Digital Commons Network^™

Accuracy Of Implants Placed With Surgical Guides: Thermoplastic Vs. 3-D Printed, Caitlyn K. Bell

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: The purpose of this study was to evaluate the accuracy of placed implants using two different guided implant surgery materials: thermoplastic vs. 3-D printed surgical guides. Materials and Methods:Twenty duplicate mandibular models, ten thermoplastic and ten 3-D printed surgical guides were used. Twenty implants were placed following the guided surgery protocol. Cone beam computed tomography scans of placed implants and the control implant were superimposed to measure deviations. Results: The thermoplastic group showed average deviations of 3.4 degrees, 1.3mm at the head, and 1.6mm at the apex of the implant compared to 2.36 degrees, 0.51mm, and …

The Role Of Two Homologous E3 Ligases In Muscle Physiology, Gabrielle F. Gloston

Dissertations and Theses (Open Access)

Ubiquitin-mediated proteasomal degradation is an essential cellular function that is coordinated by three key components: E1 ubiquitin activating enzyme, E2 ubiquitin conjugating enzyme, and E3 ubiquitin ligases. There are an estimated 600 E3 ligases, some of which share high sequence homology; however, the functional significance often remains unknown. FBXL3 and FBXL21 are two homologous E3 ligases that have previously been reported to dictate circadian periodicity, with FBXL3 being the dominant E3 ligase and FBXL21 playing a regulatory role. A recent Yeast Two-Hybrid screen revealed a new shared target of FBXL3 and FBXL21: Telethonin (also known as TCAP). TCAP is a …

Exploration Of Peer Learning In A Formal Cohort Healthcare Leadership Development Program, Melinda Marie Gruber

Dissertations

Many new and emerging leaders will move into leadership positions in healthcare as experienced leaders retire or move to other positions. These individuals need leadership development that supports them in becoming transformational change leaders. This study explored the topic of peer learning as a leadership development approach in a healthcare setting. The purpose was to better understand the role of peer learning in creating transformational leadership and healthcare change leaders.

This study utilized a qualitative case study approach to explore and understand how peer learning supports leadership development. The study focused on the key learning elements of an 18-month cohort-based …

How Female Online Businesses And Brands Are Using Instagram Stories, Hannah N. Vanderslice

College of Journalism and Mass Communications: Theses

Instagram is one of the newest forms of social media that impacts its audience on a visual level, since the content is centered on photos and videos. Their newest feature, Instagram stories, is temporary videos and/or photos strung together to form a gallery, which has been compared to Snapchat’s version of live stories. Instagram stories offer a unique opportunity for businesses to take advantage of the temporary, 24-hour platform that shows specific frame-by-frame analytics that help create efficient and compelling content to repost permanently that helps organic search engine optimization. As a cost-effective means of advertising, early adopter large and …

Chumash Heritage National Marine Sanctuary Sacred Waters Film, Cory B. Jones

Communication Studies

The debate to designate a National Marine Sanctuary off the Central Coast of California has been alive for nearly 30 years.

With a recent move by the National Oceanic and Atmospheric Administration (NOAA) to nominate the stretch of water as a sanctuary the issue has become one of great concern to local stakeholders.

With concern for additional bureaucracy and regulation that could negatively impact the local economy people choose to stand in opposition. Yet many that are concerned for the future of the region's waters want the protections from offshore oil drilling and other harmful practices that a Sanctuary would …

Observer, Central Washington University

Student Newspaper

Student newspaper for Central Washington University for December 1-7, 2016. Vol. 104, No. 9.

Annual Report On Building Energy Management, Real Estate Asset Management, Fiscal Year 2015-2016, Tennessee. Department Of General Services.

Energy-Efficiency Reports

No abstract provided.

2016-2017 Spring Bulletin, University Of Mississippi Medical Center

Bulletins/Catalogs

2016-2017 Spring Bulletin

Political Prosecutions In Ukraine: The Case Of Yulia Tymoshenko, Oleksandr Zadorozhnii

Hofstra Law Review

The article discusses the political nature of prosecutions against former Ukraine prime minister Yulia Tymoshenko amid the events known as the Revolution of Dignity, particularly the case against Tymoshenko concerning the negotiations of gas contracts on behalf of Ukraine state-owned firm Naftogaz and Russian firm Gazprom, following testimony given by former Ukraine president Viktor Yushchenko.

Ameliorating Lethal Injection By Using Bispectral Index Monitoring Of Inmates To Help Ensure A More Humane Death, Jennifer E. Mayer

Hofstra Law Review

The article discusses the use of bispectral index (BIS) monitoring of capital punishment inmates in order to attempt to prevent what are referred to as botched executions that can lead to inhumane deaths of capital punishment inmates during their executions. The article refers to the U.S. Supreme Court case Baze v. Rees.

Relocation Redux: Labrador Inuit Population Movements And Inequalities In The Land Claims Era, Kirk Dombrowski, Patrick Habecker, G. Robin Gauthier, Bilal Khan, Joshua Moses

Department of Sociology: Faculty Publications

The importance of community relocation experiences for aboriginal land claims movements is well documented; the role played by successful land claims in prompting ongoing out-migration is not. Data collected in 2011 on the lives of migrants are used to test three hypotheses: H1, Inuit leaving the land claims area for a nearby nonaboriginal city show markedly different social outcomes based on the length of time since migration; H2, these social outcomes map onto patterns of intergroup boundaries in their new communities; and H3, both of these outcomes are better explained by migration patterns after the land claims than by the …

Avian Communities In An Urbanizing Region: Abundance Patterns And Effects Of Local Habitat Features, John S. Brush

Theses and Dissertations

The Lower Rio Grande Valley of Texas has experience rapid population growth and increase of urban area since the mid-20th century. The goal of this thesis were to: 1) explore patterns of avian communities in suburban and remnant urban woodlands, with particular interest in native forest species, and 2) to assess how local habitat variables, such as number of native trees, affect avian communities in suburban habitats, and 3) provide recommendations to municipalities and homeowners to enhance urban habitats for birds. Results indicated that remnant urban woodlands provided habitat for common native forest bird species that otherwise avoided suburban habitats, …

Developing A Multimetric Index To Assess Resaca Ecosystem Health, Buford J. Lessley

Theses and Dissertations

As the only freshwater ecosystem in the lower Rio Grande Valley aside from the Rio itself, resacas are critical habitat for many species of flora and fauna. Old distributaries of the Rio Grande, resacas provided conveyance routes moving floodwater to the Laguna Madre. Today these wetlands are novel ecosystems and are artificially maintained. Urbanization and agriculture have lead to sedimentation, habitat loss, contaminants, poor water quality, and invasive species. The objective of this study was to assess and monitor resaca pools and to compose the Resaca Health Index (RHI) from selected indicators of ecosystem structure and function including leaf litter …

Reference Ranges Of Handgrip Strength From 125,462 Healthy Adults In 21 Countries: A Prospective Urban Rural Epidemiologic (Pure) Study., Darryl P. Leong, Koon K. Teo, Sumathy Rangarajan, V. Raman Kutty, Fernando Lanas, Chen Hui, Xiang Quanyong, Qian Zhenzhen, Tang Jinhua, Romaina Iqbal

Community Health Sciences

BACKGROUND:

The measurement of handgrip strength (HGS) has prognostic value with respect to all-cause mortality, cardiovascular mortality and cardiovascular disease, and is an important part of the evaluation of frailty. Published reference ranges for HGS are mostly derived from Caucasian populations in high-income countries. There is a paucity of information on normative HGS values in non-Caucasian populations from low- or middle-income countries. The objective of this study was to develop reference HGS ranges for healthy adults from a broad range of ethnicities and socioeconomically diverse geographic regions.

METHODS:

HGS was measured using a Jamar dynamometer in 125,462 healthy adults aged …

Intravenous Ketamine For Subacute Treatment Of Refractory Chronic Migraine: A Case Series., Clinton Lauritsen, Santiago Mazuera, Richard B. Lipton, Sait Ashina

Department of Neurology Faculty Papers

BACKGROUND: Refractory migraine is a challenging condition with great impact on health related quality of life. Intravenous (IV) ketamine has been previously used to treat various refractory pain conditions. We present a series of patients with refractory migraine treated with intravenous ketamine in the hospital setting.

METHODS: Based on retrospective chart review, we identified six patients with refractory migraine admitted from 2010 through 2014 for treatment with intravenous ketamine. Ketamine was administered using a standard protocol starting with a dose of 0.1 mg/kg/hr and increased by 0.1 mg/kg/hr every 3 to 4 h as tolerated until the target pain score …

Blood-Brain Barrier Transport Machineries And Targeted Therapy Of Brain Diseases, Jaleh Barar, Mohammad Rafi, Mohamad Mostafa Pourseif, Yadollah Omidi

Department of Neurology Faculty Papers

Introduction: Desired clinical outcome of pharmacotherapy of brain diseases largely depends upon the safe drug delivery into the brain parenchyma. However, due to the robust blockade function of the blood-brain barrier (BBB), drug transport into the brain is selectively controlled by the BBB formed by brain capillary endothelial cells and supported by astrocytes and pericytes. Methods: In the current study, we have reviewed the most recent literature on the subject to provide an insight upon the role and impacts of BBB on brain drug delivery and targeting. Results: All drugs, either small molecules or macromolecules, designated to treat brain diseases …

I Matter, As Does The World: Critical Consciousness In Higher Education, Myra Dutko

Dissertations

This dissertation describes how graduate students in a community organizing class move along the critical consciousness pathway. Critical consciousness in the academic arena is critical to the development of democratic participation and agency in students. Critical consciousness is the ability to see, judge and act on issues of injustice in order to create social change. In addition, this research examines what barriers arise in that process. Research participants from an urban, private university in the Midwest narrate the creation of a learning environment and the process of moving towards critical consciousness awakening through journaling and focus group discussions. The data, …

Modifying Board Policy On Attendance For Alternative High School Students: A Policy Advocacy Document, Janine E. Gruhn

Dissertations

This proposed policy advocates for students in alternative high school programs to have flexible school day schedules according to Illinois State Board of Education compulsory attendance laws. Students in alternative high school programs are often referred for chronic truancy. Most school board policies state that all students need to attend school for the entire 300 minutes of the instructional day because when students do not attend for a full day or a half-day (150 minutes) the district is penalized in the amount of general state aid. This is all too often the case with students enrolled in a district’s high …

Personalized Professional Learning For Elementary Bilingual Educators: A Policy Advocacy Document, Nicole M. Robinson

Dissertations

This policy advocacy document advocates a policy to strengthen an existing elementary bilingual program through personalized professional development. Twin goals of the proposed policy are to (1) increase student achievement and (2) increase bilingual teacher retention. District 32’s bilingual program recently shifted from a Transitional Bilingual Education (TBE) model to a Developmental Bilingual Education (DBE) model, which emphasized biliteracy. As a small suburban school district with a rapidly rising Hispanic and low-income student population, this shift raised awareness among district administrators of the need for a new professional development model geared toward its mostly inexperienced bilingual teachers. To be immediately …

Minority Middle And High School Students' Interest In Science: An Exploration Of Teachers' Perceptions, Caroline Makere

Dissertations

A high school teacher conducted a study about minority middle and high school students’ interest in science. The problem was to find out why African American and Hispanic students were showing very little interest in science. The researcher used four middle school science teachers and nine high school science teachers, all from inner city schools in a big city of the Midwest United States except for one middle school teacher from a nearby suburb. The participants answered a survey questionnaire followed with a face-to-face recorded interview. The findings of the study confirmed that students showed little interest in science due …

A Mother's Spiritual Journey With Her Disabled Son: An Autoethnography, Margaret C. Higgins Edd

Dissertations

Abstract

This autoethnographic research delves into a mother’s experiences with her disabled son over thirty-five years. Beginning with a thick description of the crib accident that resulted in physical and cognitive disabilities that profoundly change the course of both mother and son’s life, this research chronicles the search for meaning, community, and healing as they negotiate the realms of medicine, education, career, family, and spirituality. Models of disability that seek to explain various ways in which society often views disability are examined, but none resonate with the researcher’s intimate experiences nor satisfies her deepest needs for insight and healing. Making …

School Libraries, Disabilities, And A Phenomenological Progression To Policy Change, Patrice Narret Foerster

Dissertations

Research has shown that school librarians are not well equipped to work with students who have disabilities. Applying a conceptual framework culled from the public policy process literature, this phenomenological study used interviews with Washington, DC, policy workers--some of whom advocate for students with disabilities--to explore the possible connection between library experiences and the placement of libraries within the Elementary and Secondary Education Act (ESEA). The findings indicate that these workers are not framing libraries in the same way that library professionals do and are not viewing school libraries as a direct source of student instruction. This dichotomy suggests that …

Why Arrest?, Rachel A. Harmon

Michigan Law Review

Arrests are the paradigmatic police activity. Though the practice of arrests in the United States, especially arrests involving minority suspects, is under attack, even critics widely assume the power to arrest is essential to policing. As a result, neither commentators nor scholars have asked why police need to make arrests. This Article takes up that question, and it argues that the power to arrest and the use of that power should be curtailed. The twelve million arrests police conduct each year are harmful not only to the individual arrested but also to their families and communities and to society as …

Private Actors And Public Corruption: Why Courts Should Adopt A Broad Interpretation Of The Hobbs Act, Megan Demarco

Michigan Law Review

Federal prosecutors routinely charge public officials with “extortion under color of official right” under a public-corruption statute called the Hobbs Act. To be prosecuted under the Hobbs Act, a public official must promise official action in return for a bribe or kickback. The public official, however, does not need to have actual authority over that official action. As long as the victim reasonably believed that the public official could deliver or influence government action, the public official violated the Hobbs Act. Private citizens also solicit bribes in return for influencing official action. Yet most courts do not think the Hobbs …

Energy Drink Regulations: Why The Time For More Fda Authority Is Not Ripe And How States Can Protect Children Without Unjustly Infringing On Adult Autonomy, Larry D. Treat

Journal of Food Law & Policy

In December of 2011, Anais Fournier ("Anais"), a fourteen-year-old from Maryland, was at the mall with her friends when she drank a twenty-four ounce Monster energy drink. Within twenty-four hours, Anais consumed a second twenty-four ounce energy drink. Together, the two Monster energy drinks Anais consumed contained around 480 milligrams ("mg") of caffeine. A few hours after the second drink, Anais went into cardiac arrest and later died from cardiac arrhythmia. An autopsy found that caffeine toxicity caused Anais's arrhythmia and impeded her heart's ability to pump blood. As it turns out, Anais suffered from a preexisting heart condition called …

2016 China Food Law Update, Michael T. Roberts, Ching-Fu Lin

Journal of Food Law & Policy

This update of China food law builds on a unique feature for the Journal of Food Law & Policy that has been provided since the Journal's inception - separate food law updates for both the United States and European Union. "Recognizing the globalness of the modem food system, these updates have served an invaluable role in keeping scholars and practitioners abreast of the world's leading food regulatory systems." China's emergence as a developed, modem food regulatory system with the potential of being a leading food regulatory system makes sense given its position as a world economic powerhouse. China's role in …

Sleep Medicine: A Deserted Field In Pakistan, Bhojo A. Khealani

Pakistan Journal of Neurological Sciences (PJNS)

Sleep is an important and essential aspect of life and we spend about one third of our lives sleeping. Sleep disorders often manifest with insomnia and excessive daytime sleepiness. Large population based studies have shown that people who sleep longer and lesser have shorter life span1,2. Other symptoms of the slep disorders include snoring, abnormal motor behaviors etc.

Clinical Profiles, Management And Outcome Of Myasthenic Crisis In A Tertiary Care Center In Karachi, Pakistan, Sara , Khan, Dureshahwar Kanwar, Sadia Nishat

Pakistan Journal of Neurological Sciences (PJNS)

To determine the clinical profiles, management and outcome of myasthenic crisis (MC) in patients presenting to a tertiary care hospital in Karachi, Pakistan. This was a retrospective study of forty patients with Myasthenic crisis(MC) admitted at the Aga Khan University Hospital, Karachi between 1999 and 2014.Demographics, clinical presentation, hospital course, management and outcomes were reviewed. Ventilatory support for respiratory muscle or bulbar weakness was taken as crisis identification at arrival. Out of the total 40 patients with MC; generalized onset was seen in 28 (70%) and isolated bulbar symptoms in 12 (30%) patients. Fifteen patients (37.5%) had MC as a …

Epidemiology And Prevalence Of Deep Venous Thrombosis In Patients With Spinal Cord Injury, Aatik Arsh, Haider Darain, Syed Muhammad Ilyas

Pakistan Journal of Neurological Sciences (PJNS)

Pressure ulcers in patients with spinal cord injury (SCI) are associated with incredible financial cost and human sufferings. The aim of this retrospective study was to determine prevalence of pressure ulcers amongst patients with different levels of SCI.

Attitude And Perception Of Physical Therapists Towards Multidisciplinary Team Aproach In Stroke Rehabilitation, Muhammad Naveed Babur, Shiasta Habibullah, Anam Aftab

Pakistan Journal of Neurological Sciences (PJNS)

Stroke is a long term disability in developing countries which is considered as major economic burden on part of Health care system. In developing countries multidisciplinary team approach for stroke rehabilitation is emerging in tertiary care hospitals and has considerably increased the chance of early independence, fast recovery and maximum outcome in daily activities of life. Objective: Objective of the study was to evaluate the attitude and perception of physical therapists towards multidisciplinary team approach working in stroke rehabilitation.