Digital Commons Network^™

Improving Staff Education On Lung Cancer Screening At The Illinois Correctional Facilities For The Justice-Involved Individuals, Natalie Bethel, Jillian Youngquist

Doctor of Nursing Practice Projects

Justice-involved individuals are at an increased risk of developing chronic health conditions, including lung cancer. Literature supports the practice of using an annual low-dose CT scan to screen for lung cancer. Illinois Correctional Facilities lacked a lung cancer screening protocol for justice-involved individuals. Lung cancer screening guidelines were approved for the facilities, however, the time frame for implementation was unclear. This DNP project focused on evidenced based guidelines for lung cancer screening with education tools for staff members to prepare them for implementation. Staff was presented with a pre-test, PowerPoint presentation, and a post-test to evaluate lung cancer screening knowledge. …

Identifying Facilitators And Barriers For A Successful Student Registered Nurse Anesthetist’S Clinical Experience, James Clancy, Adam Bruinius

Doctor of Nursing Practice Projects

Student registered nurse anesthetists experience a wide variety of barriers and facilitators to their clinical education; often rotating through several clinical sites during their nurse anesthesia educational program (NAEP) tenure. Existing evidence suggests SRNAs must be proficient in seeking, accepting, and utilizing feedback from clinical preceptors (Algiraigri, 2014). Accepting constructive criticism may be challenging for SRNAs as they are highly skilled, competent nurses who are now entering rigorous NAEPs as novices. Reverting from preceptor to preceptee can be a difficult transition for SRNAs. This project aimed to identify barriers and facilitators to a successful SRNA clinical education through a literature …

Utilizing A Personal Health Coach In The Management Of T2dm, Emily Killebrew, Matthew Huelsman, Verah Bonareri, Terri Furfaro

Doctor of Nursing Practice Projects

Management of type 2 diabetes mellitus (T2DM) can reduce hemoglobin a1c values and ultimately reduce the risk of morbidity and mortality. Many adults live with uncontrolled T2DM due to a lack of knowledge of disease management. The purpose of this project was to evaluate the implementation of a personal health coach for the management of T2DM in adult patients. An extensive literature review was conducted, and the use of the Diabetes Management Self-Efficacy Scale (DMSES) was chosen to evaluate participants’ self-efficacy regarding their T2DM. Adult patients aged 21-75 with a diagnosis of T2DM and a hemoglobin a1c >7 in a …

Development Of Evidence-Based Rubrics And Instructional Videos For Anesthesia Induction Sequences, James P. Canny, Nathan M. Carroll

Doctor of Nursing Practice Projects

Safe and effective induction of anesthesia is a vital component of any anesthesia provider’s skill set. Although both typical sequence and rapid sequence induction are common procedures, much variance in technique exists among providers. Clear, standardized rubrics are an important element in teaching these skills. The purpose of this project was to update the typical and rapid sequence induction rubrics for the Southern Illinois University Edwardsville Nurse Anesthesia Program with the current best practice recommendations. To utilize and reinforce observational learning, instructional videos were also created to accompany the updated rubrics. These materials were presented to the student registered nurse …

Conducting A Root Cause Analysis To Improve Intake Processes And Record Review In Home Health, Christina Guerrero

Doctor of Nursing Practice Projects

Minimization of adverse events, reduction of inpatient admissions, and prevention of polypharmacy within home health are of importance due to the increasing number of Medicare beneficiaries. In 2019, CMS reported 5,266,931 patients were served by home health agencies, accounting for 7,439,849 episodes of care. It is projected that the number of beneficiaries will rise from 54 million to more than 80 million by the year 2030. Medical errors are now the third-leading cause of death in the United States, surpassing diabetes, Alzheimer’s, and stroke. The Agency for Healthcare Research and Quality identifies a lack of institutional intake processes as the …

Establishing Guidelines To Promote Best Practice For Common Ailments In School-Based Health Clinics, Kaitlin Sweeney, Rachael Schaefer

Doctor of Nursing Practice Projects

The COVID-19 pandemic exposed the gap in access to medical care of school-age children and identified a need for community-based health clinics to aid in its minimization. Evidence shows the creation of school-based health clinics (SBHCs) in public school districts provides a pathway for students to receive high-quality care in an easily accessible manner. Therefore, patient care guidelines for common ailments seen in SBHCs for a local federally qualified healthcare center (FQHC) were developed in conjunction with the FQHC goal to build and operate a SBHC located in southern Illinois. Eight guidelines were created to analyze the most common chief …

Improving Depression Surveillance At The We Care Clinic, Kaitlin Springer, Emma Hanney

Doctor of Nursing Practice Projects

Depression is one of the most underdiagnosed and untreated disorders affecting more than 16 million people in the United States each year (Henry et al., 2020). Unmanaged depression can lead to emotional suffering, decreased productivity, reduced income, impaired relationships, and an increased risk for comorbidities (Sinisalchi et al., 2020). It can affect anyone, however, individuals who are non-white, female, undereducated, disabled, pregnant or postpartum, have low socioeconomic status, or lack social support are at an increased risk (United States Preventative Services Task Force, 2019). The Southern Illinois University Edwardsville We Care Clinic provides primary care to minority patient populations who …

Implementation Of Childhood Trauma Questionnaire In A Primary Care Setting, Michele Hartke

Doctor of Nursing Practice Projects

Background

Childhood abuse, neglect and unusual stressful or traumatic conditions are common pediatric issues, with most Americans having experienced one kind of these adverse childhood experience (ACE) resulting in mental and physical issues in adulthood (Centers for Disease Control, 2010). Implementing a routine screening for patients will assist in identifying health concerns and can improve outcomes for the patient.

Aim

The aim of this project was to implement the use of a brief screening tool in a primary care medical office setting to assess for traumatic childhood experiences that have impact on a patient’s current morbidities.

Theoretical Framework

This quality …

Improving No Show Rates In A Gi Endoscopy Outpatient Lab, Mark Mcateer

Doctor of Nursing Practice Projects

No show rates in outpatient health care settings can negatively impact patient outcomes as well as physician and nursing practice. Many procedural areas face an average no show rate between 14%-16% annually. Insufficient procedure preparation, socioeconomical issues including lack of transportation, illness on the day of the day of the procedure, and lack of educational awareness surrounding the importance of needing the procedure have been linked to patient’s canceling scheduled procedures. High no show rates contribute to significant financial losses as well as unused resources for procedural departments. The negative impact of these losses can create issues with staff department …

A Method For Phenotyping Roots Of Large Plants, Brian Rinehart, Hanna J. Poffenbarger, Daniel Lau, David H. Mcnear

Plant and Soil Sciences Faculty Publications

Linking root traits to plant functions can enable crop improvement for yield and ecosystem functions. However, plant breeding efforts targeting belowground traits are limited by appropriate phenotyping methods for large root systems. While advances have been made allowing for imaging large in situ root systems, many of these methods are inaccessible due to expensive technology requirements. The aim of this work was to develop a plant phenotyping platform and analysis method suitable for assessing root traits of large, intact root systems. With the use of a purpose-built imaging table and automated photo capture system, machine learning-based image segmentation, and off-the-shelf …

Resource Amount And Discontinuity Influence Flight And Reproduction In Hippodamia Convergens (Coleoptera: Coccinellidae), Hannah E. Stowe, J. P. Michaud, Tania N. Kim

Department of Entomology: Faculty Publications

Industrial-scale agriculture creates a mosaic of large monocultures in the landscape, where seasonal cropping cycles generate discontinuous resource availability for insect predators both spatially and temporally. In this environment, selection will favor predator movement and reproductive behaviors that optimize the location and effective utilization of resource (prey) pulses that are both patchy and ephemeral in nature. Using a model system to study predator movement and reproduction, we tested how discontinuous periods of food resource access that mimic fluctuating resource populations (aphids) would influence flight behavior and reproduction of a highly mobile predator, Hippodamia convergens (convergent lady beetle), and possibly modify …

Pre-Session Pairing And Instructional Fading Prior To Instruction, Claudia Aguayo

Thesis Projects

Given that instructional demands can become aversive with children with ASD, pairing is an effective tool used to decrease problematic behaviors. Previous research has evaluated the effect of antecedent manipulations strategies such as pre-session pairing. Pairing the therapist and teaching environment with highly preferred items can decrease problematic behaviors during instruction. Pre-session pairing and instructional fading might aid in not only decreasing those behaviors but increasing overall responding. Two participants with ASD and ADHD were included in the following study. These participants progressed through 8 stages of pairing and instructional fading. Problem behavior decreased from baseline for both participants in …

Covid-19, The New Urban Crisis, And Cities: How Covid-19 Compounds The Effects Of Economic Segregation And Inequality On Metropolitan Economic Performance, Richard Florida, Todd Gabe

External Papers and Reports

No abstract provided.

Computational Analysis Of A Mn-Based Electrocatalyst With Primary Amine Substituents In The Secondary Coordination Sphere For Co2 Reduction, Erin Urban

Undergraduate Honors Theses

The purpose of this research was to report the mechanism for the two-electron, two-proton conversion of CO 2 to CO and H 2 O using a manganese(I) electrocatalyst, Mn(L)(CO) 3 Br (where L = bipyridyl ligand with aryl-amine moieties installed at the 6 position of 2,2’-bipyridine), synthesized by the Jurss group, including any other competing reactions, such as the hydrogen evolution reaction (HER). The “protonation- first” and “reduction-first” pathways were considered for CO 2 RR. Density functional theory (DFT) calculations were performed to determine the redox potentials and Gibb’s free energies for each step in the mechanism for CO 2 …

Investigation Into The Detection Of Drug Metabolites In Latent Fingerprints, Paige Oden

Honors Theses

Fingerprinting has proved a useful mode of identification for thousands of years. Following numerous technological advancements, it has become a technique for categorizing and keeping track of people over large geographical spaces for almost half of a century. Those living in the beginnings of fingerprinting used them as a form of signature as it was something completely unique to each individual that could not be replicated. Although they are no longer used as the primary form of signature, it certainly remains a biomarker of identity. Over the past century the practice has been heavily refined in order to identify people …

How Brands Go Viral: An Analysis Of Successful Brand Marketing On Tik Tok With Gen Z, Alyssa Rezek

Honors Theses

This thesis seeks to examine the unique relationship between Generation Z and the social media platform TikTok, especially in regard to its marketing function. A literature review, survey, and interviews were conducted to examine the social media habits of Generation Z and the attitudes they have towards these platforms. The data suggests that highly visual platforms, such as Instagram and TikTok, are more widely used and trusted by members of the generation in question. These trends indicate that brands wishing to market toward this generation should become proficient in the use of these platforms. This research seeks to examine the …

Investigation Into The Comorbidities Of Disordered Eating And Social Anxiety Disorder In College Students, Alice Mccraney

Honors Theses

In recent years, psychiatrists have reported a trend that individuals with social anxiety disorders are more likely to also have disordered eating and vice versa. Research into this connection has suggested that risk factors, such as stress reactivity, negative self- esteem, perfectionism and fear of negative evaluation are potential links. This is important because understanding the correlation between the two disorders could help develop better treatments plans for people who suffer from these disorders. This study investigates the relationship between the two. A total of 257 college students between ages 18-22 completed a questionnaire using the Disordered Eating Attitude Scale …

Volume Cxli, Number 21, May 6, 2022, Lawrence University

The Lawrentian

No abstract provided.

Assessing Reactive Violence Using Immersive Virtual Reality, Sylvia Terbeck, Alison Bacon, I Howard

School of Psychology

No abstract provided.

Evaluation Of The University Of Nebraska Medical Center’S 4ms Geriatric Training Program At Nebraska Medicine Midtown, Holly M. Sesker

Capstone: Master of Health Administration

In 2015, the Health Resources and Services Administration (HRSA) created the Geriatrics Workforce Enhancement Program (GWEP) to address geriatric workforce challenges and improve the health outcomes of older adults. The GWEP redefines care delivery through a movement for age-friendly healthcare guided by evidence-based practices that align with the 4Ms: What Matters, Medication, Mentation, and Mobility. The 4Ms identify the key issues that should drive the decision-making and care for every older adult. 4Ms training sessions were conducted at the Nebraska Medicine Midtown Clinic and evaluated through a cross-sectional survey administered to both residents (trainees) and attendings (trainers). Data was collected …

Characteristics Of The Wake Of An Inclined Prolate Spheroid In Uniform Shear Flow, Zhe Wang, Jianzhi Yang, Helge I. Andersson, Xiaowei Wu, Yuxin Wu, Liping Wang, Minghou Liu

Mechanical and Materials Engineering Faculty Publications and Presentations

Flow around an inclined 5:2 prolate spheroid with the incidence angle α = 45° is numerically investigated in a uniform shear flow. The Reynolds number based on the inflow center velocity Uc and the volume-equivalent sphere diameter De of the spheroid are considered at Re = 480, 600, 700, and 750. The non-dimensional shear rate K is ranged from 0 to 0.1. Five qualitatively different wake modes are observed, including a new mode characterized by multi-periodic shedding of hairpin vortices with regular rotation of the separation region. In general, the wake transition is suppressed with increasing shear rate. …

An Application Of Differential Mathematical Modeling Techniques To Study The Ongoing Rabies Epizootic In China, Christopher Turner

Electronic Theses and Dissertations

Rabies remains a global public health issue with a wide variety of neurological symptoms such as confusion, slight paralysis, hypersalivation, and hydrophobia. Rabies is usually fatal once symptoms appear. Many species are reservoirs for rabies, such as foxes, racoons, and wild dogs, which in turn can transmit the disease to humans, leading to complex transmission chains. There is a long latent period of rabies, between 1 to 3 months after infection, which further complicates control efforts. Mathematical modeling is a valuable tool in the study of infectious disease outbreaks and there have been many models applied to rabies outbreaks. However, …

2022 Lynn University Commencement Program, Lynn University

Commencement Programs

The commencement program for Lynn University's class of 2022. The ceremony, held on Friday, May 6, 2022 at the Palm Beach Convention Center, included all graduating students (undergraduates and graduates).

The commencement speaker was Rob Scheer, Founder of Comfort Cases.

Infinite Instruments, Betsy Ellison

Bachelor of Fine Arts Senior Papers

Last login: Fri May 6 17:00:00 on console

>_

>run BZE.exe

Whether building websites from scratch, generating abstract video portraits with recursive machine-learning AI, mounting steel plate carvings with fishing hooks, or painting portraits of schoolgirls on skinned and tanned bunny hides, I seek to infiltrate the strange spaces where rationality and empiricist philosophy collapse into delirium and drift.

Machines and animals are both organized bodies. All knowledge can be broken down to constituent parts: cells, atoms, grids and codes. All constellations of these fundamental parts are fictions. Fragmentation and re-organization are frontiers for new knowledge.

By treating the objective …

2022 Phi Beta Kappa Induction Ceremony Program, Phi Beta Kappa, Psi Of California Chapter At Chapman University

Phi Beta Kappa Induction Ceremony Programs

The 2022 Induction Ceremony for the Psi of Chapter California was held on May 6, 2022 at the Hilbert Museum at Chapman University. In this ceremony, 19 outstanding students were inducted into Phi Beta Kappa.

Implementation Of Phq-2 Screening Tool In A Telemedicine Based Setting, Joanna Luong

Doctor of Nursing Practice Projects

Background Major depression is one of the most common mental health disorders in the United States, affecting nearly 17.3 million of the population. As cases continue to rise throughout the ongoing pandemic of COVID-19, telemedicine has become a popular modality for accessibility to mental health care. Adequate screening, availability of resources and services, prompt treatment, and simple follow ups can contribute to treatment success rates and higher positive outcomes.

Theoretical Framework

The expanded collaborative chronic care model theoretical framework translates to this project in that it approaches management of patients with a team approach for those who screen positive for …

Neuraxial Anesthesia For Total Joint Arthroplasty, Katherine Pozzo

Doctor of Nursing Practice Projects

This quality improvement doctoral nursing project sought to provide a sustainable and data-driven change process at a critical access hospital in Illinois. The main objective of this project was an improvement in postoperative pain scores and implementation of best practice guidelines regarding total joint arthroplasty. Total joint arthroplasty is one of the most common surgical procedures performed in the United States. Future figures predict exponential growth due to our aging patient population, the obesity epidemic, and continued improvements in technique. Despite advances, orthopedic surgeries continue to be taxing on the body and can produce significant complications. General anesthesia for these …

Anticipatory Guidance For Parents/Caregivers Of Pediatric Patients Ages 0-12 Months, Cody Palmer, Anna Hagnauer

Doctor of Nursing Practice Projects

Anticipatory guidance is defined as proactive counseling for caregivers regarding various aspects of childcare and development. This project sought to improve the process and delivery of anticipatory guidance for infants aged 0-12 months at one rural pediatric primary care clinic. An extensive literature review was undertaken to determine current recommendations for anticipatory guidance topics pertinent to pediatric patients aged 0-12 months. Additional research explored the efficacy of various educational formats to provide teaching. Written educational materials were updated and edited to be visually appealing and understandable, and educational videos were created. Written materials and educational videos were provided to parents/caregivers …

Creating A Guideline For Sti Testing In The Pediatric Population, Alexandria Molaro, Alexandra Evans, Alex Niebrugge

Doctor of Nursing Practice Projects

Sexually transmitted infection (STI) prevention, education, screening, and management in pediatric primary care settings are of importance due to the increasing number of cases yearly. Almost half of the 26 million new STIs that occurred in 2018 were among young people 15-24. An opportunity existed in a rural pediatric primary clinic, for improved adherence to Centers for Disease Control and Prevention (CDC) or American Academy of Pediatrics (AAP) recommendations to screen/test patients. An evidence-based project (EBP) was developed to address this concern. Project objectives included: developing STI screening guidelines for pre-teen to young adults, developing a screening algorithm, providing alternative …

Development Of A Protocol To Manage Postdural Puncture Headache, Ashley M. Shulman, Lynexis P. Mcvey

Doctor of Nursing Practice Projects

In obstetric laboring patients, neuraxial anesthesia is a common form of analgesia. However, neuraxial procedures are not without risk. Accidental dural puncture (ADP) is a potential risk with any epidural procedure. Patients who experience ADP are at a greater risk of developing postdural puncture headache (PDPH). The presentation of PDPH is commonly described as a dull, throbbing, headache worsening upon standing and relieved with supine positioning (Patel et al., 2020). Symptoms of PDPH may range from mild to debilitating and develop within five days of ADP. A variety of treatment options exist for PDPH ranging from conservative to invasive. The …