Digital Commons Network^™

Writing Panels Articulate Extension Public Value In The West, Ja.N B. Carroll, Roxie Rogers Dinstel, Linda Marie Manton

Journal of Extension

In every era, publically funded programs seek to document their value. During the centennial celebrations of Cooperative Extension's legislation and establishment, this cry for data became even louder and the demand more intense. The Western Extension Directors Association (WEDA) tasked their Western Region Program Leadership Committee (WRPLC) to determine common measures in hopes that 15 Western States could aggregate data and effectively present results of Extension's work to stakeholders. Panels of experts from western land-grant universities were convened for an orientation to public value and a 24-hour "lock down" writing session. This tool resulted in six formatted white papers.

Bomb Blast Injuries: An Exploration Of Patient Characteristics And Outcome Using Pakistan National Emergency Departments Surveillance (Pak-Neds) Data., Irum Qamar Khan, Nadeem Ullah Khan, Rubaba Naeem, Salima Kerai, Kate Allen, Nukhba Zia, Sana Shahbaz, Shiraz Qayoom Afridi, Emaduddin Siddiqui, Uzma Rahim Khan, Adnan A. Hyder, Junaid Abdul Razzak

Department of Emergency Medicine

BACKGROUND:

Bomb blast injuries result in premature deaths and burdening of healthcare systems. The objective of this study was to explore the characteristics and outcome of patients presenting to the emergency departments in Pakistan with bomb blast injuries.

METHODS:

Active surveillance was conducted in seven major emergency departments of Pakistan from November 2010-March 2011. All the sites are tertiary care urban centers. All the patients who presented to the hospital's emergency department (ED) following a bomb blast injury as per self-report or the ambulance personnel were included in the study. Frequency of demographics, injury pattern, and outcomes were calculated.

RESULTS: …

Overcrowding In The Emergency Departments: Challenges And Opportunities For Improvement, Muhammad Akbar Baig, Asad Mian, Fatima Najeeb, Hira Shahzad

Department of Emergency Medicine

With the advent of Emergency Medicine, one can observe an increase in the number of Emergency Departments (ED) across the country. However, most EDs struggle due to an overwhelming number of patients. Overcrowding can lead to delays in patient care. For a city like Karachi which is an active disaster zone, preemptive preparedness is required in the face of terror threats and such overcrowding needs to be decreased to a bare minimum. The most frequent causes of prolonged length of stay (LOS) in the ED include non-availability of in-hospital beds, delays in response to subspecialty consultations and escalating medical expenses. …

Developing Paediatric Emergency Medicine—An Opinion From A Developing Country Tertiary Care Center, Emaduddin Siddiqui, Shahan Waheed, Irum Qamar Khan

Department of Emergency Medicine

No abstract provided.

Exploring Personal Attitudes Towards Parent Involvement As It Relates To Relational Aggression Acted Out Through Social Media, Karla M. Holland

Dissertations

Relational aggression acted out through social media or cyber bullying is an evergrowing limitedly researched issue that is impacting students and parents alike. A mixedmethod study was conducted using existing older and aspiring younger social workers and counselors to investigate attitudes (focus groups and text box comments) and relationships (surveys) between variables. The research questions asked how attitudes toward cyber bullying based on gender, type of social media, parent versus nonparent status, and involved parent versus not involved parent status. Hypotheses tested correlations between the same elements. Participants were 75 existing social workers and counselors working at a Midwestern school …

Low-Dose Versus Standard-Dose Tissue Plasminogen Activator In Acute Ischemic Stroke In Asian Populations: A Meta-Analysis., Meng-Dong Liu, Wei-Dong Ning, Ren-Cong Wang, Wei Chen, Yang Yang, Yan Lin, Da-Hai Hu, Wayne Bond Lau, Yan Qu

Department of Emergency Medicine Faculty Papers

Recent studies have investigated the most efficacious dose of intravenous tissue plasminogen activator (IV-tPA) for acute ischemic stroke (AIS) patients. There remains no definitive consensus concerning the superior efficacious IV-tPA dose (standard- vs. low-dose), prompting us to perform a meta-analysis comparing the efficacy and safety profile of standard- versus low-dose IV-tPA.We identified relevant studies pertaining to the specific aim of our meta-analysis by searching PubMed and EMBASE (January 1990-September 2015) Either a fixed- or random-effects model was employed (dependent upon data heterogeneity) to analyze the efficacy and safety outcome.Ten cohort studies involving 4389 sum patients were included in the meta-analysis. …

Learning By Design, Design By Learning: An Investigation Into (Re)Designing A Rochester School For The Future Of Learning, Catherine C. Lange

Theses

School buildings and their learning environments have remained relatively static over time. Many of the classrooms still in use today were built for traditional, “chalk-n-talk” pedagogies and passive learning; they are not prepared for today’s more active learning approaches.1 Innovative schools are beginning to adopt new curricula and pedagogical strategies that align with research being done on student learning outcomes. In Rochester, New York, an initiative called the Rochester Schools Modernization Program (RSMP) has secured $325 million from New York State for Phase I of an effort to redesign, renovate and update 12 existing schools. Later phases will address the …

American Sign Language Recognition System By Using Surface Emg Signal, Celal Savur

Theses

Sign Language Recognition (SLR) system is a novel method that allows hard of hearing to communicate with general society. In this study, American Sign Language (ASL) recognition system was proposed by using the surface Electromyography (sEMG). The objective of this study is to recognize the American Sign Language alphabet letters and allow users to spell words and sentences. For this purpose, sEMG data are acquired from subject right forearm for twenty-seven American Sign Language gestures of twenty-six English alphabets and one for home position. Time and frequency domain (band power) information used in the feature extraction process. As a classification …

Vaccine Access And Affordability In A Coordinated Market Under Stochastic Reservation Prices, Galo Mosquera

Theses

Ensuring vaccine affordability and accessibility are major challenges for the fulfillment of the immunization goals of the Global Vaccine Action Plan for the decade 2011 – 2020. Four of the five immunization goals in this plan are currently delayed because of limitations in vaccine affordability. The use of combination vaccines can help to make vaccines more accessible as long as their pricing becomes more affordable. Procurement mechanisms, such as tiered pricing and pooled procurement, have generally been used for reducing the cost of vaccine purchases, but they have not been used to ensure overall market affordability. This study extends the …

Open Up, Mahima Tuladhar

Theses

pen up is a graduate 2D animation thesis with a run time of 6 minutes and 27 seconds. It explores the strained relationship between a boy and his father. In amidst of a fight between the two the boy run’s out of the house following a light wisp. It leads him to a cliff where a woman in a black cloak stands. She gives the boy a very magical experience and a reminder of the love he once had with his family. He goes back home where he reminds his father about the love they once had and that they …

A Synthetic Lethality Screen Using A Focused Sirna Library To Identify Sensitizers To Dasatinib Therapy For The Treatment Of Epithelial Ovarian Cancer., Harsh B Pathak, Yan Zhou, Geetika Sethi, Jeff Hirst, Russell J Schilder, Erica A Golemis, Andrew K Godwin

Department of Medicine Faculty Papers

Molecular targeted therapies have been the focus of recent clinical trials for the treatment of patients with recurrent epithelial ovarian cancer (EOC). The majority have not fared well as monotherapies for improving survival of these patients. Poor bioavailability, lack of predictive biomarkers, and the presence of multiple survival pathways can all diminish the success of a targeted agent. Dasatinib is a tyrosine kinase inhibitor of the Src-family kinases (SFK) and in preclinical studies shown to have substantial activity in EOC. However, when evaluated in a phase 2 clinical trial for patients with recurrent or persistent EOC, it was found to …

Banning The Handshake From Healthcare Settings Is Not The Solution To Poor Hand Hygiene, Herbert L Fred

The Texas Heart Institute Journal

No abstract provided.

Endometrial Stromal Sarcoma Metastatic From The Uterus To The Inferior Vena Cava And Right Atrium, Daniel Scher, William Nghiem, Salim Aziz, Rodeen Rahbar, Whitney Banks, Anthony Venbrux, Shawn Sarin

The Texas Heart Institute Journal

Endometrial stromal sarcoma metastases usually occur within the pelvis and rarely involve the great vessels or the heart. We present the case of a 55-year-old woman who was referred for endovascular therapy to treat presumed thrombosis of the inferior vena cava. The suspected thrombus was recalcitrant to endovascular removal with use of an AngioVac venous drainage device. Results of an intraprocedural transvenous biopsy revealed the mass to be the intravascular extension of an endometrial stromal sarcoma. The patient underwent surgical excision of the tumor, and, shortly thereafter, a hysterectomy and salpingo-oophorectomy. This complex case highlights both the rarity of malignancy …

Microaxial Flow Left Ventricular Assist Device As A Bridge To Transplantation After Lvad Malfunction, Heidi J Reich, Aamir Shah, Babak Azarbal, Jon Kobashigawa, Jaime Moriguchi, Lawrence Czer, Fardad Esmailian

The Texas Heart Institute Journal

Evolving technology and improvements in the design of modern, continuous-flow left ventricular assist devices have substantially reduced the rate of device malfunction. As the number of implanted devices increases and as survival prospects for patients with a device continue to improve, device malfunction is an increasingly common clinical challenge. Here, we present our initial experience with an endovascular microaxial flow left ventricular assist device as a successful bridge to transplantation in a 54-year-old man who experienced left ventricular assist device malfunction.

The Intersection Of Civil And Religious Family Law In The U.S. Constitutional Order: A Mild Legal Pluralism, Linda C. Mcclain

Faculty Scholarship

This chapter considers how civil and religious family law intersect in the U.S. legal system and how U.S. constitutional law shapes and constrains the accommodation of religious pluralism as it pertains to family law. To the question, “Is there too much or too little pluralism in U.S. family law?,” I answer that family law appropriately embraces a mild legal pluralism, while clearly distinguishing between civil and religious marriage. After illustrating this distinction in the context of the recent controversy over same-sex marriage, I consider two categories of cases: (1) cases in which courts consider whether to enforce terms of Jewish …

An Analysis Of The Financial Impact Of Changing Athletic Conference Affiliation Within The Ncaa, Christopher Parker

Doctoral Dissertations and Projects

The purpose of this causal comparative study was to provide Division I athletic programs with athletic and institutional fundraising insight when considering a change in athletic conference affiliation. The study provided descriptive data regarding athletic conference affiliation pre and post-conference change. The research evaluated if there was a significant increase in athletic and educational fundraising when changing athletic conferences. The quantitative study compared educational and athletic foundations’ IRS 990 forms for 15 NCAA Division 1 institutions that changed athletic conferences between 2012 and 2013. Data was analyzed using an ANOVA and t-tests from the institutions’ academic and athletic foundations. The …

Individual Responses For Muscle Activation, Repetitions, And Volume During Three Sets To Failure Of High- (80% 1rm) Versus Low-Load (30% 1rm) Forearm Flexion Resistance Exercise, Nathaniel D. M. Jenkins, Terry J. Housh, Samuel L. Buckner, Haley C. Bergstrom, Kristen C. Cochrane, Cory M. Smith, Ethan C. Hill, Richard J. Schmidt, Joel T. Cramer

Kinesiology and Health Promotion Faculty Publications

This study compared electromyographic (EMG) amplitude, the number of repetitions completed, and exercise volume during three sets to failure of high- (80% 1RM) versus low-load (30% 1RM) forearm flexion resistance exercise on a subject-by-subject basis. Fifteen men were familiarized, completed forearm flexion 1RM testing. Forty-eight to 72 h later, the subjects completed three sets to failure of dumbbell forearm flexion resistance exercise with 80% (n = 8) or 30% (n = 7) 1RM. EMG amplitude was calculated for every repetition, and the number of repetitions performed and exercise volume were recorded. During sets 1, 2, and 3, one …

Young Adult Saudi Learners With Low-Level Literacy, Randy Allen Heuring

School of Education and Leadership Student Capstone Theses and Dissertations

The guiding question addressed in this curriculum project was, how should phonics be used to improve the English acquisition success rate of Saudi military students? It documents the design and creation of a specialized unit that takes into account all aspects of student learning based on prior knowledge, educational background, cultural values, interest, and motivation. The author integrates newly developed, modified, and existing curriculum, based on relevant research into the methods. The author documents the details of the unit and uses related research literature to construct meaning and validate the curriculum. He describes both success and struggles in implementing the …

Resurrecting Health Care Rate Regulation, Erin C. Fuse Brown

UC Law Journal

Our excess health care spending in the United States is driven largely by our high health care prices. Our prices are so high because they are undisciplined by market forces, in a health care system rife with market failures, which include information asymmetries, noncompetitive levels of provider market concentration, moral hazard created by health insurance, multiple principal-agent relationships with misaligned incentives, and externalities from unwarranted price variation and discrimination. These health care market failures invite a regulatory solution. An array of legal and policy solutions are typically advanced to control our health care prices and spending, including: (1) market solutions …

Intraventricular Sialidase Administration Enhances Gm1 Ganglioside Expression And Is Partially Neuroprotective In A Mouse Model Of Parkinson's Disease., Jay S Schneider, Thomas N Seyfried, Hyo-S Choi, Sarah Kidd

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

BACKGROUND: Preclinical and clinical studies have previously shown that systemic administration of GM1 ganglioside has neuroprotective and neurorestorative properties in Parkinson's disease (PD) models and in PD patients. However, the clinical development of GM1 for PD has been hampered by its animal origin (GM1 used in previous studies was extracted from bovine brains), limited bioavailability, and limited blood brain barrier penetrance following systemic administration.

OBJECTIVE: To assess an alternative therapeutic approach to systemic administration of brain-derived GM1 to enhance GM1 levels in the brain via enzymatic conversion of polysialogangliosides into GM1 and to assess the neuroprotective potential of this approach. …

The Legacy Of Rudolph Ackermann And Nineteenth-Century British Literary Annuals, Katherine D. Harris

Faculty Research, Scholarly, and Creative Activity

By November 1822, the British reading public had already voraciously consumed both Walter Scott’s expensive novels and Rudolf Ackermann’s exquisite lithographs. The next decade, referred to by some scholars as dormant and unproductive, is in fact bursting with Forget Me Nots, , Keepsakes, and Literary Souvenirs. By wrapping literature, poetry, and art into an alluring package, editors and publishers saturated the market with a new, popular, and best-selling genre, the literary annual. In this excerpt from the introduction to Forget Me Not: The Rise of the British Literary Annual, the foundations of the literary annual, its …

When 1 + 1 > 2: Nanostructured Composites For Hard Tissue Engineering Applications, Vuk Uskoković

Pharmacy Faculty Articles and Research

Multicomponent, synergistic and multifunctional nanostructures have taken over the spotlight in the realm of biomedical nanotechnologies. The most prospective materials for bone regeneration today are almost exclusively composites comprising two or more components that compensate for the shortcomings of each one of them alone. This is quite natural in view of the fact that all hard tissues in the human body, except perhaps the tooth enamel, are composite nanostructures. This review article highlights some of the most prospective breakthroughs made in this research direction, with the hard tissues in main focus being those comprising bone, tooth cementum, dentin and enamel. …

Genome Rearrangements Can Make And Break Small Rna Genes, Rahul Raghavan, Fenil R. Kacharia, Jess A. Millar, Christine Demko Sislak, Howard Ochman

Biology Faculty Publications and Presentations

Small RNAs (sRNAs) are short, transcribed regulatory elements that are typically encoded in the intergenic regions (IGRs) of bacterial genomes. Several sRNAs, first recognized in Escherichia coli, are conserved among enteric bacteria, but because of the regulatory roles of sRNAs, differences in sRNA repertoires might be responsible for features that differentiate closely related species. We scanned the E. coli MG1655 and Salmonella enterica Typhimurium genomes for nonsyntenic IGRs as a potential source of uncharacterized, species-specific sRNAs and found that genome rearrangements have reconfigured several IGRs causing the disruption and formation of sRNAs. Within an IGR that is present in …

Energy-Environment Policy Alignments, Todd S. Aagaard

Faculty Publications

Energy law focuses on making energy widely available at reasonable cost, and environmental law focuses on preventing pollution. As a result of these differences in their respective orientations, the two fields often work incoherently and even in conflict. Historically, federal energy law and environmental law have attempted to manage their interrelationships by imposing negative constraints on each other: Energy policies of the Federal Energy Regulatory Commission (FERC) must comply with requirements set forth in environmental statutes, and the Environmental Protection Agency’s (EPA’s) statutes contain energy-related requirements and exemptions. More recently, however, FERC and EPA have begun developing policies that create …

Special Needs Children And Mental Health, Nancy J. Carbonell

Faculty Publications

What do these stories have in common? They are representative of many students who experience learning difficulties while at the same time struggling with mental or emotional issues. Special-needs teachers see children like Brandon, Carmen, and Jake in their classrooms every day. It is estimated that in the U.S., 37 percent of children with special needs also need mental-health care. That is approximately one in every three special-needs students! This is particularly challenging for teachers whose training did not include how to deal with children experiencing mental-health issues.

Girls In Emergencies Collaborative—Catalyzing Action-Learning: Meeting Summary, Girls In Emergencies Collaborative

Adolescents and Young People

Brief report prepared by the members of the Girls in Emergencies Collaborative: International Rescue Committee; Mercy Corps; Human Rights Program, Arnold Institute of Global Health at Mount Sinai; Plan USA; the Population Council; and the Women’s Refugee Commission.

A Pedagogy Of Inquiry, Nicole Pagowsky

Communications in Information Literacy

Library instruction continues to evolve. Regardless of the myriad and conflicting opinions academic librarians have about the ACRL Framework for Information Literacy, the debates and the document itself have engendered greater discourse surrounding how and why librarians teach. The Framework provides an additional push toward designing instruction with big ideas rather than a skills-based curriculum. However, we still must contend with constraints imposed upon us by higher education taking on business models and enforcing a skills agenda. To enact the pedagogy of the Framework in contrast to changes in higher education presents a challenge. We should consider ways in which …

Book Review: Curriculum-Based Library Instruction: From Cultivating Faculty Relationships To Assessment, Maureen Knapp

Communications in Information Literacy

No abstract provided.

Tunneling A Pulmonary Artery Graft: A Simplified Way To Insert And Remove A Temporary Right Ventricular Assist Device, Pankaj Saxena, Silvana F Marasco

The Texas Heart Institute Journal

Right ventricular failure can occur early or late after left ventricular assist device implantation. Support with a right ventricular assist device is needed in patients whose right ventricular failure does not respond to conservative management. The use of a temporary right ventricular assist device can enable the recovery of right ventricular function and avoid the use of a more permanent biventricular assist device, which is associated with complications and higher costs. We present our technique of instituting temporary right ventricular assist device support in patients who have undergone left ventricular assist device implantation.

Multivariate Criteria Most Accurately Distinguish Cardiac From Noncardiac Causes Of Dyspnea, Mirza Nubair Ahmad, Syed Hasan Yusuf, Rafath Ullah, Mirza Mujadil Ahmad, Mary K Ellis, Haroon Yousaf, Timothy E Paterick, Khawaja Afzal Ammar

The Texas Heart Institute Journal

Cardiopulmonary exercise testing provides oxygen pulse as a continuous measure of stroke volume, which is superior to other stress-testing methods in which systolic function is measured at baseline and at peak stress. However, the optimal peak oxygen pulse criterion for distinguishing cardiac from noncardiac causes of exercise limitation is unknown.

In comparing several peak oxygen pulse criteria against the clinical standard of cardiopulmonary exercise testing, we retrospectively studied 54 consecutive patients referred for cardiopulmonary exercise testing. These exercise tests included measurement of oxygen consumption, carbon dioxide production, breathing reserve, arterial blood gases at baseline and at peak stress, exercise electrocardiogram, …