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Integrating Music Therapy Into Post-Surgical Care: A Quality Improvement Strategy For Reducing Post-Operative Anxiety, Yosdania Hernandez Benitez

Doctor of Nursing Practice Final Project Abstract

Integrating Music Therapy into Post-Surgical Care: A Quality Improvement Strategy for Reducing Post-Operative Anxiety

Purpose

This quality improvement (QI) project aimed to reduce postoperative anxiety among adult patients after general surgery in the post-anesthesia care unit (PACU) by 30% using nurse-led music therapy in an ambulatory surgical center.

Results

Mean VAS-A scores decreased from 6.9 (SD = 0.5) pre-intervention to 4.0 (SD = 0.5) post-intervention, representing a 2.9-point (41.9%) reduction in anxiety and exceeding the project's target of 30%. Nurse adherence to the intervention protocol was 100%, and the mean patient satisfaction score was 4.6/5.0. All 100 patients completed both …

Function And Regulation Of Long Polar Fimbriae During Enterohemorrhagic Escherichia Coli Infection, Walter J. Galdamez

Dissertations and Theses (Open Access)

Enterohemorrhagic Escherichia coli (EHEC) is a foodborne pathogen that causes severe gastrointestinal disease and hemolytic uremic syndrome. EHEC employs multiple virulence factors to colonize the host intestine, including the locus of enterocyte effacement (LEE) encoded type III secretion system, intimin, and flagella, yet the role of long polar fimbriae (Lpf) in adhesions and infection remains less well understood. Long polar fimbriae can mediate bacterial attachment to host cells in vitro, yet the regulation and function of its two fimbrial operons, lpf1 and lpf2 in vivo remain poorly understood. Preliminary RNA-seq data from zebrafish infected with EHEC reveal that expression of …

Developing A Rapid Urban Forest Assessment System For Sustainable City Greenification, Daniel Gonzalez

Master's Theses

This thesis presents the Rapid Urban Forest Assessment (RUFA) system, a web-based platform that integrates urban tree inventories and aerial tree detection to assess forest health across California’s census-designated places. RUFA combines inventoried tree records with coordinates detected from high-resolution multispectral imagery using convolutional neural networks, then computes a composite RUFA Score from four metrics: canopy cover percentage, trees per capita, tree diversity (TD-50), and tree evenness. The thesis addresses two engineering challenges in building the dashboard: querying and aggregating over seven million tree records in real time, and rendering spatial summaries at multiple zoom levels without recomputing cluster assignments …

"Always Online, Never At Ease: Fear Of Missing Out (Fomo) As A Partial Mediator Between Adverse Childhood Experiences (Aces) And Physical Health, Psychological Functioning, And Psychosocial Adjustment Among College Students", Evelyn Pensamiento

Psychological Science Undergraduate Honors Theses

Adverse Childhood Experiences (ACEs) are potentially traumatic events, such as abuse, neglect, and household disruption, that occur during the first 18 years of life. ACEs have been found to be strongly linked to negative outcomes, such as poor physical health, poor mental health, low self-esteem, low emotion regulation, poor college adjustment, low life satisfaction, and low social connectedness, and high loneliness (Felitti et al., 1998; Carbonell et al., 2018; Cloitre et al., 2019; Mosley-Johnson et al., 2018; Yayan et al., 2019). Previous literature suggests that fear of missing out (FoMO) may help explain some of the negative consequences of ACEs …

Staying Connected In A World Of Constant Communication, Chris Gorecki Dds

Journal of the Macomb Dental Society

This article features a monthly column from the Macomb Dental Society Executive Director, Dr. Christopher Gorecki.

Rural And Urban Availability Of Substance Use Treatment Facilities, Aaron P. Smith, Tyrone F. Borders

Rural & Underserved Health Research Center Publications

Overview of Key Findings

• Rural counties have higher per capita numbers of substance use disorder treatment facilities than urban counties on average, but also greater variability and large pockets of unmet need.

• The highest proportions of residents living in counties without any treatment facilities are concentrated in rural areas within the Midwestern and Southern United States.

• Rural and urban treatment facilities offer medications for opioid use disorder (MOUD) at similar rates, with inpatient facilities most likely to provide MOUD, followed by residential and outpatient settings.

Draft Final Butte Priority Soils Operable Unit Insufficiently Reclaimed Sites Temporary Best Management Practices Work Plan: Bres No. 16 – Curry And Bres No. 50 – Zelia, Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Co-Creating The Garden With The Soil, Water, Plants, And Bees: Unsettling Gardening With A Different Axiology And Epistemology, Kathleen Cameron

Social Justice and Community Engagement Major Research Papers

No abstract provided.

Hyperadhesive Von Willebrand Factor Contributes To Pathogenesis Of Preeclampsia, Yajuan Wang, Chenyu Wang, Katie L Houck, Xiaoli Gao, Yuanyuan Chen, Xin Xu, Xue Zhao, Miguel A Cruz, Shu Zhang, Chester Q Li, Fengxia Xue, Min Li, Swati Shree, Jing-Fei Dong, Cha Han

Children’s Nutrition Research Center Staff Publications

Background: Preeclampsia is the most common complication of pregnancy, significantly affecting maternal and fetal health, and is characterized by placental and systemic endotheliopathy. Patients with preeclampsia have elevated levels of VWF (von Willebrand Factor), which is associated with poor clinical outcomes. However, whether VWF serves as a marker for endotheliopathy or contributes to the pathogenesis of preeclampsia remains poorly understood.

Methods: We investigated the role of hyperadhesive VWF in the development of preeclampsia by studying patients, evaluating mouse models, and performing in vitro experiments.

Results: We show that patients develop VWF- and fibrin-rich thrombosis in the placenta and have significantly …

Concerns With The Statistical Analysis In “Effect Of Combined Glp-1 Analogue And Bupropion/Naltrexone On Weight Loss: A Retrospective Cohort Study”, Thirupathi Reddy Mokalla, Henry T Robertson, Sherri Pals, David B Allison

Children’s Nutrition Research Center Staff Publications

No abstract provided.

All-Cause And Cause-Specific Mortality In Gambling Disorder: Evidence From A Nation-Wide Matched And Sibling Cohort Study In Taiwan, Yang-Chieh Brian Chen, Chih-Wei Hsu, Liang-Jen Wang, Mu-Hong Chen, Yao-Hsu Yang, Chih-Sung Liang, Edward Chia-Cheng Lai

Children’s Nutrition Research Center Staff Publications

Background and aims: Gambling disorder (GD) has been linked to suicidal ideation and suicide deaths; however, evidence on all-cause and cause-specific mortality-particularly in Asian populations-remains limited. Using a retrospective cohort study based on nationwide matched and sibling cohort, we investigated all-cause and cause-specific mortality risk in patients with GD.

Design, setting and participants: A retrospective cohort study was conducted using 2000-2022 data from Taiwan's National Health Insurance Research Database. A cohort of 961 individuals diagnosed with GD was identified. An age- and sex-matched control cohort (n = 3,844) and an unaffected sibling cohort (n = 675) were constructed. Cumulative survival …

A Multistate Analysis Of Longitudinal Care Outcomes Among People Newly Linked To Human Immunodeficiency Virus Care In Missouri, Aditi Ramakrishnan, Daniel Vo, Ernie-Paul Barrette, Rachel M Presti, William G Powderly, Anne Trolard, Corey Grejtak-Heaps, Elvin H Geng, Aaloke Mody, Lindsey M Filiatreau

2020-Current year OA Pubs

BACKGROUND: Advancing the HIV response in Missouri, an Ending the HIV Epidemic priority state, requires stronger characterization of treatment gaps. Routine cross-sectional reporting may fail to capture important gaps in care that longitudinal methods can reveal.

METHODS: We characterized clinic engagement and viral suppression among people with Human Immunodeficiency Virus (HIV) aged ≥18 years who were newly linked to clinic in St Louis, Missouri, between 1 January 2015 and 15 March 2020. Using multistate analytic methods that capture change over time, we estimated the prevalence of individuals in 9 mutually exclusive and exhaustive states over 3 years following linkage to …

A Surface-Bound Detection Architecture For Label-Free Evanescent-Wave Sensing Of Cobalt In Complex Fluids, Jeremiah W. Carpenter

All Dissertations

Cobalt exposure is a clinical concern in orthopedic implant surveillance, where cobalt-chromium wear debris can release ions detectable in blood and urine, and an environmental concern in mining-affected and industrial water systems. Reference laboratory methods, including inductively coupled plasma mass spectrometry, provide sensitive quantification but require centralized instrumentation, trained personnel, and controlled sample handling, which limits their availability for routine screening in decentralized clinical and environmental contexts. This dissertation develops a surface-bound detection architecture for label-free evanescent-wave sensing of cobalt in complex fluids. The architecture rests on a physical necessity argument grounded in interfacial optics: at physiologically and environmentally relevant …

Use Of A Task Analysis Application With Video-Prompting To Increase Social Skills For Individuals With Moderate To Severe Intellectual Disabilities, Zachary Hurley

All Dissertations

Individuals with intellectual and developmental disabilities present deficits in both intellectual functioning and adaptive behavior, which can limit an individual’s ability to function independently. Given the different levels of intellectual functioning and adaptive skills, individuals with moderate intellectual disabilities require a level of support in daily situations and environments. However, individuals with severe to profound intellectual disabilities require the most extensive amount of support in daily skills. Research demonstrates that the use of video-based instruction is an effective tool in increasing social skills among individuals with intellectual disabilities. Additionally, conclusions derived from the current review of literature identified gaps in …

An Investigation Of The Use Of Self-Regulated Strategy Development With A Mnemonic On The Fraction Computation Performance Of Students At-Risk For Emotional/Behavioral Disorders, Melissa D. Hullett

All Dissertations

Interventions that help students organize their thinking can reduce cognitive load and support academic, behavioral, and social success. Self-Regulated Strategy Development (SRSD) is an evidence-based instructional framework that combines strategy instruction with self-regulation to promote student independence and improve student confidence. A mnemonic has been shown to help scaffold support across all content areas to the level of mastery required by Stage 4 of the SRSD framework ("Memorize It"). In mathematics, where executive functioning demands are high, interventions to scaffold content must provide the metacognitive support needed for a diverse student population. This study used a multiple-baseline design to examine …

Toward A Conceptual And Methodological Understanding Of Supervisor Gaslighting In The Workplace, Gabriela Peschiera

All Dissertations

The term ‘gaslight’ has infiltrated popular media, with articles, TV shows, and podcasts dedicated to identifying gaslighting behaviors and mitigating its effects. Despite the term’s popularity, much of the existing literature solely focuses on gaslighting in intimate partner relationships, medical settings, and political campaigns. As a result, little is known about how it operates in the workplace context and whether it is distinct from other well-established workplace mistreatment constructs. In this dissertation, I explored the mechanisms of supervisor gaslighting by developing a scale and testing its distinctiveness from other workplace mistreatment and positive workplace behaviors. While two scales were recently …

Microstructural Shielding And Advanced Fatigue Crack Analysis In The Presence Of Deformation Twinning, Seyed Ali Asli

All Dissertations

Design methods to mitigate fatigue failures have remained relatively stagnant, as engineers have relied on existing continuum-level models and adhered to the damage tolerance design methodology. Although damage-tolerant design has led to increased safety, extended component in-service life, and better life predictions, it still relies on maintenance routines to identify dangerous cracks. This research aims to test the hypothesis that bundles of deformation twin boundaries will increase the resistance to fatigue crack growth (FCG). Slip and twinning are two dominant mechanisms of plastic deformation in metals. Slip is more common in materials with face-centered cubic (FCC) crystal structures at room …

Bridging Models And Real-World Performance: Capturing Represented, Hidden, And Unrepresented Dynamics In Complex Systems, Dixizi Liu

All Dissertations

Complex systems often depend on adaptive performance that is difficult to capture using structured data or formal models alone. This dissertation asks how predictive modeling, coordination-cost measurement, and simulation can be integrated to better represent the visible, hidden, and unrepresented dynamics that shape real-world system performance.

Sterile Processing Departments (SPDs) provide the empirical context for this work because they support safe and timely surgical care while operating under high workload variability, time pressure, and tight coordination with operating rooms. Hospitals rely on SPDs to clean, assemble, sterilize, and deliver surgical instrument trays so surgeries can start on time and proceed …

Imaging Oxygen Near Implanted Medical Devices Through Tissue With X-Ray And Ultrasound Modulated Luminescence Chemical Imaging, Vigjna Abbaraju

All Dissertations

Oxygen plays a crucial role in stem cell maintenance, tissue regeneration, disease progression, and treatment efficacy. For example, understanding oxygen dynamics within implanted medical devices, such as bone scaffolds, is essential for successful tissue regeneration and can serve as an early indicator of infection. The existing oxygen sensing and imaging techniques are often limited by narrow imaging depth, low spatial resolution in vivo resulting in poor understanding of oxygen dynamics in tissue microenvironments. This dissertation describes the development of implantable sensors using X-ray scintillators and thermochromic leuco dye paired with phosphorescent oxygen dye (PtTFPP) to image oxygen using X-ray luminescent …

Essays On Gender Reforms, Education, And Child Marriage In India, Pratistha Adhikari

All Dissertations

This dissertation comprises three chapters that examine the effects of gender reforms on education and child marriage in India.

In Chapter 1, I estimate the causal effect of the Hindu Succession Act Amendment of 2005, which granted Hindu women equal inheritance rights to certain household assets, on their education. I use the National Family and Health Survey (NFHS-5) data from 2019–2021 and a difference-in- differences design that exploits variation across religions and women’s ages at the time of the reform. The reform increased the likelihood of completing Grade 12 by 7 percentage points for Hindu girls in rural areas. The …

Structure And Dynamics Of Associative Polymers Under Quiescent State And Flow, Rosita Sivaraj

All Dissertations

Associative polymers, including ionizable polymers, are widely used in membranes, coatings, fuel cells, energy storage, and other advanced soft materials. Their properties are governed by ionic aggregation and associative interactions, which influence chain mobility, phase behavior, self-assembly, interdiffusion, and flow response. This dissertation employs large-scale molecular dynamics (MD) simulations to investigate the structure, dynamics, phase behavior, interdiffusion, and extensional flow response of ion-containing and associative polymer systems under quiescent and nonequilibrium conditions.

The influence of molecular architecture is first examined by comparing ring and linear associative polymers using the Kremer–Grest bead-spring model. In linear chains, their closed-loop architecture reduces interchain …

From Gatekeeping To Opportunity: Authentic Assessment In Natural Resources Education, Aradaryn Marsh

All Dissertations

Assessment practices play a central role in shaping how students engage with learning, demonstrate understanding, and participate in science, technology, engineering, and mathematics (STEM) education. Despite increasing calls for more inclusive and professionally relevant educational practices, undergraduate STEM assessment remains heavily dominated by traditional examinations emphasizing memorization, speed, and standardized performance. These concerns may be particularly important within Natural Resources (NR) education, a field that requires students to integrate scientific knowledge with communication, collaboration, and applied problem-solving. This dissertation explores authentic assessment within undergraduate NR education through a multi-phase investigation examining assessment prevalence, student experiences, racially marginalized (RM) student perspectives, …

Silviculture For Coastal Forest Resilience: Promoting Forest Regeneration And Managing Invasive Plant Species, Ryan Bohannon

All Dissertations

Coastal forests of the southern United States and the ecosystem services they provide are threatened by an intensifying and interacting suite of disturbances associated with global change. Silvicultural strategies such as enrichment planting, invasive plant management, and browse mitigation treatments can enhance the resilience and adaptive capacity of forests to these threats by promoting sustainable regeneration and recruitment dynamics. To improve our understanding of coastal forest disturbance regimes and their impacts on forest stand dynamics, I conducted a systematic literature review of maritime forest disturbance ecology and identified coastal storms, ungulate browsing pressure, and invasive plants as primary disturbances shaping …

Beyond Going Green: A Multilevel Examination Of Sustainability Climate Formation, Meredith Pool

All Dissertations

Going green at the organizational level does not automatically produce a shared sustainability climate among employees. How individual perceptions of organizational sustainability support form, and under what signal conditions they converge, has been theorized but rarely tested experimentally. The present study examined these questions using a 2 × 2 × 2 between-subjects factorial vignette experiment (N = 332) with full-time employed adults, manipulating organizational sustainability signal strength (strong vs. weak), team-level sustainability signal strength (strong vs. weak), and team functional context (operations vs. analytics). Two large main effects emerged. Organizational signal strength produced a large effect on Perceived Organizational Sustainability …

Regional Forecasting Of Southern Pine Beetle Outbreaks In The Southeastern Usa Using Spbom1 With Artificial Intelligence-Based Modeling, Ebere L. Anozie

All Dissertations

Southern pine beetle (SPB; Dendroctonus frontalis) outbreaks are among the most damaging biological disturbances affecting pine forests of the southeastern United States, capable of causing extensive tree mortality, economic losses, and reduced ecosystem resilience. This dissertation evaluated and advanced predictive approaches for SPB outbreak forecasting by integrating systematic review, geospatial modeling, comparative model evaluation, and artificial intelligence-based prediction. First, a systematic review of SPB predictive tools from 1978 to 2024 showed that modeling has evolved from statistical, climatic, and mechanistic approaches to remote sensing, GIS, machine learning, hybrid modeling, and decision-support systems, although many tools remain limited by scale …

Effects Of Urbanization On Barrier Island Bobcats, Meghan P. Keating

All Dissertations

Urbanization is a leading driver of ecological change and presents unique challenges for carnivores by altering habitat availability, prey communities, and exposure to anthropogenic threats. Although many carnivore species persist in developed landscapes, the ecological and demographic consequences of urbanization often remain poorly understood, particularly over long timescales. Using one of the longest-running studies of a free-ranging carnivore population, I evaluated the effects of urbanization on the behavior, resource use, exposure risk, and population dynamics of bobcats (Lynx rufus) inhabiting a residentially developed barrier island in coastal South Carolina, USA. I first examined temporal and spatial responses to …

Equity In Healthcare: Exploring The Viability Of Reparations As A Means To Address Racial Health Inequities, Invest In The Community, And Bestow Reconciliation For African Americans, Alesia A. Smith

All Dissertations

Racial health inequities remain among the most persistent forms of health disparity in the United States, despite decades of policy efforts to eliminate them. African Americans, in particular, continue to experience disproportionately poor health outcomes rooted in generations of institutional racism and in inequities in the social determinants of health, income, wealth, education, housing, and access to care, disparities that the COVID-19 pandemic further exposed and intensified. These enduring, structurally produced harms strengthen the case for reparative investment as a potential intervention.

The purpose of this qualitative study was to examine whether reparations, framed as a community-based investment in health, …

The Rhetoric Of Flattery: Embodiment And Persuasion In Papal Discourse, Gabrielle Wilkosz

All Dissertations

What makes flattery so persuasive? An analysis of three speeches from contemporary popes, preeminent leaders in the Catholic Church, finds strategic use of compliments, emotional language, and ideas about human dignity. These approaches can persuade world leaders and institutions such as the United Nations and the United States Congress to act morally and responsibly. Flattery can encourage ethical action and reduce the feeling of emergency, creating an enduring, complex dynamic of power that is seen at many levels of narrative.

Essays On Opioid Prescription Limit Policy Diffusion, Evaluation, And Opioid Use Disorder Treatment Utilization, Md Ashiqur Rab

All Dissertations

The drivers of the opioid epidemic in the United States include the oversupply of prescription opioids, the availability of illicit drugs, under-resourced healthcare settings, and several socio-economic factors. Federal and state-level initiatives, including policy interventions to curb the oversupply of prescription opioids, providing access to healthcare, prevention and recovery support services, and community-level engagement, have been adopted to combat the opioid epidemic. Motivated by the need to better understand the policy and recovery efforts to address the epidemic, this dissertation examines opioid prescription limit policy diffusion, evaluation, and treatment utilization patterns. This dissertation comprises three manuscripts that offer a comprehensive …

Efficient And Scalable Visual Computing For Nanoscale Imaging, Hao Wang

All Dissertations

Nanoscale analysis often relies on instrument-mediated scientific imaging methods to capture visual signals that are difficult to observe, interpret, or quantify through ordinary perception alone. These domains are often characterized by low signal quality, limited annotations, complex morphology, non-natural visual statistics, and strong dependence on physical acquisition processes. This dissertation focuses on efficient visual computing for nanoscale imaging, with an emphasis on the representation, reconstruction, and analysis of high-resolution scientific visual data. In our early work, we relied on rule-based algorithms and conventional machine learning methods for feature extraction. However, these approaches struggle to scale with the increasing complexity and …