Digital Commons Network^™

Shoulder Strengthening, Taping And Postural Reeducation In A Breast Cancer Survivor After Bilateral Mastectomy: A Case Report, Nalis Mbianda

Case Report Posters

Breast cancer is the most common cancer experienced by females in the United States. In breast cancer survivors, weakness of the rotator cuff musculature is often considered a contributing factor to rotator cuff pathology. The purpose of this case report was to help fill the gaps in literature by documenting the use of therapeutic exercises to strengthen the shoulder complex, in conjunction with taping techniques for postural reeducation, of a female breast cancer survivor.

Friday Facts, Lehigh Valley Health Network

Friday FACTS

No abstract provided.

Design Of A Modified Stewart Platform Manipulator For Misalignment Correction, Adekunle Ayoko

Master of Technology Management Plan II Graduate Projects

This thesis work is about the design of a modified Stewart platform manipulator for misalignment correction. The common version of the Stewart platform uses six actuators. The traditional Stewart platform of this kind has a moving top plate and a fixed base plate. However, in this research, the modified design of the traditional Stewart platform is studied. It is designed to be an easy connect-disconnect platform that can wrap around different structures with different cross sections and symmetrically designed. It is able to adjust position easily by using four identical but independent linear actuators populated evenly in two parts fastened …

Multi Identity Conflict: A Case Study On Sudanese Refugees And Asylum Seekers In Jordan, William C. Clifton Jr.

MA TESOL Collection

This inquiry was a completed as part of the requirements for earning a master of the arts degree in Peacebuilding and Conflict Transformation for the student William Clifton at SIT Graduate Institute. It was an independent practitioner inquiry based on the methodology of Grounded Theory that utilized qualitative research by way of in depth interviews and a focus group to understand how the identity shaped the experience of Sudanese migrants living in Jordan. In addition to these qualitative methods, a review of the literature was conducted on Sudanese populations in Sudan and in outside communities to help guide the process …

Developing An Electronic Health Record Training Program For New Employees, Crystal D. Figlietti

Doctor of Nursing Practice (DNP) Projects

In May 2015, an electronic health record (EHR) was implemented at an urban, long-term care facility. This facility is part of the county Department of Public Health (DPH) and was one of the last locations to implement the designated EHR system. The unique nature of the facility compared to the smaller, health care centers within the DPH network necessitated development of a customized training and onboarding program for new employees. It was not possible to duplicate an existing training program. The registered nurse (RN) informaticist assigned to the EHR used data from nursing staff surveys and information collected through a …

Multiplex Drug Screenings To Discover Host Oriented Therapies Against Infectious Diseases, William Leonardi

KGI Theses and Dissertations

Drug resistance is a longstanding and still-increasing threat to the effective treatment of infectious diseases. Discovering drugs that target host proteins involved in pathogenicity is a strategy that could address this problem. Unfortunately, there are currently no FDA-approved infectious disease therapies that specifically target host proteins. Our goal is to develop a method to i) quickly discover new drugs for the treatment infectious diseases, ii) identify the specific host protein target of the drugs, iii) investigate the broad spectrum application of the drugs. To find these types of drugs, we employed a novel multiplex drug screening method in which we …

The Effects Of Lung Volume On Swallowing In Chronic Obstructive Pulmonary Disease, Teresa C. Drulia

Dissertations, 2014-2019

Chronic Obstructive Pulmonary Disease (COPD), a respiratory disease that leads to reduced airflow, may result in difficulty swallowing with disease progression. The coordination between the respiratory and swallowing systems decouple and they may experience increased risk of aspiration. This study aimed to determine the effects of lung volume on swallowing in individuals with COPD compared with older healthy. Specifically, the study examined if altering lung volume at the time of the swallow changed swallowing timing, specifically pharyngeal swallow duration, and impacted the respiratory-swallow pattern in individuals with COPD. Measurement of estimated lung volume (ELV), pharyngeal swallow duration, and respiratory-swallow patterning …

Improving Provider Knowledge In The Evaluation, Diagnosis, And Treatment Of Adhd, Amanda L. Swink

Doctor of Nursing Practice Scholarly Project

Pediatric diagnosis of attention deficit hyperactivity disorder (ADHD) is on the rise with an increasing financial burden to the healthcare system and the patient (Center for Disease Control, 2015). This study sought to determine if an educational intervention would increase the knowledge of primary care providers in respect to ADHD clinical practice guidelines and the diagnosis and treatment of pediatric patients. An initial online survey was administered to primary care nurse practitioners in an attempt to determine their knowledge level, provider feelings and current practices in regards to pediatric ADHD in this region. Approximately four weeks after the online survey, …

Building Allas: Creation Of An Asthma And Allergies App, Benjamin J. Cochran

Doctor of Nursing Practice Scholarly Project

The purpose of this project was to determine the potential need for an app to allow patients to self-manage their asthma and allergies. Through a substantial literature review, the need for an app as well as a desire for this population to manage their disease was demonstrated. Determination was made to have three separate components to create an all-inclusive app, an education component, an asthma tracker, and a personalized allergy profile. The app was storyboarded before being sent to providers and small focus group for proof of concept and functionality of components. The app, ALLAS, was constructed and housed on …

Management Of A Patient With Bronchiectasis Using Pulmonary Rehabilitation And Balance Training: A Case Report, Megan Witherow Quarles

Case Report Papers

Background and Purpose: Bronchiectasis is a chronic lung disease defined by permanent, abnormal dilation of the bronchi and accompanied by chronic airway infection which leads to airway inflammation. Bronchiectasis is progressive and leads to a cycle of worsening pulmonary damage. Pulmonary rehabilitation, including progressive gait training, cycling, and stair climbing, is often utilized as treatment for this condition. However, there has been little research conducted on its effectiveness for bronchiectasis. The purpose of this case report is to examine physical therapy (PT) management, utilizing pulmonary rehabilitation with incorporated balance training, for a geriatric patient with bronchiectasis. Description: The patient was …

Afro-Caribbean Stylistic Elements As Topics In The Music Of Silvestre Revueltas: Conveying A Political Discourse In Caminando, No Sé Por Qué Piensas Tú, And Sensemayá, Elsy M. Gallardo-Diaz

Dissertations, 2014-2019

Although the music of Silvestre Revueltas has often been categorized as merely Mexicanist, this paper aims to demonstrate that not all of his music falls squarely within that classification. Among his brief but significant artistic output, three pieces for voice and small instrumental ensemble incorporate Afro-Caribbean stylistic elements drawn from popular and religious Afro-Cuban music. Composed in early 1937, Caminando, No sé que piensas tú soldado, and Sensemayá were based on poems by the Cuban Nicolás Guillén, the foremost representative of Afrocubanismo and, like Revueltas, an ardent believer in art as a tool for political protest and for …

Lvhn Weekly, Lehigh Valley Health Network

LVHN Weekly

No abstract provided.

The Effects Of Differentiated Instruction On Student Engagement, Student Satisfaction, And Quality Of Student Artwork In The High School Art Classroom, Lindsey R. Perrault

Masters Theses, 2010-2019

This study investigates the effects of differentiated instruction on student engagement, student satisfaction, and students’ perceived quality of artwork in the high school art classroom. In order to determine its effectiveness, students were presented a control and test lesson. The control lesson utilized limited differentiation, and students completed similar notes, projects and critiques. The Test Lesson incorporated multiple differentiated practices, including strategic grouping based on learning profile and interest. The test lesson also offered choices for student projects based on interest and readiness, and choices for a critique, based on interest and learning profile. Students completed a self assessment after …

Burden Of Disease Associated With Lower Levels Of Income Among Us Adults Aged 65 And Older, Erica I. Lubetkin, Haomia Jia

Publications and Research

Background: Persons aged 65 years and older represent a heterogeneous group whose prevalence in the USA is expected to markedly increase. Few investigations have examined the total burden of disease attributable to lower levels of income in a single number that accounts for morbidity and mortality.

Methods: We ascertained respondents’ health-related quality of life (HRQOL) scores and mortality status from the 2003 to 2004, 2005 to 2006, 2007 to 2008 and 2009 to 2010 cohorts of the National Health and Nutrition Examination Survey (NHANES) with mortality follow-up through 31 December 2011. A mapping algorithm based on respondents’ age and answers …

Mona Fiorentini V. William Penn School District

2016 Decisions

USDC for the Eastern District of Pennsylvania

James Collier V. Csx Transportation Inc

2016 Decisions

USDC for the Eastern District of Pennsylvania

Pechanga Band Of Luiseño Mission Indians Water Rights Settlement Act, United States 114th Congress

Native American Water Rights Settlement Project

Federal Legislation: Pechanga Band of Luiseño Mission Indians Water Rights Settlement Act (WIIN Act of 2016, Title III - Natural Resource, Subtitle D). Parties: Pechanga Band of Luiseño Mission Indians, United States. The lead agency for environmental compliance is the Bureau of Reclamation. The Act confirms the Tribal water right as The Act designates that 1) the rights of allottees are protected; 2) a Tribal Water Right of up to 4,994 acre-feet of water per year is confirmed in accordance with Interlocutory Judgement No. 41 as affirmed by the Fallbrook Decree; 3)water right can be used for any purpose; 4) …

Educational Needs Of Nurses For Wound Care, Stephanie Adee

Doctor of Nursing Practice Scholarly Project

The purpose of this study was to conduct a needs assessment of registered nurses’ knowledge base and attitudes toward wound care and to be able to customize a wound assessment tool to meet those needs. The visual assessment is an essential part of wound care and performing accurate assessments can lead to making the correct diagnosis, starting appropriate treatment timely, and discharging patients sooner. There are over five million patients suffering from chronic wounds and more cases are added yearly. The nurses need a tool to assist them in their daily assessments. This study utilized an anonymous survey of 23 …

Promoting An Increase In Preceptors For Nurse Practitioner Students By Providing The Necessary Tools For Preceptorship, Sonja K. Albright, Sonja Albright

Doctor of Nursing Practice Scholarly Project

The purpose of this project was to confirm the difficulties and barriers to precepting nurse practitioner students found in the literature by conducting a focus group with nurse practitioners who were currently precepting and some who were not. Participants were volunteers at a 4-State APN Conference in Joplin, Missouri. The group did confirm the barriers to precepting noted in the research. The most common theme noted during the group was that nurse practitioners felt ill-prepared to precept nurse practitioner students, a concept also noted in the literature. A Voiceover PowerPoint presentation was created based on the research and concepts discussed …

Development And Presentation Of An Employer Sponsored Health Center Proposal, Johnna Costello

Doctor of Nursing Practice Scholarly Project

Employer managed health centers were investigated in order to develop a business proposal to present to a Midwestern city for implementation. Benefits to the employer and employee were investigated and included in the proposal. Companies of varying size have implemented successful onsite health centers and help to increase employee productivity while decreasing the overall cost of health care and health care insurance. Self-insured companies with at least 1000 employees are recommended and will provide the earliest return of investment. Lost productivity is a significant cost to the company, on average a company will spend more on lost productivity than on …

Diabetes Self-Management Education: A Rural Health Development, Ashleigh A. Heter

Doctor of Nursing Practice Scholarly Project

The purpose of this Scholarly Project was to explore the need for a Diabetes Self-Management Education (DSME) Program in a rural health community in Southeast, Kansas (SEK). Statistics in Crawford County reveal that 10% of the population has been diagnosed with type 2 Diabetes Mellitus (T2DM) and a rising number of patients that are classified as obese. Without serious interventions many of these patients will develop T2DM. DSME programs provide essential skills and resources for patients to maintain glycemic control and reduce risks associated with this life-long disease. This study utilized data from fifty T2DM patients in the SEK area. …

Combating Childhood Obesity With Provider Education: A Quantitative Study, Trina Larery

Doctor of Nursing Practice Scholarly Project

The study included an educational program to providers and nurse practitioner students in order to evaluate whether an increase in knowledge and accuracy occurred based on knowledge of evidenced-based responses to specific indicators of childhood overweight and obesity. It assessed the providers’ knowledge and sought to evaluate if increased knowledge occurred after an educational program presentation. Following the educational program, a follow-up survey was distributed via email to assess the providers self-reported perceived practice change six weeks after the education.

Part one measured if an increase in knowledge of the 5210 components, correct laboratory testing, and assessment of comorbidities occurred. …

A Paradigm Shift In The Diagnosis And Treatment Of Polycystic Ovarian Syndrome: A Practice Change In Primary Care, Patricia L. Sullivan

Doctor of Nursing Practice Scholarly Project

An Abstract of the Scholarly Project by

Patricia Lynn Sullivan

The purpose of this Doctor of Nursing Practice (DNP) Scholarly Project was to determine whether participants’ knowledge of the updated guidelines on the diagnosis and treatment of the obese patient with polycystic ovarian syndrome (PCOS) is increased following a continuing education presentation. The increase in the knowledge of PCOS guidelines for an obese patient is documented using a pretest/ posttest method following the continuing education program which utilizes a PowerPoint presentation. PCOS is the most common endocrine disorder in women. This DNP capstone project was designed to provide a literature …

The Ethics Behind Efficiency, Jonathan B. Wight

Economics Faculty Publications

The normative elements underlying efficiency are more complex than generally portrayed, and rely upon ethical frameworks that are generally absent from classroom discussions. Most textbooks, for example, ignore the ethical differences between Pareto efficiency (based on voluntary win-win outcomes) and the modern Kaldor-Hicks efficiency used in public policy assessments (in which winners gain more than losers lose). For the latter to be ethically palatable, society must have in place basic institutions of justice, transparency, and accountability. Normative economics thus requires a pluralist approach that includes considerations of virtue and duty, closer to Adam Smith’s Enlightenment conceptions. This surprising finding should …

Policy Library- 535 Retirement Benefits, Indiana State University. General Counsel

Policy Library

No abstract provided.

The Effectiveness Of Melodic Intonation Therapy On English Speaking Adults With Expressive Aphasia, Ruth Crutchfield, A Jeske

Communication Sciences & Disorders Faculty Publications

Melodic Intonation Therapy (MIT) has been a resource for working with adults with aphasia since 1973 when Albert, Helm and Sparks created this music-based intervention. MIT involves intoning short utterances while simultaneously using the left hand to tap the rhythm of syllables. This research project investigates the effectiveness of MIT intervention for an aphasic population. This was experimental research using a pre-test - post-test between subjects single design including two males presenting with aphasia (n=2). They participated in a controlled intervention during a 12 week period of cognitive therapy. The first six weeks of the intervention program consisted of language …

Policy Library- 545 Leave, Indiana State University. General Counsel

Policy Library

No abstract provided.

Uab Names Brannan Vice President For Development And Alumni Affairs, Staff

Browse All News

No abstract provided.

Multi Identity Conflict: A Case Study Of Sudanese Refugees And Asylum Seekers In Jordan, William C. Clifton Jr.

Capstone Collection

This inquiry was a completed as part of the requirements for earning a Master's of Arts degree in Peacebuilding and Conflict Transformation for the student William Clifton at SIT Graduate Institute. It was an independent practitioner inquiry based on the methodology of Grounded Theory that utilized qualitative research by way of in depth interviews and a focus group to understand how the identity shaped the experience of Sudanese migrants living in Jordan. In addition to these qualitative methods, a review of the literature was conducted on Sudanese populations in Sudan and in outside communities to help guide the process and …

Changes In Mitochondrial Homeostasis And Redox Status In Astronauts Following Long Stays In Space, Hiroko P. Indo, Hideyuki J. Majima, Masahiro Terada, Shigeaki Suenaga, Kazuo Tomita, Shin Yamada, Akira Higashibata, Noriaki Ishioka, Takuro Kanekura, Ikuya Nonaka, Clare L. Hawkins, Michael J. Davies, Daret K. St Clair, Chiaki Mukai

Toxicology and Cancer Biology Faculty Publications

The effects of long-term exposure to extreme space conditions on astronauts were investigated by analyzing hair samples from ten astronauts who had spent six months on the International Space Station (ISS). Two samples were collected before, during and after their stays in the ISS; hereafter, referred to as Preflight, Inflight and Postflight, respectively. The ratios of mitochondrial (mt) to nuclear (n) DNA and mtRNA to nRNA were analyzed via quantitative PCR. The combined data of Preflight, Inflight and Postflight show a significant reduction in the mtDNA/nDNA in Inflight, and significant reductions in the mtRNA/nRNA ratios in both the Inflight and …