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Becoming Body in Euripides: Affect and Object in Bacchae, The Trojan Women, and Hecuba
Full text linkIn this thesis, I explore the material and immaterial flux of bodies in three plays by Euripides as they attempt to reach the Deleuzian body without organs (BwO). The first chapter, “Flesh,” focuses on the corporeal body of Dionysus in Bacchae as he transcends its boundaries to reach the BwO. The next chapter, “(No)Thing,” examines presence, absence, and elements in The Trojan Women, drawing attention to the role of affective breath. In my thesis’ final chapter, “Sound,” I analyze the sonic body of lamentation that Hecuba builds in Hecuba to territorialize herself with a refrain and deterritorialize herself to reach the BwO. The conclusion, Desire, uncovers how each of these plays relies on a centralized corpse molded by unregulated desire
A Multidisciplinary Intervention to Improve Hepatocellular (HCC) Screening rates in an Advanced Liver Disease (ALD) Veteran Population
No full textBackground: Hepatocellular carcinoma (HCC) is one of the leading causes of death among patients with Advanced Liver Disease (ALD). Patients with ALD have approximately 2-4% yearly risk of developing HCC. The 2018 American Association for the Study of Liver Diseases (AASLD) recommends surveillance using ultrasound (US), with or without alpha fetal protein (AFP) measurement every 6 months. Studies show low HCC surveillance rates of about 20% among people with ALD. In a study, 88% of HCVinfected Veterans with ALD within the VA health care system did not receive routine HCC surveillance as recommended by national guidelines. Purpose/Specific Aims: The purpose of this scholarly project is to increase HCC screening rates in patients with ALD at Providence Veterans Affairs Medical Center (PVAMC) by developing effective multidisciplinary ALD screening program. Specific aims are to examine how multidisciplinary interventions can improve team’s compliance with national HCC guidelines, measured by increase HCC screening rates among patients with ALD. Methods: Univariate descriptive design was used for this quality improvement project. The sample included veterans with diagnosis of ALD. The project was conducted at an outpatient hepatology clinic at PVAMC. The intervention included offering same day walk-in ultrasound for veterans with ALD. Baseline data on the rates of screening abdominal ultrasounds were collected, and post-intervention data was collected for five months. Differences between pre and post intervention data were analyzed using chi square. Results: This project resulted in increased HCC ultrasound screening rates among ALD patients, and an increase in provider’s compliance with national HCC screening guidelines. Conclusion: AASLD guidelines recommends every 6 months screening ultrasounds for HCC surveillance in patients with ALD. At PVAMC, providing veterans with same day walk-in ultrasounds to coincide with their liver clinic appointment eliminated a number of barriers to HCC screening, and lead to increase in compliance
Meet Pressbooks
Full text linkWant to create and share your own teaching and learning materials online and in print? Adapt or author open textbooks? Pressbooks is an online publishing tool that lets you distribute materials in ten formats, including print. It’s perfect for sharing reports, lab manuals, anthologies and reading collections accessibly. This workshop will introduce you to the platform’s features and get you started with your RIC account
Refusing To Be Silent: A Case Study of Act Up & the Dual Role of Anger in Social Movements
Full text linkThe central question for my thesis is: How much can activism be fueled by anger, and how can that anger lead to a movement destruction? Anger is an effective catalyst for a movement; However, if a movement fails to change its goals to adapt to a shifting political climate, and if activists begin to turn their anger on each other, then the movement will decline and collective action will cease. I argue that those emotions led to ACT UP demise as the organization fractured after its controversial responses to routine opposition and failure to adapt to a changing political context. This led to members to turn their disgust and indignation towards each other and eventually led to the movement decline. The paper also has a short section on how a synthesis of network approaches and agentic approaches in social movements best explain a movement emergence. However, the decline of social movements are best explained by only using an agentic approach
Investigating the role of alx4a in zebrafish iridophore development
No full textThe cells that give rise to melanoma, melanocytes, originate from a pluripotent population of embryonic cells called the neural crest (NC). During embryogenesis, neural crest cells undergo an epithelial to mesenchymal transition (EMT) allowing them to leave the neuroepithelium, invade underlying tissues and migrate to their terminal locations. The microphthalmia-associated transcription factor (MITF) has been identified as the master regulator of melanocyte fate and as being actively repressed in other neural crest cell lineages. Previous studies suggest that varying levels of MITF drive cell invasion and the progression of melanoma. Understanding the ways in which MITF expression is gulated during development may further elucidate the mechanisms that promote oncogenesis. In zebrafish, melanocytes share a bipotent precursor with iridescent iridophores, another NC-derived pigment cell. Aristaless-like transcription factors (ALX), alx4a and alx4b, have recently been implicated in promoting iridophore fate, possibly by repressing mitfa expression. Our lab used CRISPR/Cas9 to knockout alx4a in zebrafish and found that alx4a mutants did not develop iridophores. Based on these findings, the goal of my research project was to confirm that the resulting mutant phenotype is in fact due to the loss of alx4a and further investigate the role of alx4a in promoting iridophore fate. To confirm that the loss of iridophores was due to the loss of alx4a, I performed rescue experiments using a sox10 promoter to drive alx4a cDNA in all neural crest cells. To determine if alx4a is sufficient to drive iridophore fate, I performed overexpression experiments using an hsp70l promoter to drive alx4a cDNA throughout the embryo at 25 hpf. Whole mount in situ hybridization (WISH) was used to examine and locate where alx4a is expressed at different developmental stages. Counts of mitfa-egfp cells were lastly obtained to assess the expression of melanophore precursors in alx4a mutants. Understanding the underlying mechanisms that promote iridophore specification and repress melanocyte fate, may potentially highlight significant future therapeutic treatments for neural-crest derived diseases like malignant melanoma
The Role of the School Nurse in Identifying and Mitigating Anxiety Among School-Aged Children
Full text linkBackground: In the United States many children and adolescents have anxiety. Despite the high prevalence and severe consequences of childhood anxiety disorders and depression, less than half of these children receive adequate treatment. Purpose/Specific Aims: School age children experiencing anxiety is common, and the number continues to rise. School nurses are ideally positioned to prevent mental health issues and intervene during mental health exacerbations. The project purpose was to provide better support for school nurses caring for children with anxiety. Aims included providing the nurse with education on anxiety, with a brief assessment tool to use with anxious students, and with tools for promoting interprofessional collaboration. Method: A convenience sample of 10 school nurses participated in this quality improvement project in a Rhode Island public school district. The design was a mixed method using a multifaceted intervention approach. Nurses completed pre and post-test surveys. Social workers completed a survey. Results: Quantitative results of the school nurse and mental health interprofessional collaboration increased from pre to post-test. Four themes of barriers school nurses face in providing mental health services in their school were identified: limited staff; lack of time; family issues; and lack of communication. Prior to COVID-19, a lack of mental health specialists and resources were reported to be available for anxious students. Conclusions: A gap in interprofessional collaboration remains between school nurses and the mental health team. More research is needed on this topic to increase collaboration
Evaluating Nursing Knowledge and Readiness to Provide Care for Post-9/11 Veterans in Civilian Healthcare Settings: A Quality Improvement Project
Full text linkOver three-million military service members deployed overseas in support of the post-9/11 Global War on Terror since 2001. Of those, 7,057 have been killed in action, 30,177 have committed suicide, 279,652 died from ill-defined and unknown medical causes, and 520,966 have been diagnosed with cancer. Post-9/11 veterans are 192.75% more likely to be diagnosed with cancer when compared to their civilian counterparts and are more likely to utilize civilian providers (75%) than the Department of Veterans Affairs for health care concerns. The purpose of this quality improvement project is to investigate the level of nurse knowledge, beliefs, and perceptions related to providing health care to post-9/11 veterans in civilian care settings. A descriptive project design with a 15-question survey was implemented. The survey was sent to registered nurses practicing in civilian care settings. A sample of 537 registered nurses practicing in civilian care settings responded. Findings included that 93% incorrectly chose mental health conditions as the most likely occurring condition in post-9/11 veterans, while 7% correctly chose medical illnesses as most prevalent. Nurse respondents reported perceived prevalence of post-traumatic stress occurring more often than cancer and malignancies at a ratio of 19:1. These findings highlight the high potential for cognitive biases which may lead to misdiagnoses and delayed diagnoses in post-9/11 veterans presenting for care with medical symptoms, furthering the need for education. This quality improvement project revealed significant gaps in civilian nurses’ clinical knowledge in screening, assessing, identifying, treating, and recommending resources for post-9/11 veterans and medical related conditions
Commencement Program 2022
Full text linkThis commencement program is for baccalaureate and advanced degrees.https://digitalcommons.ric.edu/commencement_programs/1132/thumbnail.jp
A Qualitative Investigation of The Experiences of Cambodian Refugees Before, During, and After War Trauma
Full text linkAs a result of a tragic event, the Cambodian Genocide, many Cambodians were forced to flee to the United States for safety as refugees (Dinh, Weinstein, Kim, & Ho, 2008). Little research has been done to study the type of trauma that refugees go through, and how it affects their ability to live a normal life afterwards. Past literature has looked at war trauma in refugees by studying the overall mental health of Cambodian refugees, 20 years after resettlement in the United States (Marshall et al., 2005). The current study built on the study by Marshall et al. and examined how participants have prevailed after experiencing war trauma. This study recruited 15 Cambodian refugees now living in the United States to explore topics related to refugee trauma and resiliency. The main research question in this study is: How does trauma experienced by Cambodian refugees that went through the Khmer Rouge affect life after migration, and how does resiliency play a role? Participants were interviewed using a semi-structured qualitative interviewing method. Grounded theory was used to analyze the interview data. The results indicated that the traumatic events of the Cambodian Genocide stayed with participants longterm, but participants’ resiliency was visible through their ability to survive after migration to the U.S. This study’s findings suggest that the mental health resources for refugees are lacking and that there are cultural barriers between counselors and refugees that are preventing them from getting improved treatment
Non-Critical Care Nurses’ Confidence Participating in Code Blues
No full textOver 500,000 people suffer a cardiac arrest each year in the United States with approximately 290,000 of those being in-hospital cardiac arrests (IHCAs). Despite advances in medicine and improved survival rates over the years, survival from IHCA remains suboptimal. Literature has demonstrated that current American Heart Association (AHA) resuscitation guidelines are effective, but basic life support (BLS) and advanced cardiac life support training (ACLS) every two years is too infrequent for nurses to feel confident in their resuscitation knowledge and skills. After a literature search revealed little research exploring non-critical care nurses’ confidence levels participating in code blues, this quality improvement project sought to address this gap. Benner’s Novice to Expert model (1982) served as the theoretical framework. The project was conducted at a 247-bed urban teaching hospital. Twenty nurses from four medical-surgical units completed an electronic survey. The results demonstrated that nurses felt confident recognizing and initiating a code blue. Confidence levels of performing different skills during a code including chest compressions, bag-valve mask ventilation, applying defibrillator pads, and giving medications varied. The results support that training every two years is too infrequent to allow for confidence and skill retention. Nurses believed that multi-modal methods of education could improve their knowledge and confidence participating in codes. This is important for advanced practice nurses (APNs) because they provide direct support, education, and leadership to staff nurses. Improving non-critical care nurses’ knowledge and skills will improve confidence participating in codes and could lead to better patient outcomes