INTRODUÇÃO: Tomando o trabalho em saúde como trabalho social que expressa em suas ações duas dimensões: ação produtiva, dentro de uma racionalidade dirigida a dados fins e como ação comunicativa realizada a partir da interação entre os sujeitos; esse estudo propôs registrar os aspectos morais que compõe o julgamento dos profissionais de saúde na construção de projetos terapêuticos na assistência a pessoas vivendo com HIV/aids e seus principais conflitos. MÉTODO: Realizou-se estudo de natureza qualitativa. Procedeu-se entrevistas em profundidade com trabalhadores e observação participante de discussão de caso das equipes em serviços especializados na atenção a pessoas vivendo com HIV/aids no Município de São Paulo. A pesquisa foi realizada durante o ano de 2007 e primeiro trimestre de 2008. Os referenciais que orientaram o estudo foram a Ética do Discurso, a Bioética e a discussão acerca do Cuidado nas práticas de saúde. RESULTADOS: Valores como de justiça social e solidariedade são referências importantes para as ações em saúde ressaltados pelos profissionais entrevistados e observados, configurando deveres assumidos por esses trabalhadores. Esses deveres foram expressos em discursos que defendem práticas inclusivas (não discriminatórias) apoiadas nos princípios do SUS e no discurso dos Direitos Humanos. A necessidade de produzir projetos terapêuticos singulares para os usuários aproximou o tratar do cuidar. A construção de projetos terapêuticos singulares, assim como os valores e interesses a serem realizados através das ações propostas foram desafiados, diante das situações onde as demandas dos usuários extrapolavam as possibilidades dos serviços ou quebravam normas institucionais e/ou sociais, gerando conflitos. A discussão entre a equipe configurou-se como a principal estratégia assumida para a resolução dessas situações. De modo geral, os argumentos mais presentes, foram apoiados na defesa de interesses públicos e proteção da vida, em detrimento de interesses, aparentemente, particulares. CONCLUSÕES: As conclusões apontaram como necessário o reconhecimento de potenciais dos usuários para solução das situações tomadas como difíceis e, ainda, a necessidade de partilhar mais ativamente, critérios normativos com esses, inclusive aqueles afetos a discussão ética. A conexão dialética entre mediação lingüística (ação comunicativa), trabalho (em sua função social) e interação de sujeitos na busca de interesses partilháveis possibilita a reflexão ética com potenciais para apontar possíveis caminhos. O Cuidado como horizontes para a construção de projetos terapêuticos aponta para a efetivação de práticas de saúde humanizadas. Deste modo, essas práticas assumem como compromisso, a realização de valores relacionados à felicidade humana democraticamente validada como Bem comum. / INTRODUCTION: The health work, understood as social work, expresses two distinctive dimensions of action: productive action, within a rationality aimed at specific purposes, and communicative action, based on subjects interaction. The objective of the present study was to describe the moral aspects involved in the judgment of health professionals in the design of therapeutic projects to assist people living with HIV/AIDS, as well as their main conflicts. METHODS: In a qualitative study, in-depth interviews were conducted between 2007-2008 with health workers and participant observation was carried out during case discussion meetings in STD/AIDS specialized clinics in the city of São Paulo. Discourse Ethics, Bioethics and Comprehensive Care were the theoretical framework of the analysis. RESULTS: Values such as social justice and solidarity constitute important references of commitment for the participants health actions. This commitment was expressed through discourses in favor of inclusive practices (non-discriminatory), based on the Brazilian Unified Health System and Human Rights principles. The need for singular therapeutic projects for users brought the concepts of treatment and care together. The construction of singular therapeutic projects, as well as the values and interests of the actions proposed, were challenged in the face of conflictive situations in which users demands were either far beyond the possibilities of health services or violated institutional/social norms. The main strategy adopted in order to manage these situations was team discussion. Overall, the most frequent arguments expressed the defense of public interests and life protection to the detriment of apparently private interests. CONCLUSIONS: It is necessary to acknowledge users potential to conflict solving and to share the normative criteria more actively with them, including those more familiar with the debate on ethics. The dialectic connection between linguistic mediation (communicative action), work (its social function) and subjects interaction in the search for shareable interests enables the ethical reflection that may indicate possible ways. The Comprehensive Care as a normative horizon to therapeutic projects indicates the enactment of the humanization of health practices. Therefore, these practices become committed with the fulfillment of values related to mankind happiness, democratically validated as the common well-being.

Os objetivos deste trabalho foram, em indivíduos com câncer de coto gástrico: identificar o padrão de disseminação de linfonodos acometidos, quantificar a invasão tumoral da linha de anastomose, correlacionar a invasão da linha de anastomose com o comprometimento linfonodal e mesenterial, correlacionar o acometimento linfonodal com sobrevivência e correlacionar o acometimento da linha de anastomose com sobrevivência. Foi realizado estudo retrospectivo com revisão de prontuários, peças cirúrgicas e exames anátomo-patológicos de 113 pacientes. O câncer de coto gástrico não tem um padrão de disseminação linfonodal específico; 75% dos pacientes apresentaram invasão tumoral da linha de anastomose; em 66,7% dos casos ocorreu invasão da linha anastomótica e linfonodal concomitantes; menos de 10% dos casos exibiam invasão mesenterial; houve óbito em 86,5% dos casos com invasão linfonodal e 64,7% com invasão da linha de anastomose e em 100% com invasão mesenterial. / The objectives of this study are to identify the metastatic pattern of lymph node for gastric stump cancer; to quantify the invasion of anastomotic site by tumor; to relate the invasion of anastomotic site with metastasis lymph node or mesenterial lymph node and these parameters with the survival of patients with gastric stump cancer. One hundred and thirteen patients with gastric stump cancer were retrospectively analyzed along with their medical records, surgical pieces and histopathologic exam. The metastatic pattern of lymph node isnt specific to gastric stump cancer. 75% of patients had tumoral invasion in the anastomotic site. In 66.7% of the cases there was an invasion of the anastomotic site with metastatic lymph nodes. 9% of patients had mesenterial lymph node invasion by tumor. Fatal cases occurred in 86,5% of the patients with metastatic lymph node, 64,7% with invasion of the anastomotic site and 100% with mesenterial lymph node invasion.

Made available in DSpace on 2014-08-20T14:30:10Z (GMT). No. of bitstreams: 1 Dissertacao_aya_qassem_shqair.pdf: 1122970 bytes, checksum: 71dd26c729fef2590a8b79552213c7bd (MD5) Previous issue date: 2012-12-14 / This study aimed at investigating the influence of the radicular maturity level of primary teeth in the sequelae of dental trauma as well as the moment that such sequelae take place. Two longitudinal retrospective studies, which collected data from dental records and radiographies of patients with dental trauma in one or both upper central primary incisors. was conducted. In the first one, sequelae such as crown discoloration, pulp canal obliteration and inflammatory root resorption were evaluated in a follow-up period 12-18 months after the trauma, using the registers from 150 patients. In the second study, only intruded and subluxated teeth were included. Clinical and radiographic sequelae such as crown discoloration, fistula, pulp canal obliteration, inflammatory and internal root resorption were evaluated. The data regarding the sequelae were distributed into eight follow-up intervals: 0-30 days; 31-90 days; 91-180 days; 181-365 days; 1 to 2 years; 2 to 3 years; 3 to 4 years and > 4 years. From 150 patients included at the first study, 118 (78.7%) presented luxations and 32 (21.3%) had dental fractures. Shortly after the injury, 13 teeth (9.2%) presented immature roots, 114 (80.3%) presented closed apexes, and 15 of them (10.6%) had visible root resorption. The results showed an association between the radicular maturity level of traumatized teeth and the occurrence pulp obliteration (P = 0.023) and inflammatory root resorption (P = 0.004) after 12-18 months of follow-up period. There was also an association between the type of injury and the occurrence of crown discoloration (P = 0.036) as well as the type of injury and the development of pulp canal obliteration (P = 0.001). Regarding the second study, the sample comprised 99 subluxation cases and 70 intruded teeth. Crown discoloration was the most prevalent sequelae. Among subluxated teeth, more than 50% of inflammatory root resorption, fistula, crown discoloration and pulp obliteration occurred within 180 days after the traumatic injury, however the diagnosis of sequelae still occurred after longer periods. The majority sequelae of intrusion were diagnosed within the 181-365 days and 1-2 years periods but they were still observed after > 4 years follow up period. It can be concluded that the occurrence of trauma sequelae can be determined by the type of injury, as well as by the radicular maturity level of primary teeth at the moment of trauma. Besides, in intrusion and subluxation cases, the diagnosis of sequelae was performed even after the 3-4 years follow-up period. / Este estudo teve como objetivo investigar a influência do grau de maturidade radicular dos dentes decíduos nas sequelas dos traumatismos alveolodentários, assim como investigar o momento que tais sequelas ocorrem. Para tal, foram conduzidos dois estudos longitudinais retrospectivos, os quais coletaram dados clínicos e radiográficos de registros de pacientes com traumatismo dentário em um ou mais incisivo central superior decíduo. No primeiro, sequelas como discoloração coronária, obliteração pulpar, e reabsorção inflamatória foram avaliadas em um período de 12-18 meses após o traumatismo, usando os registros de 150 pacientes que atenderam aos critérios de inclusão no estudo. No segundo estudo, foram avaliados apenas os casos de intrusão e subluxação. Sequelas clínicas e radiográficas como discoloração coronária, fistula, obliteração pulpar, reabsorção inflamatória e reabsorção interna foram avaliadas. Os dados referentes às sequelas foram distribuídos em oito intervalos de acompanhamento: 0--30 dias; 31-90 dias; 91-180 dias; 181-365 dias; 1 to 2 anos; 2 to 3 anos; 3 to 4 anos e > que 4 anos. Dos 150 pacientes incluídos no primeiro estudo, 118 (78.7%) apresentaram luxações e 32 (21.3%) tiveram fraturas dentárias. Imediatamente após o traumatismo, 13 dentes (9.2%) apresentavam raizes incompletas, 114 (80.3%) apresentavam ápices fechados e 15 (10.6%) tinham reabsorção radicular visível. Os resultados mostraram associação entre o grau de maturidade radicular dos dentes traumatizados e a ocorrência de obliteração pulpar (P = 0.023) assim como de reabsorção radicular inflamatória (P = 0.004). Houve ainda, associação entre o tipo de traumatismo e a ocorrência de discoloração coronária (P = 0.036) assim como do tipo de traumatismo e desenvolvimento de obliteração pulpar (P = 0.001). Com relação ao Segundo estudo, a amostra foi constituída de 99 casos de subluxação e 70 casos de intrusão. Dentre as sequelas, a discoloração coronária foi a mais prevalente. Considerando os dentes com subluxação, mais de 50% das reabsorções radiculares inflamatórias, e dos casos de discoloração coronária, fístula e obliteração pulpar ocorreram até 180 dias após o traumatismo. No entanto, as sequelas surgiram mesmo após períodos mais longos de acompanhamento. A maioria das sequelas de intrusão foram diagnosticadas nos períodos de 181-365 dias e 1-2 anos, mas continuaram surgindo mesmo no período de acompanhamento superior a 4 anos. Pode-se concluir que a ocorrência das sequelas de traumatismo na dentição decídua pode ser determinada pelo tipo de injuria, assim como pelo nível de maturidade radicular no momento do traumatismo. Além disso, nos casos de intrusão e subluxação, mesmo após acompanhamento superior a 3-4 anos, as sequelas continuaram sendo diagnosticadas.

La mémoire prospective (MP) est la capacité de se souvenir d’exécuter une action dans le futur. La MP se distingue de la mémoire rétrospective (MR) notamment par le fait que la récupération du souvenir doit être auto-initiée alors qu’on est occupé par une autre tâche. L’objectif principal de cette thèse est de mieux comprendre la communauté et la spécificité des processus mnésiques et de contrôle impliqués dans les situations de MP par rapport aux situations de MR comme une tâche de reconnaissance. La démarche est d’imbriquer une action planifiée dans des tâches dont la demande mnésique et la difficulté sont contrôlées. Nous étudions ainsi l’interférence réciproque entre la MP et la MR. Nous étudions également les stratégies de maintien en fonction de la présence ou non d’un indice d’exécution. Les données comportementales montrent que l’action est exécutée plus rapidement sans indice d’exécution qu’avec indice, ce qui suggère un maintien actif sans indice. La MR interfère avec les performances de MP. Les mesures du modèle DPSD de la MR montrent qu’imbriquer une action planifiée dans une tâche de reconnaissance module le contrôle de la décision de reconnaissance et que le maintien actif interfère avec la familiarité. Enfin les résultats électrophysiologiques montrent une positivité pariétale modulée à la fois par la récupération d’une action planifiée et par une tâche classique de reconnaissance. Ces résultats suggèrent 1) une communauté des processus mnésiques en MP et en MR, mais 2) qu’être dans un mode de fonctionnement plus contrôlé est une spécificité de la MP, et que 3) le maintien actif est une caractéristique importante de la MP. / Prospective memory (PM) refers to the ability to remember to perform an action at some point in the future. Prospective memory is distinct from retrospective memory (RM) particularly because retrieval of the memory must be self-initiated while being engaged in an ongoing task. The main goal of this thesis was to better understand shared and specific memory and control processes involved in PM situations compared to RM situations (e.g., a recognition task). Our approach was to use tasks whose memory demand and difficulty were controlled and in which an intended action was embodied. This allows to study the mutual interference between PM and RM. We also studied maintenance strategies while manipulating the presence of an execution cue. Behavioural data showed that execution of the intended action was faster without than with a cue: this suggests active maintenance without an execution cue. RM interferes with PM performance. Measurements of the DPSD model showed that the embodiment of an intended action in a recognition task influences the control of the recognition decision, and that active maintenance interferes with familiarity. Finally, electrophysiological data show a parietal positivity modulated by the retrieval of an intended action and by a recognition task. These results support the idea that 1) PM and RM share common memory processes, but 2) that PM specifically forces a more controlled operating mode, and that 3) active maintenance is an important characteristic of PM.

In this thesis, we hope to dispel some confusion regarding the so-called post hoc power, i.e. power computed making the assumption that the estimated sample effect is equal to the population effect size. In previous research, it has been shown that post hoc power is a function of the p-value, making it redundant as a tool of analysis. We go further, arguing for it to never be reported, since it is a source of confusion and potentially harmful incentives. We also conduct a Monte Carlo simulation to illustrate our points of view. Previous research is confirmed by the results of this study.

Background. Maintainability of software products continues to be an area of im- portance and interest both for practice and research. The time used for maintenance usually exceeds 70% of the whole period of software development process. At present, there is a large number of metrics that have been suggested to indicate the main- tainability of a software product. However, there is a gap in validation of proposed source code metrics and the external quality of software maintainability. Objectives. In this thesis, we aim to catalog the proposed metrics for software maintainability. From this catalog we will validate a subset of commonly proposed maintainability indicators. Methods. Through a literature review with a systematic search and selection ap- proach, we collated maintainability metrics from secondary studies on software main- tainability. A subset of commonly metrics identified in the literature review were validated in a retrospective study. The retrospective study used a large open source software "Elastic Search" as a case. We collected internal source code metrics and a proxy for maintainability of the system for 911 bug fixes in 14 version (11 experi- mental samples, 3 are verification samples) of the product. Results. Following a systematic search and selection process, we identified 11 sec- ondary studies on software maintainability. From these studies we identified 290 source code metrics that are claimed to be indicators of the maintainability of a soft- ware product. We used mean time to repair (MTTR) as a proxy for maintainability of a product. Our analysis reveals that for the "elasticsearch" software, the values of the four indicators LOC, CC, WMC and RFC have the strongest correlation with MTTR. Conclusions. In this thesis, we validated a subset of commonly proposed source code metrics for predicting maintainability. The empirical validation using a popu- lar large-scale open source system reveals that some metrics have shown a stronger correlation with a proxy for maintainability in use. This study provides important empirical evidence towards a better understanding of source code attributes and maintainability in practice. However, a single case and a retrospective study are insufficient to establish a cause effect relation. Therefore, further replications of our study design with more diverse cases can increase the confidence in the predictive ability and thus the usefulness of the proposed metrics.

Time Perspective (TP) describes the attitude individuals have towards the past, present, and future. This study investigated the associations between TP and self-reported everyday prospective and retrospective memory problems, controlling for stress. Ninety-five participants (18-60 years) completed an online survey which included the Swedish Zimbardo Time Perspective Inventory (S-ZTPI), the Prospective Retrospective Memory Questionnaire, and the 10-item Perceived Stress Scale. Bivariate correlation analysis revealed that Past Negative, Present Fatalistic, and Future Negative views were associated with more self-reported prospective and retrospective memory problems. Moreover, a Future Positive view was associated with better prospective memory scores. TP biases were assessed using the Deviations From a Balanced Time Perspective measure (DBTP). Hierarchal regression analyses revealed that DBTP accounted for almost 30% of the variance in prospective memory scores and for 25% of the variance in retrospective memory scores, beyond stress. Taken together, the results show a significant link between TP and self-reported everyday memory problems. Future studies should take other variables such as depression, anxiety, mood, and personality into account to shed further light on the association between TP and everyday memory problems. Regarding practical implications, interventions that are aimed at promoting a balanced TP might be used to enhance everyday memory ability. / Tidsperspektiv (TP) beskriver attityden individer har till det förflutna, nuet och framtiden. Denna studie undersökte sambanden mellan TP och självrapporterade vardagliga prospektiva och retrospektiva minnesproblem, som kontrollerat för stress. Nittiofem deltagare (18-60 år) fyllde i en onlineenkät som inkluderade Swedish Zimbardo Time Perspective Inventory (S-ZTPI), Prospective Retrospective Memory Questionnaire och 10-item Perceived Stress Scale. Bivariat korrelationsanalys avslöjade att tidigare negativa, nuvarande fatalistiska och framtida negativa åsikter var associerade med mer självrapporterade prospektivt och retrospektivt minnesproblem. Dessutom var en framtidspositiv syn förknippad med bättre prospektivt minnespoäng. TP-biaser utvärderades med hjälp av måttet Deviations From a Balanced Time Perspective (DBTP). Hierarkiska regressionsanalyser visade att DBTP stod för nästan 30 % av variansen i prospektiva minnespoäng och för 25 % av variansen i retrospektiva minnespoäng, bortom stress. Sammantaget visar resultaten ett signifikant samband mellan TP och självrapporterade vardagsminnesproblem. Framtida studier bör ta hänsyn till andra variabler som depression, ångest, humör och personlighet för att ytterligare belysa sambandet mellan TP och vardagsminnesproblem. När det gäller praktiska implikationer kan interventioner som syftar till att främja en balanserad TP användas för att förbättra vardagsminnesförmågan.

Denna kvalitativa intervjustudie syftar till att undersöka vuxna biologiska barns erfarenheter av att vara familjehem och hur familjehemsplaceringarna har påverkat de biologiska barnen. Studien undersöker om den psykosociala utvecklingen har påverkat de biologiska barnen, hur erfarenheterna av att växa upp som biologiskt barn i familjehem har påverkat de vuxna individernas nuvarande livssituation och hur de biologiska barnen upplevde sin delaktighet i beslut gällande familjehemsplaceringar. Studien genomfördes genom semi-strukturerade intervjuer där sju intervjupersoner mellan 19–44 år som hade vuxit upp som biologiskt barn i familjehem fick besvara frågor om deras upplevelser av olika områden av deras uppväxt i familjehem. Tematisk analys användes som analysmetod i studien.Resultatet av intervjuerna visar på att biologiska barn som växer upp i familjehem påverkas i olika grad av de barn som blir familjehemsplacerade hos dem. En del av intervjupersonerna nämner känslor av att hamna i skymundan, då de placerade barnen prioriterades när det gäller uppmärksamheten av vårdnadshavarna. Även skolgången påverkades negativt för en del av intervjupersonerna där dålig sömn var en avgörande faktor för de biologiska barnen, då sömnen gjorde att de presterade sämre i skolan. Även bortprioritering av egna skoluppgifter på grund av de placerade barnens behov att få hjälp i skolan påverkade de biologiska barnens skolgång åt det sämre då de inte fick tillräckligt med tid åt egna uppgifter. Intervjupersonerna nämner däremot hur de blivit mer förstående för när individer har det jobbigt och har enklare att finnas där för andra, detta på grund av uppväxten i familjehem. Majoriteten av intervjupersonerna uppger att de är positivt inställda till familjehem, men är däremot inte villiga att själva bli det som vuxna. / This qualitative interview study aims to investigate adults' biological children's experiences of being in a family home and how the family home placements have affected the biological children. The study examines whether the psychosocial development has affected the biological children, how the experiences of growing up as biological children in family homes have affected the adult’s current life situation and how the biological children experienced their participation in decisions regarding family home placements. The study was conducted through semi-structured interviews where seven interviewees between the ages of 19–44 who had grown up as biological children in family homes answered questions about their experiences of various areas of their upbringing in family homes. Thematic analysis was the chosen analysis method in the study. The results of the interviews show that biological children who grow up in family homes are affected to varying degrees by the children who are placed in family homes with them. Some of the participants mention experiences of being overlooked, when the children placed in family homes was prioritized the guardian’s attention. The education was also negatively affected for some of the interviewees, where poor sleep was a decisive factor for the biological children, as sleep made them perform worse at school. De-prioritization of own school tasks due to the placed children's need for help at school also affected the biological children's education for the worse as they did not get enough time for their own tasks. The participants, on the other hand, mention how they have become more aware when individuals are having a hard time and find it easier to be there for others, this due to growing up in a family home. Most of the interviewee’s state that they have a positive attitude to family homes, but are, on the other hand, not willing to become one themselves as adults.

Purpose: To determine the timing of first ambulation during hospitalization among patients admitted for acute myocardial infarction (AMI) and to identify the predictors of first ambulation. Methods: This retrospective cohort study included 500 AMI patients admitted during 2004 to one of three hospitals that form the Hamilton Health Sciences Corporation in Hamilton, Ontario, Canada. The patients were randomly selected from a total of 1,014 charts from the Hamilton Health Sciences Computerized Health Records (SOVERA). Using a chart abstraction tool, the following data were collected from each patient's chart: demographic information, past medical history, treatment, complications, and patterns of ambulation while in hospital. The primary outcome was first ambulation, defined as the first time patients walked during their hospital stay. Secondary outcomes included heart rate at discharge and mortality during hospitalization. The relationship between patient and care-related factors and the time of first ambulation after AMI was explored through a time to event analysis using Cox regression; the associations were expressed as hazard ratios. The fit for the proportional hazard model was assessed and a stratified proportional hazard model was performed for age. Results: Of the 500 charts, 60 were excluded. Of the 440 patients who were included in the final analysis, 340 (77.3%) walked during hospitalization. One hundred fifteen (26.1 %) walked during the first 48 hours (early walking), 98 (22.3%) walked between 49-96 hours (intermediate walking), and 127 (28.9%) walked after 96 hours (late walking). A total of 100 patients (22.7%) were categorized as non-walkers. Factors that emerged in the survival analysis that were positively associated with early ambulation after AMI and that proved the proportionality on the assessment of the fit of the model were: having a family history of cardiovascular disease (HR 1.33; 95% Cl 1.00, 1.44; p=0.05), receiving thrombolysis (HR 1.47; 95% Cl 1.11, 1.49; p=0.007), receiving nitroglycerin (HR 1.51; 95% Cl 1.19, 1.93; p<0.001 ), and taking calcium channel blockers (HR 1.58; 95% Cl 1.22, 2.05; p<0.001 ). Factors that were negatively associated with early ambulation after AMI were age >59 years (HR 0.98; 95% Cl 0.97, 0.99; p<0.001 ), having an arrhythmia in-hospital (HR 0.48; 95% Cl 0.22, 0.94; p=0.04), taking inotropic drugs (HR 0.72; 95% Cl 0.53, 0.98; p<0.001 ), and undergoing coronary artery bypass surgery (HR 0.51; 95% Cl 0.33, 0.78; p=0.002). Conclusion: There is variability in the timing of first ambulation among patients hospitalized with an AMI. Furthermore, those who walked early were more likely to have a family history of cardiovascular disease, have received thrombolysis, and be taking nitroglycerin or calcium channel blockers. Those least likely to walk early were older (>59 years), were more likely to have had an arrhythmia inhospital, to be taking inotropic drugs, and to have undergone coronary artery bypass surgery. / Thesis / Doctor of Philosophy (PhD)

Franklin University Library conducted a retrospective digitization project to make a collection of education master’s theses available in its institutional repository. Digitizing bound theses and dissertations to make them available in an institutional repository benefits the institutional repository, the university, the student authors of the works, and external researchers. When conducting a retrospective digitization project for theses or dissertations that are protected by copyright, a university library must consider how the students’ copyright in their work affects the library’s ability to digitize the theses or dissertations and make them available in an institutional repository. University libraries should also consider making the scanned theses and dissertations digitally accessible to reach the widest possible audience. For this project, the Franklin University Library decided to contact the student authors of the theses to request permission, gave the students the opportunity to select a Creative Commons license for their work, and then digitized the theses of those students who granted permission. As part of the digitization process, library staff remediated the scanned theses to meet Franklin University’s digital accessibility standards.