Digital Commons Network^™

Implementation Of Quality Improvement Interventions To Increase Provider Adherence To Standards Of Medical Care In Diabetes, Elizabeth A. Betz

Doctor of Nursing Practice

Purpose: To improve a South Texas primary care clinic’s diabetes management system by implementation of a quality improvement intervention to help staff and medical providers increase adherence to the American Diabetes Association standards of care related to screening referrals and orders for urine microalbumin, in order to improve self-care and health outcomes for adult patients with diabetes. Background and Problem: Diabetes is the 7th leading cause of death in the United States and the cause of vision loss, amputations, and end-stage renal disease. The patients at the Wellness Center do not consistently receive routine screenings for neuropathy, retinopathy, nephropathy, microalbumin, …

Reintroducing Environmental Change Drivers In Biodiversity-Ecosystem Functioning Research., Frederik De Laender, Jason R. Rohr, Roman Ashauer, Donald J Baird, Uta Berger, Nico Eisenhauer, Volker Grimm, Udo Hommen, Lorraine Maltby, Carlos J Meliàn

Integrative Biology Faculty and Staff Publications

For the past 20 years, research on biodiversity and ecosystem functioning (B-EF) has only implicitly considered the underlying role of environmental change. We illustrate that explicitly reintroducing environmental change drivers in B-EF research is needed to predict the functioning of ecosystems facing changes in biodiversity. Next we show how this reintroduction improves experimental control over community composition and structure, which helps to provide mechanistic insight on how multiple aspects of biodiversity relate to function and how biodiversity and function relate in food webs. We also highlight challenges for the proposed reintroduction and suggest analyses and experiments to better understand how …

2016 Study Of Current Conditions Of Kentucky County Animal Shelters And Degree Of Compliance With Kentucky Animal Shelter Laws, Cynthia L. Gaskill, Rachel Cullman-Clark, Liane Lachiewicz, Matt Lamarre, Brad Rohleder, Kristin Sadler, Rachel Sparling, Craig N. Carter

Veterinary Science Reports

Kentucky’s county animal shelter conditions have not been studied for over 20 years. Major goals of this study were to assess current conditions in Kentucky’s county shelters and determine the degree of compliance with Kentucky shelter laws. Additional information was gathered to determine the major problems and needs identified by shelter personnel and researchers. Data was used to determine if additional state funds or refinements and additions to current laws are warranted to ensure humane care of animals in Kentucky’s county shelters. Researchers consisted of a group of 6 veterinary students who traveled to all Kentucky county animal shelters. Ninety …

Cutr Connections [December 2016], Cutr

CUTR Newsletters

No abstract provided.

Business Outlook, Vol. 32, No. 4, December 2016

Business Outlook for West Michigan

No abstract provided.

Front Matter

West Virginia Law Review

No abstract provided.

Does Empowerment Matter? Perceptions Of Nursing Leaders In Pakistan Through Qualitative Approach, Saleema A. Gulzar, Rozina Karmaliani Professor, Kausar S. Khan Ms, Rubina Barolia, Shirin Rahim, Aneeta Pasha

School of Nursing & Midwifery

Background: In a patriarchal society like Pakistan, where women are oppressed, women dominating professions like nursing is mostly seen as disempowered and requires considerable struggle to achieve its due recognition and respect.
Aim: This study aims to explore the experiences of empowerment among the nursing leaders of Pakistan. Methods: This study uses a qualitative descriptive design. Total of twelve Pakistani Nursing leaders were interviewed using semi-structured interview guideline to explore their experiences of empowerment.
Results: The study findings revealed five major categories which include: status of a nurse, nursing profession, power relationships, value-belief system, and leadership and management.
Conclusions: Nurses’ …

Shining A Light On Nursing Art In Pakistan, Shirin Rahim, Rafat Jan Ruknuddin, Kathryn L. Gramling

School of Nursing & Midwifery

Nursing is considered both science and art. Artful nursing has been essential for holistic nursing practice since the time of Nightingale, but it is getting neglected and has been lately limited to nursing literature (Gramling, 2004). This qualitative study seeks to gain an understanding of the perceptions of active nurses in Pakistan about nursing art and yields four major themes: artful nursing is embedded in humane responsiveness, artful nursing has healing power, artful nursing is a satisfying experience, and artful nursing is invisible in nursing practice. Study participants valued nursing art, and their perceptions illuminate Watson's Theory of Human Caring …

Ogilvie's Syndrome, Muhammad Waqas Khan, Sanniya Khan Ghauri, Sara Shamim

Department of Emergency Medicine

Ogilvie's syndrome, also known as 'paralytic ileus of the colon', is characterised by pseudo-obstruction of the large intestine in the absence of any mechanical obstructing component; and presents as a massively distended abdomen. If left untreated, it may lead to bowel perforation or ischemia. Ogilvie's syndrome usually presents as a postsurgical complication, mainly due to the lack and/or restriction of movement coupled with a possible electrolyte imbalance. Here, we present a case of a pre-surgical 63-year lady, having a right hip fracture, who came with complaints of severe abdominal pain and distension for 4 days. Abdominal X-rays showed massively dilated …

The Effect Of Melatonin Upon Post-Acute Withdrawal Among Males In A Residential Treatment Program (M-Paws): A Randomized, Double-Blind, Placebo Controlled Trial, Corry D. Bondi

Electronic Theses and Dissertations

The study goal was to assess melatonin as an adjuvant treatment along with current pharmaco- and behavioral therapy for 28 days on weekly self-reported severity of anxiety, depression, stress, and sleep complaints as well as how sleep is affecting daily life in a sample of males in recovery from chemical dependency at a single, residential treatment site, Salvation Army Harbor Light Center in Pittsburgh, PA. This study was a single-center, randomized, double-blind, placebo-controlled, parallel group trial of 28 days. Participants were randomized to melatonin (5 mg) or placebo and instructed to administer the intervention nightly at bedtime. Primary self-reported outcome …

Career Decision Self‐Efficacy Of Transgender People: Pre‐ And Posttransition, Lore M. Dickey, Daniel Walinsky, Crystal Rofkahr, Kara Richardson‐Cline, Cindy L. Juntunen

Education, Health & Behavior Studies Faculty Publications

Although the mental health needs of transgender and gender‐nonconforming (TGNC) people have recently been addressed more directly than in the past (Bockting, Miner, Swinburne Romine, Hamilton, & Coleman, 2013; dickey, Reisner, & Juntunen, 2015; Meier, Pardo, Labuski, & Babcock, 2013), there remains a dearth of information related to vocational development of this population. Some of the considerations in career counseling and vocational development among TGNC people include differences in developmental concerns related to gender transition, gender presentation, passing (e.g., being perceived by others in one's affirmed gender), and binary and fluid gender identities (Beemyn & Rankin, 2011; Harrison, Grant, & …

Genealib Archive 2016-12, Genealib

GENEALIB Archive

No abstract provided.

Attributes Of Police Vehicle Crashes, David Lambert

Criminal Justice Faculty Publications

While overall on-duty law enforcement deaths has decreased moderately from over 160 in 1980 to a level under 120 per year in the late 2000s, fatalities by motor vehicle collisions have steadily increased. This descriptive analysis examines police vehicle crashes during specific conditions such as emergency response, road surface, lighting, and weather in a large statewide police agency. Police vehicle crashes are most likely to occur on dry roads, in daylight conditions, and in clear weather on weekdays as opposed to weekends. Weather and lighting conditions are not the most frequent factors associated with cruiser crashes in this examination.

Narrative Review Of Vitamin D And Its Specific Impact On Balance Capacity In Older Adults, Ray Marks

Publications and Research

Introduction and Aims: Falls injuries among older adults, a widespread well-established contributor to high disability levels, excess morbidity and mortality rates, have many causes. This review examines the association between vitamin D levels and postural stability or balance control—a fairly consistent predictor of falls among older adults.

Materials and Method: All relevant English language peer reviewed research publications detailing the relationship between vitamin D levels and balance control among the elderly were sought. Key words included “Vitamin D and Balance or Postural Control.” Databases used were Academic Search Complete, PubMed, Scopus, and Web of Science.

Results: Analysis showed no consistent …

Gender Discrimination And Statelessness In The Gulf Cooperation Council States, Betsy L. Fisher

Michigan Journal of Gender & Law

Using the Gulf Cooperation Council countries as a case study, this Article outlines the ways in which gender and birth status discrimination create new cases of statelessness. These occur when women are legally unable to convey their nationality to their children. This Article studies gender and birth status discrimination in nationality laws and in civil registration, family, and criminal law in each GCC state: Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates. Ending statelessness will require these states to end discrimination against women and non-marital children in all of its forms in law and practice.

R-Egg-Ulation: A Call For Greater Regulation Of The Big Business Of Human Egg Harvesting, Danielle A. Vera

Michigan Journal of Gender & Law

When it comes to young healthy women “donating” their eggs, America has a regulation problem. This Note explains the science behind the harvesting of human eggs, focusing on potential egg donors, and describes the specific factors that make egg donation a unique type of transaction. It describes the current regulatory status of the assisted reproductive technology industry in the United States and highlights the ways in which this scheme fails to protect egg “donors.” This Note concludes with a call for comprehensive regulation of the assisted reproductive technology industry.

Diabetes, Depression And Syndemic Suffering Among African American Patients: The Intersectionality Of Race, Gender And Class, Pamela Lorraine Fox

Social Work Dissertations - Archive

This research study illustrates the overarching syndemic theory, which was used to explain the interconnections of type 2 diabetes, clinical depression, and human suffering among low-income African American outpatients in the southern sector of Dallas TX, USA. The intersections of race, gender, and class were additional variables that were included in this research. Furthermore, this research indicated how poverty, social relationships and other conditions stressed individuals and populations, weakened their natural defenses and caused exposure to disease clusters. I have coined the term D2 S2 to deconstruct the social/syndemic interconnections that interface with diabetes, depression and human suffering. The first …

Identification Of The Plateau Of Cadmium Extraction From An Aquatic Medium By Invasive Macrophyte: Eichhornia Crassipes, Micalah Spenrath

McNair Scholars Research Journal

No abstract provided.

Message From The Vice President Of Research, The Mcnair Team

McNair Scholars Research Journal

No abstract provided.

The Relationship Between Temperament, Externalizing Behaviors, And Family Factors In Young Children, Sydney Cox

McNair Scholars Research Journal

No abstract provided.

Scholarships, The Mcnair Team

McNair Scholars Research Journal

No abstract provided.

Genomics And Csf Analyses Implicate Thyroid Hormone In Hippocampal Sclerosis Of Aging, Peter T. Nelson, Yuriko Katsumata, Kwangsik Nho, Sergey C. Artiushin, Gregory A. Jicha, Wang-Xia Wang, Erin L. Abner, Andrew J. Saykin, Walter A. Kukull, Alzheimer’S Disease Neuroimaging Initiative (Adni), David W. Fardo

Sanders-Brown Center on Aging Faculty Publications

We report evidence of a novel pathogenetic mechanism in which thyroid hormone dysregulation contributes to dementia in elderly persons. Two single nucleotide polymorphisms (SNPs) on chromosome 12p12 were the initial foci of our study: rs704180 and rs73069071. These SNPs were identified by separate research groups as risk alleles for non-Alzheimer’s neurodegeneration. We found that the rs73069071 risk genotype was associated with hippocampal sclerosis (HS) pathology among people with the rs704180 risk genotype (National Alzheimer’s Coordinating Center/Alzheimer’s Disease Genetic Consortium data; n = 2113, including 241 autopsy-confirmed HS cases). Furthermore, both rs704180 and rs73069071 risk genotypes were associated with widespread brain …

2016-December-01-David Floyd, University Marketing And Commucications, East Tennessee State Univeristy

ETSU News

No abstract provided.

2016-December-01-Quillen Ranked 20th, University Marketing And Commucications, East Tennessee State Univeristy

ETSU News

No abstract provided.

Donald Trump And The Sex Industry, Robert Brannon

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

Multiplencc: Inverse Probability Weighting Of Nested Case-Control Data, Nathalie C. Støer, Sven Ove Samuelsen

The R Journal

Reuse of controls from nested case-control designs can increase efficiency in many situations, for instance with competing risks or in other multiple endpoints situations. The matching between cases and controls must be broken when controls are to be used for other endpoints. A weighted analysis can then be performed to take care of the biased sampling from the cohort. We present the R package multipleNCC for reuse of controls in nested case-control studies by inverse probability weighting of the partial likelihood. The package handles right-censored, left-truncated and additionally matched data, and varying numbers of sampled controls and the whole analysis …

Micompr: An R Package For Multivariate Independent Comparison Of Observations, Nuno Fachada, João Rodrigues, Vitor V. Lopes, Rui C. Martins, Agostinho C. Rosa

The R Journal

The R package micompr implements a procedure for assessing if two or more multivariate samples are drawn from the same distribution. The procedure uses principal component analysis to convert multivariate observations into a set of linearly uncorrelated statistical measures, which are then compared using a number of statistical methods. This technique is independent of the distributional properties of samples and automatically selects features that best explain their differences. The procedure is appropriate for comparing samples of time series, images, spectrometric measures or similar high-dimension multivariate observations

Two-Tier Latent Class Irt Models In R, Silvia Bacci, Francesco Bartolucci

The R Journal

In analyzing data deriving from the administration of a questionnaire to a group of individuals, Item Response Theory (IRT) models provide a flexible framework to account for several aspects involved in the response process, such as the existence of multiple latent traits. In this paper, we focus on a class of semi-parametric multidimensional IRT models, in which these traits are represented through one or more discrete latent variables; these models allow us to cluster individuals into homogeneous latent classes and, at the same time, to properly study item characteristics. In particular, we follow a within-item multidimensional formulation similar to that …

Eicompare: Comparing Ecological Inference Estimates Across Ei And Ei:Rc, Loren Collingwood, Kassra Oskooii, Sergio Garcia-Rios, Matt Barreto

The R Journal

Social scientists and statisticians often use aggregate data to predict individual-level behavior because the latter are not always available. Various statistical techniques have been developed to make inferences from one level (e.g., precinct) to another level (e.g., individual voter) that minimize errors associated with ecological inference. While ecological inference has been shown to be highly problematic in a wide array of scientific fields, many political scientists and analysis employ the techniques when studying voting patterns. Indeed, federal voting rights lawsuits now require such an analysis, yet expert reports are not consistent in which type of ecological inference is used. This …

Easyroc: An Interactive Web-Tool For Roc Curve Analysis Using R Language Environment, Dincer Goksuluk, Selcuk Korkmaz, Gokmen Zararsiz, A Ergun Karaagaoglu

The R Journal

ROC curve analysis is a fundamental tool for evaluating the performance of a marker in a number of research areas, e.g., biomedicine, bioinformatics, engineering etc., and is frequently used for discriminating cases from controls. There are a number of analysis tools which are used to guide researchers through their analysis. Some of these tools are commercial and provide basic methods for ROC curve analysis while others offer advanced analysis techniques and a command-based user interface, such as the R environment. The R environment includes comprehensive tools for ROC curve analysis; however, using a command-based interface might be challenging and time …