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The Role Of The Patient Liaison Nurse In The Ambulatory Care Context Of A Middle Eastern Teaching Hospital: A Practice Model, Mustafa Morris E. Bodrick

Dissertations

The commencement of the role of patient liaison nurse (PLN) in the ambulatory care context of a Middle Eastern teaching hospital was an organizational response to patient care concerns during the site absence of physicians and the healthcare team. The PLN consequently evolved as a functional role of the registered nurse (RN) in ambulatory care nursing. The core research question asked was: how can a model be developed to describe the PLN role? The related topics for research included (i) the lived experiences of nurses in the functional role of the RN as PLN, (ii) what the nursing management team …

Expanding The Availability Of Adapted Athletics For Youth With Physical Disabilities In Middle Tennessee, Alexandra Hurd

OTD Capstone Projects

This doctoral capstone project was completed in partnership with ABLE Youth in Nashville, TN. ABLE Youth is a non-profit organization that uses sports as the motivation for children who use wheelchairs to reach their goals of independence. The two main goals of this project were as follows: One, to facilitate the Music City Wheelchair Basketball Tournament, the largest adaptive athletics event in Tennessee, and Two, to expand the variety of sports offered at the monthly Super Sports Saturday events. By the end of this capstone experience, volleyball and lacrosse were introduced to the ABLE youth program participants. Ideas for future …

Turbulence And Zonal-Flow Impact In The Madison Symmetric Torus In Quasi-Single Helicity, Nicholas J. Kaipainen, Y. L. De Jong, L. Helder, M. J. Pueschel, J. S. Sarff, P. W. Terry, P. D. Vanmeter

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

Reversed-Field Pinches (RFPs) operating in the Quasi-Single-Helicity (QSH) magnetic geometry exhibit significant improvements in confinement time as compared to standard discharges due to the efficient saturation of large-scale tearing modes. This modification to the magnetic geometry and profiles introduces new instabilities which drive transport. This work focuses on diagnosing the microinstabilities and microturbulence in a non-reversed Madison Symmetric Torus QSH experiment. Local gyrokinetic simulations are conducted with the GENE code to identify the dominant instabilities as ion-temperature-gradient (ITG) and density-gradient-driven trapped-electron-mode (TEM) at core and edge radial locations, respectively. It has been previously observed in the RFP (Williams PoP 2017) …

Potential Non-Carbonate Buffering In An Interdunal Wetland/Slack Along Lake Michigan, Faith Huff

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

Interdunal wetlands/slacks occur in Lake Michigan's coastal dunes where the wind scours the sand to the water table. Since May 2016 we have performed ecohydrological studies on the largest interdunal wetlands/slack, ~1.25 ha in size, lying within a deflated parabolic dune east of Lake Michigan at the Saugatuck Harbor Natural Area, Michigan. The slack’s hydrology is influenced by Lake Michigan-Huron, appearing and increasing in size and water depth with rising lake levels and decreasing in size to drying with low levels. Prior to 2014, the slack was completely dry and dominated by upland dune species due to low lake levels. …

Changes In Working Memory Performance With Various Simultaneous External Stimulation, Mackenzie Korff, Wyatt Oonk, Riley Checkley, Mackenzie Halton

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

A physically active lifestyle is associated with improved quality of life. Consequently, technologies have advanced to create active walking or cycling workstations where individuals may increase their physical activity in an otherwise sedentary work-related setting. The effectiveness of these active workstations on the brain’s working memory; its ability to process linguistic and conscious perceptual stimuli, is not well understood. This study evaluated changes in working memory by comparing N back-2 scores while completing a heart rate monitored, low-intensity, cycle ergometer exercise protocol. Three conditions were tested during three visits, one week apart from each other. For each trial, the participants …

Development Of A Liquid Chromatography Method For The Quantification Of Carbohydrates In Peat Soils, Christopher Klaver, Parker Diaz, Abigail Brewer, Gael Figueroa-Enriquez, Madison Smith

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

Peatlands are an important carbon sink. However, climate change threatens to cause the peatlands to release their stored-up carbon. This would result in lots of carbon dioxide and methane to be released into the atmosphere due to the increased peat decomposition. This would end up forming a positive feedback loop, and thus resulting in more and more carbon lost from the peat. The biochemical composition of the peat is an indicator of the degradation state of the peat as well as its ongoing vulnerability to decomposition. In this study, we developed an HPLC method for analyzing the carbohydrate composition of …

The Synthesis And Electropolymerization Of Porphyrin-Substituted Ethylenedioxythiophene (Edot) Monomers, Benjamin D. Mcintyre, Joshua A. Hawkins, Kenneth L. Brown

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

Two electroactive monomers were synthesized for use in forming redox-active films on electrodes. Such electroactive films are useful as redox mediating coatings in the functionalization of electrodes for sensor applications. Tetraphenylporphyrins were coupled to 3,4-ethylenedioxythiophene (EDOT) using different connector lengths and then metallated with iron to form monomers capable of electropolymerization. Hydroxymethyl EDOT was tosylated and then reacted with 4-hydroxybenzaldehyde in a Williamson ether synthesis to give an EDOT-functionalized aldehyde. This aldehyde was condensed with pyrrole under acidic conditions to form a novel EDOT-substituted porphyrin. The second porphyrin monomer was prepared similarly with a four carbon chain connector inserted between …

No "Butts" About It: The Heavy Metal Impact Of Cigarette Litter, Faith Huff, Connor Monson, Spencer Whittington

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

Cigarettes are the most common litter globally. Following smoking, the filter is left with carcinogenic compounds, tar and metals. All of which are highly toxic for wildlife, affecting reproduction, behavior and mortality rate in animals. The heavy metals that are left within the filter also have potential to leach from the cigarettes and enter the groundwater system. As these heavy metals enter the system, it leads to adverse effects on the environment and can cause detrimental health effects in humans, such as cell damage, induced carcinogenic processes and loss of cellular functions. Much research that exists currently only focuses on …

Explainability In Multivariate Time Series Classification Machine Learning Models, Emanuel Sanchez, Giovanni Battaglia

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

Explainability within models is a crucial part of machine learning (ML) models because it promotes trust in the models by providing insights into how their predictions were determined. Our study applies the classification model XCM's explainability component in identifying the critical features leading to classification decisions on data collected while participants performed patient-handling tasks on manikins. Studies show that nurses sustain musculoskeletal injuries early in their career, attributable to some extent to posture adopted during patienthandling tasks. The ML models classify posture adopted during tasks as "good", "poor", or, in some cases, "neutral", where good posture minimizes the risk of …

Temperature Sensitivity Of Nitrogen Mineralization In Peat From Bogs Across A Michigan Transect, Madison Smith, Hannah Sturgeon, Abigail Brewer, Gael Figueroa-Enriquez, Christopher Klaver

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

In this study, seven peat bogs across a latitudinal transect of Michigan were used to analyze inorganic nitrogen (nitrate and ammonium) release from peat to predict the impact that climate warming has on peatland nitrogen cycle. More nitrogen release is expected in samples kept at warmer temperatures (simulated climate warming) and also from samples from lower latitudes in the transect. 1-m peat core samples were taken at each site. 20 g of acid washed sand was added to upper chambers of microlysimeters (two-chambered filter towers). 50 g of peat was added onto the sand and was left to equilibrate for …

Β-Decay Strength Function Of 53ni And 52co, Gabe A. Balk, A. Spyrou, M. K. Smith, W. Von Seeger

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

The p process is believed to be responsible for the formation of heavy proton-rich nuclei in the universe. This work deals with the decay of two nuclei that are part of the p process, ⁵³Ni and ⁵²Co. β+ decays for each isotope were recorded with the Summing NaI(Tl) detector at the National Superconducting Cyclotron Laboratory. A preliminary β-decay Intensity Function was derived with Total Absorption Spectroscopy. Total energy spectra, β-particle spectra, individual γ-energy spectra, and multiplicity spectra for the decay to levels in the child nucleus were modeled with GEANT4 based on information from the National Nuclear Data …

Examining Regression Assumption Violations In Machine Learning Models Using The Wisconsin Longitudinal Study Dataset, Grace Mooney Anderson, Melia Brewer

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

A growing practice within the psychological sciences is a reliance on machine learning models for data analysis. Machine learning models may have profound implications for improving human well-being and health (e.g., Walsh et al., 2017). However, like any statistical model, machine learning requires that the assumptions of linear regression are met, though the implications of violating these assumptions in machine learning models are unknown. Our study investigates these potentially stark consequences by testing machine learning models in simulated data with built-in assumption violations, as well as a publicly available dataset. We hypothesize that when regression assumptions are violated, we will …

The Effects Of Self-Selected And Pre-Selected Music On Acute Exercise Perceptions And Performance In Insufficiently Active College Students, Alison J. Bache, Tiovanni M. Knight, Lazerick T. Smith Jr.

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

Extensive research has investigated the effects of music on exercise. Researchers suggest that music can improve athletic performance and promote positive perceptions of exercise. However, previous research has focused on athletes or recreationally active participants, and often compares the presence of music during exercise to a lack of music. This study aims to determine whether listening to self-selected preferred music versus pre-selected motivational music improves acute exercise performance and perception of exercise in sedentary college students. Ten individuals will complete baseline testing by following the YMCA cycling protocol. Each participant will then complete two subsequent trials in which they will …

Investigation Of Convection Cells Via Truncated Eigenmode Decomposition, Gillian Donley, A. E. Fraser

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

Convection cells are found in a variety of contexts throughout physics, including plasmas within the stellar interior and in neutral fluids such as planetary atmospheres. Rayleigh Benard Convection (RBC) is the most well studied model for this behavior, describing convection in fluids that are heated from below and cooled from above, resulting in a temperature gradient which can drive instabilities. Under the right conditions, this instability develops and drives convective heat transport, which is still actively researched in fluid and plasma dynamics today. We study the neutral fluid configuration of this system using a novel modeling approach that approximates the …

Exploring The Effectiveness Of Directing Groups For Rhodium-Catalyzed Decarbonylation, Bryan J. Forrest, Isabelle M. Klanseck, Jazmin E. Aguilar-Romero, Mary G. Kapitula

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

Reactions involving carbon-carbon bond activation are of interest to develop methods of functionalizing molecules. Work in the Johnson Group utilizes rhodium-catalyzed decarbonylation to form new carbon-carbon bonds in pyridyl ketones, where the nitrogen on the pyridine ring acts as a directing group. Though this reaction is easily replicated and gives high yields, the need for a pyridine directing group limits the range of molecules that can be synthesized. To broaden the scope of this reaction, novel directing group compounds were synthesized through different routes and their efficacy in the decarbonylation reaction was explored.

Determining The Step Count Accuracy Of Four Commercially Available Smart Watches, Jolie Labarge, Samuel Aylward

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

The purpose of this study was to determine the step counting accuracy of four commercial smart watches. Methods: Twelve adults (mean ± SD, 24.8 ± 8.4 years) completed this two-trial study. Trial 1(T1) occurred indoors and Trial 2 (T2) took place outdoors. During T1 participants were outfitted with four smart watches, two on each arm (Apple Watch Ultra, Coros Vertix 2, Garmin Fenix 6, Polar Grit X) and completed both a treadmill and activities of daily living (ADL) protocol. During T2 they completed a 3.2 kilometer trail run. During TW participants wore a chest harness outfitted with a GoPro camera …

Effects Of Empathic Concern, Social Support, Health, And Burnout On Undergraduate Pre-Health And Nursing Students’ Stress, Caroline Davenport

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

Stress among undergraduate students is an inevitable consequence of difficult studies, and this may especially be the case for pre-health and pre-nursing students. This research was aimed to determine whether the level, type, or combination of stressors affected pre-health and pre-nursing majors to greater degrees or in different ways. The data come from 531 undergraduate students who initially self-identified as pursuing either a pre-health or pre-nursing degree, and were surveyed once per year. The present data set includes Freshman through Junior years. The second and third wave asked students about their greatest stressors (open ended) and numerically rate the degree …

Mechanochemical Formation Of Polyacrylamide Nanocomposites: Impact Of Nanoparticle Surface Chemistry And Substrate Functionalization, Bryn Couturier, Lauren Buckley, Connor Bovia

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

Osteoarthritis is a degenerative joint condition, with treatments currently limited to symptom management and invasive surgical procedures. This project investigates the fundamental mechanisms for a potential treatment route that would allow soft material nanocomposites to form within the joint through mechanochemical reactions. To gain fundamental insight into the different chemical pathways for this to occur, this work compares a top-down vs bottom-up approach. The top-down method focuses on the influence of applied oscillatory mechanical stresses on bulk hydrogel polymerization. Polyacrylamide (PAM) is used as a well-studied control system. PAM-nanocomposites were achieved through co-polymerization, with gold nanoparticles with different capping ligands …

Identity Development Among Pre-Health Students During The Covid-19 Pandemic, Anya Kapitula, Anna Tyshka

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

Many sociology studies have been published regarding the experiences and development of medical school students, but there is a gap in research observing undergraduate students on pre-health professions tracks. Specifically, studies have been published noting a significant decrease in the empathy of medical school students during their third year, but no research has been conducted to identify development patterns of these students during their undergraduate years. This study aims to identify groups of undergraduate students on pre-health professions tracks based on typologies formed from longitudinal survey responses, and also to identify any significant transitions between these groups over time. Because …

Classifying Patient Handling Techniques To Reduce Risk Of Musculoskeletal Injury In Nursing Students, Giovanni Battaglia, Emanuel Sanchez

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

Nurses suffer musculoskeletal injuries at a higher proportion than the general population due to physical strain and poor posture during patient-handling tasks; studies show that back injuries occur at a rate of 28.9 cases per 10,000 registered nurses. The purpose of this study is to apply multivariate time series classifiers (MTSCs) to classify six patient-handling tasks and the quality of subject posture (good, poor, or neutral) during these tasks. Manikins weighing 44 lbs, 66 lbs, and 110 lbs simulated patients. In this proof-of-concept study the XCM, ResNet, and MiniRocket MTSCs were trained with data collected from four non-nursing students using …

Former Ncaa Diii College Athletes' Perceptions And Plans For Maintaining Post-Sport Exercise Behavior, Christian A. Clark, Samantha M. Vermeesch, Morgan A. Eckenrod

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

College athletes in the United States exhibit various declines in physical and mental health following retirement from sport. These declines in health are not well understood, however, one cause may be reduced exercise rates following retirement from regular sports training. It is unknown how former athletes' perceptions of health and fitness change after retirement and affect their exercise behavior post-sport. The purpose of this study was to understand former Division III (DIII) athletes' perceptions of health and fitness following college graduation and sports retirement and to explore what their future plans for exercise maintenance were. Recently graduated student-athletes from Hope …

Expanding The Use Of Palladium-Catalyzed Beta-Aryl Elimination Reactions, Anna G. Tyshka, Tyler J. King, Lucas D. Day, Timothy R. Welsh

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

Transition metal-catalyzed cross-coupling reactions involving organic boronic acids are ubiquitous throughout organic synthesis. Despite the popularity of these methods, some boronic acids, such as those with 2-heteroaryl, 2-fluoroaryl, and cyclopropyl substituents, are incompatible, as these species decompose via protodeboronation prior to their incorporation into the desired reaction. To circumvent the protodeboronation process, the organometallic intermediates typically generated via catalyst transmetallation with a boronic acid can instead be generated via β-carbon elimination Efforts will focus on solving the so-called "2-pyridyl problem" and broadening the scope of known coupling partners in a Suzuki-like reaction, then systematically expand to include other palladium- and …

Β-Decay Strength Function Of 99,100 Y, Nathaniel Jobson, A. Spyrou

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

The rapid neutron capture process (r process) is responsible for the formation of numerous nuclei in the universe. To obtain better models for heavier nuclei that are part of the r process, the decay paths of 99,100Y were analyzed. This work was done using the Summing NaI(Tl) detector at the National Superconducting Cyclotron Laboratory. The Iβ(E) and the Beta Gamow-Teller function (BGT) were extracted from the measured Total Absorption Spectroscopy (TAS), Sum of Segments (SEG), and Multiplicity spectrum. The Iβ(E) and the Beta Gamow-Teller function (BGT) were extracted from the measured spectra and then compared to the Quasi Random Phase …

Quantifying The Effect Of Air On Uncertainty In The Particle Accelerator, Megan Haeussler, Evelyn Martin, Zachary Doctor

23rd Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2024)

In preparation to measure environmental PFAS contamination, we are quantifying measurement uncertainties of liquid Sodium-Fluoride (NaF) standards undergoing particle induced gamma emission (PIGE). These standards are measured in the atmosphere outside of the vacuum environment of the particle accelerator at Hope College. One source of uncertainty is the dimensions of the experimental setup. If the target is even one millimeter farther away from the exit window than anticipated, the beam will lose energy as it travels through the air and will not be able to penetrate as far into the target as expected. We aim to quantify the uncertainty caused …

Death Stranding: A New Digital Ecology, Jordan Long

Theses and Dissertations

This essay analyzes Death Stranding, the 2019 release from contemporary game auteur Hideo Kojima. Here, I discuss the unique potentialities of this game world, detailing the ways in which Death Stranding expresses ecological perspectives. Asynchronous multiplayer serves as a unique metagame, helping to prove that play is a process of action which facilitates ecological thinking. The world of Death Stranding is filled with strange objects. The nonhuman entities that the player encounters throughout the game, for example, seem entirely alien. And yet, when these entities are properly understood, we realize that their inclusion is necessary--and natural. Your "job" in the …

Multiscale Characterization Of Dislocation Development During Cyclic Bending Under Tension In Commercially Pure Titanium, Nathan R. Miller

Theses and Dissertations

Continuous bending under tension (CBT) has been shown to increase room temperature elongation-to-failure (ETF) in various sheet metals past that of simple tension (ST). In commercially pure titanium (CP-Ti) Grade 4, up to 3x extended elongation over ST has been achieved. A greater understanding of deformation mechanisms in CBT would allow for its elongation-enhancing effects to be more fully exploited in HCP and other metals, creating potential for new forming strategies. While most of the extended ETF has been attributed to delayed localization via incremental deformation inherent to the CBT process, together with compressive stabilization and relaxation of mechanical strain …

The National Basketball Association Communications Strategy For The 2019-20 Season Restart, Trevor Dale Jones

Theses and Dissertations

This paper analyzes the NBA's communications efforts from June 4 to July 30, 2020 as it prepared for an unprecedented season restart in the early days of a global pandemic. While scholars have examined the media's framing of the NBA in this period, there is a gap in the literature when looking at the official NBA communications strategy of the organization itself. As the first study to use risk communication theory in a sports scenario while also employing corporate social advocacy as the second theoretical basis of analysis, this qualitative study is a thematic and textual analysis of 14 NBA …

Validating Boyness: How Art Education Allows Male Adolescent Students A Space For Authenticity, Vulnerability, Empathy, And Connection, Stephanie Behlke-Mcfarland

Theses and Dissertations

This thesis examines societal norms and unwritten rules for boys as they mature. It is hypothesized that most boys deal with emotional suppression or dissociation in varying degrees of severity due to traumas during their developmental years. This dissociation creates an inability to express their own emotions adequately and therefore affects their ability to empathize with others. A lack of vulnerability may also be a common challenge among boys society still considers vulnerability weakness. This pattern continues into adulthood and is then perpetuated through posterity and future generations. This thesis explores through a qualitative case study how using art integration …

“It Didn’T Hurt Me”: Patients’ And Providers’ Perspectives On Unsupervised Take‑Home Doses, Drug Diversion, And Overdose Risks In The Provision Of Medication For Opioid Use Disorder During Covid‑19 In San Juan, Puerto Rico, Roberto Abadie, Celia B. Fisher

School of Global Integrative Studies: Faculty Publications

Background During the COVID−19 pandemic, clinics offering medication for opioid use disorder (MOUD) needed to rapidly introduce unsupervised take−home dosing, while relapsing patients and patients unable to enter treatment faced increased risks of fentanyl−related overdose deaths and other drug−related harms. Based on a qualitative study of people who inject drugs (PWID) receiving MOUD treatment and MOUD staff in Puerto Rico, this paper documents the lived experiences of patients and providers during this period and the risk perceptions and management strategies to address substance misuse and drug diversion attributable to unsupervised take−home−dose delivery

Methods In−depth qualitative interviews were conducted with patients …

Structure Of Native Four-Repeat Satellite Iii Sequence With Non-Canonical Base Interactions, Erin Chen , '23, M. Trajkovski, Hyun Kyung Lee , '21, Samantha Nyovanie, Kailey N. Martin, W. L. Dean, M. Tahiliani, J. Plavec, Liliya A. Yatsunyk

Chemistry & Biochemistry Faculty Works

Tandem-repetitive DNA (where two or more DNA bases are repeated numerous times) can adopt non-canonical secondary structures. Many of these structures are implicated in important biological processes. Human Satellite III (HSat3) is enriched for tandem repeats of the sequence ATGGA and is located in pericentromeric heterochromatin in many human chromosomes. Here, we investigate the secondary structure of the four-repeat HSat3 sequence 5′-ATGGA ATGGA ATGGA ATGGA-3′ using X-ray crystallography, NMR, and biophysical methods. Circular dichroism spectroscopy, thermal stability, native PAGE, and analytical ultracentrifugation indicate that this sequence folds into a monomolecular hairpin with non-canonical base pairing and B-DNA characteristics at concentrations …