Digital Commons Network^™

Ketamine Infusion Protocol & Patient Education Pamphlet For Complex Regional Pain Syndrome, Ricardo Aranda, Giles Howard

Doctor of Nursing Practice Projects

Complex regional pain syndrome (CRPS), formerly known as reflex sympathetic dystrophy (RSD) and causalgia, is a debilitating neurological disease accounting for 1.2% of all chronic pain conditions, with eighty percent being severely disabled (Zhao et al., 2018). Altered pain pathways in CRPS patients result in resistance to traditional methods of analgesia, contributing to poor quality of life and unanticipated hospitalizations. Multiple meta-analysis studies suggest ketamine infusions effectively lower chronic pain scores in CRPS patients. Despite the evidence, a lack of standardized ketamine infusion protocols creates a barrier to provider implementation. This Doctor of Nursing Anesthesia project aimed to develop a …

What's In Your Nursing Labor Toolkit? Promoting Patient Satisfaction While Decreasing Cesarean Section Rates., Jennifer Isip, Damaris Peralta, Hannah Zions

Doctor of Nursing Practice Projects

Cesarean section is a complex surgical procedure with considerable risk for complications during and after surgery, increasing the likelihood of future pregnancy complications. It is crucial to properly educate patients and nursing staff regarding intentional maternal positioning to facilitate successful vaginal delivery through optimal fetal positioning in the vaginal canal throughout the labor process. This study reviewed 28 participants to determine if intentional maternal positioning can promote vaginal birth and increase patient satisfaction. Participants were pregnant women experiencing protracted labor/labor dystocia without a history of prior c-sections, uterine surgeries, or large gestational age (LGA) newborns. Patients who underwent primary cesarean …

Decoding Cryptocurrency Taxes: The Challenges For Estate Planners, Max Angel

Duke Law & Technology Review

In this article, Angel explores the unique challenges of estate planning with cryptocurrency, which include accurately valuing those assets, preserving their value, and addressing the complex tax implications of transferring cryptocurrency to heirs.

Full Issue

Criterion: A Journal of Literary Criticism

No abstract provided.

We Are Talking About The Case Against Trump All Wrong, Rebecca Roiphe

Other Publications

No abstract provided.

The Hope Venture: Strategic Audit, Bradley Sullivan

Honors Program: Senior Projects (Public)

The Hope Venture is an international nonprofit headquartered in Lincoln, Nebraska. Their work is comprised of education and health projects targeted at individuals living in extreme poverty. Currently, most of their projects are located in India and Sub-Saharan Africa. A PESTEL analysis was performed to assess the external environment in which they operate, while a Porter’s 5 Forces analysis explained industry dynamics. Their competitive advantages, such as their unique 100% model, are explored, while key challenges regarding scalability are discussed. In the end, recommendations are given to overcome potential threats and to continue to sustain a competitive advantage in the …

Slow Cook Off Of Insensitive Munitions Test Final Design Report, Matthew Vaudrain, Ethan Twitchell, David Canavan

Mechanical Engineering Capstone Design Projects

The purpose of this capstone project is to create a device that can safely and accurately test the efficacy of an insensitive munition under constant thermal stress over a large period of time. Before the design of this capstone project the testing apparatus used by several branches of the military was not well thought out and often was made of materials found around the test site. This Capstone project brought a more analytical and effective approach to this problem to give a single slow cook off device that could be used universally for all applications of slow cook off testing. …

The Guest Passenger Statute And Its Constitutionality In The State Of Alabama, Grant David Herbshine

Honors Capstone Projects and Theses

No abstract provided.

Implementing An Insomnia Assessment And Management Algorithm In A Rural Pirmary Care Clinic, Rebekah Gaffin

Doctor of Nursing Practice Projects

Insomnia is the most common sleep complaint and significantly impacts quality of life and productivity. The accumulated total of direct and indirect healthcare costs related to insomnia is estimated to be as high as $100 billion/year and is associated with an increased risk of cardiovascular and cerebrovascular disease. Primary care providers play a critical role in identifying and implementing early interventions to address insomnia. However, this can be time-consuming, and providers may be unaware of the latest treatment guidelines and available resources. This project provided a research-based algorithm to identify and initiate treatment for patients 18+ with chronic insomnia in …

Clinical Opportunities For Special Education Teacher Candidates: Developing Professional Identities That Endure Beyond Candidacy, Christine M. Davila

The Journal of Advancing Education Practice

There is an ongoing shortage of special education teachers, particularly due to early burnout. Semi-structured interviews and focus groups were utilized to explore field experience needs for special education teacher candidates that positively affected their ability to maintain self-efficacy toward classroom and behavior management in self-contained settings into their early years of teaching. Findings indicated that special education teacher candidates need opportunities for experiences that allow them to imagine themselves in the role and foster professional identity development that endures beyond candidacy. Embedding opportunities for preservice special education teachers to develop their professional identities within their formal preservice training programs …

The Experiences Of Southeastern Massachusetts K-12 Teachers And Factors That Influenced Retention During And After The Covid-19 Pandemic, Cheryl Hebert, Dawn H. Mackiewicz, Tiffany Jadotte, Kristin L. Wakefield

The Journal of Advancing Education Practice

This narrative study described factors that positively influenced teacher retention during and after the COVID-19 pandemic. Herzberg’s 2-factor theory provides the framework for understanding how teachers’ work conditions and professional relationships motivated them to remain in their roles. This study was designed to capture the voice of educators and the best practices were used to motivate them throughout the pandemic and the return to the classroom. Ten K-12 public school teachers employed within five schools in southeastern Massachusetts participated in this qualitative study. The following findings from the study include: (a) Poor student engagement negatively affected teachers’ work satisfaction during …

Assessing Quality Of Health-Related Social Needs Screening Across Jefferson Hospital’S Clinical Sites, Aparna Sarin, Md, Mph, Olivia Quinn, Mph, Nolan Chiles, Bs

Health Equity and Quality Improvement (HEQI) Summit

Objectives

• Assess the rate of completed health-related social needs (HRSNs) screenings at different TJUH sites
• Compare screening outcomes across TJUH clinical sites

Background

- Centers for Medicare and Medicaid (CMS) is mandating Health Related Social Needs (HRSNs) screening for all admitted patients

- First-year Sidney Kimmel Medical College (SKMC) students screen patients at four different Jefferson clinical sites alongside Community Health Workers (CHWs) as part of their ‘Clinical Experience’ curriculum

- SKMC screens 7 domains

• Food*
• Housing*
• Utilities*
• Transportation*
• Medication expenses
• Primary care
• Insurance
  
  *Screened by CMS, as well as interpersonal safety

- The data is gathered from:

• inpatient floors …

Building A Bridge Between Student-Centered Teachers And Teacher-Centered Students, Kimber Summers

MA TESOL Collection

No abstract provided.

Impact Of Sepsis Education For Emergency Department Staff: A Quality Improvement Project, Shayna E. Thoene, Shannon Mills

Doctor of Nursing Practice Projects: College of Nursing

Background: Sepsis continues to be a critical issue worldwide. New sepsis guidelines instituted by the Centers of Medicare and Medicaid Services (CMS) list evidence-based standards to comply with regarding care for sepsis patients. To help a new acute care facility meet compliance, a sepsis educational program has been developed to assess staff knowledge and confidence in caring for these patients.

Methods: This quality improvement (QI) project was developed using a pre-post study design to assess the impact of implementing a sepsis educational program for emergency department staff at this new acute care institution. A sepsis educational program was derived from …

Impact Of Salmonella Enterica On Plant Physiology And Immunity, Sara Qader

Poster Presentations

Salmonella can colonize plant tissue effectively. Understanding the molecular mechanisms underlying Salmonella’s interactions with plants is essential for developing effective strategies to reduce its impact on human health and agriculture. Effector proteins, known for their role in modulating host-pathogen interactions, have been implicated in the virulence and pathogenicity of Salmonella. However, their specific functions and contributions to Salmonella’s interactions with plants remain largely unknown. Here, we aim to investigate the functions of Salmonella effector proteins during the colonization of plants.

Effect Of Stakeholder Capitalism After The 2019 Business Roundtable Pledge, Maximiliano Villarreal-Castro

Poster Presentations

There has been a shift towards a new model of corporate operation, one which prioritizes not only the company shareholders but anyone affected by its operations, i.e., stakeholders. Although many believe this is a path towards a more equitable future, others fear it could cause agency issues. As a result, companies that focus on ESG/Stakeholder Capitalism may experience the adverse effects of slow growth, costing shareholders, employers, and employees in the long term.

To determine if there was an impact from 'The Shift' to an ESG model by the major corporations, this study compared internal (accounting) and external (market) data. …

Enhancing Student Engagement And Persistence Within A High School Art Classroom: A Phenomenological Research Study, Rachel I. Esson

Art 895 Research Papers

Within this Qualitative research study, a Phenomenological approach will be used to draw conclusions and share my past and present experiences as a high school visual art educator to help facilitate better student engagement and persistence within projects. I will also utilize the reflections and experiences of other high school art teachers and former students’ perspectives 2 (from my school) to further strengthen and guide the research. Interviews and direct observations were used to gather information and will be used to make connections with scholarly research. These findings will be explained in an Interpretive Phenomenological Analysis (IPA) approach, where I …

Successful Application Of Craniosacral Therapy In A Case Of Acute Ptosis Following A Covid-19 Infection., Efterpi Rompoti

Journal of Transformative Touch

This case study offers a unique insight on the effectiveness of CranioSacral therapy (CST) in a 49 year old woman experiencing an acute stage of a viral infection (Covid-19) causing a partial left Oculomotor nerve palsy. A CST glial/Cerebrospinal Fluid (CSF) specific protocol was utilised over 2 consecutive days. The patient recovered fully after 5 days. The results of this particular case can open up the possibility of utilising CST more widely in treating cranial nerve palsies following a viral infection to support the healing process and the functional restoration.

Implementation Of An Algorithm To Reduce Wait Times For College-Aged Women Presenting With Uti Symptoms, Mallory Beck, Miranda Neu

Doctor of Nursing Practice Projects: College of Nursing

Urinary tract infections, UTIs, are among the most common reasons college-aged women seek medical care. The selected University clinic has a difficult time triaging walk-in UTI patients promptly. Long patient wait times have a negative effect on patient and employee satisfaction scores. An algorithm was created to assist the University clinic in triaging walk-in UTI patients using guidelines from the American Academy of Family Physicians updated with the most current clinical practice recommendations. The algorithm includes the utilization of a point-of-care urine analyzer which provides urinalysis results in 120 seconds. With the algorithm and point-of-care urine analyzer, the student health …

Gis Analysis Application Of Flood Risk Map In Beijing, China, Yuxuan Liu

Honors Capstones

From the end of July to the beginning of August 2023, Beijing, China, affected by Typhoon "Dusuri" experienced the most precipitation in the Beijing area in 140 years of instrument measurement records. This event led to the evacuation of more than 1.8 million people across the Beijing-Tianjin-Hebei region and the tragic loss of 62 lives. After experiencing such fierce heavy rainfall and flood disasters, how to predict and prepare for such catastrophic events and avoid losses in the future has become a crucial problem. Geographic information systems (GIS) can integrate different layers of geospatial information and provide us with powerful …

Understanding Civic Engagement Through The Perspective And Experiences Of Mixed-Status Latinx Students In Higher Education, Alexandra Alcantar

Honors Capstones

This paper captures the perspectives and experiences of eight Latinx college-aged students from mixed-status families related to civil engagement. This paper identifies varied definitions of civic engagement and shows that students’ experiences within their mixed-status families and their academic experiences shaped how they understood their level of civic engagement and informed their career paths. The eight oral history interviews conducted as part of this project show that most of the participants consider their level of political involvement as insufficient. Interviews reveal an understanding of “civic engagement” that exists on an evolving spectrum of participation. Participants shared that work responsibilities and …

Navigating Environmental Sustainability In The Corporate Sector, Leslie King, Vanessa Adel

Sociology: Faculty Publications

Corporate environmental sustainability is experiencing a major surge in activity. The notion that capitalist enterprises can transform themselves to become more sustainable aligns with ecological modernization theory, which holds that our current economic system can become environmentally sustainable, especially through technological innovation. Organization scholars studying corporate environmental sustainability (CES) typically align with ecological modernization principles and focus their research on company-level norms and practices in order to suggest managerial improvements. Critical political economists, on the other hand, argue that capital accumulation and growth are fundamental drivers of environmental exploitation and that CES efforts are unlikely to yield significant results. We …

The Relationship Between Sun Protective Behavior, Health Beliefs, Attitudes, And Norms Of Sun Exposure Among College Athletes, Avery B. Snyder

Honors Theses

The purpose of this study was to access the relationship between sun protective behavior, health beliefs, attitudes, and norms of sun exposure among college athletes. An electronic survey was provided to student athletes for about two weeks in October of 2023. Prior to student participation the Institutional Review Board approved the protocol and data collection. The survey was sent to the students by the athletic director through an app called Teamworks that connects to all the athletes at Coastal Carolina. The majority of students who took the survey reported they did not wear sunscreen in past games/practices. Of those who …

Trauma Type, Resilience And Sense Of Self, Caitlin R. Callahan

Honors Capstones

Most individuals will experience at least one traumatic event in their lifetime (Alim et al., 2008), potentially leading to a diagnosis of Post-Traumatic Stress Disorder. PTSD can have significant psychological and physical repercussions (Brady et al., 1997). Experiencing trauma, such as interpersonal or non-interpersonal, can negatively impact resiliency and sense of self. The current study hypothesized that participants who reported interpersonal trauma as their worst event would report lower resilience and sense of self compared to participants reporting a non-interpersonal trauma. Four hundred and twenty-nine undergraduate students were given questionnaires to assess traumatic experiences, resiliency, and sense of self using …

Decoding Dobbs: A Typology To Better Understand The Roberts Court's Jurisprudence, Katie Yoder

Honors Projects

The U.S. Supreme Court first recognized Substantive Due Process (“SDP”) in the early twentieth century. In Lochner v. New York, the Court established that there are certain unenumerated rights that are implied by the Fourteenth Amendment.Though SDP originated in a case about worker’s rights and liberties, it quickly became relevant to many cases surrounding personal intimate decisions involving health, safety, marriage, sexual activity, and reproduction.Over the past 60 years, the Court relied upon SDP to justify expanding a fundamental right to privacy, liberty, and the right to medical decision making. Specifically, the court applied these concepts to allow for freedoms …

Mammalian Roadkill Trends In Central Georgia, Lucy Beck

Biology Theses

Wildlife-vehicle collisions are a global concern for both wildlife conservation and driver safety, and knowledge of spatiotemporal trends are required in order to effectively mitigate these consequences. This study documents species composition and spatiotemporal trends in terrestrial mammalian roadkill using ten-years of data recorded along a 12.8 mile stretch of State Route 212 in Baldwin and Putnam Counties, Georgia. From January 1 2012 to December 31 2021, 2,263 roadkilled vertebrates were observed on the survey route, and terrestrial mammals accounted for 84% of the observations. Two methods of hotspot identification indicated a non-random spatial distribution of roadkill associated with physical …

Put Out The Fire: Developing A Sustainable Energy Policy For All Namibians, Julie Nania, Doug Vilsack

Colorado Environmental Law Journal

No abstract provided.

Using Unmanned Aircraft System (Uas)-Borne High-Resolution Hyperspectral Imaging And Gamma Radiometry For Rare Earth Element Exploration In The Bearpaw Mountains, Montana Usa, Emma Kamp

Graduate Theses & Non-Theses

The radiometric signature of thorium, in combination with the hyperspectral signature of carbonate minerals, can be a useful indicator of rare earth mineral occurrences in air-borne geophysical exploration. Recent technological advancements have allowed unmanned aircraft system (UAS)--borne spectral imaging and gamma-ray spectroscopy systems to acquire high-spatial-resolution data. In this study, we attempted to define and map an area of interest for rare earth mineral exploration using UAS-borne spectral and gamma-ray spectroscopy systems. Gamma-ray spectroscopy data were used to define an area of interest. Short-wave infrared imagery was used to detect and map carbonate minerals within the area of interest. Gamma-ray …

Comparison Of All-In Sustaining Costs, Gold Grade, And Gold Prices In North American Gold Mining Companies, David Abiodun

Graduate Theses & Non-Theses

Mining has evolved into an equilibrium of ore deposit management, environmental stewardship, and economic profitability that necessitates a proper understanding of economics and production efficiency. The All-In Sustaining Cost (AISC) was introduced in 2013 to better capture the cost of producing one ounce of gold and, when compared with the gold price and grade, could describe a company’s gold production efficiency. In this paper, this novel analysis focuses on US and Canadian operations under Barrick and Newmont, the two largest gold mining companies in North America, from 2019-2022. Published data for Coeur and Kinross were also secondarily analyzed. Under Newmont …

Mpem Capstone Presentation, Jason Schneider

Graduate Theses & Non-Theses

Master of Project, Engineering and Management (MPEM) Final Capstone Presentation.