Digital Commons Network^™

Decreasing Incivility Through Improved Communication And Teamwork, Marvin Ernest Tamayo

Master's Projects and Capstones

Problem: Workplace incivility (WI), lateral violence (LV), and bullying in healthcare settings are pervasive issues negatively impacting staff morale, turnover rates, and patient care outcomes. High turnover and low employee satisfaction scores from a September 2023 culture of safety survey signaled a toxic work environment characterized by ineffective communication and unprofessional behavior. Context: A 24-bed telemetry-stroke unit at a 172-bed acute care facility in the North Bay area of San Francisco.

Interventions: The Transtheoretical Model (TTM) of behavior change and the Crucial Conversation frameworks were used to improve staff communication and reduce incivility.

Measures: September 2023 and March …

Preventing Hospitalization-Associated Disability, Elizabeth M. White

Master's Projects and Capstones

Problem: Hospital-associated disability (HAD) affects one-third of hospitalized adults, diminishing post-discharge independence and contributing to high mortality rates. Identifying at-risk patients through early assessment of nutritional and functional status upon admission is critical to personalizing care and improving discharge outcomes.

Context: A 24-bed adult medical-surgical unit in a 173-bed suburban hospital in Northern California is part of a large not-for-profit healthcare organization. Interventions: Nursing staff received education on the Enhanced Recovery Medicine (ERM) pathway designed to prevent HAD. A visual display board, maintained and updated by unit champions, gave staff performance feedback. Nursing leadership reviewed admission assessments and addressed barriers …

Improving Stroke Education Scores At A Primary Stroke Center, Jesse J. Young

Master's Projects and Capstones

Abstract

Problem: The COVID-19 pandemic precipitated a significant departure from the nursing profession, leaving healthcare organizations grappling with critical staffing shortages and compromising patient care standards. In 2023, an advanced Primary Stroke Center in a Northern California hospital’s STK-8 scores fluctuated between 80-100%, with an average annual score of 92.8%, putting the facility's primary stroke certification and long-term patient outcomes at risk.

Context: A 24-bed acute stroke and telemetry unit in a Northern California hospital and designated primary stroke center.

Interventions: The following measures were implemented to improve the quality of stroke care and enhance STK-8 compliance, including …

The Science And Philosophy Of The Brain And The Future Of Neuroscience, Julian Paul Keenan

Department of Biology Faculty Scholarship and Creative Works

No abstract provided.

Uas-Enhanced Rock Mass Characterization Of The Left Abutment At Madison Dam, Ennis Montana, Karl Farber

Graduate Theses & Non-Theses

Recently, advancements in drone technology for mapping rock mass features have been on the rise and are becoming more of a staple for geotechnical site investigation. The safety of humans when collecting field data is a top priority and using drones, or unmanned aerial systems (UAS), can minimize those safety risks. Creating models that depict accurate data of rock mass discontinuities and possible failure modes in inaccessible areas has its challenges, but drones can provide a way of addressing those challenges. This study involves using UAS-based data collection to capture rock mass fractures at Madison Dam just North of Ennis, …

Effect Of Chemical And Mechanical Weed Control On Weed Seed Banks In Rice Field, Uum Umiyati, Dedi Widayat, Yani Maharani

Jurnal Kultivasi

Weed control is essential for ensuring the diversity of weeds on agricultural land. A study was conducted in rice fields in Subang and Cianjur districts, where 24 fields were observed to have varying weed management approaches. The research employed descriptive methods, including surveys to identify weed types and destructive methods to analyze weed seed banks at different depths. The descriptive methods included surveys to identify weed types and destructive methods to analyze weed seed banks at different depths. Each district contained twelve rice fields that reflected diverse environmental conditions and weed control techniques, yet shared a similar age range of …

Genetic Parameters Of Yield Component And Yield In M1 Rice (Oryza Sativa L.) Generation Irradiated With Gamma-Ray, Agus Riyanto, Eka Oktaviani, Nur Kholida Wulansari, Totok Agung Dwi Haryanto

Jurnal Kultivasi

High-yielding varieties are the primary determinant of the success of increasing Indonesia's rice production. Plant breeding for new high-yielding varieties is possible through mutation induction and selecting desired traits. The effectiveness and efficiency of selection require comprehensive genetic parameters. This study aimed to study the genetic diversity, heritability, genetic advance, and relationship between yield components and yield in the M1 generation of mutant rice irradiated with gamma ray. This research used a factorial randomized complete block design, involving gamma irradiation doses of 100 Gy, 150 Gy, and 200 Gy, as the first factor; and the second factor was the rice …

Implementing Maternal Fetal Triage Index (Mfti) In A High-Risk Obstetrical Setting, Erica Bordenkircher Luna

Master's Projects and Capstones

Problem: The Maternal Fetal Triage Index (MFTI) for obstetric triage provides a systematic method for assessing and assigning acuity. Data evaluated for February 2024 and March 2024 identified the need for improved response times for triage Priority Two, which averaged 28.75 minutes (goal 15 minutes) for a provider to present to the bedside. The average percentage of patients with documented MFTI scores was 70.65% ( goal >80%).

Context: A high-risk 24-bed obstetrical department in an acute care hospital in Northern California that triages over 600 patients monthly with over 400 deliveries in the same period.

Interventions: Real-time observations and staff …

Unh Research Offers Better Measurement For Lethal Impact Of Marine Heatwaves, Robbin Ray

Media Relations

No abstract provided.

Growth Response Of Tomatoes To Application Of Bacterial-Coated Npk Fertilizer In A Pot Experiment, Reginawanti Hindersah, Ruhnayati Kaffah, Ayu Siti Aisyah, Mieke Rochimi Setiawati, Mahfud Arifin

Jurnal Kultivasi

Nitrogen-fixer and phosphate-solubilizer bacteria increase the chemical-fertilizer efficiency and soil health. Bacterial-coated NPK fertilizer is a novel approach for intensifying biofertilizer application in vegetable production. The study aimed to observe the compatibility between two Azotobacter species and two Bacillus species, their population on two formulations of bacterial-coated NPK fertilizer (BCN), and the effect of BCN dose on growth, N and P content, and their uptake in tomato shoots. The compatibility test was performed using the streak method. The population of Azotobacter and Bacillus were counted for two formulations of NPK fertilizer coated by solid biofertilizer (5% and 10%) and zeolite …

Dowlandia: Leafing Through Grapes’S New Research Guide, Katharyn R. Benessa

Soundboard Scholar

A review of John Dowland: A Research and Information Guide, by K. Dawn Grapes (New York: Routledge, 2020)

Clinical Trial Research Nurse New Employee Onboarding 30- 60 -90 Day Checklist, Arin Alesia Urban

Master's Projects and Capstones

Problem: The clinical trials research management team was plagued with high nurse turnover and poor clinical documentation due to a lack of seasoned clinical research nurses.

Context: A regional clinical trials team serving 22 hospitals within a Northern California not-for-profit health system.

Interventions: Mixed methods were used to inform the development of new employee onboarding for novice clinical trial nurses utilizing a structured 30-60-90-day checklist, improved communication channels, and continuous mentor support.

Measures: Monthly quality queries and quarterly staff turnover rates were tracked. Employee feedback was collected to assess the interventions' impact.

Results: The number of quality queries was reduced …

Enpp1 Enzyme Replacement Therapy Improves Ectopic Calcification But Does Not Rescue Skeletal Phenotype In A Mouse Model For Craniometaphyseal Dysplasia, Ernst Reichenberger, Kevin O'Brien, Ayano Hatori, Thomas Carpenter, Koen Van De Wetering, Lisa Flaman, Jennifer Howe, Daniel Ortiz, Yves Sabbagh, I-Ping Chen

Jefferson Institute of Molecular Medicine Papers and Presentations

Craniometaphyseal dysplasia (CMD) is a rare genetic bone disorder, characterized by progressive thickening of craniofacial bones and flared metaphyses of long bones. Craniofacial hyperostosis leads to the obstruction of neural foramina and neurological symptoms such as facial palsy, blindness, deafness, or severe headache. Mutations in ANKH (mouse ortholog ANK), a transporter of small molecules such as citrate and ATP, are responsible for autosomal dominant CMD. Knock-in (KI) mice carrying an ANK_F377del mutation (Ank^KI/KI) replicate many features of human CMD. Pyrophosphate (PPi) levels in plasma are significantly reduced in Ank^KI/KI mice. PPi is a potent inhibitor of …

Vol.52 N.03 August 8th 2024, Voice Media Ventures

Black Voice News

No abstract provided.

"I Just Assumed This Was Already Being Done": Canadian Patient Preferences For Enhanced Data Sharing For Precision Oncology, Samantha Pollard Pollard, Morgan Ehman, Anna Hermansen, Deirdre Weymann, Emanuel Krebs, Cheryl Ho, Howard J. Lim, Steven Jones, Yvonne Bombard, Tania M. Bubela

Office of the Provost

Purpose: In Canada, health data are siloed, slowing bioinnovation and evidence generation for personalized cancer care. Secured data-sharing platforms (SDSPs) can enable data analysis across silos through rapid concatenation across trial and real-world settings and timely researcher access. To motivate patient participation and trust in research, it is critical to ensure that SDSP design and oversight align with patients' values and address their concerns. We sought to qualitatively characterize patient preferences for the design of a pan-Canadian SDSP.
Methods: Between January 2022 and July 2023, we conducted pan-Canadian virtual focus groups with individuals who had a personal history of cancer. …

Growth Improvement Of Immature Quinine By Applying Coffee Husk Compost And Biofertilizer, Yudithia Maxiselly, Dinda Rachmatis Sa'adah, Mira Ariyanti, Muhammad Khais Prayoga, Heri Syahrian Khomaeni

Jurnal Kultivasi

The growth of immature Cinchona ledgeriana can be optimized by applying fertilizers to fill the nutritional needs of plants. Nutrients can be provided through the help of microorganisms derived from organic fertilizers and biofertilizers. This study aims to evaluate the effect of applying coffee husk compost and biofertilizer consortium on the growth of immature quinine plants. This research was conducted from November 2023 – January 2024 at Gambung Tea and Cinchona Research Center, Pasir Jambu District, Bandung Regency, West Java. The research used a randomized block design with four replications and six treatments, namely control (Urea 17 g.plant-1 + SP36 …

Educating Nursing Staff On Urinary Tract Infections, Eldarada Rosamay Searcy

Walden Dissertations and Doctoral Studies

The primary objective of this doctor of nursing practice (DNP) project was to educate staff on urinary tract infection (UTI) prevention. A gap in practice was identified among nursing staff at an assisted-living facility who lacked current, evidence-based knowledge. This project was conducted to determine whether educating staff on UTI prevention increased their knowledge. Knowles’s adult learning theory and the analysis, design, development, implementation, and evaluation model were used as the theoretical framework that guided this project. Eighty-eight healthcare workers at the project site voluntarily participated in this project. Before the education session, a 10-question, multiple-choice pretest was administered to …

Sedation For Gi Endoscopy In The Morbidly Obese: Challenges And Possible Solutions, Lalitha Sundararaman, Basavana Goudra

Department of Anesthesiology Faculty Papers

With the increasing prevalence of obesity and morbid obesity, this subgroup's contribution to patients presenting for elective procedures requiring sedation is significant. Gastrointestinal (GI) procedures clearly form the largest group of such procedures. These procedures may be intended to treat obesity such as the insertion of an intragastric balloon or one or more unrelated procedures such as a screening colonoscopy and (or) diagnostic/therapeutic endoscopy. Regardless of the procedure, these patients pose significant challenges in terms of choice of sedatives, dosing, airway management, ventilation, and oxygenation. An understanding of dissimilarity in the handling of different groups of medications used by an …

The Importance Of Experience: Supporting Pupils’ Creative Writing About The Natural World, Christopher Hanley, David Cooper, Jennifer Rowntree

School of Biological and Marine Sciences

The first part of this article considers the challenge of supporting pupils to write creatively about the natural world. It examines a text by a gifted young writer: Diary of a Young Naturalist by Dara McAnulty. It asks what the challenges might be for pupils who maybe motivated to model their writing on McAnulty’s, but have limited experience of the natural world. Drawing on the scholarly work of John Dixon, Robert Eaglestone and others, the article highlights the importance of pupil experience in the formation of their writerly voice, thereby emphasising the need for writing pedagogies that deepen and enrich …

The Use Of Near-Infrared Angiography In Evaluating Bowel Anastomosis During A Gynecologic Oncology Surgery, Lea A. Moukarzel, Sarah Andres, Oliver Zivanovic

Abington Jefferson Health Papers

Reducing anastomotic leak rates after bowel resection is a priority among patients undergoing gynecologic oncology surgery. While near-infrared (NIR) angiography has been investigated in the colorectal literature, more recent work has demonstrated promising results when used in gynecologic cancer surgery. It has been repeatedly shown to be a safe intervention that can offer real time assessment of bowel perfusion, offering the surgeon the opportunity to act on the results in the hopes of decreasing the risk of complications.

Quantifying The Influence Of Air Resistance And Drafting On The Metabolic, Kinematic And Kinetic Demands Of Running, Jared Robert Deandreis Steele

Theses and Dissertations

Purpose: This study aimed to quantify the effects of air resistance on metabolic, kinetic, and kinematic parameters during treadmill running and to investigate how drafting influences these parameters. Methods: Thirty-three well-trained distance runners participated in biomechanical assessments, and seventeen of these also participated in metabolic assessments. The protocol involved running at 80-85% of critical speed on a force-instrumented treadmill facing a wind tunnel. Five wind conditions were tested: no fan (NF), headwind (HW), headwind with drafting (HWD), no wind (NW), and no wind with drafting (NWD). Ground reaction forces (GRF) and kinematic data were collected and analyzed using linear mixed-effects …

Engineering Cell-Free Protein Synthesis Biosensors For Point Of Care Use, Tyler Jordan Free

Theses and Dissertations

Diagnostic tests can dramatically improve and save lives. Survival rates and patient outcomes related to cancer and other diseases can be improved when routine testing guides personalized treatment. Highly accurate laboratory tests exist for thousands of biomarkers, including those of interest in this dissertation, but cost and complexity limit access to life-saving lab tests in many cases throughout the world. To fill this need and increase accessibility of diagnostics, in this report we report our engineering advancements towards portable biosensors for colorimetric detection of glutamine, endocrine disrupting compounds (EDC), and pathogenic RNA which are key biomarkers in cancer treatment monitoring, …

Systematic Review Of Digital Activity Schedule Use In Individuals With Autism And Intellectual Disability, Adelaide Wahlquist Hammond

Theses and Dissertations

The purpose of this systematic review of using digital activity schedules as an intervention in individuals with autism spectrum disorder and intellectual disabilities is to determine to what extent the current research shows it to be an effective intervention. For articles to be included in this review, they had to use a digitally presented activity schedule, the activity schedule could not be a task analysis of a single activity or a group visual schedule, and the intervention must have been carried out with individuals with autism or intellectual disabilities. Studies meeting the inclusion criteria totaled 17 studies with a total …

مواءمة معايير الدراسة الدولية للعلوم والرياضيات Timss مع منهاج الرياضيات كامبريدج للصف الرابع من وجهة نظر معلمات ومشرفي الرياضيات بسلطنة عمان, يوسف عبدالقادر أبوشندي, راشد بن سيف المحرزي, محمود محمد إمام, محمد بن سعيد الغافري, خولة بنت هلال المعمرية, عدنان العابد, سلطان البويقي

Journal of Arts and Social Sciences

معايير TIMSS؛ منهاج الرياضيات كامبريدج؛ الصف الرابع؛ سلطنة عمان؛ معلمات الرياضيات.

V. 61-1, 2024 Masthead

San Diego Law Review

No abstract provided.

Treating Higher Education As An Investment, Roger E. Meiners, Andrew P. Morriss

San Diego Law Review

College is one of the costliest investments many people make; yet, prospective students are often not provided accurate information about the cost of college, nor are they provided information about the likely outcomes upon completion of a degree. Rather than address the problem by focusing on ballooning college debt, we propose that the rules that apply to sellers of other services and investments should apply to colleges. Colleges behave much like competitive firms. They engage in costly efforts to lure students. They sometimes produce false or misleading information that gives students the impression of higher payoffs from a degree than …

Prosecutors In The Passing Lane: Racial Disparities, Public Safety, And Prosecutorial Declinations Of Pretextual Stops, Donald Braman, Jared Fishman, Lily Grier, Kevin Himberger, Jarvis Idowu, J.J. Naddeo, Rory Pulvino, Jess Sorensen, Joanie Weaver

San Diego Law Review

In response to a growing set of empirical studies demonstrating their widespread discriminatory effects, pretextual stops have been subjected to decades of criticism from scholars, the public, and jurists. However, pretextual stops have been defended by some as a necessary public safety measure, particularly in the fight against violent gun crimes. Following a series of highly publicized police shootings of unarmed Black drivers during pretextual stops, and in the absence of substantial judicial or legislative guidance, a growing number of prosecutors have developed policies deprecating the prosecution of pretextual stops absent a clear public safety benefit. Without empirical evaluations of …

Economic Contribution Of U.S. Aquaculture Farms, Ganesh Kumar, Shraddha Hegde, Jonathan Van Senten, Carole Engle, Noah Boldt, Matthew Parker, Kwamena Quagrainie, Benedict Posadas, Frank Asche, Madan Dey, Suja Aarattuthodi, Luke A. Roy, Russell Grice, Quentin Fong, Michael Schwarz

Department of Agricultural Economics Faculty Publications

Economics is the study of the allocation of scarce resources to meet human wants and needs and has a critical role to play in addressing challenges related to environmental sustainability, community resilience, and food security. In the context of aquaculture, the key to such a discussion is understanding the linkages of aquaculture farming businesses with other economic sectors and how policy decisions that affect aquaculture result in economic ripples throughout local, regional, and national economies. The only previous national estimates of the economic contributions of U.S. aquaculture are nearly 30 years old. The current study was based on comprehensive data …

Antibody Therapies For Alzheimer's Disease, Alexandra Zerr

University Honors Theses

Alzheimer's Disease (AD) is the leading cause of dementia worldwide. Patients with this condition first experience mild cognitive impairment, followed by the loss of memory, cognitive skills, identity, and the ability to perform daily tasks unassisted, eventually culminating in death.

The dominant hypothesis for the mechanism of Alzheimer's, the amyloid cascade hypothesis, based on early-onset AD, suggests that amyloid plaques formed by Aβ peptides cause a cascading effect involving an increase in toxic tau protein, which is correlated with the disease progression of Alzheimer's patients. While the mechanism of late sporadic AD is not fully understood, this has been used …

Recidivism: Putting A Stop To The Revolving Door, Kathy Crowder Green

Walden Dissertations and Doctoral Studies

Recidivism is a powerfully adverse factor in the lives of individuals who seek to reintegrate into society and the community at large. In this qualitative research, former inmates who were successfully released and had never been convicted within one year of their release were interviewed to discover the rationale. The research focused on understanding the skills and traits obtained through the Alternative Custody Program that can effectively reduce recidivism. Utilizing a phenomenological design, the purpose of this study was to understand the effects of program participation on the lives of former inmates concerning recidivism. Interviews lasting approximately an hour were …