Digital Commons Network^™

Utilization Of A Focus Group To Evaluate The Perceived Stress Levels And Coping Mechanisms Of Student Registered Nurse Anesthetists, Cillora Hicks

Doctoral Projects

Each year, thousands of Student Registered Nurse Anesthetists (SRNAs) matriculate into a nurse anesthesia educational program, confronted with unforeseen challenges and stressors. Although a certain amount of stress is essential to stimulate learning, excessive stress can have dire consequences in delaying a students’ academic and clinical progression. The purpose of this Capstone Project was to explore and describe the perceptions of 12 SRNAs relevant to their stress levels and coping behaviors in the management of academic and personal stress. The clinical research questions guiding the study examined the stress levels and coping behaviors of the SRNAs as measured by the …

Phenylephrine Versus Ephedrine: Safest Vasopressor For The Neonate During Caesarean Section, James S. Hale Jr.

Doctoral Projects

One of the most common side effects of spinal anesthesia is the development of hypotension. Data collected has determined that 80% of parturients that undergo spinal anesthesia for this mode of delivery experience hypotension (Chestnut et al., 2014).

Hypotension, if sustained and severe, can lead to fetal hypoxia, neonatal depression or injury, and decreased uteroplacental perfusion. Hypotension can also cause severe health issues for the parturient including apnea, altered level of consciousness, cardiac arrest, and pulmonary aspiration. This systematic review of the literature was conducted to determine whether the administration of phenylephrine or ephedrine was safer for the neonate to …

The Effects Of Bullying On Sexual Minority Youth: The Importance Of Creating An Inclusive School Climate, Elizabeth A.M. Strunz

Counselor Education Capstones

Sexual minority youth, including lesbian, gay, bisexual, and transgender (LGBT) children and adolescents, are an especially high-risk population for bullying victimization. The purpose of this paper is to examine bullying in general, bullying of LGBT youth, negative outcomes associated with bullying victimization of sexual minority youth, and ways that schools can work to reduce bullying and its subsequent effects. Negative effects of bullying on LGBT youth discussed in this paper include absenteeism, lowered academic achievement, lowered selfesteem, and increased risk of depression and suicide. This paper also examines strategies that schools can use to combat many of these negative effects …

The Murray Ledger And Times, December 11, 2015, The Murray Ledger And Times

The Murray Ledger & Times

No abstract provided.

Julio Gonzales Zamora V. Attorney General United States

2015 Decisions

Agency

Improved Yield And Nitrogen Use Efficiency Of Corn Following Soybean In Irrigated Sandy Loams, Ahmed Attia, Charles A. Shapiro, William Kranz, Mitiku Mamo, Michael Mainz

Haskell Agricultural Laboratory (Northeast Research and Extension Center)

Crop rotation influences yield through its effects on nutrient and pest cycles, soil C, water availability, and soil physical and chemical properties. A cropping system study was conducted from 2004 to 2008 near Brunswick, NE, on sandy loam (Haplustolls) soils to evaluate improvements of irrigated corn (Zea mays L.) yield and N use efficiency (NUE) when following soybean [Glycine max (L.) Merr.] in 2 yr as corn following soybean (CS) or in 3 yr as first-year corn following soybean (C1) and second-year corn following soybean (C2) compared with continuous corn (CC). SPAD readings at V10 and R2 were …

Vedder Authors Forbes Column On Clueless Governance, Ohio University College Of Arts & Sciences

All Forum Articles

No abstract provided.

Chemistry Alum Gets Entrepreneur Award For Work On Hepatitis C Drug, Ohio University College Of Arts & Sciences

All Forum Articles

No abstract provided.

In The Surgical Patient Requiring Neuromuscular Blockade, Is There An Increased Incidence Of Postoperative Adverse Respiratory Events With Rocuronium Or Vecuronium?, Martha Claudine Boos

Doctoral Projects

It is estimated that up to 45% of surgical patients will have postoperative residual neuromuscular blockade (NMB) upon arrival to the postanesthesia care unit (PACU), and incomplete recovery can impair upper airway function and contribute to adverse respiratory events (Nagelhout & Plaus, 2014). This retrospective cohort study examined whether there was an increased incidence of postoperative adverse respiratory events with the neuromuscular blocking agents Rocuronium or Vecuronium. Inclusion criteria included any surgical patient ages 18-65 receiving NMB agents Rocuronium or Vecuronium during the procedure. Exclusion criteria included any surgical patient ages 18-65 with ASA classification > 4, any emergent cases, any …

2015 Fall Commencement Program: Winona State University, Winona State University

WSU Commencement Programs

This is the Winona State University Fall 2015 commencement program. Commencement was on Friday, December 11, 2015.

The Bison, December 11, 2015

The Bison Newspapers

No abstract provided.

Plan Games: A Syracuse Architecture Public Exhibition, Arthur Mcdonald

School of Architecture - All Scholarship

This exhibition celebrates Professor Arthur McDonald's distinguished academic and professional career at Syracuse Architecture and serves as the official announcement of his retirement form the school and university at the end of 2015's school year. Professor McDonald is among the most influential and revered professors to teach at Syracuse Architecture, among the most distinguished architecture faculty at any university in this or in any country. Professor McDonald's influence as a professor and as an administrator is enormous and his legacy will live on in the work of his many students, some of whom are now professors at Syracuse University.

Heartfelt Gifts At Half The Price, Ellen Gibbs

UNH Today Archive

No abstract provided.

Warner V. Dept Of Transportation Appellant's Brief 1 Dckt. 43484

Idaho Supreme Court Records & Briefs, All

No abstract provided.

The Radical Evolution Of The Communist Educator: Doxey A. Wilkerson, Shante` Lyons

Dissertations

Abstract This study illuminates the life, practice, and sociopolitical ideology of Communist Educator, Doxey A. Wilkerson. Wilkerson, a former member of the Communist Party of the United States of America, facilitated the development and execution of the Party’s educational programs during the mid-twentieth century. Contextually, narratives grounded in Black liberation, educational equity, and the sociopolitical inclusion of African-Americans have been dominated by the most visible members within the Black intelligentsia, such as renowned historian and scholar, W.E.B Du Bois. The research and narrative constructed within this work provides a unique and sound contribution to liberatory themes within educational frameworks and …

Solving Influence Diagrams Using Branch And Bound Search, Arindam Khaled

Theses and Dissertations

Influence diagrams (ID) are graphical frameworks for decision making in stochastic situations with mathematical models embedded in them. The goal of an optimal algorithm for an ID is to find a strategy that would maximize the expected utility. We will explain a few algorithms for influence diagrams in this thesis. There exists an obvious temporal ordering among decisions in an ID; and any information used in the past will always be available in the future: these two properties are respectively called the “regularity” and “noforgetting” assumptions. A limited memory influence diagram (LIMID) does not follow these two properties. The existing …

Foreign Language News, Georgia Southern University

World Languages & Cultures: News & Publications (2013-2023)

• 17th Annual French Week A Success

Secure Cloud Computing For Solving Large-Scale Linear Systems Of Equations, Xuhui Chen

Theses and Dissertations

Solving large-scale linear systems of equations (LSEs) is one of the most common and fundamental problems in big data. But such problems are often too expensive to solve for resource-limited users. Cloud computing has been proposed as an efficient and costeffective way of solving such tasks. Nevertheless, one critical concern in cloud computing is data privacy. Many previous works on secure outsourcing of LSEs have high computational complexity and share a common serious problem, i.e., a huge number of external memory I/O operations, which may render those outsourcing schemes impractical. We develop a practical secure outsourcing algorithm for solving large-scale …

Policy Library- 380 Faculty Awards, Indiana State University. General Counsel

Policy Library

No abstract provided.

Honors College Recruitment Video, Michael Pirt

Honors Projects

My Honors project was delivered through the medium of video as I attempted to find out what the Honors College means to its members in hopes of using their answers to inspire incoming students to join the Honors College.

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 …