Digital Commons Network^™

Challenges In Implementing Digital Health Solutions For Pressure Ulcer Management: A Narrative Review, Shreenidhi Jogi, Elsa Sanatombi Devi, Vishal Shanbhag

Manipal Journal of Nursing and Health Sciences

Background: Digital pressure ulcer care solutions are both accurate and well-developed in terms of technology. However, a gap remains between available digital solutions and their use in everyday pressure ulcer care practices. This review aims to summarize the technical, human, and system-level challenges that restrict the effective application of digital health solutions in pressure ulcer management.

Methods: The search was conducted in CINAHL, PubMed, Scopus, Web of Science, and EMBASE. Studies that reported implementation challenges in their findings were included.

Results: Infrastructure barriers were about more than just having internet access. Issues such as inconsistent system performance and hardware malfunctions …

The Connectedness Between Awareness And Practice Of Waste Control And Recycling In Urban Villages: A Cross-Sectional Community-Based Study., Nelifer Shreya Ammanna, Jeenal Valine Mendonca, Chethan Kunder, Sushwetha Poojary, Swagath Nayak, Ansuya Ansuya, Mitchelle Shilpa Lewis

Manipal Journal of Nursing and Health Sciences

Introduction: Waste management is an increasing problem that occurs globally due to expanding population around the globe. Researchers worldwide are working towards ending this problem that impacts the environment and people's health. The knowledge of the wastes produced and how we manage them is vital for the population to understand; knowing about it and practicing the same will create a ripple effect on the waste generated by the people.

Objective: To determine the condition of the urban villages in terms of awareness and practice of waste management, and to know whether these are interrelated.

Methods: A quantitative approach with …

Attitudes Of Nursing Students Towards Paediatric Clinical Learning Experiences, Mamatha S Pai, Sangeetha Priyadarshini, Anusuya Prabhu, Yashoda Satish, Edlin G Mathias

Manipal Journal of Nursing and Health Sciences

Background: Clinical practicum is an important component of pediatric nursing education that helps students integrate theoretical knowledge with practical skills. Nursing students’ attitudes toward clinical learning influence their competence and overall learning experience. Factors such as supervision, clinical environment, and staff support play a major role in shaping these attitudes.

Objectives: This study aimed to evaluate the attitudes of nursing students toward pediatric nursing practice during their clinical placements. Method: A quantitative, cross-sectional study was conducted involving 261 nursing students (175 pursuing a bachelor’s degree and 86 pursuing a diploma) from a College of Nursing in Manipal, India, between 2018 …

Methodological Reflection On Thematic Analysis: Insights From A Doctoral Study, Salma Hassan

Manipal Journal of Nursing and Health Sciences

Qualitative research among doctoral students has become popular over the past decade. This methodological reflection presents a step-by-step account of the application of Reflective Thematic Analysis (RTA), as developed by Braun and Clarke, within a PhD study exploring the lived experiences of postnatal mothers regarding postnatal care. Reflective Thematic Analysis by Braun & Clarke was used to analyse the rich qualitative data from the original research. This paper outlines the methodological challenges and lessons learned in blending phenomenological enquiry with thematic analysis, following Braun & Clarke’s six-phase thematic analysis. This reflection provides transparent practical insights for novice researchers and student …

The Kidney Connection: Sepsis In Hospitalized Lupus, Muhammad Usman Zafar Md, Syeda Haris Mustafa Zaidi Md, Ansar Aziz Md, Sejal Lakhani Do, Courtney Hill Do

Fellows and Residents

No abstract provided.

Dampened Social Motivation In Dysphoria: The Role Of Negative Social Expectancies And Internal Causal Attribution Style, Julie L Ji, Nilly Mor, Colin Macleod

School of Psychology

Dysphoria is associated with dampening of social interaction intention, but the cognitive mechanisms that underpin this relationship are under-investigated. This study tested the hypothesis that heightened negative social expectancies mediate the association between dysphoria and dampened social motivation. Additionally, it tested the hypothesis that the association between dysphoria and negative social expectancies is mediated by an attribution style bias that attributes negative, but not positive, outcomes to internal causes. University students (N = 271) with varied levels of dysphoria read vignettes describing hypothetical situations where they initiate a social interaction that results in positive or negative outcomes. Participants rated their …

Training Healthcare Professionals To Deliver A Group-Based Intervention For People Living With Severe Obesity: Lessons From The Progroup Feasibility Trial, Shokraneh Moghadam, Mark Tarrant, Lily Hawkins, Dawn Swancutt, Rod Sheaff, Laura Hollands, Raff Calitri, Jonathan Pinkney, Jenny Lloyd

School of Psychology

Introduction: Group-based programmes are increasingly adopted to support people living with obesity, as they have the potential to reduce staff time and costs and enhance motivation and capability for behaviour change. Group-based programmes could also provide members with opportunities to form meaningful social connections. As such, training should equip healthcare professionals to deliver group interventions successfully and be accessible and feasible for them to complete. This study presents how mixed-methods process evaluation data from the feasibility randomised controlled trial of PROGROUP (a group-based weight management intervention for people living with severe obesity) informed optimisation of the PROGROUP training programme. Methods: …

Others’ Requests May Dampen The Desire To Do Good: The Effect Of Requests On Children's Prosocial Motivation Across Five Cultures., Anneliese Skrobanek, Patricia Kanngiesser, Jahnavi Sunderarajan, Jorge David Mantilla Salgado, Saiwa Sisa Quimbo Yacelga, Shoji Itakura, Marie M. Morita, Masanori Yamaguchi, Nadia Chernyak, Lucy M. Stowe, Joscha Kärtner

School of Psychology

There exists cultural variation in how people react to prosocial obligations, but we still know little about when these differences emerge in development and how they can be explained. We investigated this in a study with 6- to 11-year-old children (N = 686) in five cultural contexts. Children listened to scenarios about spontaneous and requested (within-subjects) helping and sharing. They rated requested scenarios as less desirable and less satisfying, but there was significant cross-cultural variation in the magnitude of this effect, which was mostly stable with age. We also measured children's sense of individual agency and internalization of prosocial norms …

Virtual Service-Learning Study Abroad: Medical Electives Belize, Kevin Hunt

Academic Affairs

Introduction: Traditional service-learning study abroad programs offer pragmatic learning opportunities for students to advance the declarative knowledge promoted in the classroom setting into procedural knowledge that is applicable in authentic environments. Such experiential-learning opportunities are foundational elements in the development of autonomy-supportive behaviors required for transition from student to practitioner. Unfortunately, study abroad opportunities are not available to many students for a variety of reasons. Parental hesitancy, parental safety concerns, economic status and monetary constraints, physical disabilities and mobility limitations, dietary restrictions and food allergies, travel anxiety and mental-health limitations, and many other factors impede students from taking advantage of …

Works Progress Administration (Wpa) Tombstone Inscriptions - Accession 488, Works Progress Administration, South Carolina Genealogical Society

Manuscript Collection

This collection consists of 67 microfiche containing an alphabetical index to tombstone inscriptions recorded during a partial survey of South Carolina cemeteries conducted by the Works Progress Administration (WPA) during the 1930s. The index was compiled by chapters of the South Carolina Genealogical Society from the original WPA cemetery survey records and provides access to inscriptions documented in approximately 350 cemeteries throughout the state.

Arranged alphabetically by surname, the index generally includes the full name of the deceased, birth and death dates (when available), and the location of the cemetery in which the inscription was recorded. The collection serves as …

Crab And Lobster Shell Meal Taste Preferences Of Dairy Heifer Calves, Summer R. Pescinski, Peter S. Erickson

Honors Theses and Capstones

Objective: This preference study was conducted to evaluate the palatability of crab shell meal (CM) and lobster shell meal (LM) when added to calf starter for post-weaned dairy heifer calves.

Materials and methods: Six calves were used for a sequential elimination experiment to rank their taste preferences when offered control calf starter, calf starter mixed with 50 g of CM, and calf starter mixed with 50 g of LM.  The calves were kept on the study for a total of 5-d split into two feeding segments.  Preference was determined by calculating the total intake of each treatment …

New Hampshire Tcap, Riley Lane

Honors Theses and Capstones

No abstract provided.

The Cost Of Defense: Labor And Construction Of 10th Century Danish Fortifications, Noah James Eckert

Honors Theses and Capstones

No abstract provided.

The Influence Of Ai Tool Dependence On Students’ Perceived Preparedness And Confidence In Higher Education, Julia Fichera

Honors Theses and Capstones

As AI tools are becoming more integrated in higher education, how these tools may impact students’ perceptions of their own independent writing and communication skills has been questioned. This study seeks to understand how reliance on AI writing tools in higher education influences students’ perceived preparedness and confidence in their independent writing and communication skills. Survey data was collected from 102 university students; after removing incomplete entries, 99 responses were included in the final analysis. The data was analyzed using descriptive statistics, Spearman correlations, and Mann-Whitney U tests.

The tests reveal that greater AI reliance is associated with lower self-perception …

Exploring The Effects Of Voluntary Wheel Running On Inhibitory Control, Ava Prieto

Honors Theses and Capstones

Inhibitory control, a central component of executive function, is the ability to suppress unwanted actions in response to a stimulus (Verbruggen et al., 2014; Verbruggen et al., 2019) and is one of the best indicators of executive task management as well as the ability to prevent unwanted prepotent responses. This capacity is essential for goal specific behavior and for responding flexibly to challenges. The present study examined the effects of voluntary wheel running on inhibitory control in two cohorts of Long-Evans rats using a rodent variant of the canonical stop-signal task. We found that rats with access to an active …

A Wound Upon The Union: John Quincy Adams And The Treaty Of Indian Springs, Spencer Peacock

Honors Theses and Capstones

This thesis examines the crisis that developed after US president John Quincy Adams signed, then disavowed (allegedly over moral concerns), the fraudulent 1825 Treaty of Indian Springs with the Creek Indian Nation. The thesis probes Adams' motives during the Treaty of Indian Springs crisis, and seeks to connect the crisis to the evolution of US federal Indian policy in the 1820s, prior to the mass Indian removal of the 1830s.

A Frog, A Toad, And A Salamander Walk Into A Forest: How Timber Harvest And Environmental Conditions Impact Amphibian Species Abundance In The White Mountain National Forest, William T. Brandenburg

Honors Theses and Capstones

Balancing the needs of humans and wildlife is one of the primary goals of conservation. Understanding how species respond to resource extraction is essential to achieve long-term population stability. This is especially relevant for amphibians, which are particularly sensitive to environmental disturbances due to habitat loss and degradation. As such they are often used as indicator species. This study leverages 20-years of amphibian abundance data from surveys in different silvicultural treatments to understand how American toads (Anaxyrus americanus), wood frogs (Lithobates sylvaticus), and red-backed salamanders (Plethodon cinereus) respond to changes in forest structure, weather, …

When Does Sexual Image Exposure Constitute Child Sexual Abuse?: Definitional Inconsistencies, Paige B. Kenny

Honors Theses and Capstones

The following review examines how youth exposure to sexual images online is conceptualized and measured as abusive within epidemiological research on online child sexual abuse (OCSA). As digital environments reshape sexual socialization, scholars debate whether and when exposure to sexual content constitutes abuse. To address this issue, this study conducts a qualitative content analysis of 27 survey items drawn from 20 empirical studies of youth online experiences. Survey questions about sexual image exposure were coded across four dimensions: volition, personalization, image or text, and explicitness. Findings reveal significant definitional inconsistency. Many studies rely on ambiguous terms such as “sexual” or …

An Examination Of Firm-Level Differences In Form Ap Amendment Filings Across Big Four Audit Firms, Benjamin Black

Honors Theses and Capstones

No abstract provided.

How Does Media Exposure Promote Nature Deprivation, Impacting Next Generational Social Interaction? Screen Time Vs. Green Time: A Cross-Sectional Survey Study, Mia N. Ryder

Honors Theses and Capstones

This study explores the impact social media can have on individuals' other qualities of life. This study particularly highlights its impact on in-person social engagement along with nature utilization and enjoyment, keeping in mind the corresponding benefits associated with those two variables. UNH undergraduate students were selected as participants. Participants completed surveys assessing their sense of regulation with social media consumption and reliance, their tendency to use and enjoy accessible natural resources, and their overall capacity to experience social comfort. Our survey was designed using 3 separate scales: A Green Space Enjoyment Scale, Social Comfortability Scale, and the third being …

Students For The Exploration And Development Of Space (Seds) Air Brake Subsystem: High-Altitude Autonomous Apogee Modulator System For High-Powered Rockets (Haamshr), Camden J. Maclean, Matthew Wharton, Nick Revis, Colin Guido

Honors Theses and Capstones

The objective of this project was to research, design, fabricate, and analyze an autonomous apogee modulation air brake system for the University of New Hampshire (UNH) Students for Exploration and Development of Space (SEDS) high-powered rocket as competitors in the Friends of Amateur Rocketry – Oxidizers Uninhibited Tournament (FAR-OUT) competition.

This air brake system would be developed with considerations for full autonomy, structural reliability, and repeatable deployment. The design would also be easily integrated into the existing high-powered rocket airframe and mechanically simple to increase reliability and practical functionality. The final design would be evaluated using finite element analysis simulation …

Bias In Nursing Students: How Student Exposure Impacts Patient Interactions, Claire Roy

Honors Theses and Capstones

Bias is a pervasive issue in healthcare. It affects all aspects of the healthcare system and affects patients primarily through their interactions with healthcare providers. This study aimed to identify if exposure to various patient populations reduced bias among participants and increased their understanding of the way bias impacts patients. Two participants were recruited from a baccalaureate nursing program course titled “Living with Mental Illness” to participate in a series of two-semi structured interviews to identify bias, perceptions of community-based care, and the growth from the beginning to the end of their clinical experiences. Results showed skill development, increased understanding …

Mindfulness Matters: Reducing Anxiety In Prelicensure Undergraduate Nursing Students Using Virtual Reality Meditation Prior To High Fidelity Simulation., Lindsey K. Hildreth

Honors Theses and Capstones

Abstract:

The aim of this study was to evaluate the effectiveness of a 5-minute virtual reality (VR) meditation intervention in reducing self-reported anxiety among prelicensure nursing students immediately prior to their participation in a high-fidelity clinical simulation. Anxiety levels were measured using a Visual Analog Scale (VAS) and compared between students who participated in the VR meditation intervention and those in a control group receiving standard prebrief, and no VR meditation. It was hypothesized that students who engage in VR meditation would demonstrate a reduction in anxiety compared to students in the control group.

Effects Of Perching Behavior In Broilers On Welfare And Production Benefits, Natalie G. Bunn

Honors Theses and Capstones

Broiler chickens are bred for feed efficiency, rapid growth rate, and muscle development. Conventional broiler farms utilize fast-growing breeds that reach market weight rapidly and present welfare concerns. Primarily raised indoors with little enrichment, the genetics and husbandry practices of broilers encourage inactivity and perpetuate health problems such as skeletal deformities, lameness, and pododermatitis. Despite the commonness of these issues, there is little research on the reduction of such health complications through production management. This study investigated methods to promote perching behavior and the effects of riser perch and platform perch utilization in broilers. A mixed flock of slow-growing Gray …

Political Media Hesitancy And Avoidance In College Students, Taylor Mandile

Honors Theses and Capstones

No abstract provided.

Current And Historical Occurrences Of Rare Coastal Plants In The Hampton Falls Salt Marshes, Liliana T. Chirichella

Honors Theses and Capstones

A botanical survey of two sites in the Hampton Falls saltmarshes was conducted to document the occurrences of a list of eleven endangered and threatened coastal plants listed in the Natural Heritage Bureau’s NH Rare Plant List. This survey was conducted in fulfillment of the NH Native Plant Protection Act to highlight and identify target species in an area where restorative runneling is to be implemented in order to restore proper hydrology and prevent further expansion of mega-pools in the Little River and Depot Road salt marsh sites, which have been subject to historical ditching and are a part of …

Below The Rows, Beyond The Roots: An Art Exhibition Depicting Agriculture Across The Globe, Maggie Enoch

Honors Theses and Capstones

In Below the Rows, Beyond the Roots, artist Maggie Enoch creates multimedia works inspired by her exposure to diverse agricultural systems and perspectives while studying geography and sustainable agriculture/food systems around the world. By integrating complex histories with the contemporary realities of farming, Maggie paints vivid pictures of the power of food in this five-piece exhibition.

Hey, Siri: How Companionate Ai Usage Affects Social Satisfaction And Personal Intelligence, Ryan E. Moran, Marley Ireland

Honors Theses and Capstones

Artificial intelligence is a field that is growing and changing faster than humanity can keep up. While part of the population is benefiting from its unmatched diagnostic power, increased productivity in school and in work, and even its surgical and therapeutic contributions, others are filing lawsuits based on claims that an AI chatbot was a key factor in the mental health crisis of someone they loved. Research has found that reliance on these AI-generated conversational agents can lead to social withdrawal, unrealistic relationship expectations, addictive tendencies, and, in the worst cases, increased or encouraged suicidal ideations, especially in vulnerable populations. …

Improving Low Fresh Gas Flow Adherence To Lower Co2e Emissions, Luke Charles Ricci

Honors Theses and Capstones

Volatile anesthetic gases contribute significantly to healthcare-related greenhouse gas emissions. These greenhouse gas emissions can be increased due to higher fresh gas flows. At Dartmouth-Hitchcock Medical Center (DHMC), open and semi-open systems with fresh gas flow (FGF) rates above two liters per minute result in anesthetic gas waste. Literature suggests multifaceted quality improvement interventions are effective in improving low fresh gas flow adherence in anesthesia provider practices. The purpose of this study was to evaluate the potential reduction in anesthetic gas waste and carbon dioxide equivalent (CO₂e) emissions at Dartmouth-Hitchcock Medical Center through improved adherence to low fresh gas flow …

Generating Concentrated Ring Polymers Through Supercoiled And Open Circle Pdna Isoform Separation, Kelsey E. Hodsdon

Honors Theses and Capstones

DNA can serve as a model polymer due to its high uniformity compared to synthetic polymers. Plasmid DNA (pDNA) in particular offers a well-defined, low-dispersity model for studying topologically uniform systems of a cyclic nature. pDNA has unique isoforms known as open circle (OC) and supercoiled (SC). Using fast protein liquid chromatography (FPLC), specifically anion exchange chromatography (AEX), these OC and SC isoforms can be separated in order to access their unique material properties. Our lab was able to yield the pure SC isoform. However, OC isoform separation has been more challenging. Various difficulties arose during this process, including imaging …