Digital Commons Network^™

Adult Acute Sinusitis Antimicrobial Stewardship Program In A Primary Care Setting, Katelyn M. Hellman

DNP Projects

BACKGROUND: Inappropriate antibiotic prescribing is a well-documented global health crisis (Centers for Disease Control, CDC, 2013). Antimicrobial stewardship (AS) is the purposeful selection of the correct drug, dose, route and duration of antimicrobial treatment to decrease microbial resistance, adverse drug effects and cost while improving patient outcomes (Dellit et al., 2007; CDC, 2016). Antimicrobial Stewardship Programs (ASP) are multidisciplinary programs designed to improve AS.

PURPOSE: To describe baseline prescribing patterns and evaluate the effect of an antimicrobial stewardship program (ASP) for adult acute sinusitis on provider knowledge and antibiotic prescribing practice. among primary care providers in an internal medicine clinic …

Examining Substance-Use Treatment Utilization Among Incarcerated Women In Central Appalachian Jails, Rae Lyn Glover

Theses and Dissertations--Educational, School, and Counseling Psychology

Women in Central Appalachia represent a significant proportion of those engaging in problematic patterns of opioid use, which is concerning given the limited available services in the region and gender specific treatment barriers. This investigation seeks to understand the role of mental health and substance use symptoms among incarcerated Central Appalachian women and build on the conceptual model of substance use treatment utilization purposed by Leukefeld and colleagues (1998). Data for this study was drawn from a larger longitudinal investigation (NIDA 1R01-DA033866) and baseline data collected during initial interviews was analyzed. The sample included 400 women incarcerated at one of …

Beyond The Coal Divide: The Cultural Politics Of Natural Resource Extraction In Central Appalachia, Julie A. Shepherd-Powell

Theses and Dissertations--Anthropology

During the last several years far southwest Virginia, like elsewhere in the central Appalachian region, has faced a decline in all coal mining activity and a subsequent loss of coal mining jobs, meaning that local economies are suffering and the unemployment line is long. In addition, this area continues to face environmental pollution from surface coal mines that are still in operation or have not been reclaimed. Drawing upon anthropological literature on natural resource extraction and economic and environmental inequality, this dissertation highlights the lives of members of a local grassroots environmental organization, as well as other local residents, in …

Determined To Make A Difference: A Qualitative Study Of College Women Student Leaders, Heather Yattaw Wagoner

Theses and Dissertations--Educational Policy Studies and Evaluation

While research has grown related to the experiences of gender and leadership in the workplace, little research exists on the experiences of gender and leadership in collegiate student organization settings. This study explores the experiences of college women holding executive leadership roles in highly visible on-campus registered student organizations. More specifically, the study seeks understanding of how social role expectancies interfaced with the women’s perceptions and experiences as college leaders.

Data were generated with undergraduate women leaders at a large, public research institution in the southeast during the fall of 2014 using qualitative methods including individual interviews, group interviews, and …

"A World To Suit Themselves": Student-Constructed Narratives And The Hidden History Of College Life, David M. Brown

Theses and Dissertations--Educational Policy Studies and Evaluation

An individual’s years in college are a time of trial and transformation. This dissertation examined college students’ self-created accounts of their time in college in order to identify students’ significant meaning-making activities during those years. Four primary areas of student life were investigated: the rules that students were expected to adhere to, the ways in which students and their class cohorts antagonized one another, hazing, and class competitions.

A comparative historical approach was used to analyze student-created accounts of college life in the years 1871-1941. Archival research at a geographically diverse sample of fourteen colleges and universities provided primary source …

Self-Authoring Gender Performance: A Narrative Analysis Of Gay Undergraduate Men, Casey Shadix

Theses and Dissertations--Educational Policy Studies and Evaluation

The perspectives of gay men on college and university campuses is informed by a rich gay social history and extensive roots of community politics. The experiences of gay undergraduate men have been illuminated in segmented ways in scholarly literature to date. This narrative inquiry develops and advances those efforts by exploring how gay undergraduate men construct, experience, and make meaning of their gender as a population ascribing to both liberationist and assimilationist viewpoints. Data for this qualitative study were collected at one public, four-year research university in the southeastern United States in the fall 2015 semester using recorded personal interviews …

Integration Of Plant Defense Traits With Biological Control Of Arthropod Pests: Challenges And Opportunities, Julie A. Peterson, Paul J. Ode, Camila Oliveira-Hofman, James D. Harwood

Entomology Faculty Publications

Crop plants exhibit a wide diversity of defensive traits and strategies to protect themselves from damage by herbivorous pests and disease. These defensive traits may be naturally occurring or artificially selected through crop breeding, including introduction via genetic engineering. While these traits can have obvious and direct impacts on herbivorous pests, many have profound effects on higher trophic levels, including the natural enemies of herbivores. Multi-trophic effects of host plant resistance have the potential to influence, both positively and negatively, biological control. Plant defense traits can influence both the numerical and functional responses of natural enemies; these interactions can be …

Poland’S Voivodeships And Poviats And The Geographies Of Knowledge: Addressing Uneven Human Resources, Stanley D. Brunn, Marcin Semczuk, Rafał Koszek, Karolina Gołuszka, Gabriela Bołoz

Geography Faculty Publications

In a postindustrial economic world, information economies are key components in local, regional and national development. These are service economies, built on the production, consumption and dissemination of information, including education, health care, outsourcing, tourism, sustainability and related human welfare services. We explore the geography/knowledge intersections in Poland’s voivodeships and poviats by using the volumes of information or hyperlinks about selected information economies. Google hyperlinks are electronic knowledge data that can be mapped to highlight the areas of most and least information about certain subject categories. While some mapping results are expected, such as Warsaw and Krakow, being prominent, in …

Offline Social Relationships And Online Cancer Communication: Effects Of Social And Family Support On Online Social Network Building, Namkoong Kang, Dhavan V. Shah, David H. Gustafson

Community & Leadership Development Faculty Publications

This study investigates how social support and family relationship perceptions influence breast cancer patients’ online communication networks in a computer-mediated social support (CMSS) group. To examine social interactions in the CMSS group, we identified two types of online social networks: open and targeted communication networks. The open communication network reflects group communication behaviors (i.e., one-to-many or “broadcast” communication) in which the intended audience is not specified; in contrast, the targeted communication network reflects interpersonal discourses (i.e., one-to-one or directed communication) in which the audience for the message is specified. The communication networks were constructed by tracking CMSS group usage data …

Setting A Standard For Chemistry Education In The Next Generation: A Retrosynthetic Analysis, Gregory T. Rushton, Andrew Dewar, Herman E. Ray, Brett A. Criswell, Lisa Shah

Science, Technology, Engineering, and Mathematics (STEM) Education Faculty Publications

A diverse and highly qualified chemistry teaching workforce is critical for preparing equally diverse, qualified STEM professionals. Here, we analyze National Center for Education Statistics (NCES) Schools and Staffing Survey (SASS) data to provide a demographic comparison of the U.S. secondary chemistry teaching population in high-needs and non-high-needs public schools as well as private schools during the 2011–2012 academic year. Our analysis reveals that the chemistry teaching workforce is predominantly white and significantly lacks in-field degrees or certification across school types, though high-needs and private schools are most affected by this lack of teacher qualification. Given these results, we attempt …

Has The Elite Foundation Agenda Spread Beyond The Gates? An Organizational Network Analysis Of Nonmajor Philanthropic Giving In K-12 Education, Joseph J. Ferrare, Katherine Reynolds

Educational Policy Studies and Evaluation Faculty Publications

Previous research focusing on major philanthropic foundations suggests that these actors have collectively converged around a set of jurisdictional challengers promoting market-based education reforms. Using correspondence analysis, network analysis, and geographic information science, this article empirically tests whether this convergence has permeated to less prominent foundations and their grantees, or if these foundations are pursuing alternative organizational strategies to shape K–12 outcomes. The analysis draws from a sample of 15 nonmajor foundations and their 1,069 grantees serving some aspect of K–12 education in 2010. We find that nonmajor foundations have adopted some elements of major foundations’ organizational strategies to influence …

Electronic Health Records And Population Health Research, Joan A. Casey, Brian S. Schwartz, Walter F. Stewart, Nancy E. Adler

Frontiers in Public Health Services and Systems Research

Adoption of electronic health records (EHRs) by clinical practices and hospitals in the US has increased substantially since 2009, and offers opportunities for population health researchers to access rich structured and unstructured clinical data on large, diverse, and geographically distributed populations. However, because EHRs are intended for clinical and administrative use, the data must be curated for effective use in research. We describe EHRs, examine their use in population health research, and compare the strengths and limitations of these applications to traditional epidemiologic methods.

To date, EHR data have primarily been used to validate prior findings, to study specific diseases …

Integrating Environmental Justice Into Public Health: Approaches For Understanding Cumulative Impacts, Gina Solomon, John Faust, Rachel Morello-Frosch, Lauren Zeise

Frontiers in Public Health Services and Systems Research

Communities located near multiple sources of pollution, including current and former industrial sites, major roadways, and agricultural operations, are often predominantly low-income, with a large percentage of minorities and non-English speakers. These communities face additional challenges that can affect the health of their residents, including limited access to health care, a shortage of grocery stores, poor housing quality, and a lack of parks and open spaces. Research is now showing that environmental exposures can interact with social stressors, thereby worsening health outcomes. Age, nutrition, genetic characteristics, and preexisting health conditions also increase the risk of adverse health effects from exposure …

The Double Disparity Facing Rural Local Health Departments: A Short Report, Kate E. Beatty, Jenine K. Harris, Jp Leider, Britta Anderson, Michael Meit

Frontiers in Public Health Services and Systems Research

Rural residents in the U.S. face significant health challenges, including higher rates of risky health behaviors and worse health outcomes than many other groups. Rural communities are also typically served by local health departments (LHDs) that have fewer human and financial resources than their suburban and urban peers. As a result of history and need, rural LHDs are more likely than urban LHDs to provide direct health services, which may result in limited resources for population-based activities. This review examines the double disparity facing rural LHDs and their constituents: pervasively poorer health behaviors and outcomes and a historical lack of …

Exploring Faculty Perceptions Of Student Incivility In Social Work: Results From A National Survey, Elizabeth A. Wahler, Karen Badger

Social Work Faculty Publications

The literature suggests that incivility is a growing problem in college classrooms, but few studies have examined incivility within social work programs. Using a national sample of social work instructors (n=327), this study examined faculty experiences with social work student incivility in both undergraduate and graduate education. Results showed that some behaviors often deemed disrespectful or inattentive do occur in social work classrooms, and they occur more frequently in undergraduate classes than graduate classes. Although rare, hostile behaviors were also reported by faculty. Discussion of these findings includes recommendations for addressing incivility in the context of preparing social work students …

Tri-Variate Relationships Among Vegetation, Soil, And Topography Along Gradients Of Fluvial Biogeomorphic Succession, Daehyun Kim, John A. Kupfer

Geography Faculty Publications

This research investigated how the strength of vegetation–soil–topography couplings varied along a gradient of biogeomorphic succession in two distinct fluvial systems: a forested river floodplain and a coastal salt marsh creek. The strength of couplings was quantified as tri-variance, which was calculated by correlating three singular axes, one each extracted using three-block partial least squares from vegetation, soil, and topography data blocks. Within each system, tri-variance was examined at low-, mid-, and high-elevation sites, which represented early-, intermediate-, and late-successional phases, respectively, and corresponded to differences in ongoing disturbance frequency and intensity. Both systems exhibited clearly increasing tri-variance from …

Affect And Value In Critical Examinations Of The Production And ‘Prosumption’ Of Big Data, Daniel G. Cockayne

Geography Faculty Publications

In this paper I explore the relationship between the production and the value of Big Data. In particular I examine the concept of social media ‘prosumption’—which has predominantly been theorized from a Marxist, political economic perspective—to consider what other forms of value Big Data have, imbricated with their often speculative economic value. I take the example of social media firms in their early stages of operation to suggest that, since these firms do not necessarily generate revenue, data collected through user contributions do not always realize economic value, at least in a Marxist sense, and that, in addition to their …

Introduction: Spatial Big Data And Everyday Life, Agnieszka Leszczynski, Jeremy Crampton

Geography Faculty Publications

Spatial Big Data—be this natively geocoded content, geographical metadata, or data that itself refers to spaces and places—has become a pervasive presence in the spaces and practices of everyday life. Beyond preoccupations with “the geotag” and with mapping geocoded social media content, this special theme explores what it means to encounter and experience spatial Big Data as a quotidian phenomenon that is both spatial, characterized by and enacting of material spatialities, and spatializing, configuring relations between subjects, objects, and spaces in new and unprecedented ways.

Multi-Sectoral Partnerships And Patient-Engagement Strategies In Accountable Care Organizations, Margae Knox, Hector P. Rodriguez, Stephen M. Shortell

Frontiers in Public Health Services and Systems Research

Background: Patient-engagement strategies are increasingly recognized for enriching traditional medical care and improving population health. Accountable Care Organizations (ACOs) may be well positioned to leverage multi-sector organizational partnerships to improve the reach of their patient-engagement strategies, particularly given incentives to meet cost, quality and population health goals. Little is currently known about the relation of multi-sector partnerships and patient engagement in ACOs.

Purpose: To examine the relation of patient-engagement strategies and breadth of multi-sectoral organizational partnerships in 71 primary care practices affiliated with one of two ACOs.

Methods: Clinical and administrative leaders from each practice were surveyed. Questions assessed practice …

Transportation System Vulnerability And Resilience To Extreme Weather Events And Other Natural Hazards: Report For Pilot Project — Kytc District 1, Benjamin L. Blandford, Scott Schurman, Candice Y. Wallace, Sarah M. Mccormack

Kentucky Transportation Center Research Report

This research’s objective is to assist the Kentucky Transportation Cabinet (KYTC) in its efforts to develop strategies to address natural hazard vulnerabilities and improve the resiliency of Kentucky’s transportation infrastructure. Recent federal legislation calls for state transportation agencies to develop a risk-based asset management plan for National Highway System (NHS) assets that includes consideration of natural hazards. Similarly, the Federal Highway Administration (FHWA) calls for state transportation agencies to identify potential vulnerabilities associated with extreme weather events and climate change, and to incorporate these findings into transportation planning, design, and maintenance practices.

National Health Security Preparedness Index Joint Workgroup Meeting On Model Design And Analytic Methodology, Glen P. Mays

Health Management and Policy Presentations

This workgroup meeting of the National Health Security Preparedness Index reviews results from the 2016 release of the Index and examines opportunities for enhancing the Index measures and analytic methodologies for subsequent releases.

Internet Reviews: Maps And Geographic Information Systems, Jennifer A. Bartlett

Library Faculty and Staff Publications

No abstract provided.

Breast-Cancer-Specific Mortality In Patients Treated Based On The 21-Gene Assay: A Seer Population-Based Study, Valentina I. Petkov, Dave P. Miller, Nadia Howlader, Nathan Gliner, Will Howe, Nicola Schussler, Kathleen Cronin, Frederick L. Baehner, Rosemary Cress, Dennis Deapen, Sally L. Glaser, Brenda Y. Hernandez, Charles F. Lynch, Lloyd Mueller, Ann G. Schwartz, Stephen M. Schwartz, Antoinette Stroup, Carol Sweeney, Thomas C. Tucker, Kevin C. Ward, Charles Wiggins, Xiao-Cheng Wu, Lynne Penberthy, Steven Shak

Markey Cancer Center Faculty Publications

The 21-gene Recurrence Score assay is validated to predict recurrence risk and chemotherapy benefit in hormone-receptor-positive (HR+) invasive breast cancer. To determine prospective breast-cancer-specific mortality (BCSM) outcomes by baseline Recurrence Score results and clinical covariates, the National Cancer Institute collaborated with Genomic Health and 14 population-based registries in the the Surveillance, Epidemiology, and End Results (SEER) Program to electronically supplement cancer surveillance data with Recurrence Score results. The prespecified primary analysis cohort was 40–84 years of age, and had node-negative, HR+, HER2-negative, nonmetastatic disease diagnosed between January 2004 and December 2011 in the entire SEER population, and Recurrence Score results …

My Brother Slaves, Sergio A. Lussana

Civil Rights

Trapped in a world of brutal physical punishment and unremitting, back-breaking labor, Frederick Douglass mused that it was the friendships he shared with other enslaved men that carried him through his darkest days.

In this pioneering study, Sergio A. Lussana offers the first in-depth investigation of the social dynamics between enslaved men and examines how individuals living under the conditions of bondage negotiated masculine identities. He demonstrates that African American men worked to create their own culture through a range of recreational pursuits similar to those enjoyed by their white counterparts, such as drinking, gambling, fighting, and hunting. Underscoring the …

Editor's Preface & Acknowledgments, Ashley Ruderman, Catherine D. Gooch

disClosure: A Journal of Social Theory

No abstract provided.

Reflections On Social Theory, Ted Schatzki

disClosure: A Journal of Social Theory

No abstract provided.

Day By Date: Postcolonial Contention And Cosmopolitan Temporality In Niyi Osundare’S Days, Senayon Olaoluwa

disClosure: A Journal of Social Theory

This article reflects on the intersection of temporality and cosmopolitanism through a reading of Niyi Osundare's long poem Days.[1] The article argues that Osundare constructs temporality as an evolutionary and relative category by showing the fusion of an African temporal order with modernity's temporal model. It further contends that the fusion is emblematic of the hybrid and integrative disposition of postcolonial poetry which allows for a constellation of the indigenous and the western. The article demonstrates that although indigenous African templates of time reckoning may not have originally aligned themselves with the seven-day week equation, such indigenous modes have …

Cartographies Of Transnational Desires: Bi-National Same-Sex Couples In Literature And Film, Alla Ivanchikova

disClosure: A Journal of Social Theory

This article examines the issue of transnationality from the point of view afforded by a particular perspective—a bi-national queer couple—as brought into relief by three recent cultural texts: Philip Gambone’s novel Beijing (2003), a film by Israeli director Michael Mayer, Out in the Dark (2012); and a film by Spanish director Julio Medem, Room in Rome (2010). Whereas in bi-national opposite-sex unions each partner can become a sponsor of his or her spouse for immigration purposes, bi-national queer couples, due to the fact that the majority of nation-states in today’s world do not have provisions for same-sex unions, regularly …

Regimes Of Prestige And Power: Transnational Authorship And International Acclaim In Rutu Modan's Exit Wounds, Kyle Eveleth

disClosure: A Journal of Social Theory

This essay will examine the reception of Rutu Modan’s international-award-winning graphic novel Exit Wounds (2007) in the massive cultural centers of the United States and France by situating its success within the inter/transnational dynamics of the contemporary comics market, or what James English would term an “economy of prestige.” My essay reconsiders Exit Wounds beyond its popular status as an international phenomenon—that is, one that crosses national borders but which maintains distinctions between those nations it enters and its home state—by considering it a transnational work—one which blurs the lines between nation-states in its form, function, and reception. To do …

Beyond Metropolises: Hybridity In A Transnational Context, Raihan Sharif

disClosure: A Journal of Social Theory

Beyond metropolises and within transnational contexts, investigating hybridity discourses is long overdue. This article argues that the epistemic violence embedded in such discourse has grave implications for the very impoverished nations and peoples with whom it claims solidarity and that, because this discourse is trendy in academia, its service to neoliberal capitalism is both easy to miss and important to expose. Interstices of postcolonial hybridity discourses, development discourses, and environmental justice discourses—dominant versions of which are segregated from contextual issues—as produced in Western academia and exported to third world countries for appropriation as developmental efforts—reveal epistemic violence, the manipulation of …