Digital Commons Network^™

How To Save A Life: The Impact Of Death Prevention Education Including Cardiopulmonary Resuscitation And Hemorrhage Control On Adolescents, Emily Charlton

Nursing | Senior Theses

Background: Out of hospital cardiac arrest (OHCA) and uncontrolled traumatic bleeding are two of the leading causes of death globally. Death due to OHCA and bleeding is largely preventable. With appropriate bystander intervention, positive outcomes in cases of OHCA and traumatic bleeding would greatly increase. Purpose: Bystander ability and intent to provide emergency cardiopulmonary resuscitation (CPR) and bleeding control is dependent on educational programs including death prevention first aid. Upon review of research, a gap was identified in adolescent death prevention training. The purpose of this proposed prospective study is to determine the effect of a high school education curriculum …

Medical-Grade Honey And Standard Dressings In Burn Wound Care: Evaluating Effectiveness, Cost, And Patient Outcomes, Andrew Golonka, Chloe Shin

Nursing | Senior Theses

Background: Burn injuries burden the healthcare system globally as silver sulfadiazine (SSD) is the standard treatment even though it delays healing and is highly costly. Medical-grade honey (MGH) demonstrates superior antimicrobial and anti-inflammatory properties, however, there are still evidence gaps when comparing effectiveness, cost efficiency, and patient centered outcomes. Purpose: This study aims to compare MGH and SSD amongst these gaps to inform evidence based burn care. Methods:A randomized controlled trial will enroll 100 people between 25-50 years of age with first and second degree burns, < 20% total body surface area within two hospital burn units. Participants will be assigned to either MGH or SSD treatment. The study will be a single blind design where dermatologists evaluating the wound photographs will not know the treatment given. Primary outcomes include wound healing time, infection rates, and patient reported pain scores. Secondary outcomes will focus on cost effectiveness analyses and patient quality of life. Standardized protocols will be implemented for data collection, wound assessment, and safety monitoring. Results: We anticipate that MGH will have lower infection rates, promote faster wound …

Recognizing The Risk: Enhancing Nurse Preparedness For Postpartum Hemorrhage Through Simulation-Based Education, Ishpreet Kaur

Nursing | Senior Theses

Background: Postpartum hemorrhage (PPH) is a serious, often unexpected complication after childbirth involving excessive bleeding. It is a leading cause of maternal death and can happen quickly, even in healthy pregnancies. Risk factors may increase the chances of PPH, but it can also occur without warning. Nurses play a key role in recognizing early signs and taking quick action. However, delays still happen due to inconsistent training, unclear protocols, and lack of preparedness. Strengthening nurse education and improving emergency response systems are essential to improve care and achieve better outcomes for mothers. Objective: This study aims to evaluate the impact …

Bridging Cultures And Classrooms: Enhancing Immigrant Student Success Through Differentiated Instruction And Social-Emotional Learning, Adriana Cruz Diaz

Literary and Intercultural Studies | Senior Theses

This thesis explores the challenges faced by immigrant students, particularly newcomers and English-language learners, in the American education system. Through an analysis of differentiated instruction and social-emotional learning (SEL), the paper highlights how tailored educational strategies can address gaps in academic achievement and social-emotional development. Drawing from personal experience as an educator and immigrant, the study emphasizes the critical role of culturally responsive teaching and programs that foster family engagement. Findings from observations and interventions in after-school and summer programs underscore the transformative impact of social-emotional learning competencies such as self-management and growth mindset on student engagement, behavior, and attendance. …

Fares On Fairness: Using A Total Error Framework To Examine The Role Of Measurement And Representation In Training Data On Model Fairness And Bias, Patrick Oliver Schenk, Christoph Kern, Trent D. Buskirk

Data Science Faculty Publications

Data-driven decisions, often based on predictions from machine learning (ML) models are becoming ubiquitous. For these decisions to be just, the underlying ML models must be fair, i.e., work equally well for all parts of the population such as groups defined by gender or age. What are the logical next steps if, however, a trained model is accurate but not fair? How can we guide the whole data pipeline such that we avoid training unfair models based on inadequate data, recognizing possible sources of unfairness early on? How can the concepts of data-based sources of unfairness that exist in the …

Training Set Augmentation And Harmonization Enables Radiomic Models To Detect Early Onset Of Lung Cancer, Claire Huchthausen, Menglin Shi, Gabriel L.A. Sousa, James Larner, Einsley Janowski, Jonathan Colen, Krishni Wijesooriya

Data Science Faculty Publications

Radiomics-based machine learning models have the potential to detect lung cancer at inception from CT scans and transform patient outcomes. Low malignancy rates in early-development pulmonary nodules (PNs) and variable image acquisition hinder development of clinically applicable radiomics-based early detection models. To address these challenges, we augmented training using later-development PNs and harmonized for acquisition effects. We first trained machine learning models to predict PN malignancy using radiomic features from scans of early-development benign and malignant PNs (n = 187) harmonized using ComBat. Observing near-chance performance, we augmented training with later-development benign and malignant PNs (n = 225). We evaluated …

An Overview Of The Special Issue, Rachel Gibson, Trent Buskirk

Data Science Faculty Publications

[Introduction] Across the quantitative social sciences, researchers increasingly face significant challenges and opportunities prompted by the arrival of new sources of very rich, highly granular, and often unstructured digital data. While traditional methods such as surveys and content analysis tools remain indispensable for measuring individual attitudes, behaviors, demographic characteristics, and media messaging online, they often struggle to capture the complex multimodal information streams and metadata generated by social media platforms, mobile devices, sensors, and tracking applications. Collecting and analyzing these diverse new forms of content, dynamic moment-to-moment behaviors, and naturally occurring interactions has become a pressing and exciting research task-one …

"See How He Loved Him": Lazarus Of Bethany As The Beloved Disciple In The Gospel Of John, Jared M. Pannell

Graduate Theses/Dissertations

Traditionally, the “disciple whom Jesus loved” from the fourth of the Christian gospels has been identified as John the Apostle, one of the original twelve disciples of Jesus, since at least the late second century. In recent scholarship, however, this position has come increasingly under question. Questions of John the Apostle’s literacy and capacity to write the gospel and doubts about the veracity of the eyewitness claims in the gospel have shifted the landscape of scholarly inquiry. As such, a wide variety of alternative candidates have been proposed. This thesis puts forward Lazarus of Bethany as a serious candidate for …

Gravity And Magnetic Analysis Of The Amu Darya Basin Of Turkmenistan And Uzbekistan, Logan R. Rogers

Graduate Theses/Dissertations

The Jurassic-Tertiary Amu Darya Basin is mainly located within Turkmenistan and Uzbekistan with a small portion extending into Afghanistan and Iran. The basin is one of the largest petroleum systems in central Asia. The basin is located in the southeast corner of the Turan platform, where both the Middle Paleozoic Turkestan and Early Mesozoic Tethys oceans were closed during different orogenies. The southern boundary of the basin is along the Bande Turkestan fold belt, the Afghan-Tajik basin to the east, Paleozoic metamorphic terranes to the north, and the Karakum high (Paleozoic basement rocks) to the west. Several blocks and terranes …

Critical Mineral Exploration In The Superior Province Of Northwestern Minnesota - A Geophysical Data Analysis, Michell L. Waterman

Graduate Theses/Dissertations

The Archean basement geology of northwest Minnesota, a region covered by glacial deposits and historically underexplored for minerals, was analyzed using gravity, magnetic, radiometric, and geochemical data. These datasets were integrated to aid in identifying subsurface structures and evaluating the area's potential for economic mineralization within the Wabigoon, Quetico, and Wawa Subprovinces of the Superior Province. Gravity and magnetic datasets, analyzed through upward continuation, derivative maps, and two-dimensional modeling, revealed distinct northeast-to-southwest-trending maxima corresponding to fault-bounded, high-density, and magnetically susceptible bodies. These features were interpreted as mafic to ultramafic intrusions and dikes, several of which align with known Proterozoic fault …

Revolutionizing The Immaculate Conception: The Limitations Of Medieval Theology And The Advancements Of John Duns Scotus, Emily G. Knoppe

Graduate Theses/Dissertations

Although in the modern era, the Immaculate Conception is a controversial doctrine that prompts conflict primarily between Catholic and non-Catholic groups, during the medieval period Roman Catholics were greatly divided on the topic. Opposition to the belief hinges not only on its lack of scriptural basis and complicated theology, which some deem as placing Mary outside of the need for Christ’s redemption, but also on the fact that it was not declared dogma until 1854 by Pope Pius IX. In this thesis, I first consider how Augustine of Hippo’s original sin theology laid the foundation for avid rejection of the …

Livelihood Adaptive Strategies And Marginalization In Decision-Making: A Study Of Glacial Lake Outburst Flood (Glof) Vulnerable Communities In Northern Pakistan, Sobia Shah

Graduate Theses/Dissertations

This study examines livelihood adaptation strategies and the dynamics of marginalization in decision-making within communities vulnerable to Glacial Lake Outburst Floods (GLOFs) in Gilgit-Baltistan, Northern Pakistan. Grounded in a vulnerability framework encompassing exposure, sensitivity, and adaptive capacity, it addresses two objectives: identifying household and community-level adaptation strategies to GLOF risks and analyzing structural drivers of marginalization in adaptation decision-making. A mixed-methods design was used, combining a systematic review of GLOF measures in the Hindu Kush Himalaya (HKH) region with a household survey of 150 respondents in Hassanabad and Hoper valleys. Generalized Additive Models (GAMs) assessed how socio-demographic, economic, institutional, and …

A Cadaver Story: Relationality In The Anatomy Laboratory, Stephanie Teasley

Graduate Theses/Dissertations

Cadavers in the human anatomy laboratory occupy a liminal social space, a circumstance that presents a variety of challenges for anatomy students. Cadavers are intended to be scientific objects for study, but their human status makes dissection uniquely challenging. Many of the obstacles to working in the laboratory result from discomfort experienced at the thought of cutting a person (i.e. a social being). In this project, I use ‘cadaver’ to indicate a category of being created in and for the anatomy laboratory. This is distinct from the more general ‘dead body’ in that the category cadaver enables emotional distance and …

Building Rhythmic Independence In Beginning Band Students, Caroline Williams

Graduate Theses/Dissertations

The purpose of this study was to design and implement a unit of instruction based upon three common approaches to teaching rhythm in the beginning band setting and to examine their effect on the rhythmic understanding, confidence, and independence of students in my sixth grade beginning band class. Students received instruction that was traditionally-based, aurally-based, and movement-based for one week each, respectively. An analysis of my teaching was provided by the notes I took that detailed what my students and I did throughout the study. Through my instruction, my students were able to increase their interactions with rhythm. Students were …

Bridging The Gap: Fostering Emotional Expression Through Teaching Strategies In The Middle School Choral Classroom, Jacob Brown

Graduate Theses/Dissertations

This study investigates the impact of teacher-elicited expression strategies (i.e. emotionally evocative metaphor, technical elements through modeling, body of the conductor, understanding the emotional content) on the emotional expressivity of my middle school choral students. Using a mixed-method approach, data was collected through surveys of students' self-evaluations of the expression strategies, and their overall value of expression before and after learning processes that emphasized emotional expressivity. I found that each teacher-elicited expression strategies impacted student expressivity positively. Concrete strategies (i.e., body of the conductor and technical elements through modeling) were highly effective, particularly in my beginner and intermediate choirs, while …

Evaluation Of Practical Methods To Determine If A Karst Creek Is Gaining Or Losing: Case Study Of Leith Creek, Elizabeth Jones

Graduate Theses/Dissertations

Karst landscapes are abundant in Missouri, with features such as caves, springs, and sinkholes that form through the dissolution of limestone. Leith Creek is a small stream in Polk County, Missouri fed by two springs and the shallow unconfined Springfield Plateau aquifer, a highly karstified aquifer which is made up of limestone and minor interbedded shale-mudstone units. To determine if Leith Creek is gaining or losing, stream flow, water chemistry and temperature sensors were monitored. Stream flow results required multiple visits to take measurements while temperature sensors required two visits, one to install the dataloggers and another to remove the …

The Effect Of Polyethylene Glycol Surface Density Of Dense Brush Gold Nanoparticles On Insulin Fibrillation, Ethan Patrick Grier

Graduate Theses/Dissertations

The development of various neurodegenerative diseases such as Parkinson’s disease and Alzheimer’s disease has been linked to the fibrillation of various proteins within the brain. Parkinson’s disease is specifically linked to the fibrillation of α-Synuclein. During the fibrillation process, the proteins take the form of oligomers, and exposure to these oligomers has been linked to various cytotoxic and neurotoxic effects. Once the fibrillation process is complete, the fibrils made have been shown to be much less toxic than the oligomer stage. This fibrillation process is thermodynamically favorable and is largely irreversible, so one course of action for treatment of these …

Lc-Ms Discriminates Between Effects Of Sulfur Nanoparticles Vs Molybdenum Disulfide Nanoparticles On Lettuce (Lactuca Sativa), Mary Fakunle

Graduate Theses/Dissertations

Nanotechnology is gaining attention in agriculture, majorly due to their potential benefits in farming practices. Sulfur and molybdenum disulfide nanoparticles are reported to enhance plant growth, protection, and nutrient delivery. However, there is a need to understand how nano-fertilizers affect the metabolites and nutritional benefits of plants. Here, lettuce was cultivated under greenhouse in one of three treatments: control, 50 ppm S NPs, and 20 ppm MoS2 NPs. A method was developed on Liquid Chromatography – Mass Spectrometry (LC-MS) instrument to quantify the concentration of amino acids and antioxidants in the harvested lettuce plants. Inductively Coupled Plasma – Mass Spectrometry …

Inconsistency In Physician Orders For Life-Sustaining Treatment (Polst) Documentation, An Opportunity For Improvement, William Carmichael, Zachary Matuzsan Do, Timothy J. Friel Md, Katie Best Rn, David B. Burmeister Do, Facep, Cpe, Justin Stauffer Pa-C, Katelyn Mclain, Jessica K. Eygnor Do, Marna R. Greenberg Do, Mph, Facep, Jennifer Allen Md

Department of Emergency Medicine

No abstract provided.

“Ringleader Who Has No Power”: A Qualitative Study Of Parent Uncertainty During A Nicu Admission Unrelated To Prematurity, Erin Rholl, Steven R. Leuthner, Kathryn J. Malin, Joanne Lagatta, Krisjon R. Olson

College of Nursing Faculty Research and Publications

Background

Parents of preterm infants experience stress related to uncertainty which impacts parent health outcomes. Less is known about the experience of parents whose infants are admitted for reasons other than prematurity. In this study we sought to describe (1) the experience of parents whose infants are admitted to a level IV NICU for reasons unrelated to prematurity in relation to uncertainty and (2) the effect of social and structural determinants on parent experience with uncertainty.

Methods

This single center qualitative study utilized interviews, questionnaires, and chart review at 2 time points: 2 weeks after admission and 3 months after …

Critical Care Advanced Practice Providers As Partners In Advancing Pediatric Intensive Care Unit Nursing Knowledge: A Needs Assessment., Mary Seidl, Meghan Roller, Whitney Seul, Laura Rose, Christine A. Schindler

College of Nursing Faculty Research and Publications

Background

Critical care advanced practice providers (APPs) are frontline providers in many pediatric intensive care units (PICUs). From 2020 to 2022, there was a significant downward shift in nursing experience level in the PICU at the authors’ institution. APPs may help provide additional in situ education.

Methods

Data were collected using role-specific needs assessment of PICU nursing staff and providers, assessing concept related to knowledge and job stress.

Results

Findings overwhelmingly demonstrated desire for more APP-led education. Overall, 27% of nurse respondents strongly agreed that current knowledge was adequate to provide safe and best care for their patients, and 47% …

Evaluation Of A Quality Cpr Coach Simulation-Based Competency Training: From Learning Outcomes To Patient Outcomes, Katie L. Mcdermott, Kari L. Rajzer-Wakeham, Jennifer M. Andres, Christine A. Schindler

College of Nursing Faculty Research and Publications

Background

Variability in cardiopulmonary resuscitation (CPR) quality and skill decay result in suboptimal application of CPR, which impacts patient outcomes following an arrest. Quality CPR Coach is a supplementary code team role that provides real time, verbal feedback directly to chest compressors to cognitively offload the team leader and ensure high-quality, goal-directed CPR delivery.

Methods

Design, implementation, and evaluation of a simulation-based Quality CPR Coach competency curriculum. Multi-modal assessment and evaluation methods were used.

Results

Statistically significant increase in confidence, perceived ability to verbalize Coach responsibilities, and knowledge. Participants demonstrated accurate Coach role performance across progressively scaffolded simulated compression event …

Nh Ece Research Consortium 2024 Activity Timeline, Jess Carson, Evan England

New Hampshire Early Care and Education Research Consortium

The New Hampshire Early Care and Education (NH ECE) Research Consortium is a network of researchers and research users committed to strengthening the state's ECE landscape through the use of data. Discover what the Consortium accomplished during its first full year in this 2024 Activity Timeline.

The Process And Significance Of Convening A Community Advisory Board With Individuals With Severe Mental Illness, Jacelyn Biondo, Nia Johnson

Department of Medicine Faculty Papers

Individuals with lived experience of being diagnosed with severe mental illness and/or substance use disorders have deep and profound knowledge regarding the culture and needs of their community. Historically, these and other vulnerable populations have been excluded from care access, treatment insights, research development and participation, and often society in general. In this paper, we share our experience of convening a community advisory board with vulnerable populations and highlight the expertise these community members provide. We outline our processes of convening the community advisory board, engaging in collaborative meetings, revising the research protocol, and exploring future research needs. Using meeting …

Hymate: A Hybrid Mamba And Transformer Model For Ehr Representation Learning, Md Mozaharul Mottalib, Thao-Ly Phan, Rahmatollah Beheshti

Department of Medicine Faculty Papers

Electronic health Records (EHRs) have become a cornerstone in modern-day healthcare. They are a crucial part for analyzing the progression of patient health; however, their complexity, characterized by long, multivariate sequences, sparsity, and missing values-poses significant challenges in traditional deep learning modeling. While Transformer-based models have demonstrated success in modeling EHR data and predicting clinical outcomes, their quadratic computational complexity and limited context length hinder their efficiency and practical applications. On the other hand, State Space Models (SSMs) like Mamba present a promising alternative offering linear-time sequence modeling and improved efficiency for handling long sequences, but focus mostly on mixing …

The Iterative Process Of Developing A School-Based Intervention To Take Actions Against Racism, Lindsay Poole, Danika Perry, Zumana Noor, Kim Graham, Tia Barnes, Danielle Hatchimonji, Kira Branch

Department of Medicine Faculty Papers

Racism threatens the mental and physical health of Black and Brown K-8 students and may lead to re-occurring harm without intervention. We developed ‘Actions Against Racism’ professional development trainings using a trauma-informed racial socialization lens to provide K-8 educators with proactive strategies to disrupt the negative psychosocial developmental outcomes associated with racism. This paper is a descriptive account of how we iteratively developed this intervention through four phases over the course of four years. The primary takeaway from this work is that developing and implementing interventions to disrupt racism and promote healing must take into account the implementation context, with …

Benchmarking Batch-Effect Correction Methods Towards The Construction Of A Triple-Negative Breast Cancer Cell Atlas, Peter Scheible, Amy H. Tang, Jing He, Jiangwen Sun

Computer Science Faculty Publications

Triple-negative breast cancer (TNBC) requires detailed cellular mapping given its aggressive nature, immense tumor heterogeneity and genetic diversity. We integrated 156,794 cells from six scRNA-seq datasets—including tumors, metastases, and cell lines—to build a TNBC scRNA cell atlas, focusing on batch effect mitigation while maintaining biological and molecular details. Preprocessing f ilters noise, normalizes data, and leverages PCA for integration readiness. We utilized scANVI, a semi-supervised tool, to align datasets, preserving TNBC’s complex tumor heterogeneity via marker annotations [1]. UMAPs demonstrate biological clustering in integrated data, contrasted with datasetdriven unintegrated patterns. Assessments verifying effective batch correction. This method aligns with NASA’s …

Sex Differences In Inter-Temporal Decision Making And Cortical Thickness Of The Orbitofrontal And Insula In Young Adult Cannabis Users: Evidence From 1111 Subjects, Alan N. Francis, Joan A. Camprodon, Francesca Filbey

School of Medicine Publications

To test for sex differences in the impact of cannabis use on decision-making and brain correlates, we employed cortical thickness (CT) analysis of brain regions involved in intertemporal decision-making namely bilateral orbitofrontal cortex(OFC) and insula in young adult nondependent cannabis-users(CU) and non-users(NU) and their scores on delay discounting task. Neuroimaging analyzes of previously collected data were performed on 608CU and 503NU. CT analysis was performed on MRI images. OFC and insula thickness, scores on the delay discounting test were compared between groups and correlated. Controlling alcohol-use and intra-cranial-volume, CU exhibited sex differences in CT. The bilateral insula was significantly thinner …

Comparisons Of Extinction, Counterconditioning, And Novelty-Facilitated Extinction Within Aba Vs. Abc Renewal Designs, Jérémie Jozefowiez, Audrey Huff, Lucas Petruzzo, Kimberly Casey, James E. Witnauer, Ralph R. Miller

Psychology Faculty Scholarship

The main file is the ReadMe file, with a dataset and supplementary file "Effect sizes for ABA and ABC renewal scores for expectancy learning" added in the additional file section.

The Contextual Modulation Of Associative Interference And Nonreinforcement In Expectancy Learning, Jérémie Jozefowiez, James E. Witnauer, Samuel Woltag, Audrey Huff, Kimberly Casey, Lucas Petruzzo, Ralph Miller

Psychology Faculty Scholarship

The main download is the README file for the raw data that is the supplementary file. The data is to accompany the upcoming publication with the same title, "The Contextual Modulation of Associative Interference and Nonreinforcement in Expectancy Learning"