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    Holland Hospital Home Health Telemonitor Initiatives

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    Electronic telemonitoring systems have been used in homecare settings to allow close nursing supervision of patient data and rapid response to changes in patient status while allowing patients to maintain control of their care. The purpose of the present study was to examine the relationship between insurance status and hospital readmission rates for participants within a telehealth initiative research study. Dorthea Orem’s Self-Care Theory suggests self-reliance and responsibility for personal care improves illness prevention and health outcomes. Using Orem’s theory as a guideline, ninety-five participants were included in this retrospective chart review. Participants were selected through a convenience sample from a community hospital home health agency in the Midwest over a three-month period. Of the 95 patients, 21.1% (n=20) were monitored using telehealth. Data were analyzed using SPSS version 23. The top three admitting diagnoses for readmitted telehealth patients included: cardiac (73.7%, n=14), pulmonary (42.1%, n= 8), and renal (26.3%, n=5). There was not a significant relationship between insurance status and telehealth monitoring (χ2 = 2.144a, p= 0.709). Some limitations to this study include a small sample size, inclusion of patients readmitted more than once throughout the three-month study period, a lack of accurate census of total telehealth patients, and single site data collection. This research implicates the need for further research in the effectiveness of telehealth and the prevention of hospital readmission. Using telehealth routinely in the home care setting may allow for increased patient autonomy, safety, and overall promotion of health

    Romantic Relationships and Instagram: How Relationship Duration and Gender Affect the Frequency of Social Media Posts

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    Relationship maintenance, or participating in behaviors to keep romantic partners satisfied, has been discussed as being an important part of romantic relationships for the last few decades. In recent years, relationship maintenance has been more prevalent through the use of social networking sites. We predicted that Instagram posts about one’s relationship would be most frequent at the beginning of the relationship, and would decrease the longer the relationship persists. To test our prediction, we surveyed participants (N = 81) who were in committed romantic relationships and measured the length of their relationship as well as the frequency with which they post about their relationship on Instagram. Contrary to our prediction, relationship length was positively associated with Instagram posting frequency. Also, women posted slightly more than did men

    Financial Habits among the Faithful

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    This project examines how relative religiosity affects pecuniary conduct by examining how highly-religious individuals save income in comparison to the less religious. Humility and non-material satisfaction are often fundamental practices in the religious lifestyle, therefore consumption may be less among the religious. I examine where the savings difference is directed, and if savings accounts are larger among the religious due to decreased consumption. I find that while in most measures religious and non-religious individuals do not differ in their savings behavior, those religious in their youth are more likely to invest into homeownership

    Females Have Fewer?: The Effect of a Manager\u27s Gender on Number of Children

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    As female labor force participation rates have risen, the fertility rate in the United States has declined, reaching an all-time low of 62.3 births per 1000 women in 2016 (Lu et al. 2015; Rossen et al. 2016; U.S. Department of Labor 2015). If working women are limiting their family size with their careers in mind, this could indicate obstacles or societal expectations that discourage women from combining large families and successful careers, a trade-off that may differ from men. This research explores the gender differences in the number of children among those in management level positions. Extant literature suggests children significantly impact a woman’s labor market behaviors and wages; yet, there is limited analysis on how work and family decisions affect a woman’s family size and how that contrasts to a man’s, specifically among business professionals in the United States. Using individual-level data from the National Longitudinal Survey of Youth 1979 (NLSY79), I employ econometric techniques to isolate the effects of gender on family size among managers. Data on attitudes toward gender roles and ideal family size control for some of the selection bias and non-randomness present within the selected sample of those in management positions, yielding results that contribute to the evaluation of work and family life among male and female professionals

    Examining Changing Political Trust in America

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    Since the 1950s, the American public’s trust in government has declined. Relying on public opinion surveys, this research examines what factors explain this erosion of trust. In particular, I assess two key factors that may explain this decline, including an individual’s level of political interest and knowledge, and an individual’s degree and type of partisanship

    America\u27s Support for LGBT+ Marriage

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    In this project relying on a national public opinion survey, I will examine Americans’ support for LGBT+ marriage, assessing the key factors that explain variation in support

    The JanDY Survey System

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    JanDY is a survey system built by students and faculty from Hope College’s Computer Science Department. It is the program that runs behind the scenes during the Student Assessment of Learning & Teaching surveys that all students take each semester, which are used by the institution and instructors to evaluate the effectiveness of all courses at Hope. The current system was built using the outdated Google Web Toolkit. Our goal was to build a new version of JanDY using a more modern web framework, AngularJS. Beyond updating the technologies used in the system, we also added new functionality, including an interface for the creation and editing of surveys. In order to ensure that our new system was reliable we constructed a comprehensive test suite in the development process, testing our web application and load handling with tools such as Mockito, Jasmine, Karma, and JMeter

    Does Biochar Improve Disturbed, Sandy Soils?

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    We studied whether adding biochar to sandy, carbon-poor soil impacts plant growth. Biochar is an organic compound composed mainly of black carbon. Biochar is of interest as a possible soil amendment to alleviate stresses on agricultural production due to its high water and nutrient retention capabilities, high cation exchange capacity, high porosity that increases mycorrhizal growth, and ability to sequester carbon dioxide. Our experiment involved using three different plant types, Avena sativa (common oat), Vigna radiata (mung bean), and Raphanus sativus (cherry belle radish), in greenhouse and garden plot experiments. In the greenhouse we used five different treatments of soil from a demolition site: soil alone and soil mixed with 2%, 5%, 10%, and 20% biochar by mass. Biochar was enriched with nutrients and aerobic bacteria with compost tea. Four replicates of each species were grown for 5 weeks and watered every other day. At the end of the growth period, A. sativa and V. radiata plants were cut off at the soil surface and entire R. sativus plants were removed from soil, then dried in a plant press before weighing. All 60 replicates produced plants, with no statistically significant differences in oat and mung bean above ground biomass or radish whole mass for any treatment. In the garden experiment at a grassed-over former building site, we planted 10 seeds of each plant in each of 5 plots: soil only, 3% compost by mass, 3% biochar by mass, and 3% and 10% biochar inoculated with compost tea. Oats had a 100% germination in all plots while germination in mung bean and radish plots was less consistent. All soil treatments grew plants under controlled greenhouse conditions. The garden experiment, however, suggests that under more natural conditions biochar may foster a better environment for seed germination and survival

    Computational Chemistry in the Cloud

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    The compute cloud (Infrastructure as a Service) abstracts computer hardware into virtual machines hosted by companies such as Google and Amazon. Advantages of using the compute cloud include flexible choice or computer architecture, no hardware maintenance, paying only for services used, and better reliability. Significant cost savings can be achieved in many circumstances. The project Server in the Cloud (SITC) was developed to adapt the compute cloud to computational chemistry. SITC is a set of scripts that installs a fully functional computational chemistry webserver to a cloud computer. The webserver is composed of Apache, WebMO, and some combination of computational chemistry engines. A single computational chemistry webserver, however, is not powerful enough to service a realistic number of users. To address this issue, the project Grid in the Cloud (GITC) was developed. GITC is a job scheduler that takes advantage of the cloud environment by spawning new cloud instances to complete jobs

    Exchange Kinetics of Quinolinyl Ketones with Boronic Acids via Rhodium Catalyzed C-C Bond Activation

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    Carbon-carbon σ bond activation is difficult due to the strength of the σ bond and the steric hindrance around the bond. Using a quinolinyl ketone system, activation can be achieved with a rhodium catalyst, allowing not only carbon-carbon σ bond activation, but also functionalization using boronic acids. The exchange of aryl substituents between quinolinyl ketones and boronic acids, proceeding through carbon-carbon σ bond activation, is the subject of a kinetic study. NMR and kinetic studies are used to determine the rate law of the reaction using ortho-fluoro quinolinyl ketone and 4-trifluoromethyl boronic acid. In addition, NMR studies are used to compare the rates of various aryl substituents of both boronic acids and quinolinyl ketones to ortho-fluoro quinolinyl ketone and 4-trifluoromethyl boronic acid exchange

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