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A League Of Her Own: The Comeback After Collison, Ashley Otto, Do, Mbs, Carly Day, Md

Jefferson Hospital Staff Papers and Presentations

Initial History

During a college softball game, the left fielder (patient A) and center fielder (Patient B) collide while attempting to catch a fly ball. Patient A immediately lost consciousness and Patient B screamed in pain grabbing her right leg. The athletic trainer (AT) and student athletic trainer access and triage the players. Upon the AT's arrival, Patient A became conscious, appeared confused, denied distress, and complained of jaw pain. Patient B continued to have upper right leg pain. Both athletes are helped off the field and the on-call physician is asked to come to the field.

Impact Of Provider Confidence And Psychiatric Referrals Through Education And Implementation Of The Gad-7 Anxiety Screening Tool In An Outpatient Family Clinic, Maceline E. Check

Doctor of Nursing Practice Projects

Gaps in provider and nurse confidence in identifying and managing anxiety disorders in outpatient family clinic settings contribute to underdiagnosis, delayed intervention, and reduced psychiatric referrals. This quality improvement project evaluated the impact of provider education and implementation of the Generalized Anxiety Disorder-7 (GAD-7) screening tool on provider and nurse confidence and appropriate psychiatric referral rates, with the goal of improving clinical decision-making and standardizing anxiety screening practices. The project was guided by Lewin’s Change Theory and the Iowa Model of Evidence-Based Practice. Using a quasi-experimental pre- and post-intervention design, providers and nurses in an outpatient family clinic received structured, …

Quality Improvement Project: Impacting Staff Confidence In Recognizing Hiv Medication Adherence, Joy Nwansi-Iro

Doctor of Nursing Practice Projects

Medication adherence to antiretroviral therapy is essential for viral suppression and improved outcomes among individuals living with human immunodeficiency virus (HIV). Despite advances in treatment, healthcare providers lack confidence in recognizing medication adherence challenges and implementing appropriate interventions. Evidence suggests that provider education using standardized adherence assessment tools improves adherence monitoring and clinical decision-making. The purpose of this quality improvement project is to evaluate whether an educational intervention and a standardized workflow using the CASE Adherence Index would impact healthcare staff confidence in recognizing HIV medication adherence. Lewin’s Change Theory guided the project through the stages of unfreezing, change, and …

Boolean Rank Via Monomial Ideals And Neural Ideals, Juliann Marie Geraci

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

This dissertation develops new connections between Boolean matrix factorization, combinatorial neural codes, and commutative algebra. The central goal is to understand how structural and algebraic invariants can be used to measure and bound complexity in discrete data. We begin by studying the Boolean matrix factorization (BMF) problem, which seeks to express a binary matrix as a product over the Boolean semiring with minimal inner dimension, known as the Boolean rank. By interpreting binary matrices as bipartite graphs, we relate Boolean rank to biclique covers and introduce algebraic techniques to study this quantity. We associate to a matrix its edge ideal …

Preventing Information Loss During Icu To Or Handoff, Jenna Alfeldt, Kristen Hoffer, Ashley Miles, Amanda Schwarztrauber

Doctor of Nursing Practice (DNP) Student Projects

Background and Significance: Inconsistent ICU to OR handoff practices create conditions for information loss, threatening patient safety and continuity of care. Communication errors contribute to an estimated 250,000 fatalities and $20 billion in annual U.S. healthcare costs.

Review of Literature Findings: A thorough literature review revealed that standardized handoff procedures are shown to improve communication and team dynamics.

Methods: This quality improvement (QI) project implemented a standardized handoff process using the Handoff Reference Tool when transferring patients from the Intensive Care Unit (ICU) to the Operating Room (OR) in a large academic medical center. Pre- and post-implementation …

Transesophageal Echocardiogram Training For Student Registered Nurse Anesthetists, Sophie Hesse, Annie Krippene, Christian Shelton

Doctor of Nursing Practice (DNP) Student Projects

Background and Significance: Transesophageal echocardiography (TEE) is a vital diagnostic tool in perioperative care. At Barnes-Jewish College Goldfarb School of Nursing (GSON), Student Registered Nurse Anesthetists (SRNAs) formerly received limited TEE instruction, consisting primarily of didactic content. This quality improvement project aimed to enhance SRNA proficiency in TEE by integrating online and simulation-based training.

Review of Literature Findings: Simulation-based education has been shown to improve knowledge, skill, and confidence compared to lecture-only methods (Bloch et al., 2017; Chenkin et al., 2023; Pezel et al., 2023; Weber et al., 2019; Zhao et al., 2021).

Methods: Guided by the Iowa Model and …

Probing Composition Effects On The Intrinsic Energetics Of Proton Transfer In Binary (Hcl)M(H2o)N Clusters, Max R. Tucker, Sarah N. Arradondo, Olivia M. Longsworth, George C. Shields, Gregory S. Tschumper

Chemistry Faculty Research & Creative Works

This work examines the effects on intrinsic energetics as the composition of finite (HCl)_m(H₂O)n cluster families containing at least one water molecule is changed at the molecular level, where m ≥ 2 and m + n = 4 − 6, and the associated (Cl⁻)_x(H₃O⁺)_x(HCl)_m−x(H₂O)_n−x clusters resulting from the dissociation of x HCl fragments via proton transfer (PT). They are collectively labeled m:n, and xPT indicates the degree of dissociation, from 0PT (no dissociation) up to 3PT. More than 1000 unique minima …

Associations Between Smoking Habits And Weight-Related Behaviors Among People Who Smoke In The United Arab Emirates: A Cross-Sectional Study, Sharifa Alblooshi, Maryam Hassan Dawood, Dana N. Abdelrahim, Marika Lo Monaco, Falak Zeb

All Works

Background: Smoking is one of the leading global public health problems, and is complicated by multiple reasons for its prevalence and associated health problems. An understanding of the influence of smoking activity on weight management is essential to formulate successful health programs. Aim: The objective of the present study was the investigation of the association between smoking habits and weight management among adult people who smoke in the UAE. Methods: A cross-sectional study was conducted with 232 participants who completed a 36-item questionnaire assessing their smoking habits and weight management practices. Results: The sample consisted mostly of males (75.4%) aged …

Contests Of Masculinity: The Model Program, Notre Dame, And Collegiate Football, 1945-1972, Brian Michael Burns

Dissertations (1934 -)

This dissertation examines how collegiate football functioned as a contested site for defining masculinity and institutional identity in the United States between 1945 and 1972. Focusing on the leadership and interactions of the National Collegiate Athletic Association (NCAA), the National Football Foundation (NFF), and the University of Notre Dame, the project argues that these institutions promoted competing models of masculinity that reflected broader tensions between moral authority, institutional control, athletic success, and social change in postwar America. This dissertation argues that postwar collegiate football did not express a single dominant masculine ideal but instead became a site of ongoing institutional …

What Is That Mysterious Cylinder On Campus? Get To Know Unh's Thermal Energy Storage Tank, Keith Testa

UNH Today Archive

No abstract provided.

Improving Undergraduate Nursing Student Self-Care Agency With The Moodfit App, Sarah C. Young, Susan Patton

Creating Healthy Work Environments (CHWE)

The prevalence of nursing burnout syndrome is estimated to range from 14 to 38% (Ge et al., 2023); North America has the highest rate at 38%. Two systematic reviews and meta-analyses found the global prevalence of burnout syndrome in nursing students ranging from 23 to 35% (Kong et al., 2023, Hernandez-Mariano et al., 2024). Arian and colleagues (2023) found student nurse burnout positively correlates with academic semester. As students progress through each term, burnout risk increases.

The American Association of Colleges of Nursing (2021) includes the demonstration of “…healthy, self-care behaviors that promote wellness and resiliency” (p.53) as an essential …

Exploring The Perspectives Of Nurse Leaders On Motivational Interviewing For Workplace Well-Being, Quinais S. Yu

Creating Healthy Work Environments (CHWE)

Background: Nurse leaders face challenges in supporting staff well-being while managing their own, and effective communication is crucial.

Aim: This study explored nurse leaders' perceptions of factors influencing well-being, challenges they face, the impact of Motivational Interviewing skills, and their training needs in MI.

Methodology: Employing a qualitative, exploratory design, the study gathered insights from nurse leaders in Hong Kong clinical settings through individual semi-structured interviews, analyzed using thematic analysis.

Key Findings: Nurse leaders perceive MI as a valuable tool for effective communication and addressing staff ambivalence towards self-care. They emphasized the need for improved work environments, work-life balance, career …

Creating A Safe And Welcoming Environment For New Nurses Through Effective Preceptor Training, Heidi Keeler, Jodie Boswell

Creating Healthy Work Environments (CHWE)

The purpose of this presentation is to emphasize the critical role of nurse preceptors in supporting new nurses as they transition into clinical practice. It aims to highlight the importance of structured preceptor training to foster a safe, welcoming, and inclusive work environment. This presentation explores the essential role of preceptors in facilitating that transition with the use of the Ulrich Precepting Model. By focusing on the roles of Facilitator, Protector, and Socialization Agent, the presentation seeks to equip preceptors, educators and leadership with the tools and strategies necessary to promote psychological and physical safety, cultural assimilation, and professional growth …

The Role Of Otto In Indecent By Paula Vogel, Ben Turchiarelli

Student Theses

Between December 5th and 9th, 2025, Brooklyn College’s Department of Theater presented Indecent by Paula Vogel, directed by MFA directing candidate Sam Plattus. It was my privilege to play the role of Otto, a member of a troupe of dead actors, tasked with presenting a nearly coextensive play-within-a-play describing the controversial Broadway production of The God of Vengeance, by Sholem Asch. Otto presents several older male characters, including real-life figures; among them author I.L. Peretz, and actor Rudolph Schildkraut. Some of these scenes are depicted in the story as a play-within-a-play-within-a-play, and there are numerous musical interludes throughout wherein Otto …

University Theatre Guild Guide, Maria Perez

Honors Theses

The WMU Theatre Guild Assistant position is one of the primary assistantships in the Arts Administration department. The Theatre Guild Assistant works alongside Emily Duguay, the Director of Arts Administration, Joan Herrington, the Director of the School of Theatre and Dance, and the WMU Theatre Guild Board to manage their daily operations and help develop donor events. The University Theatre Guild Guide explains the details and processes this position follows. This guide is broken down into four sections. The first section is the Introduction. The Introduction includes congratulations from the past Theatre Guild Assistant and a short breakdown of the …

Final Project Report Ai Based Heart Diagnosis System Using Ecg, Kiana Austin, Angello Martinez, John Wright, Noelle Poquiz

Engineering Senior Design Reports

Cardiac diseases are one of the leading causes of death across the world, and early detection heavily impacts the patient’s outcomes. This project focuses on developing an AI-based system capable of accurately classifying heart conditions from electrocardiogram (ECG) signals. The team designed a system that processes ECG data and identifies nine distinct cardiac conditions using different machine learning techniques to address these issues. The system is designed to be reliable, scalable, and accessible, to people in environments with limited access to medical professionals.

The system architecture consists of ECG data extraction from WFDB records, preprocessing and standardization, dataset organization and …

Cross-Sectional Associations Of Metabolically Healthy Obesity, Lifestyle Factors, And Steatotic Liver Disease In Adults From The Fels Longitudinal Study, Ariana L Garza, Audrey C Choh, John Blangero, Cici X Bauer, Stefan A Czerwinski, Miryoung Lee

Faculty, Staff and Student Publications

Objective: To examine the associations of metabolic health and obesity phenotypes with liver fat accumulation and hepatic steatosis in adults.

Methods: We analyzed 676 non-Hispanic white adults (18-95 years; 55.8% female) from the Fels Longitudinal Study using a cross-sectional design. Participants were classified into metabolically healthy normal weight (MHNW), metabolically healthy obesity (MHO), metabolically unhealthy normal weight (MUNW), and metabolically unhealthy obesity (MUO) phenotypes. Metabolically unhealthy status was defined as the presence of ≥1 metabolic dysfunction, consistent with prior epidemiological definitions; secondary analyses using ≥2 were also performed. Obesity was defined using DXA-derived body fat percentage. Liver fat (%) was …

The Use Of Cognitive Biases In Russian Cyber Operations, Emma Manning

Honors Theses

This thesis examines how Russia has employed reflexive control through cyber operations to influence decision-making in foreign states, focusing on disinformation campaigns during the 2014 annexation of Crimea and the 2016 U.S. presidential election. Reflexive control, a concept rooted in Russian military doctrine, seeks to shape an adversary's perceptions and decision-making by providing carefully crafted information that leads targets to make choices favorable to the initiator. This research argues that while the fundamental objectives of reflexive control have remained consistent, technological advances have significantly expanded Russia's ability to conduct operations in developing cyber domains.

Using qualitative analysis of open-source intelligence, …

Quantifying Evapotranspiration From The Wetlands In The Peripheral Area Between The Most Downstream Stream Gages And The Open Water Body Of The Great Salt Lake, Motasem S. Abualqumboz, David G. Tarboton

Publications

Study region: The eastern peripheral area between the most downstream stream gages and the open water body of the Great Salt Lake (GSL), located in northern Utah within the semiarid western United States (US). 

Study focus: As GSL levels decline, the eastern peripheral area is expanding, exposing former lakebed, much of which has transitioned into natural and managed wetlands. Evapotranspiration (ET) from these wetlands consumes water that would otherwise reach the open-water lake body, yet these losses remain poorly quantified and directly affect the GSL water balance. This study compares a water-balance-based ET estimate for the wetlands in the peripheral …

The Importance Of Play-Based Learning, Nina Cavanaugh

Masters Projects

Play-based learning is a beneficial tool that can help support development of not only young children but students of all ages and abilities. While research may show that play-based learning has benefits for students’ development, many schools in the United States, including public schools in Macomb County do not have professional development opportunities to educate teachers on play-based learning. This project covers the benefits, theories, and implementation strategies of play-based learning. It explains how play-based learning can be beneficial for students cognitive and academic skills.  It also supports social emotional development, physical development, and language development. Not only does play-based …

Noncontingent Parental Attention Leads To Independent Play And Is Preferred By Toddlers Over Screen Time, Kristen Newell

LSU Doctoral Dissertations

Caregivers often rely on screen media to occupy young children during periods when caregiver attention is unavailable, despite evidence linking early screen exposure to adverse developmental outcomes. An alternative approach is to provide high-quality, noncontingent attention (NCA) during play prior to independent activity. Although NCA reduces attention-maintained challenging behavior, the optimal duration of NCA and children’s preference for caregiver interaction relative to screen time remain unclear. This study evaluated the effects of varying durations of caregiver-delivered NCA on young children’s independent play, attention-seeking behavior, and preference for NCA compared to screen time. Three caregiver–child dyads participated in a multielement design …

Synthesis And Characterization Of 1,3-Thiazolidin-4-Ones Using Recyclable, Magnetically Nanocatalyst In The Solvent-Free Microwave Medium, Jawad K. Abaies, Athra G. Sager, Zeena R. Katoof

Baghdad Science Journal

In the present work, an environmentally friendly nano-catalyst (γ Fe₂O₃RHA@SO₃H) was used for the preparation of 1,3-thiazolidin-4-ones analogs (T₁-T₉) from Schiff bases (S1-S9) by microwave irradiation. The recycled catalyst (γ Fe₂O₃RHA@SO₃H) was produced from silica derived from rice husk, which was first modified with ferrite nanoparticles (Fe₂O₃), then with sulfuric acid. The characterization of the (γ Fe₂O₃RHA@SO₃H)) nanocomposite and its characteristics were achieved using various techniques including, XRD, total acidity and basicity utilizing CO …

Theoretical Study Of Electronic Properties Of Functionalized Monolayers: Cu, Ag, Au, And Pt Atomic Wires On Graphene, H-Bn Monolayer, Silicene, And Phosphorene, Mythreyee T. Aasuri, Mukesh K. Choudhary, Narender Kumar, Ravindra Pandey

Michigan Tech Publications

The structural and electronic properties of graphene, h-BN monolayer, silicene, and phosphorene monolayers functionalized with Cu, Ag, Au, and Pt atomic wires were investigated using van der Waals─corrected density functional theory. These atomic wires form stable, functionalized monolayers that exhibit physisorption on planar monolayers and chemisorption on nonplanar ones. This results in either linear or bent configurations of the atomic wires, depending on the interface strength, leading to distinct electronic states. A weaker interface induces metal-induced gap states near the Fermi level, whereas a stronger interface results in covalently hybridized states farther from the Fermi level. Analysis of the electron …

Finiteness Of Torsion Loci And Normal Functions Arising From Cycles On Hadamard Products, Devin Akman

Arts & Sciences Graduate Student Theses and Dissertations

The unifying theme of this dissertation is normal functions. In the first chapter, we study an invariant of knot exteriors and similar manifolds called the A-polynomial through the lens of vanishing loci of normal functions. Using a special case of the Zilber-Pink conjecture, proven in the second chapter, we show that only finitely many irreducible Laurent polynomials of bounded overgenus appear as factors of A-polynomials. In the third chapter, we construct normal functions from hypergeometric variations of Hodge structure and compute their regulators. Finally, we determine under which conditions incomplete motivic cohomology cycles on families complete to cycles on their …

Influence Of Web Thickness And Concrete Cover On The Fire Resistance Of Aashto Type Iv Prestressed Concrete Bridge Girders, Fnu Nidhi

Electronic Theses and Dissertations 2020 - Present

Bridge fires caused by vehicle accidents, fuel tanker explosions and storage of combustible material beneath highway structures have led to severe structural damage and catastrophic collapse of prestressed concrete bridges. Critical structural collapse due to fire incidents such as I-85 prestressed concrete bridge girder collapse in Atlanta, 2017 and I-95 steel plate girder bridge partial collapse in Philadelphia, 2023 demonstrated the vulnerability of girders when exposed to extreme hydrocarbon fire temperatures exceeding 1000°C within few minutes. These events highlight the urgent need to better understand the thermal and structural behavior of bridge girders and explore design modifications that can enhance …

On Time-Series Analysis By Structured Matrix Decompositions With Applications To Signal Direction-Of-Arrival Estimation, Georgios Ierotheos Orfanidis

Electronic Theses and Dissertations 2020 - Present

Modern autonomous systems operating in highly dynamic, non-stationary environments require reliable inference from short, potentially corrupted time-series measurements, where conventional statistical methods relying on large-sample support and stationarity assumptions become fundamentally inapplicable. This dissertation develops a unified, model-free theoretical framework for time-series analysis, with a particular application to signal Direction-of-Arrival (DoA) estimation, grounded in structured matrix decompositions under both the L2-norm and L1-norm formulations.

We first approach the problem from a conventional viewpoint by carrying out standard matrix analysis directly on Hankel-structured representations of time-series data. In this context, we demonstrate that L1-norm decompositions of Hankel matrices offer strong resistance …

When Tremor Tells The Story: Life-Threatening Lithium Toxicity, Jessica Krouse, Ryan Tabor, Travis Hase

Advocate GME

No abstract provided.

Bougie-Assisted Balloon Tamponade Placement In Refractory Variceal Bleeding, Andrew Tacheny, Travis Hase

Advocate GME

No abstract provided.

Teachers’ Attitudes Towards Inclusion In The Uae: A Systematic Review Of Evolution And Influencing Factors, Muna Mohamed Alhammadi, Reem Aldhaheri, Adam Jeffers

All Works

This study presents a systematic review of literature on in-service teachers’ attitudes towards inclusive education in the United Arab Emirates (UAE) from 2006 to 2025. It investigates two main aspects: the evolution of teachers’ attitudes towards teaching students with special educational needs and disabilities (SEND) in the UAE over the selected period and the factors influencing these attitudes. A total of 25 studies were deemed eligible for inclusion. The results indicate that teachers generally maintain positive attitudes towards inclusion as a policy; however, different concerns about implementing the inclusion policy emerged from the literature. Several factors significantly influenced teachers’ attitudes …

Introduction, Lindsay Diehl

WLU Press Books

This is the introductory chapter of Reading With My Grandmother: Chinese Canadian Literature, History, and Family by Lindsay Diehl.

Reading With My Grandmother is an analysis of a range of Chinese Canadian literature that deepens the scholarly engagement by using elements of the author’s family’s story—her grandmother’s letters and photographs.

This engagement allows the author to simultaneously illustrate and participate in the varied ways Chinese Canadian literature has been imagined and produced in Canada in the last thirty-five years, examining texts such as Fred Wah’s biotext Diamond Grill (1996), Judy Fong Bates’ memoir The Year of Finding Memory (2010), and …