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Description
Critical care environments are complex in nature. Fluctuating team dynamics and the plethora of technology and equipment create unforeseen demands on clinicians. Such environments become chaotic very quickly due to the chronic exposure to unpredictable clusters of events. In order to cope with this complexity, clinicians tend to develop ad-hoc

Critical care environments are complex in nature. Fluctuating team dynamics and the plethora of technology and equipment create unforeseen demands on clinicians. Such environments become chaotic very quickly due to the chronic exposure to unpredictable clusters of events. In order to cope with this complexity, clinicians tend to develop ad-hoc adaptations to function in an effective manner. It is these adaptations or "deviations" from expected behaviors that provide insight into the processes that shape the overall behavior of the complex system. The research described in this manuscript examines the cognitive basis of clinicians' adaptive mechanisms and presents a methodology for studying the same. Examining interactions in complex systems is difficult due to the disassociation between the nature of the environment and the tools available to analyze underlying processes. In this work, the use of a mixed methodology framework to study trauma critical care, a complex environment, is presented. The hybrid framework supplements existing methods of data collection (qualitative observations) with quantitative methods (use of electronic tags) to capture activities in the complex system. Quantitative models of activities (using Hidden Markov Modeling) and theoretical models of deviations were developed to support this mixed methodology framework. The quantitative activity models developed were tested with a set of fifteen simulated activities that represent workflow in trauma care. A mean recognition rate of 87.5% was obtained in automatically recognizing activities. Theoretical models, on the other hand, were developed using field observations of 30 trauma cases. The analysis of the classification schema (with substantial inter-rater reliability) and 161 deviations identified shows that expertise and role played by the clinician in the trauma team influences the nature of deviations made (p<0.01). The results shows that while expert clinicians deviate to innovate, deviations of novices often result in errors. Experts' flexibility and adaptiveness allow their deviations to generate innovative ideas, in particular when dynamic adjustments are required in complex situations. The findings suggest that while adherence to protocols and standards is important for novice practitioners to reduce medical errors and ensure patient safety, there is strong need for training novices in coping with complex situations as well.
ContributorsVankipuram, Mithra (Author) / Greenes, Robert A (Thesis advisor) / Patel, Vimla L. (Thesis advisor) / Petitti, Diana B. (Committee member) / Dinu, Valentin (Committee member) / Smith, Marshall L. (Committee member) / Arizona State University (Publisher)
Created2012
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Description
This work involved the analysis of a public health system, and the design, development and deployment of enterprise informatics architecture, and sustainable community methods to address problems with the current public health system. Specifically, assessment of the Nationally Notifiable Disease Surveillance System (NNDSS) was instrumental in forming the design of

This work involved the analysis of a public health system, and the design, development and deployment of enterprise informatics architecture, and sustainable community methods to address problems with the current public health system. Specifically, assessment of the Nationally Notifiable Disease Surveillance System (NNDSS) was instrumental in forming the design of the current implementation at the Southern Nevada Health District (SNHD). The result of the system deployment at SNHD was considered as a basis for projecting the practical application and benefits of an enterprise architecture. This approach has resulted in a sustainable platform to enhance the practice of public health by improving the quality and timeliness of data, effectiveness of an investigation, and reporting across the continuum.
ContributorsKriseman, Jeffrey Michael (Author) / Dinu, Valentin (Thesis advisor) / Greenes, Robert (Committee member) / Johnson, William (Committee member) / Arizona State University (Publisher)
Created2012
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Description
Immunosignaturing is a technology that allows the humoral immune response to be observed through the binding of antibodies to random sequence peptides. The immunosignaturing microarray is based on complex mixtures of antibodies binding to arrays of random sequence peptides in a multiplexed fashion. There are computational and statistical challenges to

Immunosignaturing is a technology that allows the humoral immune response to be observed through the binding of antibodies to random sequence peptides. The immunosignaturing microarray is based on complex mixtures of antibodies binding to arrays of random sequence peptides in a multiplexed fashion. There are computational and statistical challenges to the analysis of immunosignaturing data. The overall aim of my dissertation is to develop novel computational and statistical methods for immunosignaturing data to access its potential for diagnostics and drug discovery. Firstly, I discovered that a classification algorithm Naive Bayes which leverages the biological independence of the probes on our array in such a way as to gather more information outperforms other classification algorithms due to speed and accuracy. Secondly, using this classifier, I then tested the specificity and sensitivity of immunosignaturing platform for its ability to resolve four different diseases (pancreatic cancer, pancreatitis, type 2 diabetes and panIN) that target the same organ (pancreas). These diseases were separated with >90% specificity from controls and from each other. Thirdly, I observed that the immunosignature of type 2 diabetes and cardiovascular complications are unique, consistent, and reproducible and can be separated by 100% accuracy from controls. But when these two complications arise in the same person, the resultant immunosignature is quite different in that of individuals with only one disease. I developed a method to trace back from informative random peptides in disease signatures to the potential antigen(s). Hence, I built a decipher system to trace random peptides in type 1 diabetes immunosignature to known antigens. Immunosignaturing, unlike the ELISA, has the ability to not only detect the presence of response but also absence of response during a disease. I observed, not only higher but also lower peptides intensities can be mapped to antigens in type 1 diabetes. To study immunosignaturing potential for population diagnostics, I studied effect of age, gender and geographical location on immunosignaturing data. For its potential to be a health monitoring technology, I proposed a single metric Coefficient of Variation that has shown potential to change significantly when a person enters a disease state.
ContributorsKukreja, Muskan (Author) / Johnston, Stephen Albert (Thesis advisor) / Stafford, Phillip (Committee member) / Dinu, Valentin (Committee member) / Arizona State University (Publisher)
Created2012
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Description

This thesis looks at how Latinx communities in Wyoming, despite recognizing the impossibility of overcoming the traditional conservative autocracy, still utilize their identity as a political response to unify Latinx communities throughout the state. The project draws from oral histories conducted with Latinx/Chicanx community members in Wyoming, including professors, legislators,

This thesis looks at how Latinx communities in Wyoming, despite recognizing the impossibility of overcoming the traditional conservative autocracy, still utilize their identity as a political response to unify Latinx communities throughout the state. The project draws from oral histories conducted with Latinx/Chicanx community members in Wyoming, including professors, legislators, and everyday citizens.

ContributorsFranco, David (Author) / Fonseca-Chávez, Vanessa (Thesis director) / Martínez, Rafael (Committee member) / College of Integrative Sciences and Arts (Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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Description
DNA methylation, a subset of epigenetics, has been found to be a significant marker associated with variations in gene expression and activity across the entire human genome. As of now, however, there is little to no information about how DNA methylation varies between different tissues inside a singular person's body.

DNA methylation, a subset of epigenetics, has been found to be a significant marker associated with variations in gene expression and activity across the entire human genome. As of now, however, there is little to no information about how DNA methylation varies between different tissues inside a singular person's body. By using research data from a preliminary study of lean and obese clinical subjects, this study attempts to put together a profile of the differences in DNA methylation that can be observed between two particular body tissues from this subject group: blood and skeletal muscle. This study allows us to start describing the changes that occur at the epigenetic level that influence how differently these two tissues operate, along with seeing how these tissues change between individuals of different weight classes, especially in the context of the development of symptoms of Type 2 Diabetes.
ContributorsRappazzo, Micah Gabriel (Author) / Coletta, Dawn (Thesis director) / Katsanos, Christos (Committee member) / Dinu, Valentin (Committee member) / Barrett, The Honors College (Contributor) / Harrington Bioengineering Program (Contributor) / Department of Psychology (Contributor)
Created2013-12
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Description

The United States’ War on Drugs declared in 1971 by President Richard Nixon and revamped by President Reagan in the 1980s has been an objectively failed initiative with origins based in racism and oppression. After exploring the repercussions of this endeavor for societies and individuals around the world, global researchers

The United States’ War on Drugs declared in 1971 by President Richard Nixon and revamped by President Reagan in the 1980s has been an objectively failed initiative with origins based in racism and oppression. After exploring the repercussions of this endeavor for societies and individuals around the world, global researchers and policymakers have declared that the policies and institutions created to fight the battle have left devastation in their wake. Despite high economic and social costs, missed opportunities in public health and criminal justice sectors, and increasing limits on our personal freedoms, all the measures taken to eradicate drug abuse and trafficking have been unsuccessful. Not only that, but militarized police tactics, mass incarceration, and harsh penalties that stifle opportunities for rehabilitation, growth, and change disproportionately harm poor and minority communities. <br/>Because reform in U.S. drug policy is badly needed, the goals of America’s longest war need to be reevaluated, implications of the initiative reexamined, and alternative strategies reconsidered. Solutions must be propagated from a diverse spectrum of contributors and holistic understanding through scientific research, empirical evidence, innovation, public health, social wellbeing, and measurable outcomes. But before we can know where we should be headed, we need to appreciate how we got to where we are. This preliminary expository investigation will explore and outline the history of drug use and prohibition in the United States before the War on Drugs was officially declared. Through an examination of the different patterns of substance use, evolving civil tolerance of users, racially-charged anti-drug misinformation/propaganda campaigns, and increasingly restrictive drug control policies, a foundation for developing solutions and strengths-based strategies for drug reform will emerge.

ContributorsSherman, Brooke (Author) / Jimenez-Arista, Laura (Thesis director) / Mitchell, Ojmarrh (Committee member) / College of Integrative Sciences and Arts (Contributor) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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I conducted a literature review of articles pertaining to the history and treatment of rats. After outlining all of the relevant connections, I argue that as a result of people's conceptions about rats, rats do not receive the same respect and protections afforded other animals, such as cats and dogs,

I conducted a literature review of articles pertaining to the history and treatment of rats. After outlining all of the relevant connections, I argue that as a result of people's conceptions about rats, rats do not receive the same respect and protections afforded other animals, such as cats and dogs, in the laboratory and beyond. I present both negative and positive conceptions about rats and the realities of these conceptions. Finally, I talk about the changes that need to take place in laboratory research, why animals are still used in research today, and the alternatives that exist to animal models.

Created2021-05
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Urban encroachment into traditional snake territories has long been underway; likely increasing snake sightings in urban neighborhoods. With increasing overlap, I ask if the perceptions of snakes are actually influencing urban residents to say that snakes are a significant problem in their neighborhood today? I was interested in finding out

Urban encroachment into traditional snake territories has long been underway; likely increasing snake sightings in urban neighborhoods. With increasing overlap, I ask if the perceptions of snakes are actually influencing urban residents to say that snakes are a significant problem in their neighborhood today? I was interested in finding out whether or not there would be a positive correlation between the perception of snakes being a problem within a neighborhood and the actual number of sightings recorded. To address this, I used survey responses from 2017 regarding the risk perception of snakes from twelve neighborhoods within Maricopa County. These responses were then compared to the number of snake sightings within those same neighborhoods over a span of ten years using community science data from iNaturalist. The average results of the people who took the survey perceived that snakes were not a problem in their neighborhood. It was also found that in the outlying areas closer to natural snake habitat (desert preserves), a positive correlation between a higher survey response and a higher number of snake sightings could be seen. Overall, the conclusion of the data revealed that the perceptions of residents did not align with the actual number of snake sightings.

ContributorsMiranda, Caroline (Author) / Bateman, Heather (Thesis director) / Brown, Jeffrey (Committee member) / College of Integrative Sciences and Arts (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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The following is a review of the literature on Equine Assisted Psychotherapy (EAP) as a potential treatment for US service members with Post-Traumatic Stress Disorder(PTSD). EAP is a relatively new and undeclared psychotherapeutic technique that presents limitless opportunities for holistic growth in patients who have Post-Traumatic Stress Disorder (PTSD)

The following is a review of the literature on Equine Assisted Psychotherapy (EAP) as a potential treatment for US service members with Post-Traumatic Stress Disorder(PTSD). EAP is a relatively new and undeclared psychotherapeutic technique that presents limitless opportunities for holistic growth in patients who have Post-Traumatic Stress Disorder (PTSD) who have not achieved an improvement in their quality of life as a result of other conventional treatments. Due to its heterogenous nature, PTSD directly dismantles the brain’s reward circuitry pathway, altering the individual’s capacity for emotional resolution. For US veterans suffering from PTSD who have not received palpable improvements through traditional talk therapies, EAP is a treatment for emotional vulnerability and communal reintegration when used in conjunction with techniques of attachment theory and cognitive-behavioral theory. Previous studies show an uptick in interpersonal trust and an alleviation of maladaptive defensive mechanisms set in place by the individual to protect the psyche. Research is indicative of an alleviation in overall symptomatology with an emphasis in the rehearsal of therapeutic strategies within interpersonal relationships to rehabilitate social engagement and cognition. Due to the lack of foundational acceptance of EAP thus far as a treatment for PTSD, it is challenging to ascertain a marginalized understanding of the holistic effects of EAP on PTSD as a stand alone psychotherapeutic treatment.

ContributorsThompson, Kylee Shae (Author) / Jimenez, Laura (Thesis director) / Murphree, Julie (Committee member) / College of Integrative Sciences and Arts (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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When a sports performance is at its peak, it is akin to a musical performance in the sense that each player seems to perform their part effortlessly, creating a rhythmic flow of counterparts all moving as one. Rhythm and timing are vital elements in sports like basketball in which syncopated

When a sports performance is at its peak, it is akin to a musical performance in the sense that each player seems to perform their part effortlessly, creating a rhythmic flow of counterparts all moving as one. Rhythm and timing are vital elements in sports like basketball in which syncopated passing and shooting appear to facilitate accuracy. This study tests if shooting baskets “in rhythm,” as measured by the catch-to-release time, reliably enhances shooting accuracy. It then tests if an “in rhythm” timing is commonly detected and agreed upon by observers, and if observer timing ratings are related to shooting accuracy. Experiment 1 tests the shooting accuracy of two amateur basketball players after different delays between catching a pass and shooting the ball. Shots were taken from the three-point line (180 shots). All shots were recorded and analyzed for accuracy as a function of delay time, and the recordings were used to select stimuli varying in timing intervals for observers to view in Experiment 2. In Experiment 2, 24 observers each reviewed 17 video clips of the shots to test visual judgment of shooting-in-rhythm. The delay times ranged from 0.3 to 3.2 seconds, with a goal of having some of the shots taken too fast, some close to in rhythm, and some too slow. Observers rated if each shot occurs too fast, in rhythm slightly fast, in rhythm slightly slow, or too slow. In Experiment 1, shooters exhibited a significant cubic fit with better shooting performance in the middle of the timing distribution (1.2 sec optimal delay) between catching a pass and shooting. In Experiment, 2 observers reliably judged shots to be in rhythm centered at 1.1 ± 0.2 seconds, which matched the delay that leads to optimal performance for the shooters found in Experiment 1. The pattern of findings confirms and validates that there is a common “in rhythm” catch-to-shoot delay time of a little over 1 second that both optimizes shooter accuracy and is reliably recognized by observers.

ContributorsFlood, Cierra Elizabeth (Author) / McBeath, Michael (Thesis director) / Corbin, William (Committee member) / Department of Psychology (Contributor) / College of Integrative Sciences and Arts (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05