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Management of Chronic Obstructive Pulmonary Disease Exacerbations Using the Global Initiative for Chronic Obstructive Lung Disease Guidelines
Get PDFChronic obstructive pulmonary disease (COPD) is a significant cause of morbidity and mortality
in the United States. An intermittent acute aggravation of symptoms characterizes COPD's
natural progression termed acute exacerbations of COPD (AECOPD). AECOPD is defined as a
“sustained worsening of the patient’s condition, from stable state and beyond normal day-to-day
variations, that is, acute in onset and necessitates a change in regular medication.” Greater than
80% of exacerbations are managed in the outpatient setting with pharmacological therapies that
include bronchodilators, corticosteroids, and antibiotics. Treatment variability results in adverse
health outcomes and necessitates a need to standardize care. The Global Initiative for Chronic
Obstructive Lung Disease (GOLD) guidelines were developed by worldwide experts and provide
unbiased reviews of the latest evidence to assess, diagnose, and manage COPD. The GOLD
guidelines provide evidence-based recommendations and should be integrated into practice.
Purpose: The overarching goal of this Practice Inquiry Project (PIP) was to determine the
likelihood of adopting the GOLD guidelines, which could inform practice and improve the
management of AECOPD. Methods: A qualitative, survey-based study was undertaken that
involved data collection, analysis, and a review of the literature. The PICO framework was
utilized to define the research question. Roger’s diffusion of innovation model served as the
theoretical framework used for understanding the degree of readiness or stage of change. Due to
the small sample size (n= 10), nonparametric tests were used to analyze ranked, ordinal,
dichotomous, and nominal data. The data was collected via survey and statistically analyzed to
determine the readiness to adopt and establish the current standards of care. Results: A
convenience sample of 10 providers (n=10) in the state of Hawaii completed the anonymous
survey in the form of a multiple-choice questionnaire during a 30-day period in 2021. The
questionnaires were analyzed by individual questions, and findings focused on key themes
(demographics, experience, and readiness to adopt). The results of the provider’s readiness to
adopt the GOLD standard were inconclusive. While providers acknowledged a high interest in
adopting the GOLD guidelines, their likelihood of adopting the guidelines was not likely. The
most significant barrier to adoption was Organizational/Institutional (70%, seven respondents).
Conclusion: Ultimately, adoption of the GOLD guidelines was not likely. The data identified
potential barriers to adoption and informed practice by raising awareness of the GOLD
guidelines. Further research is needed to better understand specific Organizational barriers to
adopting the GOLD guidelines
Comparison of Wireless Attack Impacts on Critical Avionic Safety and Guidance Systems
Get PDFA student presentation to the Fall 2021 Student Research and Creative Works SymposiumThe purpose of this study is to compare the impact of wireless attacks on pilot performance due to the loss of critical safety and guidance systems during various phases of flight. These systems include: Instrument Landing System (ILS), Traffic Collision Avoidance System (TCAS), and Ground Proximity Warning System (GPWS). Such systems are critical to pilot awareness and safety during takeoff, cruise, and landing
Kapiʻolani Community College Course Learning Report, NURS 320
No full textAssessment plans, strategies and data presented in a spreadsheet for Nursing 320
Invasive species detection from RGB aerial imagery: investigating links between plant characteristics and transfer learning success
Get PDFM.S
DNS and Data Exfiltration Detection
Get PDFA student presentation to the Fall 2021 Student Research and Creative Works SymposiumUndetected data exfiltration is a common occurrence
There is little research into detecting the data as it is traveling from target to attacker
Most research is on the prevention of exploitation.
Fundamental internet protocols are being used for exfiltration
DNS is the internet address book, so almost all internet-connected devices accept it
Most tunnels are encrypted to bypass packet inspection
By understanding how these protocols work, IDS rules can be developed to alert when traffic is abnorma
Comparative Analysis of RFID and NFC Devices
Get PDFA student presentation to the Fall 2021 Student Research and Creative Works SymposiumRadio Frequency Identification (RFID) and Near-Field Communication (NFC) are examples of secure wireless technologies. An NFC device is a subset of RFID technology that functions similarly but can also act as a reader. This enables two-way communication between two NFC devices. These wireless devices are inexpensive to manufacture, and their ease of use allows them to be utilized for many situations. The distinguishing factor between these devices is the security, compatibility, and the range at which they communicate. It is well known that the security elements in most RFID cards utilize AES, DES, and proprietary Crypto-1 encryption. This encryption is the primary factor against attacks. However, older forum types are well known to be easily defeated. One method in which we can test this is by attacking the older NFC equipped cards and comparing their security against more recent forum types. This will be a test for real world scenarios as attackers can utilize wireless transmissions and potentially steal data without being detected. With the growing number of RFID objects and the abundance of smart devices, the security of these technologies may be at risk. The purpose of this paper is to explore the security of RFID and its standards as well as assess the different architecture and communication protocols of those devices. Recommendations for different tags will be proposed based on their ideal use-case, the standard of communication, and the encryption it uses
Fantastic Four
Get PDFStudents Celeste Souza, Mark DeVirgilio, and Mokihana Tachera's podcast assignment for Professor Yasmine Romero's ENG 300 class.
Files contain an interview in .mp3 format, a transcript, consent form, and promotional materialsFantastic 4’s podcast on ʻĀina Loa, which is an eco-friendly farming community with local farmers, eco-tourists and homeless family support. The purpose of our podcast is to educate the people of Hawaiʻi nei about the possibility of an imagined future agricultural community of families. Our team believes that action can only happen if people can share in a common vision of the future. By creating this podcast episode, we hope to inspire more people to work towards this as a reality
Kapiʻolani Community College Course Learning Report, JPN 201
No full textAssessment plans, strategies and data presented in a spreadsheet for Japanese 201
AAC&U Guided Pathways: Ensure Students Are Learning Kapiʻolani Community College's Action Plan
No full textA report explaining KCC's action plan, including steps to impliment plan and assessment criteria
