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James Madison University

2019

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Georgic Rhetoric, Virtue And The Commercialization Of Agriculture In Pennsylvania From 1785 To 1870, Naomi Ulmer Dec 2019

Georgic Rhetoric, Virtue And The Commercialization Of Agriculture In Pennsylvania From 1785 To 1870, Naomi Ulmer

Masters Theses, 2010-2019

This research examines how farmers in Pennsylvania between 1785 and 1870 were persuaded by georgic agrarianism to take social, economic and even moral risks to abandon a semi-subsistence mode of production in favor of commercial production. The georgic rhetoric is derived from Virgil’s poem “The Georgics.” It discusses agriculture and man’s labor in nature. Virgil discusses the relationship between man, nature and his ability, or inability, to control nature to ensure his own survival. Beginning in the late 18th century, supporters of improved agriculture, mostly wealthy and upper-class gentlemen, tried to persuade common yeomen farmers to produce for the …


Beethoven Symphony No.5 In C Minor, Op.67: Connecting Tonality To Tempo, Character, And Interpretation, Chyh Shen Low Dec 2019

Beethoven Symphony No.5 In C Minor, Op.67: Connecting Tonality To Tempo, Character, And Interpretation, Chyh Shen Low

Dissertations, 2014-2019

Abstract

Beethoven’s metronome markings aroused much controversy among musicologists and performing musicians. For Beethoven, tempo is a fundamental element of the music’s character. Beethoven included metronome markings in his music to communicate his ideas concerning tempi in a more specific manner. Ironically, his metronome markings are often ignored by many performers and conductors, as evidenced in the recordings and live performance reviews. There is a group of scholars and performers who tend to disregard Beethoven’s metronome markings, while another group believes they are sensible and workable.

This paper discusses the metronome markings and the Affective Key Characteristics in the music …


Effects Of Ketamine Versus Morphine In The Treatment Of Acute Pain In The Emergency Department, Dakoda Farrington, Amber Knowlton Dec 2019

Effects Of Ketamine Versus Morphine In The Treatment Of Acute Pain In The Emergency Department, Dakoda Farrington, Amber Knowlton

Physician Assistant Capstones, 2016 to 2019

No abstract provided.


Leading From The Field: Funded International Nongovernmental Organizations And The Participatory Development Of Long-Term Impact Assessments, Geary A. Cox Ii Dec 2019

Leading From The Field: Funded International Nongovernmental Organizations And The Participatory Development Of Long-Term Impact Assessments, Geary A. Cox Ii

Dissertations, 2014-2019

Leaders of international nongovernmental organizations (NGOs) must contend with multiple accountability regimes while balancing responsibilities to stakeholders. While many accountability mechanisms are donor-led, this study sought to understand the capacity that NGOs have as agents of change to influence measurement and evaluations activities. The study focused on NGO applications submitted to a donor-government during competitive award announcements for conventional weapons destruction activities.

Using a parallel convergent mixed methods approach, this study examined the ways in which NGO leaders develop their organizations’ capacity to implement long-term impact assessments. A direct entry logistic regression of applications showed evidence of organizational characteristics influencing …


Bridging The Gap: The Collaboration Of Mental Health Services And The Juvenile Justice System, Gregory Medley Dec 2019

Bridging The Gap: The Collaboration Of Mental Health Services And The Juvenile Justice System, Gregory Medley

Educational Specialist, 2009-2019

Abstract

This paper explore the mental health needs of juveniles in the juvenile justice system. The need for mental health services in detention centers has been identified consistently throughout the United States. It is clearly noted in research that meeting the needs of youth in local community detentions centers are inadequate. With 65% to 70% of youth in contact with juvenile justice system having a diagnosable mental health disorder; over 60% of youth with a mental health disorder also having a substance abuse disorder (Mental Health and Juvenile Justice Collaborative for Change, 2015). As a result, I have created a …


Assistance In Mine Action: Resolution Adopted By The General Assembly On 13 December 2019, Un Dec 2019

Assistance In Mine Action: Resolution Adopted By The General Assembly On 13 December 2019, Un

Global CWD Repository

The General Assembly,

Recalling its resolution 72/75 of 7 December 2017 and all its previous resolutions on assistance in mine clearance and on assistance in mine action, all adopted without a vote,

Recalling also all relevant treaties and conventions1 and their review processes,

Noting the twentieth anniversary of the entry into force of the Convention on the Prohibition of the Use, Stockpiling, Production and Transfer of Anti-Personnel Mines and on Their Destruction,2 and the establishment of both the United Nations Mine Action Service and the Inter-Agency Coordination Group on Mine Action,

Noting with appreciation the extent to which the International …


Effects Of Prehospital Vs. In Hospital Therapeutic Hypothermia On Neurological Status After Cardiac Arrest, Cassandra Johnson, Ingrid Brown Dec 2019

Effects Of Prehospital Vs. In Hospital Therapeutic Hypothermia On Neurological Status After Cardiac Arrest, Cassandra Johnson, Ingrid Brown

Physician Assistant Capstones, 2016 to 2019

Objective: To conduct an analysis of literature that examines whether the use of prehospital therapeutic hypothermia (TH) results in significant changes in neurologic outcomes that are in adults that experienced out of hospital cardiac arrest (OHCA). Methods: Systematic searches were conducted through PubMed at the James Madison University Library. The inclusion criteria included human adults who experienced out of hospital cardiac arrest and were treated by Emergency Medical Services (EMS) with and/or without prehospital TH by means of intravenous cold fluids and surface cooling. Results: Three studies involving 2180 cases were included. This review indicated that prehospital TH after …


Chlorhexidine Gluconate Vs Povidone-Iodine In The Prevention Of Clean-Contaminated Surgical Site Infections, Erin Layne, Abigail Stone Dec 2019

Chlorhexidine Gluconate Vs Povidone-Iodine In The Prevention Of Clean-Contaminated Surgical Site Infections, Erin Layne, Abigail Stone

Physician Assistant Capstones, 2016 to 2019

Abstract

Background:

A patient’s skin is the major source of pathogens that can cause post-operative complications such as surgical site infections (SSIs). Optimization of pre-operative skin antisepsis is obtained with chlorhexidine gluconate (CG) and povidone-iodine (PI). These two solutions are the most widely used antiseptics for pre-operative purposes.

Objective:

Among surgical patients greater than 18 years of age undergoing clean-contaminated surgery, which antiseptic, iodophors or chlorhexidine gluconate, is more effective at reducing postoperative surgical site infections?

Methods:

A search was done in PubMed utilizing the terms chlorhexidine, infection control, iodophors, and surgical site infection. The limits applied included randomized …


The Use Of Probiotics To Prevent Ventilator-Associated Pneumonia In Adults, Michael Roper, Paige Douthett Dec 2019

The Use Of Probiotics To Prevent Ventilator-Associated Pneumonia In Adults, Michael Roper, Paige Douthett

Physician Assistant Capstones, 2016 to 2019

Objective: To assess the efficacy and safety of preventing the acquisition of ventilator- associated pneumonia with the use of probiotic supplementation, as compared to a placebo, among hospitalized adult men and women receiving more than 24 hours of mechanical ventilation. Design: Systematic Literature Review. Methods: Systematic searches were conducted through PubMed and Scopus using the search terms “ventilator”, “probiotics”, and “prevention”. Records were excluded from the analysis if they were published before 2015, full text was not available, studies other than randomized control trial or cohort studies, and if the study population was less than 18 years old. Results: Of …


Effects Of Stem Cell Therapy On 6-Minute Walk Test Distance And Left Ventricular Ejection Fraction In Patients With Nonischemic Cardiomyopathy, Kayleigh Hunt, Alexa Maziuk Dec 2019

Effects Of Stem Cell Therapy On 6-Minute Walk Test Distance And Left Ventricular Ejection Fraction In Patients With Nonischemic Cardiomyopathy, Kayleigh Hunt, Alexa Maziuk

Physician Assistant Capstones, 2016 to 2019

Objective

To assess the efficacy of stem cells in the improvement of functional capacity and quality of life in the setting of nonischemic dilated cardiomyopathy.

Design

Systematic literature review

Methods

A literature search of PubMed was conducted utilizing the following search terms: “stem,” “cell,” “nonischemic,” and “cardiomyopathy.” The following limits were used: “2015-2018,” nonischemic cardiomyopathy, results of LVEF and 6MWT, randomized controlled trials, pilot studies, and sample size >22.

Results

Butler et al. found that within the itMSC group, 6MWD increased by an average of 27.40 m (95% CI 0.28–54.52; P=0.05), but it decreased by an average of 10.83 m …


Corticosteroid Vs Platelet Rich Plasma Injections In The Treatment Of Chronic Plantar Fasciitis, Elizabeth J. Meaney, Emma W. Adelman Dec 2019

Corticosteroid Vs Platelet Rich Plasma Injections In The Treatment Of Chronic Plantar Fasciitis, Elizabeth J. Meaney, Emma W. Adelman

Physician Assistant Capstones, 2016 to 2019

Objective: To assess the effectiveness of platelet rich plasma (PRP) injections in the treatment of chronic plantar fasciitis compared to traditional corticosteroid injections. Design: Systematic literature review. Methods: A literature search was performed in Pubmed using the search terms “plantar fasciitis” and “platelet rich plasma”. Inclusion criteria included publication within 10 years, randomized control trial, human study, and containing the American Orthopedic Foot and Ankle Society (AOFAS) hindfoot scoring system. Results: Our literature search resulted in the review of three randomized- control trials. Mahindra et al. showed that PRP was superior to corticosteroid injections in the treatment of chronic plantar …


Crystalloids Or Colloids… What’S In Your Iv? Determining Fluid Type For Septic Shock Resuscitation, Eleanor L. Jordan, Amy K. Lansing Dec 2019

Crystalloids Or Colloids… What’S In Your Iv? Determining Fluid Type For Septic Shock Resuscitation, Eleanor L. Jordan, Amy K. Lansing

Physician Assistant Capstones, 2016 to 2019

Objective: To compare the efficacy of crystalloid versus colloid solutions, specifically normal saline versus albumin, in decreasing mortality among patients with septic shock requiring resuscitation fluids in the intensive care unit (ICU) setting. Design: Systematic literature review. Methods: Research was conducted in PubMed and UpToDate, utilizing the search terms sepsis, septic shock, fluid resuscitation, colloids and crystalloids. Specifically, in PubMed, the following limits and terms were used: randomized control trial, human subjects, English, and within the last 7 years. Results: The Annane et al study found no significant difference in colloid fluid resuscitation versus crystalloid fluid resuscitation in the decreasing …


Subanesthetic Iv Ketamine Reduces Acute Suicidal Ideation In Patients With Mood Disorders, Kimberly Jenko, Jack Anzilotti Dec 2019

Subanesthetic Iv Ketamine Reduces Acute Suicidal Ideation In Patients With Mood Disorders, Kimberly Jenko, Jack Anzilotti

Physician Assistant Capstones, 2016 to 2019

Background. Depression and suicide are common in the United States and present a significant problem in the healthcare landscape. Currently, there are few options that can rapidly reduce suicidal ideation in patients with depression. Ketamine, a glutamate N-methyl-D-aspartate (NMDA) receptor antagonist, has been shown to reduce acute suicidality in patients with depression. Previous studies have a reduction of suicidal ideation compared to saline placebo, but few studies have shown a significant effect compared to a similar psychoactive drug such as midazolam.

Method. A search of PubMed and PsychNET was performed in September 2018 using the terms “ketamine,” “suicide,” …


Comparing Effectiveness Of Colonoscopy Versus Fecal Immunochemical Testing In Screening For Colorectal Cancer, Hannah Vanrooyen, Lindsay Burns Dec 2019

Comparing Effectiveness Of Colonoscopy Versus Fecal Immunochemical Testing In Screening For Colorectal Cancer, Hannah Vanrooyen, Lindsay Burns

Physician Assistant Capstones, 2016 to 2019

Introduction: Colorectal cancer (CRC) is deadly neoplasm that takes many lives in the United States and is a leading cause of cancer worldwide. If CRC is detected early through screening, there is a higher chance of remission which makes screening an important tool in CRC prevention. Currently, colonoscopy is the gold standard, but due to the undesirable preparation needed for a colonoscopy, patient compliance is low. Giving patients a screening option that requires less preparation may help to increase the compliance for CRC screening. Fecal Immunological testing has been shown to have higher compliance rates among patients as compared to …


Effect Of Metformin On Adolescent Obesity, Mackenzie Mcnamee, Victoriya Eggen Dec 2019

Effect Of Metformin On Adolescent Obesity, Mackenzie Mcnamee, Victoriya Eggen

Physician Assistant Capstones, 2016 to 2019

Objectives: Metformin is the first line treatment for type 2 diabetes mellitus (T2DM) in both adults and children and has been shown to result in weight loss. Pediatric obesity is a major risk factor for the development of T2DM as well as several other diseases. Recently, physicians have reported using Metformin off-label to treat obesity in adolescent patients. The purpose of this study is to investigate whether Metformin is effective in reducing BMI in obese adolescents.

Methods: Studies were found using PubMed, MeSH, Medline, and CINAHL. The search terms used were: “obesity,” Metformin,” “adolescents,” “children,” “metformin and weight,” …


Effect Of Postpartum Protocols On Maternal Outcomes, Kelsey Grimm, Emily Harnish Dec 2019

Effect Of Postpartum Protocols On Maternal Outcomes, Kelsey Grimm, Emily Harnish

Physician Assistant Capstones, 2016 to 2019

Objective: To determine whether postpartum hemorrhage (PPH) protocols lead to decreases in maternal morbidity and mortality.

Design: Systemic literature review.

Methods: The clinical question investigated is whether the implementation of PPH protocols has measurable impact on maternal morbidity and mortality. Searches were done through PubMed using the keywords: “maternal hemorrhage postpartum protocol.” Studies were eliminated if they were more than 10 years old, conducted outside the United States, published in a non-English language, used other animal subjects besides humans, used non-female subjects, if they did not answer the clinical question, or were review articles. Eventually, three cohort …


Exclusive Enteral Nutrition And Corticosteroids: Two Effective Methods Of Induction Treatment In Crohn’S Disease, Sarah E H Hutchison, Rachel L. Stottlar Dec 2019

Exclusive Enteral Nutrition And Corticosteroids: Two Effective Methods Of Induction Treatment In Crohn’S Disease, Sarah E H Hutchison, Rachel L. Stottlar

Physician Assistant Capstones, 2016 to 2019

Objective: To compare the effectiveness of corticosteroids (CS) versus exclusive enteral nutrition (EEN), as induction therapy of Crohn’s disease to induce remission. Design: Systematic literature review. Methods: Searches were done in PubMed utilizing the terms: enteral nutrition therapy, exclusive enteral nutrition, inflammatory bowel disease, Crohn’s disease, corticosteroids, pediatric, nutrition, and steroids. Articles were excluded with patients > 18 years of age, confounding variables, inclusion of other treatment options, or physician discretion bias in selecting a treatment option. Results: Ultimately, three articles were included in our review. Two of three studies examined showed a statistically significant improvement in remission rates in …


The Effect Of Yoga On Fatigue In Breast Cancer Patients Undergoing Radiotherapy, Magdalene Bredehoeft, Karli Ribsam Dec 2019

The Effect Of Yoga On Fatigue In Breast Cancer Patients Undergoing Radiotherapy, Magdalene Bredehoeft, Karli Ribsam

Physician Assistant Capstones, 2016 to 2019

Objective: Assess the effect of yoga on levels of fatigue among women with breast cancer currently undergoing radiotherapy. Design: Systematic literature review. Methods: Searches were done on PubMed, utilizing the terms “yoga,” “fatigue,” “breast cancer,” and “radiotherapy.” Limits that led to inclusion of studies included: published after 2008, studies researching breast cancer, and studies that were randomized controlled trials. Results: Randomized controlled trials studied were by Chandwani et al. (2010), Chandwani et al. (2014), and Vadiraga et al. (2009). Conclusion: Yoga can improve quality of life among women with breast cancer undergoing radiotherapy, specifically by decreasing levels of fatigue. We …


Theatre As An Intervention For Empathy Development Among Undergraduate Students, Jonathan Stewart Dec 2019

Theatre As An Intervention For Empathy Development Among Undergraduate Students, Jonathan Stewart

Dissertations, 2014-2019

Empathy is the ability feel into, or put oneself in the place of another. It is the ability to walk in someone else’s shoes. Studies have shown that this ability is decreasing among today’s college students and on the rise as a desired trait for today’s leaders. This dilemma provides an interesting opportunity to explore how institutions of higher education can help develop the leaders of tomorrow by increasing empathy among students. Specifically, this research explores theatre as an intervention for empathy development among college students.

Theatre, as a program of study, is unique within the college experience in that …


Assessment Of Structural Competency In Baccalaureate Nursing Students: A Descriptive Study, Elle J. Del Gallo Dec 2019

Assessment Of Structural Competency In Baccalaureate Nursing Students: A Descriptive Study, Elle J. Del Gallo

Senior Honors Projects, 2010-2019

Cultural competence has been investigated extensively in nursing education to better prepare nurses to care for individuals of diverse backgrounds. While developing cultural competence is important to address individual care needs, it may not address the social and structural factors that influence health. Structural competency describes the ability to assess not only cultural factors that affect health disparities, but also structural inequalities and stigmas that can alter a patient’s presenting symptoms and risk for certain diseases.


Quantification Of Neuronal Specific Responses To Depletion Of The Nascent Polypeptide-Associated Complex In Caenorhabditis Elegans, Harrison Hall Dec 2019

Quantification Of Neuronal Specific Responses To Depletion Of The Nascent Polypeptide-Associated Complex In Caenorhabditis Elegans, Harrison Hall

Senior Honors Projects, 2010-2019

Cells experiencing misfolded protein stress can become debilitated and die, consistent with this stress being linked to numerous diseases. When misfolded proteins accumulate in the endoplasmic reticulum (ER), the unfolded protein response (UPR) initiates mechanisms that resolve this stress or trigger apoptosis, dependent on the severity and/or duration of the stress. The nascent polypeptide-associated complex (NAC) is a heterodimeric chaperone that mediates proper protein folding and localization during translation; depletion of the NAC promotes misfolded protein stress in the ER, resulting in the initiation of the UPR in affected cells. The relationship between the NAC and the UPR is not …


Do Faces Facilitate Or Distract Children From Attending To Threats?, Sarah A. Skidmore Dec 2019

Do Faces Facilitate Or Distract Children From Attending To Threats?, Sarah A. Skidmore

Senior Honors Projects, 2010-2019

Threatening stimuli may produce an attentional bias in humans, capturing and holding attention to a greater extent than other types of stimuli. Humans rely on others to alert their attention to threats in their environment, and social stimuli, such as faces, have privileged processing compared to nonsocial stimuli. We wanted to explore whether task-irrelevant fearful or neutral faces facilitate, distract, or have no effect on the detection of threatening or neutral images (spiders and frogs, respectively). Three- to-five-year-old children (N=37) completed a visual search task in which they searched for threatening or neutral animals. Consistent with previous literature, we found …


A Bridge Between Earth & Sky: How The Natural World Shaped The Civilizations Of Ancient And Early-Modern Persia, Sophia Cabana Dec 2019

A Bridge Between Earth & Sky: How The Natural World Shaped The Civilizations Of Ancient And Early-Modern Persia, Sophia Cabana

Senior Honors Projects, 2010-2019

This project seeks to investigate the ways in which nature shaped the culture of ancient Persia through technology, architecture, agriculture, and art. Furthermore, this project investigates how the symbols and mentalities of ancient Persia were carried forward into the early-modern period. Achaemenid Persia and Babylon are studied as societies which influenced one another and combined to create the foundation of Persian culture as it is currently understood, which then combined in later centuries with other Middle Eastern and Central Asian cultural movements to produce the Safavid and Mughal Empires. The Safavids and Mughals imitated and revived Persian culture in order …


How Does Access To Healthcare Affect Life Expectancy?, Yara Mahmoud Dec 2019

How Does Access To Healthcare Affect Life Expectancy?, Yara Mahmoud

Senior Honors Projects, 2010-2019

Access to health care is a pressing issue in the United States, whether it be the cost of care or not having enough of it. To emphasize the importance of this topic, this paper assesses the impact of access to health services on life expectancy. A comparison is made between the universal health systems in France and Spain and the mixed system in the United States. Even though the United States spends the most on health care in the world, its statistics fall below those of other developed countries. After addressing other risk factors, it was found that individuals under …


Analyzing Discourse Surrounding The George Morris Ban: An Ideological Critique Of Sexual Assault Culture In Sports, Megan Mcloughlin Dec 2019

Analyzing Discourse Surrounding The George Morris Ban: An Ideological Critique Of Sexual Assault Culture In Sports, Megan Mcloughlin

Senior Honors Projects, 2010-2019

On August 6th, 2019 one of the biggest names in the equestrian community, George Morris, was barred from the sport for life based on sexual assault allegations. I have conducted a Social Constructionist discourse analysis of the online responses to this case. Overarching themes exposed flaws in the hegemonic ideals of both the sports world and American culture in its entirety. As the case continues to develop every day, I have adapted my research to reflect new findings and have found that Deflection, Bolstering, and Reflection have emerged as the major themes of this discourse. This method allowed …


Perceived Helicopter Parenting And Self-Determination Theory In Emerging Adulthood, Emily Hivick Dec 2019

Perceived Helicopter Parenting And Self-Determination Theory In Emerging Adulthood, Emily Hivick

Senior Honors Projects, 2010-2019

Self-determination theory encompasses three different elements, competence, autonomy and social belongingness (Deci & Ryan, 2000). Helicopter parenting is defined as extreme involvement in a child’s life to the point of making decisions for them while also being associated with high levels of parental support and high feelings of parental-child closeness (Padilla-Walker & Nelson, 2012). Research has shown that helicopter parenting has been associated with psychological and behavioral problems in young adults, (Odenweller, Booth-Butterfield, & Weber, 2014). The current study investigated the association between perceived helicopter parenting and self-determination theory components along with intrinsic motivation and academic and extracurricular engagement in …


From The Editors Dec 2019

From The Editors

James Madison Undergraduate Research Journal (JMURJ)

No abstract provided.


Volume 6, 2019 Dec 2019

Volume 6, 2019

James Madison Undergraduate Research Journal (JMURJ)

No abstract provided.


December 5, 2019, James Madison University Dec 2019

December 5, 2019, James Madison University

The Breeze, 2010-2019

The Breeze is the student newspaper of James Madison University in Harrisonburg, Virginia.


Jmu Thanksgiving Food Drive Dec 2019

Jmu Thanksgiving Food Drive

Activities

JMU 2019 Food Drive You help sustain life, restore options, and provide hope when donating to the Blue Ridge Area Food Bank during the JMU Thanksgiving Drive now through November 22.

Please consider sharing a copy of our flyer in your office or on social media.

Sincerely, Aramark College of Science and Mathematics Office of Research & Scholarship delpbt@jmu.edu