Digital Commons Network^™

The Troubles On The Brink Of Recurrence: Northern Ireland In A Post-Brexit World, Emma K. Bohner

Student Publications

The Troubles were a difficult and trying time for Northern Ireland beginning in the 1960s. The subsequent decades were filled with turmoil and violence, mainly centered in Belfast amongst the Protestant and Catholic groups. In 1998, peaceful means to ending the Troubles were accomplished through the Good Friday Agreement. The accord established peace primarily through implementing a new power sharing government, ending direct rule by the British, disarming the paramilitary groups and creating a soft border between Ireland and Northern Ireland. The European Union was a critical asset in negotiating terms for peace. The aid of the European Union helped …

The Efficacy And Feasibility Of A Fully Automated, Web-Based Acceptance-Enhanced Behavioral Treatment For Trichotillomania In Adults: A Randomized Waitlist-Controlled Trial, Leila K. Capel, Julie M. Petersen, Mckenzie R. Becker, Michael E. Levin, Michael P. Twohig

Psychology Student Research

Treatment access for those with trichotillomania is limited by several issues including professionals’ lack of knowledge of the disorder, proximity to providers, and financial constraints. Acceptance-enhanced behavioral therapy (AEBT) has been implemented in groups and using telehealth to reach a larger population. However, these methods still require therapist time and incur notable costs. This study aimed to address the gap in trichotillomania treatment accessibility by examining the feasibility and efficacy of a self-guided, web-based AEBT treatment for adults with trichotillomania across the United States. Participants completed an eight-module asynchronous program over eight weeks. The effects of the website were tested …

The Jackson/Cubbin Skin Risk Assessment Tool: Implementing An Evidence-Based Practice Change Initiative In The Intensive Care Unit, Andrew Riddle Msn, Rn, Npd-Bc, Ccrn-K

Doctor of Nursing Practice Projects

Background: Pressure injuries in acute care patients cause thousands of deaths and billions of losses annually. The Braden Scale has been an American standard of pressure injury risk assessment yet demonstrates poor predictability in the Intensive Care Unit (ICU) population. Recent evidence indicates that the Jackson/Cubbin Scale performs similarly or superiorly to the standard.

Purpose: To compare the Jackson/Cubbin Scale to the Braden Scale in assessing ICU patients’ risk for pressure injuries and resulting nursing interventions. Methods: Using a pretest-posttest and comparative design, trained nurses in two ICUs applied both Jackson/Cubbin Scale and Braden Scale to assess patients’ risks twice …

Impact Of An Automated Text And Phone Call Post-Discharge Follow-Up Program On Patient Satisfaction Scores And 30-Day Hospital Readmission Among Adult Patients, Michael Clarke

Doctor of Nursing Practice Projects

Background: The Center for Medicare & Medicare (CMS) withholds reimbursement from hospitals that fail to meet established benchmarks for the rate of 30-day hospital readmission and patient satisfaction.

Objective: This project aimed to improve patient satisfaction scores and decrease 30-day hospital readmissions among adult patients at the project hospital by implementing an automated phone call and text message post-discharge follow-up program.

Methods: This quality improvement project utilized a Plan-Do-Study-Act (PDSA) method. Program participants’ 30-day readmission data and patient satisfaction scores were collected and analyzed throughout the 90-day project and up to 30 days after the project ended. Program participants received …

Roadmap To Reduce Barriers To Medical Aid In Dying For Rural Coloradans: A Health Policy Analysis And Advocacy Campaign, Ashley D. Fry Msn, Apn, Agacnp-Bc, Achpn

Doctor of Nursing Practice Projects

Background: Medical aid in dying (MAID) is a process by which a terminally ill adult with a prognosis of six months or less can request prescription medications to end their life. Colorado’s End-of-Life Options Act requires that two physicians participate in the process to certify terminal illness and prescribe medications. Nearly all rural and frontier counties face shortages of medical professionals. These conditions challenge rural residents who want to access MAID. Advanced practice registered nurses and physician assistants can address gaps in rural and frontier counties; on average, they outnumber physicians in these communities.

Aims: The aims of this health …

Cultivating Unit-Based Leaders Through A Tiered, Structured Mentorship Program, Brittney Daley Msn, Rn, Ccrn

Doctor of Nursing Practice Projects

Background: Succession planning and mentorship is an essential need in developing future nursing leaders. The IOM and published literature strongly support the importance of mentorship programs in nursing (IOM, 2021). The current succession plan and mentorship program is not sufficient.

Purpose: The purpose of this project was to create and implement an evidence-based, 3-tiered unit-based leadership mentorship program (LMP) for bedside registered nurses to support growth and professional development between tiers over a 4-month period.

Aims/Objectives: Using the completion of a pre and post survey the mentee was assigned a tier from novice to experienced leaders. Through the program, the …

Impacts Of Emotional Intelligence Skill Development Training On Nurse Leaders, Denise A. Holyoak Dnp, Rn, Ccrn-K, Nea-Bc

Doctor of Nursing Practice Projects

Background: Emotional intelligence (EI) skills are recognized as an essential tool for leaders’ success in their organization. Research shows that an EI skill development training program is effective at improving this skill set of nurse leaders and thus positively influence individual and organizational outcomes.

Aims: The purpose of this evidence-based practice (EBP) project was to design an EI skill development curriculum for frontline inpatient nurse managers and to evaluate its impact on three aims: EI skill scores of nurse managers, patient satisfaction scores related to nurse communication and nurse manager leadership communication scores.

Methods: Eleven inpatient nurse managers from a …

Addressing Verbal Aggression To Reduce Workplace Violence Against Nurses, Rebecca Harris

Doctor of Nursing Practice Projects

Background: Almost three-quarters of non-fatal workplace violence-related injuries requiring time away from the workplace occur in the healthcare and social services sector. More than 90 percent of assaults against nurses are from patients. Verbal aggression was correlated with physical violence and could contribute to nurses’ stress and dissatisfaction and compromise patient care. Policies and guidelines addressing verbal aggression against nurses are often unclear and not well-supported by evidence. This can leave nurses unprepared to recognize and respond to verbal aggression or threats of physical harm without compromising their safety.

Aim: This health policy analysis aimed to explore a range of …

Management Of Stage I And Stage Ii Labor Arrest Disorder To Reduce Primary Cesarean Section Birth Rate For African American Women, Ariam Yitbarek Mha, Bsn, Rn, Nea-Bc

Doctor of Nursing Practice Projects

Background: Cesarean section delivery rate in the United States has reached an alarming rate of over 30%. African American women experience a higher cesarean birth rate compared to Caucasian Women. The repeat c-section rate for all patients is greater than 80%. These findings underscore the need for intervention to reduce primary cesarean section deliveries in African American Women.

Objective: This quality improvement project aimed to implement caregiver education on the ACOG/SMFM definition of the first and second-stage labor arrest disorder to reduce primary cesarean section birth for African American women.

Method: This pre-and post-intervention quality improvement project was conducted on …

The Impact Of Nurse-To-Nurse Change Of Shift Report At The Bedside On Patient Satisfaction Scores And Patient Safety, Tonya Washington

Doctor of Nursing Practice Projects

Background: Nursing shift report is an essential part of the clinical practice. It allows nursing staff to exchange necessary patient information to ensure continuity of care and patient safety. Traditionally, nursing shift report was done at the nurses’ station or behind closed doors and did not involve the patient.

Objective: This project aims to implement an evidenced-based bedside shift report (BSR) on two medical and two surgical inpatient units to improve patient safety and patient satisfaction scores in the Communication with Nurses domain of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey.

Methods: The project utilized a …

A Comparative Metagenomics Study On A Bioreactor System In Salinas, Ca, The Salinas River Valley, And The Tijuana River Valley, Connie Samantha Machuca

AES Theses

Coastal environments are some of the most productive and valuable ecosystems in the world while also having some of the highest levels of non-point source pollution. Genetic analyses of bacteria have provided scientists with a better understanding of how pollution affects functional potential within the environment. This is done by evaluating the presence/absence of particular taxonomic classifications as well as genes and gene functional groups. This study aimed to use genetic information isolated from bacteria found in two coastal watersheds, as well as a field bioremediation system, to learn how bacterial diversity and taxonomic groups differ between locations, the potential …

Mesopredator Occupancy And Passerine Richness Along An Urbanization Gradient In Central Coastal California, Matthew Mcgee

AES Theses

As anthropogenic activity such as urbanization and agriculture destroys and fragments wildlife habitat, some patches may grow too small or isolated to support apex predators, which may allow mesopredator populations to flourish in the absence of predation and competition pressure. In areas where mesopredator occupancy is high, increased predation pressure may be placed on mesopredator prey species such as songbirds, which are already experiencing declines due to habitat loss. Here I used camera traps to collect occupancy data of the region’s most commonly occurring apex predators (coyotes) and three mesopredator species (bobcats, gray foxes, and domestic cats) at 35 sites …

The Effectiveness Of The Gut-Brain-Axis Versus Ssri For Treatment And Management Of Depression, Jenni Hetletved

Physician Assistant Scholarly Project Papers

Major Depressive Disorder (MDD) is a crippling condition that affects millions of people worldwide. Serotonin reuptake inhibitors (SSRIs) are the staple treatment adjunct to psychotherapy. Recently, the connection between gut health, specifically the gut brain axis, has been researched to look at the connection between gut microbiota and it’s effect on depressive symptoms. A literature review was performed using electronic databases such as PubMed, PsychINFO, and embase. This meta-analysis evaluates the connection between gut microbiota and depression as well as the effectiveness of SSRI therapy on depression. Results show a significant change in gut microbiota with short term change to …

The Effect Of Metformin Vs Lifestyle Modifications On The Prevention Of Prediabetes Progressing To Type Ii Diabetes, Brittany Mcpherson

Physician Assistant Scholarly Project Papers

Prediabetes is a common disease among American adults that is the predecessor to type 2 diabetes (T2D). T2D is a serious disease that causes long term damage to the heart, blood vessels, and kidneys if uncontrolled. This literature review looks at the effectiveness of medication (metformin), diet alone, exercise alone, and diet and exercise in combination in preventing the progression from prediabetes to a diagnosis of T2D. The literature review was performed using an electronic search database to identify literature related to preventing the conversion of prediabetes to T2D using either lifestyle modifications or metformin within the past five years. …

Computational Analysis Of Water Dynamics In Aot Reverse Micelles, Max Crowder, Frozan Tahiry, Isabel Lizarraga, Stephanie Rodriguez, Nathaly Peña, Arun K. Sharma

Biology, Agriculture and Chemistry Faculty Publications and Presentations

Aerosols can be modeled for detailed investigations using reverse micelles in the laboratory as well as in computational simulations. A long-standing question in the description of confined water under these conditions is that of a two-state model of core – interface or a three-state model of core – intermediate – interface. In this work, we present results of analysis of water dynamics inside reverse micelles from fully atomistic molecular dynamics simulations. The size and composition of reverse micelles is expressed through w0, the ratio of the number of water molecules to the number of surfactant molecules. Reverse micelles of diverse …

Jurisgenerative Tissues: Sociotechnical Imaginaries And The Legal Secretions Of 3d Bioprinting, Roxanne Mykitiuk, Joshua Shaw

Articles & Book Chapters

Three-dimensional ‘bioprinting’ is under development, which may produce living human organs and tissues to be surgically implanted in patients. Like tissue engineering and regenerative medicine generally, the process of bioprinting potentially disrupts experience of the human body by redefining understandings of, and becoming actualised in new practices and regimes in relation to, the body. The authors consider how these novel sociotechnical imaginaries may emerge, having regard to law’s contribution to, as well as its possible transformation by, the process of 3D bioprinting. The authors draw on Gilbert Simondon and corporeal, material feminists to account for these disruptions as ‘ontogenetic,’ in …

A Survey Of Text Representation And Embedding Techniques In Nlp, Rajvardhan Patil, Sorio Boit, Venkat Gudivada, Jagadeesh Nandigam

Open Access Publishing Support Funded Articles

Natural Language Processing (NLP) is a research field where a language in consideration is processed to understand its syntactic, semantic, and sentimental aspects. The advancement in the NLP area has helped solve problems in the domains such as Neural Machine Translation, Name Entity Recognition, Sentiment Analysis, and Chatbots, to name a few. The topic of NLP broadly consists of two main parts: the representation of the input text (raw data) into numerical format (vectors or matrix) and the design of models for processing the numerical data. This paper focuses on the former part and surveys how the NLP field has …

Prioritization Matrices For Digital Preservation Planning, Annie Benefiel

Presentations

Appraisal strategies can be leveraged to inform decision-making around digital preservation planning, lending curatorial oversight to an area that is often perceived as highly technical. A prioritization matrix is a project management tool to help you narrow down multiple project or task options, and identify the highest-priority areas. They facilitate decision making, are customizable, and easy to read. This poster presentation explores the prioritization matrix methodology used by GVSU Special Collections & University Archives in digital preservation planning.

Robert Hall Merrill: An American Engineer In China, Annie Benefiel

Presentations

Presented at the 2023 Archival Kismet Conference "Thinking About Stuff," this presentation explores historical documents found in the Robert H. Merrill papers in the Grand Valley State University Special Collections and University Archives.

In 1920, Robert Hall Merrill, a young civil engineer from Grand Rapids, Michigan, traveled to China to serve as Assistant Principle Engineer on a reconstruction project of a portion of the Grand Canal. The Grand Canal is the longest and oldest canal system in the world. Merrill's work produced a comprehensive survey report of the Grand Canal construction area near the Yellow River. The report contains numerous …

Collective Engagement Agreement, Grand Valley State University

Library Reports and Communication

No abstract provided.

The Impact Of Stakeholder Orientation On Tax Avoidance: Evidence From A Natural Experiment, Gary Chen, Ani Manakyan Mathers, Bin Wang, Xiaohong Wang

Finance Faculty Research and Publications

We study the effect of stakeholder orientation on corporate tax avoidance. Using the staggered passage of constituency statutes across U.S. states between 1983 and 2006, we show that greater stakeholder orientation results in increased tax avoidance. We further find greater tax avoidance among firms with limited financial resources and that employees benefit from the change. Our results are consistent with stakeholder salience theory that resource-constrained managers prioritize the claims of salient stakeholders, such as employees, at the expense of secondary stakeholders, such as the government.

Coherence Between Electromyographic Signals Of Anterior Tibialis, Soleus, And Gastrocnemius During Standing Balance Tasks, Anuj Ojha, Gordon Alderink, Samhita Rhodes

Open Access Publishing Support Funded Articles

Introduction: Knowledge about the mechanics and physiological features of balance for healthy individuals enhances understanding of impairments of balance related to neuropathology secondary to aging, diseases of the central nervous system (CNS), and traumatic brain injury, such as concussion.

Methods: We examined the neural correlations during muscle activation related to quiet standing from the intermuscular coherence in different neural frequency bands. Electromyography (EMG) signals were recorded from six healthy participants (fs = 1,200 Hz for 30 s) from three different muscles bilaterally: anterior tibialis, medial gastrocnemius, and soleus. Data were collected for four different postural stability conditions. In decreasing order …

Restrictions On Worker Mobility And The Need For Stronger Policies On Anticompetitive Employment Contract Provisions, Donald J. Polden

Faculty Publications

There is increasing concern in the United States about the difficulties that American workers are facing including concerns about limits on worker job mobility and how those limits affect workers’ wages and compensation, employee benefits, and finding their next job.2 Workers believe the challenges they face in changing jobs for better salary and benefits should be addressed so they have greater job mobility and opportunities for advancement. Workers are subject to restraints on job mobility across the spectrum of jobs, including those in executive-level positions as well as minimum- wage employees. Workers complain that they are not constrained in getting …

J Mich Dent Assoc April 2023

The Journal of the Michigan Dental Association

In this issue, the reader will find the following original content:

• A profile of two dentist legislators, Representative Steven Bradley, DDS of Iowa and Representative Jane Gillette, DDS, MPH. who represents Montana, to help readers best understand what that commitment means if they plan to seek elected office.
• An article discussing essential communication strategies to win elections.
• An update on ADA efforts to promote Oral Health Equity
• Profiles of MDA leadership candidates
• A 10Minute EBD contrasting closing diastemas with or without frenectomy with orthodontic treatment.
• Editorial, Advocacy update, News Briefs, News from the MDA Foundation, News from the ADA and …

0891: Jean Edward Smith Collection, 1916-2015, Marshall University Special Collections

Guides to Manuscript Collections

Jean Edward Smith was a noted biographer and the John Marshall Professor of Political Science at Marshall University. He graduated from Princeton University and earned a Ph.D. from Columbia University. For more than thirty years, he was a professor at the University of Toronto. His biographical subjects included Lucius D. Clay, George W. Bush, Dwight Eisenhower, Ulysses Grant, John Marshall, and Franklin D. Roosevelt. Smith won the 2008 Francis Parkman Prize for his biography of Roosevelt and was the 2002 finalist for the Pulitzer Prize in Biography or Autobiography for Grant. Jean Edward Smith died on September 1, 2019.

Materials …

Regeneration Of Neurons In Human Brain Tissue; A Revolutionary Concept With Therapeutic Potential, Mackenzie R. Dunn

Biomedical Sciences Undergraduate Research

There is current research to suggest that endogenous neuronal regeneration, exogenous neuronal stem cell transplantation and glial cell reprogramming could be prospective therapeutic treatments for neurodegeneration and traumatic injury. With these conditions, there is significant brain atrophy, loss of neurons and loss of synaptic connections which can have devastating effects on executive functioning, cognition, learning and memory. This review will examine these modern approaches to adult neurogenesis, and assess the viable mechanisms and future outlook of these three therapies for neurological regenerative medicine.

Diet Of A Threatened Rattlesnake (Eastern Massasauga) Revealed By Dna Metabarcoding, Alyssa Swinehart, Charlyn Partridge, Amy L. Russell, Arin Thacker, Jennifer Kovach, Jennifer A. Moore

Open Access Publishing Support Funded Articles

Characterizing the diet of imperiled species using minimally invasive methods is crucial to understanding their ecology and conservation requirements. Here, we apply a DNA metabarcoding approach to study the diet of the eastern massasauga rattlesnake (Sistrurus catenatus), a Federally Threatened snake found throughout the Great Lakes region. Eighty-three fecal samples collected across 10 different massasauga populations located in Michigan, USA, were sequenced, with 70 samples containing prey DNA. We used universal metazoan primers and developed a host-specific oligonucleotide blocker to characterize their diet. We identified at least 12 different prey species, with eastern massasaugas exhibiting opportunistic feeding and …

Toute Une Montagne D’Affaires Louches, Ian Curtis, Aidan Bullock, Isabelle Hoffman, Katie Vanoort

Modern Languages & Literatures Undergraduate Research

No abstract provided.

A Call For Protection And Planning: A Case Study Of Vulnerable Populations And School Shootings, Jason E. Covarrubias

Doctor of Education (Ed.D)

School shooting prevention has become a priority for educational leadership for nearly twenty years. The brutality and significant loss of life distinguish the attacks at Columbine High School and Sandy Hook Elementary School (Jonson, 2017). However, lawmakers encounter difficulty with the wide range of behaviors, program initiatives, and risk management efforts involved to ensure the safety of all children (Cowell & McDonald, 2018). Coincidentally, a national model for school-based emergency plans has not been identified, which leaves many school districts inadequately fit to keep the student population safe in the event a school shooting were to occur on a campus …

The Educational Experience Of Children In Foster Care, Autumn Brueckmann

Doctor of Education (Ed.D)

Children in foster care face a myriad of challenges in educational development. Conducting a phenomenological study, the researcher interviewed eight foster parents licensed in the state of Florida regarding the educational experiences of children in foster care. From the holistic perspective the data set provided, the researcher described the educational experience of children in foster care using the five themes: challenges, meeting needs, deficiencies, support systems, and behaviors of foster parents. Though children in foster care face many challenges, community members such as foster parents and case managers work to meet the needs of children in care. However, because of …