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Reducing Compassion Fatigue On A Cardiac Telemetry Unit, Nicole Rocio Garzon

Master's Projects and Capstones

Abstract

Background: Compassion fatigue (CF) among nurses is a significant concern affecting both individual well-being and patient care outcomes. Findings from a 2020 national survey found two-thirds of nurses (62%) struggle with CF and even a high rate for those nurses under the age of 25 years. Through a review of current literature and case studies, the effectiveness of these interventions in reducing stress, enhancing resilience, and improving overall job satisfaction among healthcare professional is examined. Practical implications for implementing these interventions in healthcare organizations are discussed, emphasizing the potential for creating supportive environments that foster emotional and mental well-being …

Patient-Reported Outcomes From The Phase Iii Himalaya Study Of Tremelimumab Plus Durvalumab In Unresectable Hepatocellular Carcinoma, Bruno Sangro, Peter R. Galle, Robin Kate Kelley, Chaiyut Charoentum, Enrico N. De Toni, Yurii Ostapenko, Jeong Heo, Ann-Lii Cheng, Andrea Wilson Woods, Charu Gupta, Jayne Abraham, Carrie L. Mccoy Phd, Rn, Anp-Bc, Nikunj Patel, Alejandra Negro, Arndt Vogel, Ghassan K. Abou-Alfa

Publications

PURPOSE:

In the phase III HIMALAYA study (ClinicalTrials.gov identifier: NCT03298451) in unresectable hepatocellular carcinoma (uHCC), the Single Tremelimumab Regular Interval Durvalumab (STRIDE) regimen significantly improved overall survival versus sorafenib, and durvalumab monotherapy was noninferior to sorafenib. Patient-reported outcomes (PROs), a secondary outcome from HIMALAYA, are reported here.

METHODS:

Participants were randomly assigned to receive STRIDE, durvalumab, or sorafenib. PROs were assessed (preplanned secondary outcome) using the European Organization for Research and Treatment of Cancer 30-item Quality of Life Questionnaire and the 18-item HCC module. Time to deterioration (TTD), change from baseline and improvement rate in global health status/quality of life …

The Effect Of Various Doses Of Gamma Ray Irradiation On Growth And Chlorophyll Changes Of Three Adlay Genotypes, Warid Ali Qosim, Anas, Suseno Amien, Meddy Rachmadi, Sidik Ramdani, Romi Zamhir Islami

Jurnal Kultivasi

Adlay has great potential to be developed into an alternative food source in Indonesia because it contains carbohydrates and high fat. The aim was to effect of various doses of gamma-ray irradiation on growth,chlorophyll changes, and determination of lethal dose (LD50) three adlay genotypes in M1 generation. This study was conducted by using the experimental quantitative method without design. The material used consists of three adlay genotypes, including genotypes #28, #37, and #38. The seeds were treated with 0 Gy (control), 100 Gy, 200 Gy, 300 Gy, 400 Gy, and 500 Gy doses of gamma-ray irradiation by the Research Center …

Evaluation Of Padjadjaran Maize Hybrids In Intercropping System With Soybeans Under Albasia Shade, Yuyun Yuwariah, Audi Razaqa Soendajana, Fiky Yulianto Wicaksono, Dedi Ruswandi

Jurnal Kultivasi

Intercropping between maize and soybean has been known to be widely practiced by subsistence farmers. Some farmers do intercropping in production forests and there are no scientific data about it. The aims of the study were to evaluate the growth and yield of Padjadjaran maize hybrids and to estimate Land Equivalent Ratio, Competitive Ratio, and Stress Tolerance Index under intercropping of maize and soybeans under the shade of Albasia. The experiment was carried out from January to June 2021 in Tanjungsari, Sumedang Regency with an altitude of 818 m above sea level. The experiment used a Randomized Block Design (RBD) …

Effect Of Biochar Composition And Paclobutrazol Concentration On Growth And Yield Of G1 Medians Cultivar Potato Seeds In Jatinangor Medium Plain, Jajang Sauman Hamdani, Zahira Salsabilla Idris Putri, Wawan Sutari

Jurnal Kultivasi

Potato seed production in the medium plain is necessary to avoid environmental damage and the limited area of potato seed production in the high plain. The effort to increase the production of G1 potato seeds on the medium plain is the evaluation of the biochar composition and concentration of paclobutrazol that can increase the production G1 potato seeds cv Medians in the medium plain of Jatinangor. The research was conducted from August to December 2022 at the Ciparanje Experimental Field. Jatinangor. Faculty of Agriculture. Universitas Padjadjaran. The experiment used a Factorial Randomized Block Design (RBD). The first factor was the …

Chinese Tallow Long-Term Impact On Stand Dynamics In A Bottomland Hardwood Forest Following Vegetation Management, Nicklaus R. Langlois

Electronic Theses and Dissertations

Chinese tallow (Triadica sebifera (L.) Small) is an invasive tree known to have negative impacts on bottomland hardwood forests. Chinese tallow is proficient in reproducing and surviving in bottomland hardwood forests because it is more flood and shade tolerant than most native trees. The long-term effectiveness of Chinese tallow control is an important topic to research as only a few long-term studies of Chinese tallow control have been conducted. A 10-year re-measurement of 22 paired plots installed in 2012 on the Pineywoods Mitigation Bank near Diboll, Texas following herbicide treatments examined Chinese tallow and native tree stand structure. Each …

Chronic Obstructive Pulmonary Disease Hot Spots In Mississippi, Taylor Jansen, Elizabeth Dugan

Journal of Public Health in the Deep South

Abstract

Introduction. Chronic obstructive pulmonary disease (COPD) is the sixth leading cause of death in the US and approximately 10% of people 65 years and older have COPD. This study examines the association of geographic-level risk factors with chronic obstructive pulmonary disease (COPD) prevalence using spatial-based analyses with the goal of identifying risk factors associated with county-level COPD and to identify communities at risk.

Methods. The study sample consisted of all N=82 counties in Mississippi and all data is reported at the county level. All measures were drawn from the 2023 Mississippi Healthy Aging Data Report. A hot spot …

Cycle Syncing: Optimizing Women's Quality Of Life, Megan Francois

Theses and Graduate Projects

A woman’s hormones are in constant fluctuation throughout the menstrual cycle. This 28-day, on average, fluctuation can cause major shifts in mood, cognition, exercise tolerance, and nutrition needs. Because of this, there is potential to optimize quality of life if each phase is synced with diet, exercise, and complementary medicine utilizing holistic methods. Implications for further research include a need for additional longitudinal and prospective studies. Factors that need to be addressed include further analysis of the windows of vulnerability over the menstrual cycle according to female hormone fluctuations, effects of hormonal contraceptives, and effects of pathology on the cycle.

Preserving Pediatric Wellness: Enhanced Recovery After Surgery Protocols And Pain Management In Pediatric Surgery, Kimberly Kim

Theses and Graduate Projects

Background: Enhanced recovery after Surgery (ERAS) protocols and multimodal pain management strategies have revolutionized perioperative care in adult surgical practice by leading to improved postoperative outcomes and better pain management. However, the adoption of these protocols to pediatric surgical care remains underexplored.

Purpose: This systematic review aims to examine recent randomized clinical trials on the implementation of ERAS protocols and multimodal pain management strategies in pediatric surgical patients.

Methods: A computer-based literature search of databases through Google Scholar and PubMed with manual reference searches was used to identify eligible studies. The review includes randomized controlled trials focusing on multimodal pain …

Unveiling Healthcare Disparities By Addressing Historical Traumas To Build Inclusive Spaces For Marginalized Communities: An Autoethnographic Study, Helena Humphreys

Theses and Graduate Projects

This paper delves into the pervasive disparities within the healthcare system, rooted in historical injustices that are perpetuated by systemic biases, particularly affecting Black, Indigenous, and People of Color (BIPOC) communities, as well as the LGBTQIA2S+ community. Through a comprehensive literature review and autoethnographic study, the paper examines the deep-seated issues faced by these marginalized groups, including access barriers, discrimination, mistrust of healthcare providers, and the enduring impact these have on health outcomes. Historical traumas such as the Tuskegee Syphilis Study and the use of HeLa cells underscore the enduring impact of past injustices on present-day healthcare experiences. Moreover, the …

Administrator Perspectives On Challenges And Opportunities In Assisting Teachers Transition To Online Teaching During Covid-19, Itari Beryl Hinds

Walden Dissertations and Doctoral Studies

During the COVID-19 global pandemic, there was no precedence set or documented protocol to govern the transition from face-to-face to online teaching. The purpose of this study was to explore middle school administrators' perspectives on their challenges and opportunities when assisting teachers as they transitioned from face-to-face to online teaching during the COVID-19 pandemic. Bass’s transformational leadership theory was used as the conceptual framework to emphasize the need for administrators to motivate teachers to persevere and adapt during times of crisis. The study’s two research questions were designed to explore administrators’ perspectives on whether they experienced challenges or opportunities when …

Investigation Of Using Natural Deep Eutectic Solvents (Nades) For Extraction Of Bioactive Compounds From Aronia Melanocarpa Fruit, Melek Zor

Turkish Journal of Agriculture and Forestry

In this study, for the extraction of polyphenolic compounds found in high amounts in aronia fruit, three different extraction methods (classical, ultrasound, ultrasonic), three different traditional solvents (water, ethanol, acidified 80% methanol) as well as five different natural deep eutectic solvents (NADES) were used. Color indices as L*, a*, b*, C* and H° values, total phenolic, total flavonoid, total monomeric anthocyanin, total antioxidant capacity (DPPH, ABTS and FRAP assays) and phenolic compounds of aronia fruit extracts were analyzed. There were significant differences in the measured parameters depending on the extraction method and solvent type. Extracts in ultrasound extraction and classical …

Biostimulant-Mediated Cellular Repair By Improving Antioxidant Dynamics And Osmoregulation Against Metal Stress In Canola, Hina Kanwal, Iram Shoaib, Ali Noman, Muhammad Faisal Maqsood, Rashda Naheed, Omar Mahmoud Alzoubi, Mohamed Hashem, Rehab Elnour, Fahad Mohammed Alzuaibr, Noreen Khalid, Muhammad Kashif Irshad, Muhammad Aqeel

Turkish Journal of Agriculture and Forestry

Global crop yield and growth are severely impacted by hazardous heavy metal contamination of the soil and water. This study examined the effects on a range of physiological, biochemical, and morphological parameters of two canola (Brassica napus L.) cultivars, Punjab (V1) and Super (V2), when they were subjected to three different levels of cadmium (Cd) stress (0, 1.5, and 2.25 mM) and foliar application of biostimulant, i.e., Moringa leaf extract (MLE). Plants in V1 (Punjab) collect more Cd in both their aerial and subterranean sections than in V2 (Super).The morphological and physiological indicators showed a substantial (p < 0.05) deterioration as a result of the Cd buildup. Ascorbic acid and malondialdehyde (MDA) and hydrogen peroxide (H2O2) were considerably (p < 0.05) elevated under Cd stress. V1 has considerably higher H2O2 values than Super (V2), which suggests that oxidative stress levels there are higher. Additionally, the activity of some antioxidant enzymes, such as catalase and peroxidase (65 and 40%, respectively), were reduced by a higher concentration of Cd (2.25 mM). V2 demonstrated stronger antioxidant defence mechanisms than V1, as seen by a 115% rise in POD activity, a 70% increase in shoot fresh weight, and a 49% increase in amino acids following MLE spray. Despite this, the V2 was still able to withstand Cd. Under Cd stress, foliar treatment of MLE increased both kinds' yield, growth, biochemical, and physiological characteristics. The findings indicated that applying MLE foliar spray can improve crop productivity and lessen the impacts of metals on B. napus L.

Understanding The Role Of Mastl In Colon Homeostasis And Colitis-Associated Cancer Development, Kristina Pravoverov

Theses & Dissertations

Colitis-associated cancer (CAC) is the most devastating complication of longstanding inflammatory bowel disease (IBD). Understanding the mechanisms underlying the switch from damage-repair to dysplasia in IBD is critical for identifying novel therapies to facilitate mucosal healing while mitigating CAC risk. Microtubule-associated serine-threonine kinase-like (MASTL), though crucial in cell growth and repair, is upregulated in sporadic colorectal cancer and CAC. This study sought to delineate the role of MASTL in colitis and CAC development.

First, we examined whether MASTL is associated with colitis and recovery. Review of publicly available data found significant elevation of MASTL and interleukin (IL)-22 in biopsies from …

Development Of A Multidimensional Measure Of Wellbeing For Emerging Adults Utilizing A Convergent Parallel Mixed Method Design, Kelley Marie Wick

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Attempting to conceptualize wellbeing is difficult, and the current research literature does not offer a standard definition that encapsulates the complexity of this construct, nor has there been a thorough consideration the impact of culture and societal standards of behavior on wellbeing. Additionally, the emergence of a new developmental period between adolescence and true adulthood (emerging adulthood) offers an additional layer of nuance, as many of the traditional scales currently used to measure wellbeing are inappropriate for emerging adults. A major gap in the current research literature is the reluctance in developing measures with the help of the target population. …

Central Nervous System Antiviral Pharmacology, Sean N. Avedissian

Theses & Dissertations

Soon after viral infection, viruses like Human Immunodeficiency Virus (HIV) and SARS-CoV-2 can disseminate throughout the body and establish reservoirs in the central nervous system (CNS). The persistence of viruses in cells of these reservoirs is a major obstacle to virus eradication. This is due to the abundance of cells/receptors that these viruses utilize to gain entry into cells found at these various reservoir sites. Consequently, these same anatomical sites also may be pharmacologic sanctuaries, as evidenced by concentrations of antiretroviral drugs (ARVs) and antivirals (AVs) that are lower in reservoirs than those in peripheral blood; in some cases, these …

Ct Scan Identified Sarcopenia And The Relationship With The Mst And And/Aspen Malnutrition Guidelines In Gastrointestinal Cancer Patients, Samantha Dieckmann

Theses & Dissertations

Sarcopenia is a debilitating muscle loss disorder caused by aging or chronic conditions. It decreases quality of life and increases morbidity and mortality. Gastrointestinal cancer patients are at a high risk for the condition given the impact of the disease and its treatments. There is limited consensus on how to identify and screen for sarcopenia. Previous research is limited on the use of clinically available tools currently used for malnutrition and their ability to screen for sarcopenia. This study aimed to investigate the Malnutrition Screening Tool (MST) and the Academy of Nutrition and Dietetics, and the American Society for Parenteral …

Association Between Agrichemical Mixtures And Pediatric Health Outcomes: Evidence From A Nebraska Population-Based Surveillance, Jabeen Taiba

Theses & Dissertations

Human exposure to environmental contaminants is associated with various pediatric health outcomes. Agrichemicals are a significant environmental risk factor for childhood cancers and congenital anomalies, and reduced exposure could improve pediatric health outcomes. Previous studies in Nebraska have explored the association between single pollutants and pediatric cancers and birth defects. However, it is important to estimate the overall effect of the agrichemical mixture on these pediatric health outcomes. In addition to environmental risk factors, several social vulnerability factors also contribute to increased agrichemical exposure and show disparities in pediatric cancers and birth defects. The objectives of this dissertation are to …

Cover And Contents

Turkish Journal of Agriculture and Forestry

No abstract provided.

Qtl Mapping For Fatty Acid Composition In Olive Oil Using A High-Density Genetic Map Based On Snp Markers, Ali̇ Can Kaya, Meryem İpek, Ahmet İpek, Mehmet Ali̇ Gündoğdu, Nesri̇n Aktepe Tangu, Sevi̇n Teoman Duran, Murat Şeker, Mustafa Akbulut

Turkish Journal of Agriculture and Forestry

Olive (Olea europaea L.) is an evergreen tree species that grows naturally in regions with Mediterranean climates. Its oil and fruits are commercially valuable. Olive oil contains high levels of omega-9 (oleic acid). Because the high percentage of oleic acid makes olive oil deterioration-resistant, the development of olive varieties containing high oleic acid is one of the major goals of olive breeding programs. Therefore, this study aimed to determine quantitative trait loci (QTL) affecting fatty acid composition of olive oil. Thus, early selection of olive genotypes with a high oleic acid content can be possible. For the determination of QTLs …

Legal Regime Of The Application Process For Gmo Products In Türkiye, Ünal Yildiz, Özgür Temi̇z, Kami̇l Hali̇loğlu, Nesri̇n Yildiz

Turkish Journal of Agriculture and Forestry

In Turkiye, in accordance with EU harmonization laws, Biosafety Act No. 5977 entered into force on 18.09.2010. The basic legislation regarding the application process is composed of the Biosafety Act, Regulations on Genetically Modified Organisms and Their Products, and Regulations on Working Procedures and Principles of Biosafety Board and Committees. Biosafety legislation foresees a special application procedure for GMO food, food products, feed, and other products. The application regulated in the Biosafety Law is a special administrative procedure in nature. The primary objective of this study is to explain the legal regime of this application procedure. While explaining this issue, …

Determination Of Dry Matter Yield, Some Morphological Characteristics And Rootworm Infestation In Local Sainfoin Populations, Zeynep Gül, Mustafa Tan

Turkish Journal of Agriculture and Forestry

Sainfoin (Onobrychis sativa L.) is a valuable forage plant which is drought resistant and has good nutritional value. However, for a long time, some rootworms that damage sainfoin have caused a decrease in its cultivation areas. As a result of many studies, a variety resistant to rootworms has not been developed yet. Local populations are of great importance in the studies to develop resistant varieties. This research was planned to determine the hay yield, forage quality, morphological characteristics and rootworm infestation of local sainfoin genotypes from 6 different villages in Erzurum province of Türkiye. The research was established in 2017 …

Quantitative Variation Of Phenolic Compounds In Different Tissues Of Pistachio(Pistacia Vera L. Cv. Uzun) Associated With Alternate Bearing, Müjgan Güney, Muhammet Ali̇ Gündeşli̇, Murat Güney, Nesi̇be Ebru Kafkas, Sali̇h Kafkas, Zeynep Ergün

Turkish Journal of Agriculture and Forestry

Alternate bearing is a common challenge in horticultural plants, leading to irregular yield in successive years. The potentialrole of phenolic compounds in regulating this phenomenon, however, is not well understood. This study aimed to investigate thepotential role of phenolic compounds in alternate bearing in pistachio trees by analysing samples from different parts of the “Uzun”cultivar over two consecutive years. Seven phenolic compounds (gallic acid, p-coumaric acid, caffeic acid, ferulic acid, chlorogenic acid,catechin, and quercetin) were analysed using high-performance liquid chromatography at 10-day intervals. Significant variations wereobserved in the levels of certain phenolic compounds between “ON” and “OFF” years, suggesting a …

Developing Micropropagation Protocol For Black Mulberry (Morus Nigra L.), Merve Özkul, Nevzat Sevgi̇n, Mehmet Özkul, Neelam Prabha Negi, Sadi̇ye Peral Eyduran, Bi̇rsen Yilmaz, Melekşen Akin

Turkish Journal of Agriculture and Forestry

This study aims to develop a suitable micropropagation protocol for black mulberry, which cannot be easily clonally propagated like other mulberry species. Clonal propagation of this species is gaining importance due to its health benefits and utilization in pharmacology. The effects of culture media and cytokinin types on micropropagation of Morus nigra L. were investigated. Single-axillary bud explants grown on MS, DKW, and NRM containing 0.25 mg/l benzyl adenine (BA) plus 0.01 mg/l indole-3-butyric acid (IBA) were compared to cultures grown on NRM with thidiazuron, metaTopolin (mT) or BA at 1.25, 2.5, 5.0 or 7.5 mg/l plus 0.01 mg/l IBA. …

Evaluation Of Turkish Shallot Genetic Resources For Morphological, Biochemical And Sensory Properties, Gülay Beşi̇rli̇

Turkish Journal of Agriculture and Forestry

Shallots, a subspecies of onion, are considered the gourmet onion and are preferred especially in French and Asian cooking. Its unique taste and aroma especially being caramelized through heat treatment increases its importance for boutique restaurants and niche tables. This study examined the morphological, biochemical, and sensory properties of seven generatively (GMSY-2, GMSY-3, GMSY-4, GMSY-5, GMSY-6, GMSY-7, GMSY-8) and one vegetatively propagated (GMSY-1) shallot genotypes in 2021 and 2022. Sixteen morphological and fifteen biometric features of UPOV were used in characterization. Total phenolic content, total antioxidant capacity, and total monomeric anthocyanin and pyruvic acid contents were determined as biochemical markers. …

Rheumatoid Arthritis Disease Activity Is Associated With Frailty In Veterans, Courtney N. Loecker

Theses & Dissertations

Frailty, a physiologic vulnerability to everyday stressors, affects approximately 30% of the 1.3 million Americans with rheumatoid arthritis (RA) and is associated with increased risk for adverse health outcomes. Active RA manifests as inflammation, pain, and joint damage leading to functional impairments and morbidity which cumulatively influences frailty. However, the relationship between RA disease activity and frailty is incompletely understood.

This study evaluated the relationship of RA disease activity and frailty at baseline and over up to five years in Veterans. A cohort study was performed using data from the Veterans Affairs Rheumatoid Arthritis registry. RA disease activity was measured …

Telehealth For Healthy Aging: A Multi-Level, Multi-Methods Approach, Vaibhavi Mone

Theses & Dissertations

Telehealth, rapidly adopted during the pandemic, has shown its usefulness and limitations, yet was not designed with older adults in mind. This dissertation encompasses three interconnected studies exploring telehealth utilization for Medicare Annual Wellness Visits (AWVs) among older adults, provider perspectives on telehealth AWVs, and the impact of teleconferencing on primary care providers' knowledge and confidence in geriatric care. The objectives are to determine patient characteristics using telehealth AWV (study 1), understand provider perspectives on telehealth AWV (study 2), and evaluate the effectiveness of geriatrics education through telehealth (study 3). Study 1 investigates the changes in AWV utilization among 18,405 …

Implementation Of Reintegration Program Before Discharge For Veteran Population, Abigail Ross, Zeida Gutierrez

Summer 2024 OTD Capstone Symposium

A poster about creating and implementing a Reintegration program for War Veterans so they can possess the skills to be reintegrated into the community after they are discharged from the long-term care facility.

Single-Caregiver Families: Using Lived Experiences To Build Effective Resilience And Protect Future Children Against Negative Outcomes, Andrew Chakalian

Master's Theses

Among many cited risk factors that disproportionately affect children who grow up in a single-caregiver family, adverse childhood experiences (ACEs) and related behavioral and health outcomes are some of the most significant. Comparatively, there has been a substantial gap in the research exploring protective factors that support healthy development for children with this family composition. The present study used a phenomenological methodology to explore how nine participants aged 18-25 viewed their childhood in a single-caregiver family. Through the use of semi-structured interviews, participants shared their experiences; analysis yielded four themes: (1) further dysfunction in the social system exacerbating the effects …

Overnight Rice Fermentation: An Analysis Of The Physicochemical Changes In White, Brown, And Enriched Rice Varieties, Kavin Sivakumar

Master's Theses

Fermentation refers to the activity of microorganisms breaking down substrates, resulting in changes to a food product. One fermented food practice from the Indian subcontinent is overnight fermented rice. The traditional preparation consists of covering cooled cooked rice in water and leaving it at room temperature to ferment overnight. The objective of this project was to investigate overnight rice fermentation through quantifying its physicochemical changes. The study utilized three types of rice: white, enriched white, and brown. Mixtures of cooked rice and water at a 1 gram: 2 milliliter ratio were fermented at 29 degrees Celsius and 60% humidity for …