Digital Commons Network^™

Understanding The Importance Of Intermittently Fragmented Stream Habitat For Isolated Westslope Cutthroat Trout (Oncorhynchus Clarki Lewisi) In The Colville National Forest, Washington, Forrest Michael Carpenter

Dissertations and Theses

Climate change and anthropogenic effects have vastly reduced Westslope Cutthroat Trout (Oncorhynchus clarki lewisi, WCT) habitat throughout their range, including the Colville National Forest in northeastern Washington where this study was conducted. Many native salmonid populations have declined in abundance since the early 1900s due to a variety of climate- and human-driven forces. Westslope Cutthroat Trout are especially sensitive to habitat loss or degradation and to climate change. Together, climate change, habitat degradation, and non-native salmonid invasions are contributing to increasingly fragmented WCT populations. Ongoing and predicted future warming trends are expected to further fragment these populations and …

Shared Decision Making In Patients With Low Risk Chest Pain: Prospective Randomized Pragmatic Trial., Erik P. Hess, Judd E. Hollander, Jason T. Schaffer, Jeffrey A. Kline, Carlos A. Torres, Deborah B. Diercks, Russell Jones, Kelly P. Owen, Zachary F. Meisel, Michel Demers, Annie Leblanc, Nilay D. Shah, Jonathan Inselman, Jeph Herrin, Ana Castaneda-Guarderas, Victor M. Montori

Department of Emergency Medicine Faculty Papers

OBJECTIVE: To compare the effectiveness of shared decision making with usual care in choice of admission for observation and further cardiac testing or for referral for outpatient evaluation in patients with possible acute coronary syndrome.

DESIGN: Multicenter pragmatic parallel randomized controlled trial.

SETTING: Six emergency departments in the United States.

PARTICIPANTS: 898 adults (aged >17 years) with a primary complaint of chest pain who were being considered for admission to an observation unit for cardiac testing (451 were allocated to the decision aid and 447 to usual care), and 361 emergency clinicians (emergency physicians, nurse practitioners, and physician assistants) caring …

Investigations Into The Effects Of Water Exchange And The Structure Of Lanthanide Chelates, Katherine Marie Payne

Dissertations and Theses

Lanthanide chelates are effective agents for improving contrast in MR images. Optimizing the relaxation of inner sphere water molecules is a common focus of research in this field. However, the efforts to design an optimal contrast agent have commonly over-looked the relationship of water position and water exchange kinetics. This work explores structural conformation, the impact of very fast water exchange kinetics on hydration, and differing tumbling rates for regioisomers of a number of lanthanide chelates. We have grown crystals of LnDOTMA and obtained structural data by X-ray diffraction that provide a picture of the chelate during water exchange and …

Bjc Today

BJC Today

No abstract provided.

Social Media For Senior Citizens: An Introductory Course, Cheryl Raistrick

Instructional Design Capstones Collection

The Woburn Council on Aging is a municipal, volunteer board appointed by the Mayor of Woburn. The Woburn COA operates the Woburn COA Senior Center as a resource for the community's senior citizen population. The Senior Center provides information, referrals, information, outreach, advocacy, transportation, health screening, nutrition, education, peer support, recreation, volunteer development and intergenerational programming for members of the community. Educational programs on the use of technology are offered monthly at the Woburn COA Senior Center though members have expressed interest in learning more about social media applications and how they can be used to communicate with family and …

The Free Press Vol. 48, Issue No. 10, 12-05-2016, Krysteana Scribner

Free Press, The

University community celebrates installation of President Cummings -- Board of Trustees propose tuition increase in May of next year -- Student activists protest at Maine State House to for equality

Legislative Compensation, Comparing Tennessee To Contiguous And Peer States, Tennessee. Advisory Commission On Intergovernmental Relations.

Miscellaneous Reports

No abstract provided.

"The Road Is My Home:" Reflections On Vandwelling Culture In The United States, Heather Harris

Master of Arts in American Studies Capstones

This video documentary project explores the lives of vandwellers through the eyes of a fellow traveler interested in living the lifestyle in the future. It examines the motivations and experiences of vandwellers living on the road full-time in their vehicles.

Evaluation Of The Therapeutic Management Of Childhood Diarrhea, Ana Francisca Diallo

Doctoral Dissertations

Therapeutic management of childhood diarrhea had led to a significant decrease in diarrhea related morbidity and mortality. However, diarrhea diseases remain one of the leading cause of preventable deaths worldwide, especially in children under 5 years. The work presented in this dissertation intended to evaluate the current the management of childhood diarrhea, to identify the major gaps in the management and introduce a novel approach to address these gaps. First, an assessment of oral rehydration therapies (ORT) coverage in the management of childhood diarrhea is performed to evaluate healthcare providers’ prescriptive practices of ORT in South Asia. Next, we assess …

Applying Multiple Data Collection Tools To Quantify Human Papillomavirus Vaccine Communication On Twitter., Philip M. Massey, Amy Leader, Elad Yom-Tov, Alexandra Budenz, Kara Fisher, Ann C. Klassen

Department of Medical Oncology Faculty Papers

BACKGROUND: Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States. There are several vaccines that protect against strains of HPV most associated with cervical and other cancers. Thus, HPV vaccination has become an important component of adolescent preventive health care. As media evolves, more information about HPV vaccination is shifting to social media platforms such as Twitter. Health information consumed on social media may be especially influential for segments of society such as younger populations, as well as ethnic and racial minorities.

OBJECTIVE: The objectives of our study were to quantify HPV vaccine communication on …

2016-12-05 Meeting Minutes, Morehead State University. Staff Congress.

Staff Congress Records

Staff Congress meeting minutes for December 5, 2016.

The Rider (2016-12-05), Jesus Sanchez

The Rider Archives

Vol.2 No.14

Week Of December 5, 2016, New York Medical College

InTouch

• NYMC Earns MSCHE Full Accreditation
• Department of Pediatrics Hosts Sixth Annual Assistant Professor Pediatric Research Symposium
• Symposium Focuses on Pediatric Hematologic and Oncologic Problems

Assessing Readiness For Clinical Practice: Students’ Perspectives Of Their Veterinary Curriculum, L. Chris Sanchez, Alison Kwiatkowski, Jeff Abbott, Dana N. Zimmel, Linda S. Behar-Horenstein

The Qualitative Report

Studies describing the effectiveness of a veterinary curriculum from the student perspective are currently sparse. The overall purpose of this investigation was to describe students’ perceived preparedness for clinical practice. Three focus group meetings with fourth year veterinary students were conducted. Data were open-coded and categorized to identify themes. Four main themes emerged: Challenging communications, Un/appreciating curricular experiences, Documenting demands impede case involvement, and Hungering for timely, effective feedback. Overall students felt comfortable talking to clients about medicine but less comfortable discussing euthanasia or money; they appreciated the split clinical curriculum but questioned the value of the 1st/2nd year courses; …

“Hey, Nice Run!” Exploring Motives For Smartphone Exercise App Use, Michael S. Fuller

Doctoral Dissertations

The rapid pace at which smartphone applications are currently diffusing through society have made them a very popular form of media. Smartphone applications (commonly referred to as apps) allow users the ability to complete a variety of media functions such as receive news updates, sport scores, view television programs, and listen to the radio. Exercise apps are a sub category of smartphone apps which allow users to monitor their exercise progress through the Global Positioning System included in most smartphones. To date, the motives for exercise apps have not been examined within the framework of Uses and Gratifications. This essay …

2016-12-05 Newsletter, Morehead State University. Staff Congress.

Staff Congress Records

Staff Congress newsletter for December 5, 2016.

Assessing The Performance Differences Between Hospitals With And Without Meaningful Use Of Electronic Health Records On Care Outcomes, Joseph G. Conte

Seton Hall University Dissertations and Theses (ETDs)

Background and Purpose of the Study: The U.S. healthcare system at $3 trillion, is the sixth largest economy in the world. The federal government is the largest purchaser of healthcare in the country. In the past decade it has been on a quest to refocus its purchasing from volume to value. While spending nearly double per capita than every other industrialized nation, U.S. healthcare outcomes are consistently in the lowest quartile for every major indicator from life expectancy to ambulatory sensitive conditions. The Crossing the Quality Chasm Report (IOM) focused a lens on the dearth of electronic health record (EHR) …

Ohio University Faculty Senate Minutes December 5, 2016, Ohio University Faculty Senate

Faculty Senate Minutes

No abstract provided.

Epha2 Is A Functional Receptor For The Growth Factor Progranulin., Thomas Neill, Simone Buraschi, Atul Goyal, Catherine Sharpe, Elizabeth Natkanski, Liliana Schaefer, Andrea Morrione, Renato V. Iozzo

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

Although the growth factor progranulin was discovered more than two decades ago, the functional receptor remains elusive. Here, we discovered that EphA2, a member of the large family of Ephrin receptor tyrosine kinases, is a functional signaling receptor for progranulin. Recombinant progranulin bound with high affinity to EphA2 in both solid phase and solution. Interaction of progranulin with EphA2 caused prolonged activation of the receptor, downstream stimulation of mitogen-activated protein kinase and Akt, and promotion of capillary morphogenesis. Furthermore, we found an autoregulatory mechanism of progranulin whereby a feed-forward loop occurred in an EphA2-dependent manner that was independent of the …

Debriefing In The Emergency Department, Alyssa Johnson

Master's Projects and Capstones

Emergency Department (ED) staff are repeatedly exposed to high stress situations and as a result suffer from compassion fatigue, secondary traumatic stress, symptoms of post-traumatic stress disorder, burnout and high turnover rates. Staff turnover is costly to the health system in the form of training new staff and potential poor patient outcomes due to under staffing or inexperience of staff. Based on a survey about debriefing, Level 1 Adult and Pediatric Emergency Department staff reported 81% felt there was inadequate support for critically stressful events that occur. Debriefing was identified by 75% of the staff as an option for support. …

Bacterial Colonization And Antibiotic Resistance In A Prospective Cohort Of Newborn Infants During The First Year Of Life, Sharon B. Meropol, Kurt C. Stange, Michael R. Jacobs, Judith K. Weiss, Saralee Bajaksouzian, Robert A. Bonomo

Faculty Scholarship

Background. Infants are virtually sterile at birth and frequently use antibiotics; our objective was to (1) characterize the longitudinal colonization with bacterial pathogens and associated antibiotic resistance in a cohort of community-dwelling infants in Northeast Ohio and (2) describe longitudinal concurrent antibiotic and daycare exposures. Methods. For 35 newborns, nasopharyngeal swabs were cultured for Streptococcus pneumoniae, anterior nasal for Staphylococcus aureus, and perirectal for extended-spectrum beta-lactamase (ESBL)-producing Gram-negative enteric bacteria, at 3-month intervals for 12 months. Infant and household antibiotics and daycare exposure were assessed longitudinally. Results. Thirteen infants received perinatal or nursery antibiotics. By 3 months, at least 22 …

Physical Therapy Management Of A Patient With Chronic Brainstem Stroke Syndrome To Improve Functional Mobility: A Case Report, Kelley Flahaven

Case Report Posters

Strokes are a leading cause of disability, and the fifth leading cause of death in the U.S. Brainstem strokes are much less common and have a higher mortality rate than cortical strokes. Brainstem strokes can lead to physical impairments including gaze palsies, quadriplegia, ataxia, or cranial nerve deficits, which affect balance and safety, decreasing independence. Repetitive task gait training has been shown to create improvements in patients with stroke. Non-specific gait training can have a transfer effect on gait for patients with stroke. There are fewer accounts of brainstem stroke rehabilitation than cortical stroke rehabilitation due to poor prognosis and …

Functional Training In A Patient With Middle Cerebral Artery Stroke With Multiple Comorbidities: A Case Report, Darien Lewis

Case Report Posters

795,000 people experience a stroke yearly, making it the leading cause of long-term disability, costing $34 billion. Strokes affecting the middle cerebral artery (MCA) cause impairments of strength, sensation, coordination, and balance of the contralateral side. Recovery from stroke is affected by premorbid status. Cardiovascular disease causes a majority of strokes. The purpose of this case report is to describe a progressive PT plan of care for a patient following MCA stroke with multiple comorbidities in the skilled nursing setting.

Advent 2 One Year Series 2016, Phillip L. Brandt

Sunday's Sermon

No abstract provided.

Education As A Vital Right, Clayton Kozinski

Journal of Legislation

No abstract provided.

Solving The Information Security & Privacy Crisis By Expanding The Scope Of Top Management Personal Liability, Charles Cresson Wood

Journal of Legislation

While information security and privacy losses are now spiraling out of control, and have been demonstrably shown to threaten national sovereignty, military superiority, industrial infrastructure order, national economic competitiveness, the solvency of major businesses, faith and trust in the Internet as a platform for modern commerce, as well as political stability, the U.S. Congress has nonetheless to date refused to seriously address the root cause of these threats. The root cause is a legally reinforced incentive system that encourages, and further entrenches, top management decisions that provide inadequate resources for, and inadequate top management attention to, information security and privacy …

Machine Learning Prediction Of Seizure Outcome With Presurgical Resting-State Fmri Data, Xiaosong He, Dorian Pustina, Michael R Sperling, Ashwini Sharan, Joseph I Tracy

Department of Neurosurgery Posters

Rationale:

Developing a quantitative algorithm for predicting seizure outcome following anterior temporal lobectomy (ATL) in temporal lobe epilepsy (TLE) patient would constitute a significant advance for presurgical decision making. In this project, we tested the ability of topographic properties extracted from presurgical resting-state (rsfMRI) data to predict surgical outcome, using two separate maching learning classification methods (support vector machine, SVM, and random forest RF).

Favorable Outcomes Of Lvad As Bridge To Simultaneous Heart-Kidney Transplantation, Vinay Thohan, Ghulam Murtaza, Carlos O. Encarnacion, Nasir Sulemanjee, Omar Cheema, Thomas Hastings, Chi Cho, Frank Downey, John Crouch

The VAD Journal

Background

Chronic kidney disease (CKD) is an established risk factor for incident cardiovascular disease and progression of heart failure disease state, and is associated with decreased survival after left ventricular assist device (LVAD) therapy or heart transplantation (HT). Combined heart-kidney transplantation (HKT) compared with isolated HT recently has been shown to have survival advantage among patients whose estimated glomerular filtration rate is less than 37 ml/min/m². Data on LVAD to HKT are limited.

Methods

At our center, a total of 803 patients have received HT, 594 patients LVAD therapy, and 23 patients HKT from single donors; of those …

The Launch: A Senior Cabaret, Otterbein University Theatre And Dance Department

2016-2017 Season

A showcase of performances by seniors with special guest Lindsay Nicole Chanbers '02

Haematological And Genotoxic Effects Of Cadmium Chloride On Mesopotamichthys Sharpeyi, Noor M. Salman, Abdalmotalib J. Al-Rudainy

Baghdad Science Journal

The present study investigated Haematological changes in Mesopotamichthys sharpeyi, as well as determination genotoxic effects of cadmium chloride on bunni fish by using 120 fingerlings, fish were distributed randomly into four treatments in addition to control group. Fish in first group treated (T1) with cadmium 0.093mg/L with changing water and added cadmium continuously, fish in the second group treated (T2) with cadmium 0.093mg/L with changing water without adding cadmium, third treatment (T3) with cadmium 0.046mg/L with changing water and adding cadmium continuously, and fourth treatment (T4) with cadmium 0.046mg/L with changing water without adding cadmium. Results of blood picture in …