Digital Commons Network^™

How Housing Insecurity And Welfare Systems Retraumatize Women In Southern California, Yesika Menera

McNair Summer Research Program

Studies show that individuals experiencing homelessness and housing insecurity also experience trauma and mental illnesses. Despite this evidence, many resources provided through state welfare services seldom allocate sufficient funds and personnel to help address mental health. This study investigates the relationship between housing insecurity and trauma for adult women who have tried to access assistance throughout Southern California. To do this, I conducted in-depth interviews and DSM-5 questionnaires with twenty-six women during the summer of 2023 and 2024 via Zoom. My findings show that adult women who have experienced homelessness and housing insecurity in Southern California were more susceptible to …

Respiratory Treatments In Post-Covid Patients To Improve Physical Activity, Pamela Tarver

Dissertations

A significant number of individuals affected by the coronavirus (COVID) developed severe acute respiratory syndrome (SARS), causing respiratory dysfunction which led to decreased functional capacity. This project aimed to evaluate the project site's archival data for post-COVID patients to determine whether respiratory treatments improved physical activity, as evidenced by the results of the pre and post 6-minute walk test (6MWT) and oxygen saturation (SpO2) levels. The Donabedian quality model was utilized to evaluate the resources, the interventions, and the outcomes of post-COVID patients.

Implementing A Tai Chi Exercise Program To Prevent Falls In Long-Term Care, Angela F. Miles

Dissertations

Falls can be a frequent occurrence in older adults residing in long-term care facilities. At the project site there was no systematic process to impact falls, so an evidence-based solution was sought. The purpose of this quality improvement project was to determine if the translation of Li et al.'s research utilizing Tai Ji Quan: Moving for Better Balance (TJQMBB) exercise in conjunction with the current fall risk assessment would impact fall rates among older adults over a 12-week period in an urban Georgia long term care facility. Betty Neuman's systems theory and Kurt Lewin's change model provided the scientific underpinnings …

Implementation Of An Evidence-Based Hospital Acquired Pressure Injury Strategy In The Intensive Care Unit, Tonya C.W. Brigman

Student Scholarly Projects

Practice Problem: Hospital-acquired pressure injuries (HAPI) are a significant concern in healthcare with the most vulnerable group being the adult patients in ICUs leading to increased morbidity, longer hospital stays, and higher healthcare costs.

PICOT: In adult ICU patients (P) does the implementation of daily chlorhexidine gluconate (CHG) baths with post bath barrier cream combined with intentional turning every 2-hours (I) compared to standard skin care practices and nonintentional turning (C) reduce the incidence of hospital-acquired pressure injuries (HAPI) (O) within 10-weeks (T)?

Evidence: The project was based on the analysis of the literature published in the …

Maximizing Generative Ai Benefits With Task Creativity And Human Validation, Charu Sinha, Veselina P. Vracheva, Cristina Nistor

Business Faculty Articles and Research

Much of the existing literature on generative AI applications is conflicting, with findings suggesting that investing in AI will lead to better organizational outcomes but also pointing out that incorporating AI may be a wasteful even counterproductive initiative. We develop a conceptual frame-work to characterize generative AI benefits based on the types of tasks that generative AI may be used for in management. Our work suggests that task creativity plays a key role in successful generative AI outcomes, but human validation - the extent to which a human engages in a supervisory role - is required to reap the benefits. …

Luisa Tacuri Yuqui V. Attorney General United States Of America

2024 Decisions

Agency

Improving Parent And Nurse Communication Using The Lowline Model In The Cvicu, Nelli Hodorff Noor

DNP Projects

This project was designed to help improve family and nurse communication using the LOWLINE model in the CVICU to allow families and nurses to be on the same page and work as a team.

Women's Perspectives On Public Transportation In Jakarta, Indonesia – Reliability And Service Quality Insights, Yong Adilah Shamsul Harumain, Lita Sari Barus, Nurfatin Fauzi

Journal of Strategic and Global Studies

The provision of public transport is of utmost importance in effectively addressing the needs of women residing in developing nations. Nevertheless, it has been noted that the issue of gender-sensitive public transport lacks substantial consideration in the majority of developing nations worldwide. Universal designs are recognised internationally for their rational and economically efficient characteristics, as they accommodate the needs and preferences of not only women but also other individuals who require or desire access to public transportation. Within the realm of public transport, a controversial topic has emerged regarding the introduction of specialised or unique services. The present debate has …

Feasibility Of Individualized Toolkits To Reduce Childhood Obesity In A Pediatric Primary Care Setting, Molly Sexe

DNP Projects

Background: Childhood obesity rates continue to rise, leading to comorbid conditions presenting in adolescence and adulthood (Durbin, 2018). Individualized toolkits focusing on various health habits have been identified as an effective intervention in pediatric primary care practices (Byrne et al., 2018; Henderson, 2021; Mead et al., 2017; Smith et al., 2021 & Wright et al., 2018). This project assessed barriers of the current obesity prevention program at a pediatric primary care clinic, Operation Get FIT. This project identified steps to revising Operation Get FIT to tailor it more to the needs and goals of the participating clinic, the providers, and …

Online Diabetes Program Improving Nurses' Competency In School-Age Diabetes Care, Kristina Donovan

Doctor of Nursing Practice Scholarly Projects

Background: Diabetes affects over 280,000 children under 20 in the US, requiring specialized knowledge and skills for management. In a large urban school district with 54,000 students, 159 have diabetes, cared for by 158 school nurses. These nurses often struggle with the complexities of diabetes care and lack standardized training, leading to potential suboptimal care. An online diabetes education program was implemented to improve their competency, knowledge and skills, and confidence in managing diabetes in school-age children.

Methods: An asynchronous online competency-based diabetes education program to improve nurses’ competency to care for school-age children with diabetes was implemented in an …

Development Of An Efficient Multi-Objective Approach For Secure Live Virtual Machine Migration, Venkata Subramanian N

Theses and Dissertations

Cloud computing offers organizations flexibility and cost-efficiency through pay-asyou- go services, allowing them to scale resources according to their needs and reduce expenditures. Cloud as a Service (CaaS) offloads IT management complexities, while Cloud Data Center (CDC) provides infrastructure for on-demand, scalable, and flexible services over the Internet. Virtualization improves operational efficiency by providing simultaneous access to multiple virtual machines, while Live Virtual Machine Migration enhances agility, resilience, resource allocation, and fault tolerance.

However, achieving effective VMM requires forecasting cloud resource utilization, selecting the right target host, and ensuring security. Live VM migration is inevitable for optimizing CDC resource utilization. …

Chemical Recycling Of Bio-Based Polyurethane Foams: Evaluating Bio-Based Glycols In Comparison To Petroleum-Based Glycols, Anirudh Thorbole Mr.

Electronic Theses & Dissertations

The paradigm shift towards bio-based polyurethane foams (bio-PUF) has significantly increased post-consumer waste. To address this issue, this research represents a novel approach to enhance sustainable development in the recycling industry by replacing traditional petroleum-based glycols with sustainable bio-based alternatives. This study explores the glycolysis of bio-PUF using bio-based SG-522 glycol and polyethylene glycol (PEG) for comparison. The findings from this research as outlined, reveal no significant differences in depolymerization time between the two glycols, achieving proper depolymerization and high recovery yields of over 95% after solvent purification. Comprehensive FT-IR and NMR analyses confirmed the successful degradation of bio-PUF and …

Beyond The Classroom Walls: Examining Educational And Social Outcomes Of Cross-Curricular Peer Observation In Secondary Schools, Jacinda Miller

Dissertations

This qualitative case study involved a sample of middle school teachers participating in a cross-curricular peer observation of teaching (POT) program. The study aimed to explore the experiences of these teachers in the POT program, focusing on its impact on teaching pedagogy and partner relationships. Data collection methods included a demographic questionnaire, writing prompts, feedback forms, observation of feedback meetings, interviews, and a researcher journal. The findings demonstrated that cross-curricular peer observations are perceived as an effective form of professional development among this group of middle school teachers, benefiting both the observer and the observed. Participants acquired and implemented new …

Representasi Bentuk Tubuh Ideal Wanita Di Belanda Pada Akhir Tahun 1980-An Menurut Majalah Libelle Tahun 1987 Hingga 1989, Maria Soehardjo, Fajar Muhammad Muhammad Nugraha

Multikultura

Penelitian ini mengkaji bagaimana Majalah Libelle merepresentasikan bentuk tubuh 'ideal' perempuan pada akhir tahun 1980-an di Belanda. Analisis artikel, iklan, dan visual, dilakukan untuk mengungkapkan gagasan mengenai ukuran tubuh dan penampilan wanita yang dipromosikan oleh majalah tersebut. Penelitian ini akan menganalisis mengenai bentuk tubuh wanita yang ditampilkan dalam Majalah Libelle edisi tahun 1987 hingga 1989. Tujuan penelitian ini yaitu untuk mengetahui bagaimana standar kecantikan untuk tubuh ideal di Belanda pada tahun akhir 1980-an direpresentasikan oleh Majalah Libelle edisi tahun 1987 hingga 1989. Penelitian dilakukan dengan metode kualitatif dan teori representasi oleh Stuart Hall tahun 1997, dibantu dengan konsep femininitas. Hasil …

Navigating Neuropsychology: Unraveling Anxiety’S Impact On Virtual Assessment With Older Adults, Hannah Henderson

Doctor of Psychology (PsyD)

Digital technology plays a large role in our society and has for decades. Most recently, the COVID-19 outbreak in 2020 jumpstarted more integrated use in daily living (Brem et al., 2021). The older adult population represents a minority of internet users; however, they are one of the fastest growing populations in their internet use (Gitlow, 2014) despite their hesitancy and related anxiety surrounding integration of technology into their daily lives. One facet of integration includes healthcare, particularly mental health and cognitive assessment. Cognitive assessments, also referred to as neuropsychological assessments, are particularly useful with older adult populations, as they can …

Traditional Art Dance Therapy To Reduce Stress Levels Of Elementary School Students, Shinta Restu Wibawa, Christantie Effendy, Heny Suseani Pangastuti, Ami Novianti Subagya, Eryono Budi Wijoyo, Aisya Puteri Andari, Dwi Apriliana, Qurrota Aini Zahrotu Sholikhah

Jurnal Keperawatan Indonesia

COVID-19 pandemic has accelerated the development of new learning systems that are more student-centered. Unfortunately, elementary school students experienced stress and difficulties in adapting from face-to-face to online learning system. Online learning environment lacks in accommodating outdoor activities which are important for children. Several techniques can be applied to reduce stress, including dancing. This research aimed to examine the effectiveness of Traditional Art dance Therapy (TATA) for elementary school students in reducing stress. In this quasi-experimental research, one-group pretest-posttest design without control group was applied, involving 84 students at one elementary school in Yogyakarta , Indonesia. Students’ levels of stress …

Iatrogenic Atrial Septal Defect After Mitraclip Transcatheter Edge-To-Edge Repair: To Close Or Not To Close??, Mariem Abdelsalam, Raghad Younus, Lamis F Abdalla, Abdelkader Almanfi

The Texas Heart Institute Journal

The evolution of percutaneous procedures that use transseptal puncture to treat left-sided structural heart disease has led to the emergence of iatrogenic atrial septal defects as a potential complication. These defects can result in hemodynamic decompensation and worsening clinical outcomes. Some iatrogenic atrial septal defects require immediate closure, others do not. This case report presents 2 patients who underwent transcatheter edge-to-edge mitral valve repair with transseptal puncture and required iatrogenic atrial septal defect closure (1 immediate and 1 delayed). The goal of this report is to highlight iatrogenic atrial septal defect assessment and the possible need for closure after transseptal …

Stricken By The Worst Type Of Sickness: The Communal Reaction And Response To Impaired Individuals In The Middle Ages, Alice Holland

Dissertations and Theses

Medieval communities often approached trouble within the fold collectively. This includes concerns over the health and safety of their individual members. This thesis examines the communal perception and treatment of disabled individuals in the Middle Ages. Using four twelfth-century miracle collections, The Miracles of Saint Gibrian (1145), The Life and Miracles of William of Norwich (1150-1172), The Miracles of Our Lady of Rocamadour (1172-1173), and The Miracles of Thomas Becket (1173-1179), I examine how communities created systems of care for their impaired members. In using these sources, which tell the stories of common individuals traveling to shrines for a saint's …

Itagaki Paru's Animalized Japan, Adoria Shanelle Walker

Dissertations and Theses

In the earlier works of manga artist and author Itagaki Paru, animal characters are used to prompt a discussion of the uchi/soto ("in-group"/"out-group") dynamic present in Japanese society. Throughout her most popular work, Beastars, and its supplemental short story collection Beast Complex, Itagaki tackles binary thinking and in-group versus out-group social politics using a blatantly obvious, yet nuanced and subtle herbivore-versus-carnivore, predator-versus-prey metaphor. The world she depicts in these works is full of misunderstandings caused by hastily made assumptions, sometimes instinctually quick. With her animalized characters, she explores human stigmatization and the poor treatment of those who do not want …

Alternative Therapies Of The Banjar People For Children With Fevers, Esme Anggeriyane, Hamzah Hamzah, Nurhikmah Nurhikmah

Jurnal Keperawatan Indonesia

Fevers often occur in children under five years of age due to the immature formation of their immune systems. Such fevers signify that something unusual is happening in the body, often due to illness. Parents conduct various management techniques, such as medical or traditional treatments, based on their beliefs. Banjar society has a health culture known as bapidara, which is used to treat children with fevers presumably attributable to supernatural disturbances. This exploratory research aimed to discover what alternative therapies the Banjar people use to treat children with fevers. This qualitative study used a transcendental phenomenological design. Data collection was …

Examining The Relationship Between Shift Work And Diabetes Mellitus Among Nurses: An Evidence-Based Case Report, Angga Arifianto, Indah Suci Widyahening, Levina Chandra Khoe, M. Ikhsan Mokoagow

Occupational and Environmental Medicine Journal of Indonesia

Background : Work shifts could cause numerous health problems, such as sleep disorders, weight gain disorders, and unhealthy food intake consumption, leading to obesity and changes in blood glucose levels, that eventually lead to diabetes mellitus. This evidence-based case report aims to provide an evidence of association between shift work and the risk of diabetes mellitus among nurses.

Methods : We performed a literature searching from Pubmed, Embase, Cochrane, Scopus, and Google Scholar in September 2023 using keywords ‘shift work’ AND ‘diabetes’ AND ‘nurse’. We included studies that assessed the association between shift work and diabetes among nurses using observational …

Acceleration Return To Work Process After Accidents In The Manufacturing Industry – Literature Review, Lubna Sadat, Nurul Hidayah, Dede Iskandar

Occupational and Environmental Medicine Journal of Indonesia

The manufacturing industry typically requires capacities on a large scale, increasing the risk of workplace accidents and illnesses. Thus, a stringent Occupational Health and Safety (OHS) guideline is needed, notably through early Return to Work (RTW) policies. In this review we explore how the acceleration of the RTW process influences employees, factories, and policy after accidents. Using a literature review approach, this research collected the data and information from from books, journals, and articles discussing the topic of OHS management in domestic and overseas factories.Acceleration of RTW included gradual task modifications, alternative tasks, and workstation adjustments to facilitate workers’ …

The Importance Of Indonesian Workers’ Psychosocial Health In Demographic Bonus, Dewi S. Soemarko

Occupational and Environmental Medicine Journal of Indonesia

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Self-Management: A New Eight-Minute Stretching Program For Employees With Musculoskeletal Disorders (Msds), Siti Latipah, Shieva Nur Azizah Ahmad

Jurnal Keperawatan Indonesia

Musculoskeletal disorders (MSDs) are the main cause of workplace injuries. MSDs are health problems that attack the body’s propulsion systems, such as muscles, tendons, ligaments, joints, cartilage, and nerves. This study aims to determine the effectiveness of Self-Management: A New Eight-Minute Stretching Program against MSDs in a company X, Tangerang, Indonesia. A quantitative, quasi-experimental research method using a non-equivalent control group pre-test- post-test design was conducted on 90 respondents, who were divided into two sample groups by using side probability with a simple random sampling technique. The MSD risk measurement instrument used the Nordic Musculoskeletal Questionnaire. The results obtained showed …

Road To Sustainability: Developing A Sustainability Performance Measurement Framework For City Logistics From A Multi-Stakeholder Perspective, Xu Zhang

Doctoral

Sustainability assessment in city logistics has been a perpetual and salient agenda among city managers and logistics industry practitioners, especially in light of the promotion of the new Corporate Sustainability Reporting Directive (CSRD) and European Sustainability Reporting Standards (ESRS). Research studies to date have tried to assess city logistics operations’ sustainability performance and their impact, but most endeavours have ended in vain due to elusive sustainability goals, inconsistent indicator quality, ambiguous stakeholder responsibility, and poor data availability on city levels.

To address these challenges, this study is advocating for a collaborative sustainability reporting and assessment process among public and private …

Adaptative Survival Of Aspergillus Fumigatus To Echinocandins Arises From Cell Wall Remodeling Beyond Β−1,3-Glucan Synthesis Inhibition, Malitha C. Dickwella Widanage, Isha Gautam, Daipayan Sarkar, Frederic Mentink-Vigier, Josh V. Vermaas, Shi You Ding, Andrew S. Lipton, Thierry Fontaine, Jean Paul Latgé, Ping Wang, Tuo Wang

School of Graduate Studies Faculty Publications

Antifungal echinocandins inhibit the biosynthesis of β−1,3-glucan, a major and essential polysaccharide component of the fungal cell wall. However, the efficacy of echinocandins against the pathogen Aspergillus fumigatus is limited. Here, we use solid-state nuclear magnetic resonance (ssNMR) and other techniques to show that echinocandins induce dynamic changes in the assembly of mobile and rigid polymers within the A. fumigatus cell wall. The reduction of β−1,3-glucan induced by echinocandins is accompanied by a concurrent increase in levels of chitin, chitosan, and highly polymorphic α−1,3-glucans, whose physical association with chitin maintains cell wall integrity and modulates water permeability. The rearrangement of …

Comparison Of Clinical Outcomes After Medial Patellofemoral Ligament Reconstruction With Allograft Versus Autograft: A Matched-Cohort Analysis, Jeffrey Henstenburg, Josuhu Pezzulo, Dominic Farronato, Emma Johnson, John Bodnar, Philip Petrucelli, Christopher Dodson, Kevin Freedman, Steven Cohen, Sommer Hammoud

Rothman Institute Papers

BACKGROUND: Disruption of the medial patellofemoral ligament (MPFL) may lead to recurrent lateral patellar dislocation and patellofemoral chondral injury. Despite significant previous work investigating numerous performance parameters, the optimal graft choice for MPFL reconstruction for patellar instability remains unclear.

PURPOSE: To compare functional outcomes scores, subjective recurrent instability, and revision rates between autograft and allograft in MPFL reconstruction.

STUDY DESIGN: Cohort study; Level of evidence, 3.

METHODS: Patients who underwent MPFL reconstruction with autograft between 2013 and 2018 were identified. A 2:1 comparison group of patients who underwent MPFL reconstruction with allograft was matched by sex, age (±3 years), and …

Emailed Prompt Package To Increase Alternative School Educators’ Use Of Behavior Specific Praise, Chelsea Johnson

Dissertations

Alternative school educators are often placed in alternative education settings with minimal training or support to manage disruptive behaviors in the classroom. To combat this, school-based consultation may be provided to assist alternative school educators with classroom management strategies. However, face-to-face consultation may be limited due to the numerous responsibilities placed on school-based consultants. Behavior specific praise (BSP) is a strategy that is recommended, but often provided at low rates. To address these barriers, previous literature has examined the use of emailed prompts to increase treatment integrity, feasibility, and acceptability of a variety of evidence-based interventions. A concurrent multiple baseline …

Increasing The Robustness Of Machine Learning By Adversarial Attacks, Gourab Mukhopadhyay

Theses and Dissertations

By perturbation or physical attacks any machine can be fooled into predicting something else other than the intended output. There are training data based on which the model is trained to predict unknown things. The objective was to create noises and shades of different levels on the images and do experiments for measuring accuracy and making the model classify the traffic signs. When it comes to adding shades to the pictures, pixels were modified for three different layers of the pictures. The experiment also shows that with the shadows getting deeper, the accuracies drop significantly. Here, some changes in pixels …

Periodic Information Leakage Fault Detection On A Risc-V Microprocessor, Idris Somoye

Electrical and Computer Engineering ETDs

The execution behavior of a Microprocessor (μP) in the presence of a fault is difficult to predict because of the complex interactions across pipeline stages and between functional units within the architecture. Fault effects are known to not introduce any type of anomaly in the input-output behavior for 10s of thousands to millions of clock cycles. These characteristics increase the difficulty of evaluating μP architectures for resilience to information leakage events, i.e., scenarios where a fault causes sensitive data such as an encryption key to be inadvertently diverted to a primary output channel. This dissertation explores two promising strategies for …