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Aidet And Commit To Sit Implementation In The Outpatient Surgical Setting, Olivia V. Meehan

Master's Projects and Capstones

Problem: This quality improvement project implements AIDET and commit to sit to improve communication and increase the patient satisfaction of an outpatient surgery microsystem. The microsystem’s patient satisfaction is assessed, and it is currently scoring below the reach goal of 85^th percentile. The detractors from their overall score mainly stem from the patient not feeling listened to, informed, or updated on the timeline. AIDET and commit to sit are ideal tools for addressing those deficits.

Context: The microsystem being addressed is an outpatient surgery unit that specialized in general surgery for the pediatric population. The pediatric population that the …

Poor Acclimation To Experimental Field Drought In Subalpine Forest Tree Seedlings, Alex Goke, Patrick H. Martin

Biological Sciences: Faculty Scholarship

The ability of tree species to acclimate and tolerate projected increases in drought frequency and intensity has fundamental implications for future forest dynamics with climate change. Inquiries to date on the drought tolerance capacities of tree species, however, have focused almost exclusively on mature trees with scant in situ work on seedlings, despite the central role that regeneration dynamics play in forest responses to changing conditions. We subjected naturally established seedlings of co-dominant subalpine conifer species (Abies lasiocarpa and Picea engelmannii) in the southern Rocky Mountains to 2 years of in situ summer precipitation exclusion, simulating summer drought …

The Mrna-Lnp Platform's Lipid Nanoparticle Component Used In Preclinical Vaccine Studies Is Highly Inflammatory, Sonia Ndeupen, Zhen Qin, Sonya Jacobsen, Aurélie Bouteau, Henri Estanbouli, Botond Z. Igyártó

Department of Microbiology and Immunology Faculty Papers

Vaccines based on mRNA-containing lipid nanoparticles (LNPs) are a promising new platform used by two leading vaccines against COVID-19. Clinical trials and ongoing vaccinations present with varying degrees of protection levels and side effects. However, the drivers of the reported side effects remain poorly defined. Here we present evidence that Acuitas' LNPs used in preclinical nucleoside-modified mRNA vaccine studies are highly inflammatory in mice. Intradermal and intramuscular injection of these LNPs led to rapid and robust inflammatory responses, characterized by massive neutrophil infiltration, activation of diverse inflammatory pathways, and production of various inflammatory cytokines and chemokines. The same dose of …

In The Matter Of: Marva Gorham

All Decisions

HPD terminated Section 8 subsidy due to "criminal activity" in 2017, and failure to provide documents to HPD. Tenant provided evidence of guilty plea/probationary sentence, successful drug rehab, and submitted documents prior to this hearing. Hearing officer found HPD's decision was mostly incorrect, reversed it, and reinstated the subsidy.

Relational And Social Aggression: A Scoping Literature Review, Angela Fidazzo

Electronic Theses and Dissertations

School violence is an omnipresent problem within the United States, at worst, resulting in the death of children and teachers across the nation. Over time, numerous strategies and tools have been introduced in order to reduce aggression within schools. However, as both overt and covert forms of aggression contribute to school violence, it is necessary for researchers to investigate covert, indirect forms of aggression as a way to better identify and prevent a salient contribution to this problem. Although much research has investigated bullying in general, further research is needed in better understanding the forms of covert bullying, relational and …

Building A New Model Of Church-State Collaboration On Environmental Care In Ghana Based On Catholic Social Teaching And African Theological Traditions, Emmanuel Abbey-Quaye

Electronic Theses and Dissertations

Abstract

The care of the environment has always been considered by the Ghana Catholic Church as an important aspect of her pastoral care and evangelizing mission in Ghana. Hence, in their various teachings in communiqués and other pastoral documents from 1965 till now, the Ghana Catholic Bishops’ Conference has consistently addressed the major environmental challenges confronting Ghana such as deforestation, mining, pollution, etc., applying the principles of stewardship and care of creation, intergenerational solidarity, integral ecology, etc., to ground these teachings.

Besides, in acknowledging that neither the Catholic Church nor the Ghanaian Government alone can resolve the various ecological crises …

Counselors Dumbfounded: Implications For Counseling Ethics, Ivan Irizarry

Electronic Theses and Dissertations

How counselors should make ethical decisions frequently differs from how counselors actually make ethical decisions, which is often a non-linear process. Social Intuitionist Theory (Haidt, 2003) suggests this process entails a socially influenced intuitive judgment followed by post hoc rationale. The purpose of this study was to examine whether moral dumbfounding, which entails maintaining a moral judgment without supporting reason, occurs with practicing counselors. The results of survey data and open-ended coding showed that 58.5% of counselors were dumbfounded at least once when presented with four moral or ethical vignettes. Additional analyses exploring differences in dilemma-based vs. non-counseling vignettes, moral …

Piloting A Theoretical Framework For Understanding Teacher Resilience In Hard-To-Staff Schools, Traci Durant

Electronic Theses and Dissertations

The study examined the nature of hard-to-staff schools in relation to teacher resilience. The study proposes a theoretical framework that blends theories of self and collective efficacy, critical race, and resilience theories with Bronfrenbrenner’s ecological systems theory to examine personal and organizational factors that contribute to or weaken the resilience of teachers in challenging urban schools.

Two research questions guided the study: What are the personal factors that strengthen resilience in teachers in hard-to-staff schools? And, What organizational factors impact teacher resilience in hard-to-staff schools?

Participants were recruited using convenience sampling methods. School administrators were asked to identify teachers who …

Connecting Human Dignity, Non-Violence, And Environment For Healthcare Ethics In Nigeria, John Mark Ogu

Electronic Theses and Dissertations

Abstract

Connecting Human Dignity, Non-violence, and Environment in Health Care for Nigeria

By

John Mark Chinaemerem Ogu

December 2021

Dissertation supervised by Peter Ikechukwu Osuji, Ph.D.

This dissertation presents a global public health ethical approach based on social justice that connects human dignity, non-violence, and the environment in Nigeria. Recently, different places globally are witnessing uprisings and violence; some of these are linked to environmental scarcity. These are threats to global health, peace, development, and security because violence of any type or form is a global public health and security menace and an affront to human dignity. Environmental scarcity, especially …

Mei Ling Property Llc V. Gonzalez

All Decisions

No abstract provided.

Otolith Derived Hatch Dates, Growth Rates, And Microchemistry Of Arctic Cod (Boreogadus Saida) Support The Existence Of Several Spawning Populations In Alaskan Waters, Zane M. Chapman

Fisheries

The changing climate in the Arctic is resulting in increased air and water temperatures as well as a reduction in sea ice, affecting native species that evolved to live in the unique habitats of the Arctic Ocean. One species of significant importance to Arctic marine ecosystems is the Arctic Cod (Boreogadus saida), a keystone species that serves as vital prey for many marine mammals, seabirds, and fishes. Arctic Cod have a strong association with sea ice for spawning and for much of their early life history. In the Pacific Arctic, little is known about their early life history, especially with …

Spawning Site Selection Of Coho Salmon Oncorhynchus Kisutch In Susitna River Tributaries, Alaska, Betsy W. Mccracken

Fisheries

Coho Salmon Oncorhynchus kisutch are the most widely distributed Pacific salmon species across Alaska. The lack of knowledge surrounding the habitat requirements of this species results in challenges for conservation and management due to natural and anthropogenic pressures. Tributaries of the Susitna River drainage in Alaska support many small and distinct Coho Salmon populations. Heterogeneity of in-stream spawning habitat is an ecological concept known to promote resiliency of salmonid populations. The goal of this study was to investigate the best habitat predictors of spawning site selection and the scale by which spawning habitat should be evaluated for management insights. Scale …

The Effects Of Ocean Acidification And Warming On The Metabolic Physiology Of Juvenile Northern Spot Shrimp (Pandalus Platyceros), Jamie Lee Musbach

Fisheries

Northern spot shrimp (Pandalus platyceros) support important commercial, subsistence, sport, and personal use fisheries in Alaska. This species is currently experiencing population declines in Southeast Alaska, mandating fishery closures in previously productive regions. Northern spot shrimp are harvested as adults and declining populations may be a result of limited recruitment into the fishery. Very little is known about the physiology of P. platyceros early life history stages and no known data exists on how early life history stages may be affected by environmental stressors such as ocean acidification (OA) and ocean warming (OW). OA is a result of increased anthropogenic …

Prediction Equations To Determine Induced Force On Reinforcing Elements Due To Laterally Loaded Piles Behind Mse Wall And Lateral Load Test On Dense Sand, Pedro David Garcia Montesinos

Theses and Dissertations

Researchers performed 35 full-scale lateral load tests on piles driven within the reinforcement zone of a mechanically stabilized earth wall (MSE wall). Data defining the induced tensile force on the reinforcements during lateral pile loading was used to develop multi-linear regression equations to predict the induced tensile force. Equations were developed by previous researchers that did not consider the diameter of the pile, the fixed head condition, relative compaction, or cyclic loading. The purpose of this research was to include this tensile force data and develop prediction equations that considered these variables. Additionally, a full-scale lateral load test was performed …

Increase Access To Community-Based Health Care For Underserved Individuals: A Quality Improvement Project, Piper Oneal

Doctor of Nursing Practice (DNP) Manuscripts

Abstract

Background: Health care access disproportionately affects certain populations. Health care opportunities for uninsured adult members of a rural community can be limited. Suwannee County is a rural community with a population of 43,814 of which 40.8 % live below the 200% poverty income level (WellFlorida Council, 2020). Problem: In 2016, 23.8% of adults in Suwannee County were unable to see a doctor in the past year due to the inability to pay and lack of insurance (Florida Department of Health, 2020). Community-based health care initiatives can address such issues by targeting underserved individuals, reducing barriers, and making health services …

Fasting Status Of Steller Sea Lion Pups, Stephanie G. Crawford

Biological Sciences

Following population declines in species of concern, wildlife managers often seek to identify underlying causes to understand and predict population dynamics for better future management. Often, physiological and/or behavioral metrics are measurable markers of decline, and these are often detectable well before declines are measurable through population surveys. During the 1970's, 80's, and 90's Steller sea lion (SSL; Eumetopias jubatus) populations in the western portion of their breeding range declined by ~85%. Though declines in most regions have since stabilized or exhibited modest recovery, some subpopulations breeding in the Aleutian Islands continue to decline. In contrast, SSL subpopulations in eastern …

Rooted In Environmental Justice: Phytogeography And Ethnoecology Of Serianthes, Else Demeulenaere

Biological Sciences

Serianthes Benth. (Fabaceae) is one of the most endangered plant genera in the world, with 12 of the 18 species listed on the IUCN Red List of Threatened Species. Serianthes trees are culturally important to island communities of the Indo-Pacific region for canoes, boats, traditional houses, and medicine. Habitat loss and ecosystem degradation increased pressure on these trees, also threatening its Indigenous cosmology and traditional practices. This interdisciplinary study integrated genomic, biogeographic and ethnoecological approaches to develop appropriate policies that protect the Indigenous biocultural diversity of Serianthes. Phylogenomics of 401 nuclear exons and non-coding flanking regions using both a multi-species …

Evaluating The Impact Of Nursing Assistant Employment On New Graduate Nurse Practice In The Acute Care Setting, Amy Bliemeister

Doctor of Nursing Practice Projects: College of Nursing

Background: New graduate nurses (NGNs) are expected to enter the acute care setting ready to provide safe and quality care in a fast-paced environment filled with high acuity patients, shortened lengths of stay, and difficult nurse to patient ratios (Clark & Springer, 2012). Employers, nursing students, and consumers are setting high expectations all nursing graduates will possess specific skills, knowledge, and competencies upon entry into practice (American Association of Colleges of Nursing, 2020).

Purpose: The purpose of this project was to determine the impact of NA program completion and employment on the NGN during the first year of nursing practice. …

Barriers To Discharge: A Retrospective Medical Record Review Examining Potential Barriers To Patient Discharge At The End-Of-Life, Pauline Felker, Kelly Purdy

Doctor of Nursing Practice Projects: College of Nursing

It is estimated that 70% of Americans would prefer to die at home, but less than one-quarter do so. Patients near the end of life often face several barriers that prevent them from successfully transitioning from an acute care setting to their preferred place of death. These barriers include but are not limited to a lack of trust between facilities and community care providers, ineffective communication, delayed discharge planning, difficulty accessing medications and supplies, lack of control, feelings of uncertainty, and feelings of burden. This study utilized a survey of 102 medical records of patients who died in the hospital …

Implementation Of Maternal Fetal Triage Index To Improve Nurse Knowledge And Timeliness In Obstetric Triage: A Pilot Project, Emilie Long

Doctor of Nursing Practice Projects: College of Nursing

Objective: The objective of this project was to implement an obstetric triage acuity scale in a labor and delivery setting and study the effect on nurse knowledge and timeliness of care.

Design: A quasi-experimental pre and post-test design was used for this pilot project.

Setting: This project was conducted in an obstetric triage unit located within a fourteen-bed labor and delivery unit in the Midwest.

Methods: This pilot project was conducted over a two-month time period. Fifteen registered nurses qualified to care for obstetric triage patients were given education on the chosen triage acuity scale. A pre-test was administered before …

Influencing A Culture Of Quality And Safety Through Huddling, Tysa Ferguson, Natalia Mccain

Doctor of Nursing Practice Projects: College of Nursing

Not available

Carbon Dioxide Enhanced Oil Recovery And Sequestration In The Orion Oil Field In The North Slope Region Of Alaska, Banabas D. Dogah

Engineering

Carbon dioxide flooding in viscous oil systems has been proven to improve oil recovery and store CO₂ in several geologic basins worldwide. With global energy steadily transitioning towards decarbonization, CO₂-EOR and Sequestration can reduce the carbon footprint from crude oil production. Although well accepted globally, the potential of improved oil recovery and CO₂ storage capacity has not been extensively studied in Alaska. Since the CO₂ injection process involves phase transition, reservoir simulation becomes more complex. It requires reliable techniques to estimate the ultimate recovery factor, oil production rate, and CO₂ storage volumes precisely. This study focuses on carbon dioxide enhanced …

Application Of Vortex Tubes In An Underground Mine Ventilation System, Nelson K. Dumakor-Dupey

Engineering

A major challenge for deep underground mines in tropical regions is high-temperature climate conditions at a working face. The high-temperature conditions can cause discomfort to people working underground and lead to health and safety issues. In some instances, airflow from primary ventilation and central refrigeration systems is not adequate to reduce the ambient temperature below a permissible limit at remotely located working faces. In some mines, mobile cooling systems are used in conjunction with an existing central cooling system. However, mining companies are often skeptical about implementing the combined cooling system due to its high operating costs involved with refrigeration …

History Matching And Prediction Of A Polymer Flood Pilot In Heavy Oil Reservoir On Alaska North Slope, Xindan Wang

Engineering

The first-ever polymer flood pilot to enhance heavy oil recovery on Alaska North Slope is ongoing. After more than 3 years of polymer injection, significant benefit has been observed from the decrease in water cut from 65% to less than 15% in the project producers. The primary objective of this study is to develop a robust history-matched reservoir simulation model capable of predicting future polymer flood performance. In this work, the reservoir simulation model has been developed based on the geological model and available reservoir and fluid data. In particular, four high transmissibility strips were introduced to connect the injector-producer …

Understanding Permafrost Dynamics And Geohazards With A Terrain-Cryofacies Approach, Eva Stephani

Engineering

The Arctic and its permafrost terrain are inherently dynamic, complex, and sensitive environments. Understanding the past and current changes occurring in these systems is key in predicting future variations, including the response of permafrost to climate change, and to terrain modifications resulting from natural processes or anthropogenic activities. This study contributes to advance our understanding of permafrost dynamics in varying permafrost environments of northern Alaska and northwestern Canada using a terrain-cryofacies approach. This unique approach helps to increase our understanding of permafrost dynamics from the site-specific scale to over extended areas by recognizing linkages between terrain and subsurface properties, and …

Ethel Mae Hunter

African American Funeral Programs

No abstract provided.

Pentagonal Extensions Of The Rationals Ramified At A Single Prime, Pablo Miguel Rodriguez

Theses and Dissertations

In this thesis, we define a certain group of order 160, which we call a hyperpentagonal group, and we prove that every totally real D5-extension of the rationals ramified at only one prime is contained in a hyperpentagonal extension of the rationals. This generalizes a result of Doud and Childers (originally conjectured by Wong) that every totally real S3 extension of the rationals ramified at only one prime is contained in an S4 extension.

Uk Supreme Court Rejects “X” Gender Marker On Passport, Arthur S. Leonard

Other Publications

No abstract provided.

Team Learning Within Nurse Teams In A Home Care Organization, Carol A. Gavan

Dissertations

The purpose of this interpretive case study was to determine whether the team learning model (Dechant, Marsick, & Kasl, 1991), which served as a framework, aptly described team learning as it took place among professional service teams in a home health care environment. The learning effectiveness of two teams, of 12 and 14 home care nurses respectively plus their managers and administrators, was described using observations, document analysis, interviews, a literature review, and the Team Learning Survey (Dechant & Marsick, 1993) to gather data.

A Bible Study Series: The Family-Centered, Church-Supported Paradigm Shift For Raising Children In The Faith At Salem Lutheran Church, Michael J. Nielsen

Doctor of Ministry Major Applied Project

Nielsen, Michael J. “A Bible Study Series: The Family-Centered, Church-Supported Paradigm Shift for Raising Children in The Faith at Salem Lutheran Church.” Doctor of Ministry. Major Applied Project, Concordia Seminary, 2021. 160 pp.

In many Christian churches there is the question: “How do we keep our children after confirmation?” The answer is a simple one: Parents. This MAP examines the relationship of the family and the church when it comes to raising children in the faith. Biblically parents are called to be the primary faith formers in the lives of their children. A multi-part Bible study was created to teach …