, a well-represented functional handle in biomolecules. The hydroxyl functionalization of amino alcohols often demands multiple synthetic steps. We developed a new class of macrocyclic catalysts to enable precise and efficient transformations of amino alcohols, advancing the scope and efficiency of amino alcohol …

Foster Care, Substance Use, And Social Determinants Of Health In South Carolina: A Geographic Approach, Patricia Carbajales-Dale

All Dissertations

Foster care is a critical intervention for vulnerable children, with approximately 400,000 children entering the system annually in the United States. Parental substance use, second only to neglect, is now a leading cause of foster care entry. While previous research has explored the relationship between socioeconomic factors and foster care, few studies have incorporated spatial approaches at the neighborhood level to understand how factors such as economic inequality, healthcare disparities, and substance use influence foster care entries. This study addresses that gap by integrating spatial analysis and machine learning techniques to examine the geographic and social dynamics underlying foster care …

Protocol Transformations Across Osi Network Stack Layers For Attack, Evasion, And Defense, Nathan Tusing

All Dissertations

Network endpoints frequently contend with errors and deviations within protocols. Many factors account for these deviations including noise, tampering, and algorithm implementations. Intermediate nodes are expected to modify instantiated protocols and not guarantee correctness. This ability to modify traffic enables all sides of network security to alter security and performance properties of protocols, and we define this intermediary modification of an instantiated protocol as a transformation. Protocol transformations traverse layers of the OSI reference model and changes a protocol's time series byte sequence. Within this thesis, we show that this framework applies to multiple domains and protocols. Common examples of …

Barriers To Postsecondary Education Of Latinx Students Using Future Time Perspective Theory, Clayton Porter

All Dissertations

The purpose of this qualitative study is to investigate how future time perspective influences high school Latinx’ seniors’ beliefs and access to postsecondary education through a case study approach. Future time perspective, the extent to which individuals anticipate and plan for the future, is examined in relation to the students’ educational aspirations and barriers. This study used a combination of surveys and semi-structured interviews to collect data from Latinx high school seniors. Interviews were conducted with eight high school seniors who identified as Latinx, and also were actively working towards graduation and application to a postsecondary institution. The data from …

Leveraging High-Frequency Water Quality Data And Machine Learning For Monitoring Harmful Algal Blooms, Ibrahim Busari

All Dissertations

Freshwater management is one of the most critical resources on the earth due to the plethora of water use and its limited availability. Increased algae proliferation is one of the significant problems of freshwater bodies that is triggered by nutrient enrichment and enabling conditions such as light and warm temperatures. This algal proliferation is toxic to the ecosystem through their biomass and potential toxin production that can cause hypoxic conditions and is often referred to as Harmful Algal Blooms (HABs). Current monitoring approaches include laboratory analysis of water samples to observe algal cells, monitoring of water quality parameters using water …

Academic Vocabulary Acquisition In A 3rd Grade Science Classroom: A Mixed-Methods Embedded Study, Nicole Langenhuizen

All Dissertations

With the acceptance of the Next Generation Science Standards, elementary-aged students are encouraged to develop the skills needed to communicate their thinking in science efficiently and effectively (NGSS, 2013). Since implementing these new standards in 2013, South Carolina has seen a decline in science standardized testing scores for grades 3-5. These results show that science and engineering skills support 67% of U.S. jobs today (National Science Foundation, 2021), and the current trend is that science and engineering skills are essential to students today and provide a rationale for exploring how teachers can help students develop the vocabulary necessary to communicate …

Advancing Substance Use Disorder Treatment Using Genomics And Metabolomics, Lindsey Contella

All Dissertations

Advancing our understanding of genetic, metabolic, and environmental factors in substance use disorder (SUD) could lead to more effective therapies. In 2022, 16.5% of the U.S. population was diagnosed with SUD, yet current treatments lack efficacy for all patients, making a precision medicine approach crucial. This dissertation explores SUD's relationship with tryptophan (TRP) metabolism through the kynurenine pathway (KP) as a potential therapeutic target. Chapter I reviews current knowledge on SUD and KP. Chapter II identifies how SUD alters KP metabolite concentrations, identifying a reduced concentration of the neuroprotective metabolite, kynurenic acid (KA) and elevated concentrations of the neurotoxic metabolite, …

Quantifying Effects Of Partial Genetic Backgrounds To Decode Genetic Drivers Of Clinical Phenotypes, Rini Pauly

All Dissertations

Understanding partial genetic backgrounds illuminates the genetic architecture of complex traits and diseases, revealing how diverse genetic backgrounds contribute to phenotypic diversity. With this approach we could advance personalized medicine by identifying population-specific variants affecting drug metabolism, tailoring medical treatments to individual genetic profiles. Additionally, it offers evolutionary insights into human history, shedding light on past migrations and the spread of genetic traits. This research leverages cutting-edge statistical genetics techniques and novel machine learning approaches to efficiently analyze extensive population genomic datasets, distilling complex admixture signals into meaningful genetic markers.

The study introduces Admix-AI, an innovative convolutional neural network-based tool …

Biogeochemical Controls Of Cesium-137 Migration In Surface Waters And Near Surface Sediments At The Usdoe Savannah River Site, Reid Williams

All Dissertations

Considerable concentrations of cesium-137 (¹³⁷Cs) and other anthropogenic radionuclides have been released into the environment at the Savannah River Site (SRS). Additionally, cesium-containing radioactive waste will be stored onsite for the foreseeable future. Therefore, the goal of this work was to identify mechanisms controlling cesium transport in surface waters and near surface sediments at SRS to further the understanding of ¹³⁷Cs migration in the vadose zone and reservoirs. It was hypothesized that a multitude of factors impact the mobility of ¹³⁷Cs at the SRS, but that the clay sediment fraction provides an important contribution in limiting …

Concert Tickets, Party Matching, Sleeping Barbers, And Single Lane Bridges: Characterizing Student Reasoning About Concurrency, Aubrey Lawson

All Dissertations

Programming with concurrency is challenging both to learn and to teach. A concurrent program has multiple computations happening “at the same time” either simultaneously or in an interleaved manner. It is non-deterministic, imposing only a partial ordering on its decomposed parts. Advantages of concurrency include the potential for increased program throughput, high responsiveness and reduced complexity of program structure. But a concurrent program can be more complex to reason about than a sequential program, in part because the conditions of correctness must hold for all possible execution sequences and also because programmers must implement and reason about synchronization constructs that …

A Replication Study — Suicidal Thoughts And Behaviors Among High School Students — Youth Risk Behavior Survey, United States, 2021, Mallory Hays

Capstone Experience: Master of Public Health

Suicidal thoughts and behaviors among adolescents are critical public health concerns in the United States, with suicide being the third leading cause of death among high school-aged youths (14-18 years). This study replicates and extends the findings of the 2021 Youth Risk Behavior Survey (YRBS) conducted by Gaylor et al., which analyzed data from 13,677 students in 2019 and 17,232 students in 2021. The original study revealed alarming increases in suicidal ideation and behaviors, particularly among female students, and highlighted disparities across demographic groups. Using raw YRBS datasets, this replication involved a pure replication of the original findings, followed by …

Promoting Adolescent Mental And Physical Health: Initiatives Focused On Connecting Public Health And Social Services To The Health Sector In Nebraska, Theresa Nguyen

Capstone Experience: Master of Public Health

This capstone focuses on the second recommendation of improving access to comprehensive, coordinated health services from the National Academies of Sciences, Engineering, and Medicine report The Promise of Adolescence: Realizing Opportunity for All Youth (2019). This proposal uses secondary data from the research project, Moving Evidence-Based Recommendations to Practice to Strengthen the Health Care System in Nebraska. Key stakeholders (n=28) were interviewed from the health care, public health, social services, and policy sectors. Each subject was asked to participate in a semi-structured interview by a trained interviewer. The interview was 1 hour long and conducted via phone call or Zoom. …

The Association Between Systolic Blood Pressure And Coronary Heart Disease In The Framingham Heart Study: A Long-Term Prospective Cohort Study, Alexandrea M. Welch

Capstone Experience: Master of Public Health

Coronary heart disease (CHD) is a leading cause of morbidity and mortality worldwide, with systolic blood pressure (SBP) as a critical risk factor. This study utilized data from the Framingham Heart Study to assess the association between SBP and CHD among participants. Univariate, bivariate, and multivariable logistic regression was used to explore this association as well as the association with other key covariates. We found a significant positive association between elevated SBP and the risk of CHD (adjusted OR: 1.69, 95% CI: 1.41-2.01, p < 0.0001). Age, sex, current blood pressure medication use, and body mass index (BMI) were significantly associated with CHD. Our findings support the need for blood pressure management to prevent cardiac events and reduce CHD burden.