Digital Commons Network^™

Partnership Launched To Increase International Recruitment At Uab, Jim Bakken

Browse All News

No abstract provided.

The Our Florida Reefs Coastal Use Survey: An Online Survey To Support Stakeholder Management Recommendations For Southeast Florida, Amanda Rose Costaregni

HCNSO Student Theses and Dissertations

Coral reefs are an important resource world-wide. Unfortunately, coral reef conditions are declining in many areas due to both global and local stressors. The objective of this study was to survey stakeholders in southeast Florida to better understand reef use in the region. Stakeholders spatially identified where and how often they conducted their activities. These data were compiled and analyzed in GIS to determine spatial use patterns. Both location and intensity of use were analyzed to determine which areas may be under greater stress from recreational activities. It was found that reef use was not evenly distributed in the region …

Inverse Modelling Of The Reversely Magnetized, Shallow Plumbing System Hosting Oil Reservoirs Of The Auca Mahuida Volcano (Payeina Retroarc, Neuquén Basin, Argentina), John Paine, Riccardo De Ritis, Guido Ventura, Mariana Longo, Dhananjay Ravat, Fabio Speranza, Massimo Chiappini

Earth and Environmental Sciences Faculty Publications

The Auca Mahuida volcano (2.03–0.88 Ma) located east of the Andean thrust front in the Neuquén basin (Argentina) hosts an oil system of thermogenic origin and is affected by the NW–SE striking-faults. Intrusive bodies and the underlying Jurassic sediments constitute the reservoir rocks. Aeromagnetic data collected in the Auca Mahuida area detected multiple dipolar magnetic anomalies, many of which have reverse polarity. Palaeomagnetic measurements on rock samples collected in the field together with available age determinations indicate that the reversely magnetized sources were mainly emplaced during the Matuyama reverse polarity chron while the normal polarity sources were emplaced during the …

Intentional And Unintentional Poisoning In Pakistan: A Pilot Study Using The Emergency Departments Surveillance Project., Nadeem Ullah Khan, Ricardo Pérez-Núñez, Nudrat Shamim, Uzma Rahim Khan, Naureen Naseer, Asher Feroze, Junaid Abdul Razzak, Adnan A. Hyder

Department of Emergency Medicine

Background: Acute poisoning is one of the most common reasons for emergency department visits around the world. In Pakistan, the epidemiological data on poisoning is limited due to an under developed poison information surveillance system. We aim to describe the characteristics associated with intentional and unintentional poisoning in Pakistan presenting to emergency departments.
Methods: The data was extracted from the Pakistan National Emergency Department Surveillance (Pak-NEDS) which was an active surveillance conducted between November 2010 and March 2011. All patients, regardless of age, who presented with poisoning to any of Pakistan's seven major tertiary care centers' emergency departments, were included. …

The Pakistan National Emergency Department Surveillance Study (Pak-Neds): Introducing A Pilot Surveillance, Mohammed Umer Mir, Abdulgafoor M. Bachani, Haseeb Khawaja, Shiraz Qayoom Afridi, Sabir Ali, Muhammad Mujeeb Khan, Seemin Jamali, Fareed Ahmed Sumalani, Adnan A. Hyder, Junaid Abdul Razzak

Department of Emergency Medicine

Background: Evidence-based decision making is essential for appropriate prioritization and service provision by healthcare systems. Despite higher demands, data needs for this practice are not met in many cases in low- and middle-income countries because of underdeveloped sources, among other reasons. Emergency departments (EDs) provide an important channel for such information because of their strategic position within healthcare systems. This paper describes the design and pilot test of a national ED based surveillance system suitable for the Pakistani context.
Methods: The Pakistan National Emergency Department Surveillance Study (Pak-NEDS) was pilot tested in the emergency departments of seven major tertiary healthcare …

Pattern Of Fall Injuries In Pakistan: The Pakistan National Emergency Department Surveillance (Pak-Neds) Study., Jabeen Fayyaz, Shirin Wadhwaniya, Hira Shahzad, Asher Feroze, Nukhba Zia, Mohammed Umer Mir, Uzma Rahim Khan, Sumera Iram, Sabir Ali, Junaid Abdul Razzak, Adnan A. Hyder

Department of Emergency Medicine

Background: We aimed to analyse the frequency and patterns of fall-related injuries presenting to the emergency departments (EDs) across Pakistan.
Methods: Pakistan National Emergency Departments surveillance system collected data from November 2010 to March 2011 on a 24/7 basis using a standardized tool in seven major EDs (five public and two private hospitals) in six major cities of Pakistan. For all patients presenting with fall-related injuries, we analysed data by intent with focus on unintentional falls. Simple frequencies were run for basic patient demographics, mechanism of falls, outcomes of fall injuries, mode of arrival to ED, investigations, and procedures with …

Characteristics Of Chest Pain And Its Acute Management In A Low-Middle Income Country: Analysis Of Emergency Department Surveillance Data From Pakistan, Nino Paichadze, Badar Afzal Khan, Nukhba Zia, Rakshinda Mujeeb, Muhammad Mujeeb Khan, Junaid Ali Razzak

Department of Emergency Medicine

Background:

Chest pain is one of the most frequent causes of emergency department (ED) visits in high-income countries. Little is known about chest pain patients presenting to EDs of low- and middle-income countries (LMICs). The objective of this study was to describe the characteristics of chest pain patients presenting to emergency departments (EDs) of Pakistan and to determine the utilization of ED resources in the management of chest pain patients and their outcomes.

Methods:

This study used pilot active surveillance data from seven major EDs in Pakistan. Data were collected on all patients presenting to the EDs of the participating …

How Vital Are The Vital Signs? A Multi-Center Observational Study From Emergency Departments Of Pakistan, Amber Mehmood, Siran He, Waleed Zafar, Mirza Noor Ali Baig, Fareed Ahmed Sumalani, Junaid Razzak

Department of Emergency Medicine

Background: Vital signs play a critical role in prioritizing patients in emergency departments (EDs), and are the foundation of most triage methods and disposition decisions. This study was conducted to determine the frequency of vital signs documentation anytime during emergency department treatment and to explore if abnormal vital signs were associated with the likelihood of admission for a set of common presenting complaints.
Methods: Data were collected over a four-month period from the EDs of seven urban tertiary care hospitals in Pakistan. The variables included age, sex, hospital type (government run vs. private), presenting complaint, ED vital signs, and final …

The Pediatric Disease Spectrum In Emergency Departments Across Pakistan: Data From A Pilot Surveillance System, Huba Atiq, Emaduddin Siddiqui, Surraya Bano, Asher Feroze, Sayyeda Ghazala Kazi, Jabeen Fayyaz, Shivam Gupta, Junaid A. Razzak, Adnan A Hyder, Asad Mian

Department of Emergency Medicine

Background: There is an increasing number of urgently ill and injured children being seen in emergency departments (ED) of developing countries. The pediatric disease burden in EDs across Pakistan is generally unknown. Our main objective was to determine the spectrum of disease and injury among children seen in EDs in Pakistan through a nationwide ED-based surveillance system.
Methods: Through the Pakistan National Emergency Department Surveillance (Pak-NEDS), data were collected from November 2010 to March 2011 in seven major tertiary care centers representing all provinces of Pakistan. These included five public and two private hospitals, with a collective annual census of …

Uncovering The Burden Of Intentional Injuries Among Children And Adolescents In The Emergency Department, Uzma R. Khan, Butool Hisam, Nukhba Zia, Mohammed Umer Mir, Olakunle Alonge, Seemin Jamali, Adnan Hyder, Junaid Abdul Razzak

Department of Emergency Medicine

Introduction: In low- and middle-income countries, injuries are a leading cause of mortality in children. Much work has been done in the context of unintentional injuries but there is limited knowledge about intentional injuries among children. The objective of this paper was to understand the characteristics of children with intentional injuries presenting to emergency departments in Pakistan.
Methods: The data was from the Pakistan National Emergency Departments Surveillance (Pak-NEDS), conducted from November 2010 to March 2011 in seven major emergency departments of Pakistan. Data on 30,937 children under 18 years of age was collected. This paper reports frequency of intentional …

Dead On Arrival In A Low-Income Country: Results From A Multicenter Study In Pakistan, Munawar Khursheed, Junaid Ahmad Bhatti, Fatima Parukh, Asher Feroze, Syed Saad Naeem, Haseeb Khawaja, Junaid Razzak

Department of Emergency Medicine

BACKGROUND:

This study assessed the characteristics of dead on arrival (DOA) patients in Pakistan.

METHODS:

Data about the DOA patients were extracted from Pakistan National Emergency Department Surveillance study (Pak-NEDS). This study recruited all ED patients presenting to seven tertiary care hospitals during a four-month period between November 2010 and March 2011. This study included patients who were declared dead-on-arrival by the ED physician.

RESULTS:

A total of 1,557 DOA patients (7 per 1,000 visits) were included in the Pak-NEDS. Men accounted for two-thirds (64%) of DOA patients. Those aged 20-49 years accounted for about 46% of DOA patients. Nine …

Emergency Care Of Traumatic Brain Injuries In Pakistan: A Multicenter Study, Junaid Ahmad Bhatti, Kent Stevens, Muhammad Umer Mir, Adnan Ali Hyder, Junaid Razzak

Department of Emergency Medicine

Background:

This study assessed factors associated with emergency care outcomes and out-of-pocket treatment costs in traumatic brain injury (TBI) patients in Pakistan.

Methods:

Data on TBI patients were extracted from a four-month surveillance study conducted in the emergency departments (ED) of seven large teaching hospitals. Emergency care access to physicians and imaging facilities were compared with respect to ED outcomes (discharged, admitted or dead). Out-of-pocket treatment costs (in United States dollars [USD]) were compared among different patient strata.

Results:

ED outcomes were available for 1,787 TBI patients. Of them, most were males (79%), aged <25 years (46%) and arrived by ambulances (32%). Nurses or paramedical staff saw almost all patients (95%). Physicians with practice privileges (medical officers, residents or consultants) saw about half (55%) of them. Computerized tomography (CT) scans were performed in two of five patients (40%). Of all, 26% (n = 460) were admitted and 3% died (n = 52). Emergency care factors significantly associated with being admitted or died were arriving by ambulance (adjusted odds ratio [aOR] = 2.37, 95% confidence interval (CI) [95%CI] = 1.78-3.16); seen by medical officer/residents (aOR = 2.11; 95%CI = 1.49-2.99); and had CT scan (aOR = 2.93; 95%CI = 2.25-3.83). Out-of-pocket treatment costs at the ED were reported in 803 patients. Average costs were USD 8, (standard deviation [SD] = 23). Costs were twice as high in those arriving in ambulances (USD 20, SD = 49) or who underwent CT scans (USD 16, SD = 37).

Conclusion:

TBI patients' access to ambulance …

Ambulance Use In Pakistan: An Analysis Of Surveillance Data From Emergency Departments In Pakistan., Nukhba Zia, Hira Shahzad, Syed Muhammad Baqir, Shahab Shaukat, Haris Ahmad, Courtland Robinson, Adnan Ali Hyder, Junaid Razzak

Department of Emergency Medicine

Background:

The utilization of ambulances in low- and middle-income countries is limited. The aim of this study was to ascertain frequency of ambulance use and characteristics of patients brought into emergency departments (EDs) through ambulance and non-ambulance modes of transportation.

Methods:

The Pakistan National Emergency Departments Surveillance (Pak-NEDS) was a pilot active surveillance conducted in seven major tertiary-care EDs in six main cities of Pakistan between November 2010 and March 2011. Univariate and multivariate logistic regression was performed to investigate the factors associated with ambulance use.

Results:

Out of 274,436 patients enrolled in Pak-NEDS, the mode of arrival to the …

Pattern Of Presenting Complaints Recorded As Near-Drowning Events In Emergency Departments: A National Surveillance Study From Pakistan., Siran He, Jeffrey C. Lunnen, Nukhba Zia, Uzma Rahim Khan, Khusro Shamim, Adnan Ali Hyder

Department of Emergency Medicine

Background:

Drowning is a heavy burden on the health systems of many countries, including Pakistan. To date, no effective large-scale surveillance has been in place to estimate rates of drowning and near-drowning in Pakistan. The Pakistan National Emergency Department Surveillance (Pak-NEDS) study aimed to fill this gap.

Method:

Patients who presented with a complaint of “near-drowning” were analyzed to explore patterns of true near-drowning (unintentional) and intentional injuries that led to the “near-drowning” complaint. Bivariate analysis was done to establish patterns among patients treated in emergency departments, including socio-demographic information, injury-related information, accompanying injuries, and emergency department resource utilization.

Result: …

Incentives Critical To Full Wind Power Potential In Nebraska, Michael Neale

Op-Eds from ENSC230 Energy and the Environment: Economics and Policies

On August 3rd, President Obama and the EPA announced the Clean Power Plan (CPP) with the goal of cutting 32% of carbon emissions nationwide by 2030. The plan institutes carbon reduction requirements for all states based on their current sources of energy, for Nebraska the goal is 40%. The next day, Governor Ricketts and his Attorney General announced they would be fighting the mandate in court; stating the plan is unlawful federal government overreach, while expressing concerns the reduction are infeasible in the timeframe given and will drive up electricity costs. Governor Ricketts misses the point on this. Reducing carbon …

The Tax Of The Century, Anna Wistrom

Op-Eds from ENSC230 Energy and the Environment: Economics and Policies

The current economic standing of the United States is nothing like it was back in the 20’s when “business was booming”. There are some businesses today that are still above water despite these difficult times and they are mainly fossil fuel companies. The United States, along with other develOp-ed and developing countries, has a strong and crippling addiction to these cheap and dirty fuels. The goal of several recent environmental conventions has been to find a way to decrease the amount harmful gas that is emitted from these fuels into our atmosphere. Clean energy technologies always seem to be the …

Usa V. Arnell Monroe

2015 Decisions

USDC for the Middle District of Pennsylvania

Emu Today, December 11, 2015, Eastern Michigan University

EMU Today

No abstract provided.

Emu Today, December 10, 2015, Eastern Michigan University

EMU Today

No abstract provided.

Emu Today, December 9, 2015, Eastern Michigan University

EMU Today

No abstract provided.

Emu Today, December 8, 2015, Eastern Michigan University

EMU Today

No abstract provided.

Emu Today, December 7, 2015, Eastern Michigan University

EMU Today

No abstract provided.

Emu Today, December 4, 2015, Eastern Michigan University

EMU Today

No abstract provided.

Emu Today, December 3, 2015, Eastern Michigan University

EMU Today

No abstract provided.

[2015-12-11] Meeting Of The Finance, Investment And Property Committee, Virginia Commonwealth University. Board Of Visitors

VCU Board of Visitors Minutes

Official minutes of the VCU Board of Visitors and its Executive Committee.

Does The Use Of A Regional Nerve Block Decrease The Incidence Of Post Operative Nausea And Vomiting, Decrease Pain Scores, Or Decrease Discharge Time Compared To General Anesthesia Alone?, Donald Lane Whitney

Doctoral Projects

Problem Statement: The use of regional anesthesia in orthopedic surgeries has been shown to decrease the rate of postoperative nausea and vomiting (PONV), postoperative pain, and decrease postoperative discharge time. However, some healthcare facilities continue to provide anesthesia for these procedures without the use of regional anesthesia techniques.

Purpose: The purpose of this capstone project was to determine if the addition of a regional anesthetic technique would be beneficial to the patient and cost efficient to the healthcare facility.

Methods: A retrospective chart review was conducted and data collected on the population of interest. Inclusion criteria were patients undergoing orthopedic …

Evaluation Of Vaccination Policies Among Outpatient Oncology Clinics In Utah: A Pilot Study, Karlen Beth Luthy, Sarah L. Stocksdale, Janelle L B Macintosh, Lacey M. Eden, Renea L. Beckstrand, Katherine Edmonds

Faculty Publications

Background: In Utah, all major hospital facilities have employee vaccination policies. However, the presence of health care worker vaccination policies in the Utah outpatient oncology setting was unknown.

Objectives: The objectives were to identify Utah oncology outpatient employee vaccination policies and to identify what consequences, if any, were present for unvaccinated employees.

Methods: This was a cross-sectional, descriptive study design in which clinic managers from outpatient oncology clinics in Utah were asked, via questionnaire, to describe the clinic’s employee vaccination policy and the consequences for refusing the policy.

Findings: Most vaccination policies applied to employees primarily assigned to work in …

Lending A Megaphone To The Muted: The Merits Of Comprehensive Conflict Engagement Through Photovoice In Refugee Resettlement Communities, Birthe C. Reimers

Doctor of International Conflict Management Dissertations

Local refugee resettlement sites are often overlooked as hotspots of conflict because of the unstated assumption that resettlement and escape from militarized conflict automatically mean peace. However, refugees are resettled in local communities into which old conflicts are imported, and where new ones emerge as refugees and locals need to find ways of coexisting despite cultural differences. This research was developed in response to calls by the US Office of Refugee Resettlement and the US Senate Committee on Foreign Relations for grassroots-level data on the challenges faced by residents of resettlement communities and for the development of strategies for promoting …

Advent: What Are You Waiting For?, Neal Deroo

Faculty Work Comprehensive List

"As we struggle not to be overwhelmed by the Christmas season, I wonder: Do we still have a concrete picture of what God’s faithfulness means for us? If Christmas is the beginning of God’s plan of salvation, can we say clearly what we are saved from?"

Posting about waiting for God's promises to be fulfilled from In All Things - an online hub committed to the claim that the life, death, and resurrection of Jesus Christ has implications for the entire world.

http://inallthings.org/advent-what-are-you-waiting-for/

Natural Vs. Anthropogenic Sedimentation: Does Reducing A Local Stressor Increase Coral Resilience To Climate Change?, Francesca Fourney

HCNSO Student Theses and Dissertations

Corals face serious worldwide population declines due to global climate change in combination with direct anthropogenic impacts. Global climate change is difficult to manage locally, but policy makers can regulate the magnitude of local stressors affecting reefs. The objective of this experiment is to investigate if reducing sedimentation will enable reef corals to better endure global climate change. It has been shown that some coral species can handle climate change stress when provided with additional energy resources. Here I tested if the capacity of corals to cope with climate change can be improved when their ability to feed and photosynthesize …