Digital Commons Network^™

How Early Do Antibiotics Have To Be To Impact Mortality In Severe Sepsis? A Prospective, Observational Study From An Emergency Department, Shahla Siddiqui, Nawal Salahuddin, Adeel Raza, Junaid Razzak

Department of Anaesthesia

BACKGROUND: The objective of this study was to assess the promptness of antibiotic administration to patients presenting with sepsis and the effects on survival and length of hospitalization.

METHODS: Consecutive, adult patients presenting with Systemic Inflammatory Response Syndrome (SIRS) to the emergency department of the Aga Khan University hospital were enrolled in a prospective, observational study over a period of 4 months. Univariate, multivariate regression modeling and one-way ANOVA were used to examine the effects of various variables on survival and for significant differences between timing of antibiotic administration and survival, two-sided p values < 0.05 were considered significant.

RESULTS: One hundred and eleven patients …

Establishing A Connection Between Quality Of Life And Pre-Academic Instruction For Students With Profound Multiple Disabilities, Jonna L. Bobzien

Communication Disorders & Special Education Theses & Dissertations

The field of special education has begun to concentrate its efforts on developing objectives and procedural strategies that promote a positive quality of life for students with profound multiple disabilities, while determining which educational strategies are the most appropriate. A multi-element design was used to compare the effects of two educational conditions, pre-academic skills instruction and functional life skills instruction, on the quality of life indicators of four students with profound multiple disabilities. Results indicated that all four students demonstrated a greater number of happiness indicators while receiving pre-academic instruction. Implications for current educational practices are addressed and directions for …

Fault-Tolerance And Recovery In Wireless Sensor Networks, Kevin M. Somervill

Electrical & Computer Engineering Theses & Dissertations

The topic of Wireless Sensor Networks (WSNs) has gained considerable attention in the research community due to the variety of applications and interesting challenges in developing and deploying such networks. The typical WSN is significantly energy constrained and often deployed in harsh or even hostile environments, resulting in sensor nodes that are prone to failure. Failing nodes alter the topology of the network resulting in segmented routing paths and lost messages, ultimately reducing network efficiency. These issues spur the desire to develop energy-efficient, Fault-Tolerant (FT) algorithms that enable the network to persist in spite of the failed nodes. This work …

Public Library Collaborative Collection Development For Print Resources, Rebecca A. Nous, Matthew Roslund

University Libraries Faculty Scholarship

This paper will explore collaborative collection development in public libraries for print monographs. It will present an argument for collaborative collection development (CCD) programs, and describe successful existing CCD programs. It will also explain how these programs can be used as a model for a CCD project involving public libraries in the Capital District of upstate New York utilizing the existing services provided by the Capital District Library Council (CDLC).

Sour Ageusia In Two Individuals Implicates Ion Channels Of The Asic And Pkd Families In Human Sour Taste Perception At The Anterior Tongue., Taufiqul Huque, Beverly J Cowart, Luba Dankulich-Nagrudny, Edmund A Pribitkin, Douglas L Bayley, Andrew I Spielman, Roy S Feldman, Scott A Mackler, Joseph G Brand

Department of Otolaryngology - Head and Neck Surgery Faculty Papers

BACKGROUND: The perception of sour taste in humans is incompletely understood at the receptor cell level. We report here on two patients with an acquired sour ageusia. Each patient was unresponsive to sour stimuli, but both showed normal responses to bitter, sweet, and salty stimuli.

METHODS AND FINDINGS: Lingual fungiform papillae, containing taste cells, were obtained by biopsy from the two patients, and from three sour-normal individuals, and analyzed by RT-PCR. The following transcripts were undetectable in the patients, even after 50 cycles of amplification, but readily detectable in the sour-normal subjects: acid sensing ion channels (ASICs) 1a, 1beta, 2a, …

Teaching For Cultural Competence In Non-Diverse Environments, Mary L. Romanello, Karen Holtgrefe

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this paper is to present teaching strategies to enhance students’ cultural competence in non-diverse educational settings. Methods: Utilizing Purnell’s cultural competence model and Lattanzi’s cultural ladder the authors describe teaching strategies used to promote students’ understanding of the complex nature of culture and how the multiple layers of culture influence the healthcare professional-client relationship. Teaching strategies and subsequent student reflections are presented. Results: Students adjusted client interventions and plans of care when confronted with various cultural characteristics of their clients. Integrating cultural issues in non-diverse academic settings challenges faculty to create situations that include cultural differences. …

Descriptive Analysis Of Level Of Implementation In Allied Health Educational Institutions Of Iom Recommended Core Competencies, James D. Blagg

Internet Journal of Allied Health Sciences and Practice

A signal report of the Institute of Medicine (IOM) in 2003 stated that profound changes were needed in how health systems are designed, and postulated that such redesign could not take place without properly preparing health care professionals to take on this task. It established a set of core competencies (competence in patient-centered care, interdisciplinary teaming, evidence-based practice, quality improvement, and informatics) that future professionals should possess. The current study was conducted to determine the extent to which these core competencies have been incorporated into curricula by colleges/schools of allied health. A survey was e-mailed to 112 institutional representatives of …

Does The Sensation Of Breathlessness Change Over Time In People With Chronic Obstructive Pulmonary Disease? A Systematic Review, Claire Mcevoy, Marie Williams

Internet Journal of Allied Health Sciences and Practice

The aim of this systematic review was to identify and appraise studies which tracked changes in the sensation of breathlessness, as described in terms of intensity, unpleasantness, its effect on impairment levels or quality of life, over two or more years in people with COPD. Four major databases were searched. Twelve studies were included for full analysis. These studies were a mix of observational and experimental in their design, and were found to have high methodological quality. Subjects in the studies were, overall, severely impaired at the start of the two year period, according to level of airflow restriction. Impairment …

Review Of: Developing Cultural Competence In Physical Therapy Practice, Veronica Jackson

Internet Journal of Allied Health Sciences and Practice

No abstract provided.

Management Of Bayberry In Relation To Tree-Swallow Strikes At John F. Kennedy International Airport, New York, Glen E. Bernhardt, Zachary J. Paton, Lisa A. Kutschbach-Brohl, Richard A. Dolbeer

Human–Wildlife Interactions

Tree swallows (Tachycineta bicolor) have been a periodic bird-strike problem at John F. Kennedy International Airport (JFKIA), New York, New York, causing runway closures, flight delays, and damage to aircraft following the ingestion of bird flocks into engines. We examined 65 tree swallows collected at JFKIA in October 2001 to determine food sources that were attracting the birds to the airport. Digestive tracts of all 65 specimens contained northern bayberry fruits (Myrica pensylvanica), averaging 15.6 fruits per bird or 3.4% of the bird’s body mass in specimens where the entire tract was dissected. Bayberry fruits are …

Survival And Productivity Of A Low-Density Black Bear Population In Rocky Mountain National Park, Colorado, Roger A. Baldwin, Louis C. Bender

Human–Wildlife Interactions

Rocky Mountain National Park (RMNP) has supported a small black bear (Ursus americanus) population of low productivity. Increased visitor use of the park and development around its periphery could lead to a reduction in population viability of RMNP’s bear population or could increase the potential for human–bear conflict. Therefore, we investigated contemporary survival and productivity parameters for RMNP’s black bear population from 2003 to 2006 and compared these values to historic levels (1984–1991) and population means throughout the western United States to clarify the current status of RMNP’s bear population. The contemporary black bear population showed signs of …

Coexisting With Cougars: Public Perceptions, Attitudes, And Awareness Of Cougars On The Urban-Rural Fringe Of Calgary, Alberta, Canada, Clarisse Thornton, Michael S. Quinn

Human–Wildlife Interactions

Interactions between humans and cougars (Puma concolor) have been steadily increasing over the past 20 years largely due to human encroachment into cougar habitat and an increase in the human population. We determined the attitudes, knowledge, and perceptions toward cougars by residents in the urban-rural fringe of Calgary, Alberta, Canada, an area populated by both cougars and humans. We sent a survey to a stratified, random sample of 1,508 residents. Survey analysis included a potential for conflict index (PCI) to help provide quantitative direction for future cougar management. We analyzed and tested for differences among 7 variables: livestock …

Setting Research Priorities At Wildlife Services’ National Wildlife Research Center, Richard L. Bruggers

Human–Wildlife Interactions

As director of the Wildlife Services’ National Wildlife Research Center (NWRC), I frequently have been asked how the NWRC determines, prioritizes, and implements its research agenda. To answer this question, I will start by giving both a historical overview and an update of the NWRC. The mission of the NWRC is to provide science-based tools and information to resolve human–wildlife conflicts.

The Cost Of Fear, Michael R. Conover

Human–Wildlife Interactions

I hope that someday, we will be able to quantify the lost-opportunity costs associated with human–wildlife conflicts. Until that day, I hope that wildlife biologists and other people who help to make air travel safer have the satisfaction of knowing that what they do is important. They help people live better, safer, and more enjoyable lives. I cannot think of a higher calling than that. In tribute to them, I am pleased that this issue of Human–Wildlife Conflicts features several articles on the topic of bird–aircraft collisions. These include studies examining techniques that can reduce the danger of bird–aircraft collisions …

Safety Management Systems: How Useful Will The Faa National Wildlife Strike Database Be?, Richard A. Dolbeer, Sandra E. Wright

Human–Wildlife Interactions

The National Wildlife Strike Database for Civil Aviation in the United States became operational in 1995 with the initiation of data entry of all strike reports beginning in 1990. The database contained 82,057 reported strikes from 1990 to 2007. About 9,800 of these strike reports noted damage to the aircraft, of which 2,700 indicated the damage was substantial. The database has proven to be a useful source of objective information on the extent and nature of wildlife strikes for personnel at individual airports and for researchers and regulatory agencies at the national level. With the impending requirement for airports in …

Forensic Bird-Strike Identification Techniques Used In An Accident Investigation At Wiley Post Airport, Oklahoma, 2008, Carla J. Dove, Nor Faridah Dahlan, Marcy Heacker

Human–Wildlife Interactions

On March 4, 2008, a Cessna Citation 1 (Model 500) crashed in a wooded area near Wiley Post Airport, Oklahoma, killing all 5 people on board. This paper describes the detailed forensic methods and expertise used by the Smithsonian Institution’s Feather Identification Lab to identify the bird that caused this bird-strike incident. We used standard methods of whole-feather analysis, microscopic examination, and DNA barcoding in this case to identify American white pelican (Pelecanus erythrorhynchos) as the bird species involved in this fatal crash. We also report the importance of proper field investigation and evidence collection for accurate results, …

Observations Of Neck-Collared Canada Geese Near John F. Kennedy International Airport, New York, Thomas W. Seamans, Scott E. Clemons, Allen L. Gosser

Human–Wildlife Interactions

Canada geese (Branta canadensis) often cause significant damage when they strike aircraft. They are responsible for a reported minimum of $2.6 million in damage per year to civil aviation in the United States. Knowledge of goose movements in relation to airports would allow wildlife managers to allocate time and funds to manage those populations that pose the greatest threat to aircraft. We placed alpha-numeric neck collars on 300 Canada geese within 8 km of both John F. Kennedy International Airport (JFKIA) and LaGuardia Airport in New York, New York. We conducted weekly observations for 2 years within a …

In The News, Joe N. Caudell

Human–Wildlife Interactions

Bird dogs of a different feather-- A report from the website of 10 Connect News of Tampa, Florida, reported that a bird-chasing border collie, a breed of dog, is being used to harass birds at airports. The dog is just 1 part of MacDill Airforce Base’s safety management program to reduce damage at airfields.

Recent bird strikes from around the world--Bucharest, Romania, Denver, Colorado, Rome, Italy

Pilot lands plane in Hudson River--One of the most widely-reported recent birdstrike disasters occurred on January 15, 2009, in New York City. The incident involved US Airways Flight 1549 with 155 people on board. …

Birds And Aircraft—Fighting For Airspace In Ever More Crowded Skies, Richard A. Dolbeer

Human–Wildlife Interactions

This special issue of Human–Wildlife Conflicts (HWC) was conceived 1 year ago by Bird Strike Committee–USA (BSC–USA) and the Berryman Institute. Our premise was that the collision of aircraft with birds (bird strikes) and other wildlife is a growing problem about which the general public and most scientists and wildlife biologist know very little. Furthermore, although considerable work has been done to mitigate the risks caused by bird strikes, there have been few peer-reviewed publications of these research and management efforts. Thus, our 2 goals were to (1) educate the broad readership of HWC about the growing safety and economic …

Role Of Near-Miss Bird Strikes In Assessing Hazards, Matthew W. Klope, Robert C. Beason, Timothy J. Nohara, Michael J. Begier

Human–Wildlife Interactions

Management of problem wildlife within the airfield environment is a difficult job. Today’s Bird–Animal Aircraft Strike Hazard (BASH) program managers require as much information as possible to accomplish their tasks. Bird censuses and actual bird-strike events in and around the air operations area are used to make airfield management decisions and to assess the risk of bird hazards to aircraft. Both types of information are sampled rather sparsely. Avian radar is now being used as a new tool to provide continuous sampling of bird activity that significantly supplements visual censuses. The measure of risk used today is commonly expressed as …

Personal And Corporate Liability In The Aftermath Of Bird Strikes: A Costly Consideration, Larry A. Dale

Human–Wildlife Interactions

This paper details liability issues inherent in bird–aircraft collisions (bird-strike) incidents at airports and discusses how airport managers and operators must strive to conduct accurate assessments and develop and implement an effective wildlife management plan. Such efforts are mandated by Federal Aviation Administration (FAA) regulations, and failure to follow them may result in loss of human life and property, as well as large financial penalties for managers and operators and adverse media attention and public criticism for the airport authority.

Molt Migration By Giant Canada Geese In Eastern South Dakota, Charles D. Dieter, Bobby J. Anderson

Human–Wildlife Interactions

We captured giant Canada geese (Branta canadensis maxima) in 7 counties in eastern South Dakota during the summer molting period, 2000–2003. We attached very high frequency (VHF) transmitters to 150 adult female geese with brood patches, and leg bands to 3,839 geese. We documented molt migrations using VHF telemetry and indirect band recovery at locations north of South Dakota. Telemetry of radio-collared female geese during the breeding season indicated that 56% of nonbreeders, 81% of unsuccessful breeders, and 19% of successful female breeders embarked on a molt migration. Five of 34 geese that underwent molt migrations moved to …

Burrowing Owl And Other Migratory Bird Mitigation For A Runway Construction Project At Edwards Afb, Amber L. Hoen, Mark Hagan, Mark Bratton

Human–Wildlife Interactions

Edwards Air Force Base (AFB) scheduled the construction of a runway in the spring of 2007. The runway would be in an area that contained migratory birds and their habitat. The construction project would be near Edwards AFB main runway and had the potential not only to impact species protected under the Migratory Bird Treaty Act (MBTA), including the burrowing owl (Athene cunicularia), but also to increase bird and wildlife–aircraft strike hazards in the active flightline areas. To discourage nesting in the project area, reduce the potential for bird and wildlife–aircraft strikes, and maintain compliance with federal environmental …

A Decade Of U.S. Air Force Bat Strikes, Suzanne C. Peurach, Carla J. Dove, Laura Stepko

Human–Wildlife Interactions

From 1997 through 2007, 821 bat strikes were reported to the U.S. Air Force (USAF) Safety Center by aircraft personnel or ground crew and sent to the National Museum of Natural History, Smithsonian Institution, for identification. Many samples were identified by macroscopic and or microscopic comparisons with bat specimens housed in the museum and augmented during the last 2 years by DNA analysis. Bat remains from USAF strikes during this period were received at the museum from 40 states in the United States and from 20 countries. We confirmed that 46% of the strikes were caused by bats, but we …

Using Wedelia As Ground Cover On Tropical Airports To Reduce Bird Activity, Michael A. Linnell, Michael R. Conover, Tim J. Ohashi

Human–Wildlife Interactions

aircraft collisions (i.e., bird strikes) are a major problem at airports worldwide, often because birds are attracted to airfields to feed on seeds, insects, or rodents that abound in the grassy areas near runways and taxiways. We compared an alternative ground cover, wedelia (Wedelia trilobata), to existing vegetation (control plots) on the airfield at Lihue Airport, Kauai, Hawaii, to determine if bird populations on the airport could be reduced by eliminating their forage base. We studied wedalia because it is a low-growing plant that did not need mowing, was easily established in plots, and out-competed other plants, resulting …

Extending Hiv Prevention: People Living With Hiv/Aids (Plwha) Strategize To Reduce Stigma And Promote Hiv Testing, Tiffiany M. Cummings Aholou, Su-I Hou, Tanisha S. Grimes

Journal of the Georgia Public Health Association

Strategies to reduce acquired immunodeficiency syndrome (AIDS)‐related stigma are paramount to promoting effective HIV prevention. As in the case of HIV antibody testing, despite the benefits of early detection, links to care, and risk behavior modification, nearly 250,000 people are unaware of their HIV status. AIDS‐related stigma has impeded such efforts due to discrimination, ignorance and other forms of stigma. These issues related to stigma and HIV testing are magnified when placed in the context of the rural Deep South region of the United States, where the incidence of HIV/AIDS are growing at alarming rates. The purpose of this paper …

Faculty Tenure Report, Fall 2009, University Of Northern Iowa. Office Of Institutional Research.

Institutional Effectiveness & Planning Documents

Statistical report showing the number of faculty that are tenured, on the tenure track, or not on the tenure track, broken down by college, department, gender, minority status, and if full or part time.

A Serious Man, Carol Linnitt

Journal of Religion & Film

This is a review of A Serious Man (2009).

Tcl Letter Volume 9 Issue 2, Touro College Libraries

Yearbooks and Newsletters

No abstract provided.

The Psychology Of Conflicts Of Interest In Criminal Cases, Tigran W. Eldred

Faculty Scholarship

This article demonstrates that current Sixth Amendment jurisprudence fails to account for how defense lawyers respond to conflicts of interest in criminal cases. Too often, the Supreme Court has made assumptions about the behavior of defense lawyers without empirical support. The result has been a confusing doctrinal landscape, which both relies upon and questions the ability of defense lawyers to address and resolve conflicts of interest.

This article fills the gap in existing literature by viewing conflicts of interest in criminal cases through the prism of behavioral economics. The research reveals that defense lawyers are subject to psychological biases that …