Digital Commons Network^™

An Overview Of Extended Ventilation Requirements Related To Comorbidities., Kaitlyn Horrell

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Mechanical ventilation is a machine that that allows patients to breathe when they are unable to adequately do it themselves. This could be due to illness or injury. Ventilators pump oxygen into the lungs through a tube that travels through the trachea. When a patient is put on a ventilator, they will be placed in the Intensive Care Unit. While ventilation is typically a short-term intervention, some patients require ventilation for extended periods of time, and some may not come off the ventilator, eventually dying. Dozens of patients were ventilated in the ICU at Mercy, and most of them spent …

Weight Management Program Using Myfitnesspal© In A Rural Primary Care Setting, Taylor Rittman

The Eleanor Mann School of Nursing DNP Capstone Projects

Obesity is a growing health concern that is linked to the development of chronically debilitating physical and mental illnesses. Obesity is a result of a long-term positive imbalance between energy intake and energy expenditure. Evidence has shown more than one third of U.S. adults suffer from obesity. Primary care providers in the United States report being overburdened in treating obesity, citing a lack of time, structured approach, and structured resources. Furthermore, the disparities in obesity are even more prevalent in rural areas where older adults are the fastest growing part of the population at risk for this disease. Evidence indicates …

Colorectal Cancer Screening In The Latino Population At A Family Medicine Clinic: A Quality Improvement Project, Michael S. Vinson

The Eleanor Mann School of Nursing DNP Capstone Projects

Background: Colorectal cancer (CRC) is a preventable and curable disease that affects all genders, races, and ethnicities, and its impact on society can be reduced with early screening. The Latino population is at greater risk compared to groups or ethnicities due to social determinants and health disparities within the community. Review of Literature: Language barriers, low education levels, persistent social stressors, poor healthcare navigation, and structural barriers make it difficult for this population to be properly screened at appropriate intervals. Purpose: This quality improvement (QI) project was designed to combat reduced screening rates seen in the Latino population. The target …

To Flash Or Not To Flash, Christy Overly

The Eleanor Mann School of Nursing DNP Capstone Projects

In 2015, healthcare-associated infection (HAI) prevalence survey found that there were an estimated 110,800 surgical site infections (SSIs) associated with inpatient surgeries in 2015. Consequently, instruments and implants sterilized by immediate use steam sterilization (IUSS) have been found to increase the patient’s risk for an SSIs. Due to these risks, the Joint Commission (TJC) determined that organizations should implement evidenced-based protocols to reduce IUSS use. A needs assessment revealed a gap in care in that the increasing SSI rates appeared to be correlated with the misuse of IUSS at the physician owned surgical hospital in Tulsa, Oklahoma. This Doctor of …

Effectiveness Of A Frailty Assessment Index To Predict Early Readmission Rates In Frail And Older Adult Renal Transplant Patients, Marilyn Barnett

The Eleanor Mann School of Nursing DNP Capstone Projects

Background: Renal transplantation is a complex intervention integrating both medical and surgical modalities, and is considered the treatment of choice for many individuals with end-stage renal disease. The complicated care of patients undergoing renal transplantation puts them at risk for adverse outcomes including infection, allograft loss, and a greater risk for some types of cancer. Evaluating patients to ensure they have the ability and support to cope with the stress of surgery and recovery, is an important part of determining the most appropriate candidates to receive the limited supply of organs available. Frailty has increasingly been identified as a predictor …

Development And Implementation Of A Protocol For Denosumab Administration In An Outpatient Infusion Clinic, Erin Stavrakas

The Eleanor Mann School of Nursing DNP Capstone Projects

Denosumab, or Prolia, is a medication given to increase bone mineral density (BMD) and prevent fracture risk in patients with osteoporosis. Guidelines for monitoring of side effects, data on long-term effects, and appropriate precautions are still being researched and developed. Healthcare teams are often unaware of preventative care measures to guide informed clinical decision making and patient care management. The recognized gap in care also reduces the standardization of health care delivery in clinics administering Prolia; this gap can lead to errors and miscommunication between patients and healthcare teams an increased risk for side effects. The aim of this translation …

Improving Depression Screening And Follow-Up Care In Underserved Populations, Alicia D. Hankins

The Eleanor Mann School of Nursing DNP Capstone Projects

Depression is a substantial source of financial, emotional, and physical burdens to patients and their families worldwide. It also disproportionately affects economically disadvantaged populations. To combat the depression crisis, The United States Preventive Services Task Force (USPSTF) published guidelines to boost depression screenings of all patients presenting for healthcare services. A review of literature and the completed needs assessment confirmed low rates of depression screening in the rural primary care sector. This project took place in an outpatient primary care facility in rural Arkansas, where current depression screening tools were not being used. The goal was to increase the percentage …

Glazier Recieves Bla Student Art Award, Communications And Marketing

Campus News Archive

Rhiannon Glazier '22, Dell Rapids, South Dakota, earned the University of Minnesota Morris Briggs Library Associates Art Award for her piece "Mushroom Ladies" in the 2022 Juried Student Art Exhibit.

How Corporate America Has Been Impacted By Remote Work, Jack Berg

Finance Undergraduate Honors Theses

This thesis evaluates how the new era of remote work has affected organizations and their employers. Specifically, it focuses on the effect remote work has had on productivity and revenue within companies, as well as the mental health and work-life balance implications it has had on employees. Furthermore, this analysis focuses on the history of remote work, how companies have had to adapt in recent years due to the COVID-19 pandemic and how remote work will look in post-COVID-19 times. In addition, all possibilities will be assessed to examine how efficient remote work is in the workplace.

Multiple resources were …

Insomnovation – Natural Sleep Solutions Business Plan, Nikolas Limperis

Finance Undergraduate Honors Theses

Currently, 70 million Americans suffer from some sort of sleep issues from trouble falling asleep, trouble staying asleep, and daytime drowsiness. However, the sleep solutions on the market today are either highly artificial or only address the symptoms of sleep issues rather than the underlying cause. This is what Insomnovation seeks to address. By providing supplementation to seven key vitamins and minerals, Insomnovation hopes to bring a natural solution to put the issue of sleep disorders to rest.

Sona Oral History With A Focus On Corporate Philanthropy, Caleb Fairchild

Finance Undergraduate Honors Theses

The arts scene of Northwest Arkansas has become increasingly woven into the culture of the ever-progressing region, and one of the longest-lasting players in this field is the Symphony of Northwest Arkansas. As a forerunner for so many other fine arts organizations in the area, there is much to learn from the Symphony of Northwest Arkansas. SoNA requested that the University of Arkansas record these experiences of past and present alike in the form of an oral history. As SoNA looks to the future, they recognize the many players who helped the organization to both survive and thrive at various …

Financial Planning Through A Pandemic: A Northwestern Mutual – Fayetteville Internship Experience, Grant Hoeldtke

Finance Undergraduate Honors Theses

For my internship, I worked as a College Financial Representative. As a College Financial Representative, I essentially worked as a full-time financial representative, but without some of the certifications required to offer the full line of products offered by Northwestern Mutual. Throughout the internship, I went through the process of kickstarting my financial advising practice and growing my connections around the Northwest Arkansas and Tulsa areas. I gained experience setting and hosting meetings with potential clients, then creating personalized and customizable financial plans based on the information I received during the client's meeting. Every single meeting and financial plan were …

Theranos: Case Study And Examination Of The Fraud Triangle, Abbey Jennings

Finance Undergraduate Honors Theses

Fraud is a serious issue which carries significant implications. Fraud committed by top level managers is particularly grievous, as it ripples through a firm, harming the company’s shareholders, employees, and credibility, while posing a threat to individuals and society (Zahra, et al.). A common framework in auditing, the fraud triangle, outlines three factors that if present, increase the risk or enable fraud to occur. The three factors are incentive, opportunity, and rationalization to commit fraud (Barlow).

In 2018, the Securities and Exchange Commission (SEC) charged Elizabeth Holmes, founder and CEO of a supposedly groundbreaking health tech company, Theranos, with what …

Target Internship During The Covid Pandemic, Laura Jo Randall

Finance Undergraduate Honors Theses

The coronavirus pandemic has triggered both social and economic changes around the world. Retail companies have been at the forefront of these changes due to widespread supply chain disruptions and supply shortages. Companies have struggled to meet the challenges caused by the pandemic including supply shortages and social distancing. Target Corporation is the eighth largest big box retail chain in the United States (Tanha, 2022). It has faced the challenges with innovation and implementation of new programs this year. During the summer of 2021, I had the pleasure to intern at Target and witness firsthand how this large corporation embraced …

A Gateway To Housing Discrimination: A St. Louis Case Study To Identify Home Loan Denial Rates Among Black And White Citizens, Emily Schlichtig

Political Science Undergraduate Honors Theses

This project seeks to investigate residential segregation and the reasons that it still occurs within the United States. The presence of residential segregation demonstrates how the 14^th amendment is being underutilized. Currently, there is a lack of research that points to home loan denial rates among black citizens compared to white citizens as a reason for residential segregation occurring. This paper includes a St. Louis case study to identify home loan denial rates between races and arguments for why those loan denial rates cause residential segregation. The disparities in the loan denial rates do not allow blacks an option …

Determinants Of Public Corruption In Arkansas And The Nation, Jason Neeley

Political Science Undergraduate Honors Theses

Through reviewing the existing scholarly literature on corruption, factors that seem to increase the likelihood or contribute to rising numbers in reported cases of corruption will be used to determine which factors are most highly correlated with the amount of reported public corruption in a state’s government. With this, one will gain knowledge on which states have the highest levels of reported corruption and what factors are present in the state that can help explain the high levels of corruption. This combination of relationships will answer the question as to what a state should look for to address issues related …

Understanding And Improving The System: The Effects Of Weighting On The Accuracy Of Political Polling In Arkansas, Beck Williams

Political Science Undergraduate Honors Theses

In an effort to increase the accuracy of statewide political polling in Arkansas, we explore the statistical strategy of weighting with a focus on one yearly opinion poll: The Arkansas Poll. We conduct over 70 weighting experiments on the 2016 and 2020 Arkansas Polls using a variety of variables and opinion questions. From these experiments, we find that while some weighted variables tend to create larger changes, weighting typically results in a single-digit percentage change that does not substantially shift or “flip” the majorities. Due to a greater rate of change through weighting in the 2020 Poll compared to the …

Telling Stories: An Analysis Of Speech-Melody Compositions And An Original Speech-Melody Composition For Wind Ensemble, Kevin Cheek

Electronic Theses and Dissertations

This thesis explores the compositional technique of speech melody and provides a brief historical overview of speech in music. This thesis also examines recent works (2005-2014) that have sourced their melodies from the spoken word and in turn creates an original composition for wind ensemble consisting of melodies sourced from recordings of members of United States military forces speaking about their lived experiences. In conjunction with the analytical and compositional aspects of this thesis, I also conducted an interview with Dutch composer Jacob ter Veldhuis (Jacob TV). i

War And Reconstruction From An East Texas Perspective: Nacogdoches County From 1861-1876, William Wade Carter

Electronic Theses and Dissertations

Initially founded in 1826 as a municipality of Mexico and organized as a county in 1837—and sharing its name with the oldest town in Texas—Nacogdoches County flourishes with a rich history and has been a factor in nearly every major event in early Texas history. The Civil War is no exception. Men from the county contributed to the war effort but also felt the war’s sting at home. Citizens did what they could to survive. The county continued under the yoke of Reconstruction after the war before booming again in the 1880s thanks largely to the town the county shares …

Designing An Americans With Abilities Act: Consciousness, Capabilities, And Civil Rights, Laura C. Hoffman, Zachary E. Shapiro, Allison Rabkin Golden, Gregory E. Antill, Katherine Fang, Chaarushena Deb, Elizabeth Clarke, Alexis Kallen, Hanya M. Qureshi, Kai Shulman, Caroline V. Lawrence, Megan S. Wright, Joseph J. Fins

Law Faculty Articles and Essays

The Americans with Disabilities Act (ADA) is a seminal piece of legislation aimed at protecting those with disabilities from discrimination. The ADA, however, has not been consistently able to integrate people with disabilities successfully into society. With a specific focus on individuals with serious brain injuries, this Article aims to provide insight into the shortcomings of the ADA, specifically focusing on lackluster enforcement of the legislation and its failure to incorporate promising new technologies. These limitations of the ADA are made even more clear in light of the evolution occurring in the understanding of rights and capabilities. As such, the …

The Heritage Family Study: A Review Of The Effects Of Exercise Training On Cardiometabolic Health, With Insights Into Molecular Transducers, Mark A. Sarzynski, Treva K. Rice, Jean Pierre Després, Louis Pérusse, Angelo Tremblay, Philip R. Stanforth, André Tchernof, Jacob L. Barber, Francesco Falciani, Clary Clish, Jeremy M. Robbins, Sujoy Ghosh, Robert E. Gerszten, Arthur S. Leon, James S. Skinner, D. C. Rao, Claude Bouchard

Division of Basic Science Faculty Publications

The aim of the HERITAGE Family Study was to investigate individual differences in response to a standardized endurance exercise program, the role of familial aggregation, and the genetics of response levels of cardiorespiratory fitness and cardiovascular disease and diabetes risk factors. Here we summarize the findings and their potential implications for cardiometabolic health and cardiorespiratory fitness. It begins with overviews of background and planning, recruitment, testing and exercise program protocol, quality control measures, and other relevant organizational issues. A summary of findings is then provided on cardiorespiratory fitness, exercise hemodynamics, insulin and glucose metabolism, lipid and lipoprotein profiles, adiposity and …

The Energy Balance Model Of Obesity: Beyond Calories In, Calories Out, Kevin D. Hall, I. Sadaf Farooqi, Jeffery M. Friedman, Samuel Klein, Ruth J.F. Loos, David J. Mangelsdorf, Stephen O'Rahilly, Eric Ravussin, Leanne M. Redman, Donna H. Ryan, John R. Speakman, Deirdre K. Tobias

Clinical Research Faculty Publications

A recent Perspective article described the "carbohydrate-insulin model (CIM)"of obesity, asserting that it "better reflects knowledge on the biology of weight control"as compared with what was described as the "dominant energy balance model (EBM),"which fails to consider "biological mechanisms that promote weight gain."Unfortunately, the Perspective conflated and confused the principle of energy balance, a law of physics that is agnostic as to obesity mechanisms, with the EBM as a theoretical model of obesity that is firmly based on biology. In doing so, the authors presented a false choice between the CIM and a caricature of the EBM that does not …

Development Of A Nurse Practitioner Driven Program For Cardiology Providers To Increase Knowledge And Awareness Of Neurodevelopmental Assessment Needs In Children With Congenital Heart Defects, Michele Readman

Doctor of Nursing Practice Final Manuscripts

Children diagnosed with congenital heart defects are at increased risk for neurodevelopmental delays. Timely referral of patients to a neurodevelopmental clinic for initial evaluation and referrals to support services can improve learning outcomes, provide early intervention for neurodevelopmental disorders, and mediate factors affecting low quality of life. Nationally, a substantial proportion of pediatric cardiologists are not referring children for neurodevelopmental evaluation. A review of patient referrals to a Cardiac Neurodevelopmental Clinic within an urban children’s hospital demonstrated an opportunity to improve provider awareness and knowledge of referral recommendations. Using the Iowa Model of Evidence-Based Practice to Promote Quality Care, an …

Muhlenberg Magic, Lehigh Valley Health Network

LVHN documents

No abstract provided.

Pulmonary Artery Root Replacement For Leiomyosarcoma: A Viable Thoracic Oncovascular Operation., Papus Keita, Matthew Janko, Nicholas J Peterman, Sandor Toledo, Marc Pelletier

Department of Surgery Residents

Leiomyosarcoma of the pulmonary artery is a rare but potentially fatal disease. Due to its rarity, the treatment algorithm is not well-established. While there may be a role for both chemotherapy and radiotherapy, surgical management is the most definitive method. Unfortunately, when the disease process is advanced, surgery may not be curative. However, it may still be a palliative treatment option. In this case report, we present a patient who suffered from respiratory symptoms that were initially attributed to pulmonary embolism (PE). However, upon the diagnosis of pulmonary artery leiomyosarcoma (PAL), surgery intervention was undertaken and resulted in an improved …

Interactional Challenges For Non-Native Speakers Of English In Emergency Telephone Calls, Angela Garcia

Natural & Applied Sciences Faculty Publications

This paper investigates interactional challenges experienced in calls to emergency services with native English speaking (NS) call takers and non-native speaking (NNS) callers. Case studies of three problematic NNS/NS calls from a collection of emergency service calls were conducted using a conversation analytic approach. These calls were selected from publicly available recordings which were made by callers who were hearably NNS of English. The analysis shows how accents, grammatical and other linguistic choices led to related challenges in the pragmatics of communication (including procedures for sequential organization such as adjacency pairs, repair initiation, confirmation requests, presequences and story solicits). Routine …

Health Disparities In Adults With Developmental And Intellectual Disabilities, Tulsi Patel

Nursing | Senior Theses

This paper reviews literature pertaining to the treatment of people with developmental disabilities. It will emphasize the inadequacies of health care in this population. The literature that will be discussed focuses on disparities in care via proxy, sociodemographic and clinical factors associated with disparities, assessing the needs of this population, the prevalence of disabilities in rural and urban settings, and the comparison of health disparities between adults with and without developmental disabilities.

For the purpose of this paper, a few terms will be defined. Developmental disabilities (DD) will be defined as “a group of conditions due to an impairment in …

A Biological Condition Gradient For Coral Reefs In The Us Caribbean Territories: Part I. Coral Narrative Rules, Deborah Santavy, Susan K. Jackson, Benjamin Jessup, Jeroen Gerritsen, Caroline Rogers, William S. Fisher, Ernesto Weil, Alina Szmant, David Cuevas-Miranda, Brian K. Walker, Christopher Jeffrey, Patricia Bradley, David Ballantine, Loretta Roberson, Hector Ruiz-Torres, Brandi Todd, Tyler Smith, Randy Clark, Ernesto Diaz, Jorge Bauzá-Ortega, Christina Horstmann, Sandy Raimondo

Marine & Environmental Sciences Faculty Articles

As coral reef condition and sustainability continue to decline worldwide, losses of critical habitat and their ecosystem services have generated an urgency to understand and communicate reef response to management actions, environmental contamination, and natural disasters. Increasingly, coral reef protection and restoration programs emphasize the need for robust assessment tools for protecting high-quality waters and establishing conservation goals. Of equal importance is the need to communicate assessment results to stakeholders, beneficiaries, and the public so that environmental consequences of decisions are understood. The Biological Condition (BCG) model provides a structure to evaluate the condition of a coral reef in increments …

Use Of Saturated Lightweight Sand To Improve The Mechanical And Microstructural Properties Of Uhpc With Fiber Alignment, Huanghuang Huang, Le Teng, Xiaojian Gao, Kamal Khayat, Fazhou Wang, Zhichao Liu

Civil, Architectural and Environmental Engineering Faculty Research & Creative Works

This paper studied the influence of pre-saturated lightweight sand (LWS) on the mechanical and microstructural properties of UHPC cast with steel fiber alignment. The changes in hydration kinetics, porosity, nano-mechanical, and mechanical properties were studied. The LWS was used at 0–50% replacement volumes of total sand. Predominant fiber alignment was favored through a flow-induced casting method during casting of flexural prisms. Experiment results showed that the 28-d autogenous shrinkage was decreased from 450 to 275 μm/m with the LWS content increasing from 0 to 50%. The addition of 20% LWS led to maximum increases of 15%, 15%, and 20% in …

Chandra Spectral Constraints Of The Low-Metallicity Collision Ring Cartwheel Galaxy, Chloë Benton

Physics Undergraduate Honors Theses

With the sophistication of the Chandra X-Ray Observatory, many observations of the behaviors of binary systems have been researched and studied. As an excellent example, for the low metallicity Cartwheel Galaxy, some fraction of the X-ray photons emitted from X-ray binaries have been intercepted by the detectors on the telescope and have been compiled into “events file.” When modeled properly, this data can produce insight into the behavior of the stellar populations in this object. The primary goal of this project is to use these events files to measure the X-ray properties of the X-ray binaries in the Cartwheel Galaxy …