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2016

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Bone Density Status And Vitamin D And Calcium Concentrations In Pregnant And Non-Pregnant Women, Dini Setiarsih, Bambang Wirjatmadi, Merryana Adriani Dec 2016

Bone Density Status And Vitamin D And Calcium Concentrations In Pregnant And Non-Pregnant Women, Dini Setiarsih, Bambang Wirjatmadi, Merryana Adriani

Makara Journal of Health Research

Background: The aim of this study was to analyse differences in bone density and vitamin D and calcium concentrations between pregnant and non-pregnant women. Methods: This was an analytical, cross-sectional study of women aged 30 years or over, residing in the Puskesmas Bangkalan district. The sample population was chosen at random and included 10 pregnant women in their third trimester and 10 non-pregnant women. This observational study consisted of an interview, a blood test, and a 24-hour recall. The concentration of serum vitamin D (25(OH)D) was measured by Gas Chromatography and a Photometric Test measured the concentration of serum calcium. …


The Effect Of Squid Extract (Loligo Sp) On Tnf-Α And Tgf-Β1 Serum Levels During Wound Healing In Streptozotocin-Induced Diabetic Rats, Kadek Np Dewi, Heri Kristianto, Mochamad R. Indra Dec 2016

The Effect Of Squid Extract (Loligo Sp) On Tnf-Α And Tgf-Β1 Serum Levels During Wound Healing In Streptozotocin-Induced Diabetic Rats, Kadek Np Dewi, Heri Kristianto, Mochamad R. Indra

Makara Journal of Health Research

Background: Diabetes Mellitus is a chronic disease characterised by elevated levels of blood glucose known as hyperglycaemia. Diabetes is due to impaired insulin action in the metabolism of glucose and can result in impaired wound healing. Excessive production of pro-inflammatory cytokines, an increased number of macrophages and neutrophils, and decreased levels of transforming growth factor - beta 1 (TGF-β1) serum can be characteristic of impaired wound healing. This study aims to determine the effects of squid extract on certain wound parameters such as levels of tumour necrosis factor - alpha (TNF-α), and TGF-β1 serum and the number of macrophages and …


Challenges That Hinder Parturients To Deliver In Health Facilities: A Qualitative Analysis In Two Districts Of Indonesia, Sudirman Nasir, Rukhsana Ahmed, Miladi Kurniasari, Ralalicia Limato, Olivia Tulloch, Din Syafruddin, Korrie De Koning Dec 2016

Challenges That Hinder Parturients To Deliver In Health Facilities: A Qualitative Analysis In Two Districts Of Indonesia, Sudirman Nasir, Rukhsana Ahmed, Miladi Kurniasari, Ralalicia Limato, Olivia Tulloch, Din Syafruddin, Korrie De Koning

Makara Journal of Health Research

Background: There are many challenges women face to be able to give birth in health facilities in many parts of Indonesia. This study explores the roles and observations of close-to-community maternal health providers and other community members on potential barriers faced by women to deliver in health facilities in two districts within The Archipelago. Methods: Employing an explorative qualitative approach, 110 semi-structured interviews and 7 focus group discussions were conducted in 8 villages in Southwest Sumba, in the East Nusa Tenggara province, and in 8 villages in Cianjur, in the West Java province. The participants included village midwives, Posyandu volunteer …


A Qualitative Study On The Meaning Of Having A Child For Mothers Who Were Abused In Their Childhood, Maki Shigematsu Dec 2016

A Qualitative Study On The Meaning Of Having A Child For Mothers Who Were Abused In Their Childhood, Maki Shigematsu

Graduate Theses/Dissertations

The purpose of this research is to understand what having a child means for mothers who experienced child abuse, how their children affected the motherhood positively, and how the mothers tried to overcome their child abuse experiences. Three mothers were found as participants for the study. The data were collected by qualitative, open-ended interviews. Each of the mothers had one interview that lasted around 1-1.5 hours. The mothers' lived-experiences are portrayed with analysis and in-depth interpretation. The study shows how child abuse experiences impacted the participants' lives and parenting, how the participants made progress in their experiences growing up, and …


Modern Vet Management Business Plan, Alaina Stanton Dec 2016

Modern Vet Management Business Plan, Alaina Stanton

Honors Capstones

No abstract provided.


Investigation Of Radiation Injury In The Esophagus From Definitive Chemoradiation Therapy Using Novel Imaging Biomarkers, Joshua S. Niedzielski Dec 2016

Investigation Of Radiation Injury In The Esophagus From Definitive Chemoradiation Therapy Using Novel Imaging Biomarkers, Joshua S. Niedzielski

Dissertations and Theses (Open Access)

Radiation injury in the esophagus occurs with high frequency from the treatment of non-small cell lung cancer (NSCLC). Radiation esophagitis is an acute normal tissue toxicity that negatively affects treatment efficacy by limiting dose and potentially interrupting radiation therapy. Clinical quantification of this toxicity is typically achieved by utilizing physician grading scales, assigning complication severity on an ordinal scale of symptom presentation and/or physician chosen interventions. These criteria are subjective in nature, both from the physician assigning the grade and the patient reporting the symptom. Furthermore, radiation therapy planning guidelines for the esophagus are derived from toxicity prediction models utilizing …


The Development Of An Immunization Training Program For Low-Income Families Within The Community, Amanda W. Cooper Dec 2016

The Development Of An Immunization Training Program For Low-Income Families Within The Community, Amanda W. Cooper

DNP and Student Works

Objective: The purpose of this study was to assess knowledge levels regarding childhood immunizations among low-income parents in an effort to improve the immunization rate of 19 to 35 month old children. Design and Sample: Participants (n=36) were administered a pre- and post-test questionnaire asking for correct identification of vaccine needs of children 19 to 35 months of age. Measurements: Descriptive statistics and McNemar's test were uses to answer the PICOT question and define the sample. Intervention: A QI project using the Plan-Do-Study-Act (PDSA) cycle was implemented in a public health department care setting in Georgia to provide childhood immunization …


Effect Of Sourdough Fermentation Parameters On Bread Properties, Grace W. Couch Dec 2016

Effect Of Sourdough Fermentation Parameters On Bread Properties, Grace W. Couch

All Theses

Sourdough is the oldest form of leavening which many believe was invented by the Egyptians. Bread leavened with a sourdough culture relies on the metabolism of naturally occurring lactic acid bacteria and wild yeasts. Historically there were many ties between beer brewing and bread baking. In the fourteen and fifteen hundreds, it was discovered that brewers yeast could also be used to leaven bread. Up until the invention of commercial yeast in the nineteenth century, sourdough cultures and brewers yeast where the only bread leavening methods. By 1910, traditional sourdough was much less common because bread made with commercial yeast …


Investigation Of Lipid Profile Patterns Along Latitude In An Eastern Australian Cline And After Stress Selection In The Laboratory, And Experiments On Stress Tolerance With Rnai Knockdown Of Lipid Biosynthesis Genes, Li Ko Dec 2016

Investigation Of Lipid Profile Patterns Along Latitude In An Eastern Australian Cline And After Stress Selection In The Laboratory, And Experiments On Stress Tolerance With Rnai Knockdown Of Lipid Biosynthesis Genes, Li Ko

School of Biological Sciences: Dissertations, Theses, and Student Research

Homeoviscous adaptation in membranes and changes in energy storage lipids such as triacylglycerols (TAGs) are the two main themes of adaptation to environmental conditions. Basal patterns of lipid compositional profile of Drosophila melanogaster along a latitudinal gradient in the eastern coast of Australia indicate variations of lipidome associated with climatic patterns. Lipidome data were collected for eight locations along the eastern Australian cline for both sexes in D. melanogaster and D. simulans. To further investigate the relationship between lipidome patterns and environmental factors, we utilized laboratory selection studies using stress conditions including high temperature tolerance, desiccation survival, and chill-coma …


Physicochemical Properties Of Phosphate Pregelatinized Musa Balbisiana Starch As Pharmaceutical Excipient, Deni Anggraini, Anita Lukman, Hilwan Y. Teruna Dec 2016

Physicochemical Properties Of Phosphate Pregelatinized Musa Balbisiana Starch As Pharmaceutical Excipient, Deni Anggraini, Anita Lukman, Hilwan Y. Teruna

Pharmacology and Clinical Pharmacy Research

Starch is among the important pharmaceutical excipient, which is particularly used as filler in the tablet formulation and suspending agent. Starch from natural source has a potential to be developed as pharmaceutical excipient with comparable characteristics, including starch from Musa balbisiana (M. balbisiana). This study aimed to synthesize and evaluate physicochemical properties of phosphate pregelatinized M. balbisiana starch. We isolated the starch from M. balbisiana and performed pregelatinization. Since pregelatinized starch still could experience retrogradation which cause syneresis, chemical modification of pre-gelatinized starch was conducted using 5% of sodium tripolyphosphate at pH of 9-10. Physicochemical properties of phosphate pregelatinized starch …


The Classic, Winter 2016-2017, Public Relations Dec 2016

The Classic, Winter 2016-2017, Public Relations

The Classic, 2010-2019

Zwemer View: Diversifying: The Work of Reconciliation; Around the Green: Excellence Affirmed; Interpretacion; Raider Days; Art in the Big Apple; New M.Ed. Director; Campus Life: A Special Student; Award-Winners; Parenthood; On the Rise; Booking It; Bridge Scholars Advance Diversity Values; SID MVP; Military-Friendly; Partners in Law; Face Value: Jennifer Rogers; Great Examples: Junko (Hirasawa '70) Nagao, Glenn Van Ekeren '74, Sheila (Born '94) De Jong; Investing in the Mission: 2015-16 giving tops $5.7 million; A Place for Discovery; Red Zone: Interception; 1000 Words: A Day in the Life; No Limits: Alumni help impoverished Romanian youth reach higher; A Real Classic; …


Effects Of Excess Nitrogen On Biogeochemistry Of A Temperate Hardwood Forest: Evidence Of Nutrient Redistribution By A Forest Understory Species, Frank S. Gilliam, Jake H. Billmyer, Christopher A. Walter, William T. Peterjohn Dec 2016

Effects Of Excess Nitrogen On Biogeochemistry Of A Temperate Hardwood Forest: Evidence Of Nutrient Redistribution By A Forest Understory Species, Frank S. Gilliam, Jake H. Billmyer, Christopher A. Walter, William T. Peterjohn

Biological Sciences Faculty Research

Excess nitrogen (N) in terrestrial ecosystems can arise from anthropogenically-increased atmospheric N deposition, a phenomenon common in eastern US forests. In spite of decreased N emissions over recent years, atmospheric concentrations of reactive N remain high in areas within this region. Excess N in forests has been shown to alter biogeochemical cycling of essential plant nutrients primarily via enhanced production and leaching of nitrate, which leads to loss of base cations from the soil. The purpose of our study was to investigate this phenomenon using a multifaceted approach to examine foliar nutrients of two herbaceous layer species in one N-treated …


December 2016 Commencement Program, Bowling Green State University Dec 2016

December 2016 Commencement Program, Bowling Green State University

Commencement Programs

No abstract provided.


Dietary Nitrate Acutely And Markedly Increased Exhaled Nitric Oxide In A Cystic Fibrosis Case, Conor Kerley, Emma Kilbride, Peter Greally, Basil Elnazir Dec 2016

Dietary Nitrate Acutely And Markedly Increased Exhaled Nitric Oxide In A Cystic Fibrosis Case, Conor Kerley, Emma Kilbride, Peter Greally, Basil Elnazir

Articles

Airway nitric oxide (NO) is a ubiquitous signaling molecule with bronchoprotective, antiinflammatory and anti-infective roles. Cystic fibrosis (CF) is a chronic lung condition associated with deceased exhaled NO. Strategies to increase exhaled NO in CF have yielded inconsistent results. A potential new method of increasing systemic NO involves ingestion of dietary, inorganic nitrate which is reduced to nitrite and NO. We present the case of a 12 year-old, athletic male with CF who demonstrated acute but marked increases in exhaled NO following dietary nitrate consumption compared to placebo.


Family Factors That Characterize Adolescents With Severe Obesity And Their Role In Weight Loss Surgery Outcomes., Meg H. Zeller, Sanita Hunsaker, Carmen Mikhail, Jennifer Reiter-Purtill, Mary Beth Mccullough, Beth Garland, Heather Austin, Gia Washington, Amy Baughcum, Dana Rofey, Kevin Smith, Teenview Study Group And In Collaboration With The Teen-Labs Consortium Dec 2016

Family Factors That Characterize Adolescents With Severe Obesity And Their Role In Weight Loss Surgery Outcomes., Meg H. Zeller, Sanita Hunsaker, Carmen Mikhail, Jennifer Reiter-Purtill, Mary Beth Mccullough, Beth Garland, Heather Austin, Gia Washington, Amy Baughcum, Dana Rofey, Kevin Smith, Teenview Study Group And In Collaboration With The Teen-Labs Consortium

Manuscripts, Articles, Book Chapters and Other Papers

Objective: To comprehensively assess family characteristics of adolescents with severe obesity and whether family factors impact weight loss outcomes following weight loss surgery (WLS).

Methods: Multisite prospective data from 138 adolescents undergoing WLS and primary caregivers (adolescent: Mage = 16.9; MBMI = 51.5 kg/m2 ; caregiver: Mage = 44.5; 93% female) and 83 nonsurgical comparators (NSComp: adolescent: Mage = 16.1; MBMI = 46.9 kg/m2 ; caregiver: Mage = 43.9; 94% female) were collected using standardized measures at presurgery/baseline and at 1 and 2 years.

Results: The majority (77.3%) of caregivers had obesity, with rates of caregiver WLS significantly higher in …


The Relationship Between Pediatric Asthma And Obesity In Nevada, Jennifer Anne Lucas Dec 2016

The Relationship Between Pediatric Asthma And Obesity In Nevada, Jennifer Anne Lucas

UNLV Theses, Dissertations, Professional Papers, and Capstones

Asthma and obesity are two of the most common comorbid health problems in the U.S. Currently nearly 8% of Nevada youth are affected by asthma and more than 30% are overweight or obese. Obesity is a risk factor for asthma, yet asthma-related factors such as decreased physical activity and use of oral corticosteroids for asthma control can lead to obesity. This study examined the relationship between asthma and obesity in two pediatric populations in Nevada. It was hypothesized that children with asthma and elevated BMI would have more severe asthma symptoms, decreased lung function, poorer quality-of-life measures, and different atopic …


The Response Of A Predatory Fish, Ophiodon Elongatus, To A Marine Protected Area: Variation In Diet, Catch Rates, And Size Composition, Eric S. Anderson Dec 2016

The Response Of A Predatory Fish, Ophiodon Elongatus, To A Marine Protected Area: Variation In Diet, Catch Rates, And Size Composition, Eric S. Anderson

Master's Theses

Marine Protected Areas (MPAs) are a management tool used to protect and sustain many ecologically and economically important fish species from overexploitation by recreational and commercial fishing. Lingcod (Ophiodon elongatus) and some of its prey species, such as rockfish (Sebastes spp.), are species that are protected from fishing in some California MPAs. Lingcod is an apex predator that consumes a variety of fish and invertebrate species. In this study, I sought to assess the effect of an MPA on the abundance, size and diet of Lingcod. I hypothesized that Lingcod in a no-take MPA would be more …


Spatial Analysis Of The Nutritional Risk Of Older Adults Participating In The Older Americans Act Program In South Carolina, 2013, Maciel Ugalde Dec 2016

Spatial Analysis Of The Nutritional Risk Of Older Adults Participating In The Older Americans Act Program In South Carolina, 2013, Maciel Ugalde

All Dissertations

Malnutrition is a prevalent, serious, and often unrecognized health threat for older adults in the United States. The prevalence estimates of malnutrition in the elderly are highly variable as methods for detection are not standardized. It is dependent on the use of the different available tools, the population being studied, and the different settings (living at home, institutionalized, or hospitalized) The purpose of this study was to determine the spatial variation of the nutritional risk of Area Agencies on Aging (AAA) service recipients in South Carolina (SC) using factors that influence the nutritional status of older adults included in the …


Evaluating Indirect Calorimetry Methodology, Postural Energy Expenditure, And The Effects Of Diet And Exercise Recommendations, Collin Jeffrey Popp Dec 2016

Evaluating Indirect Calorimetry Methodology, Postural Energy Expenditure, And The Effects Of Diet And Exercise Recommendations, Collin Jeffrey Popp

All Dissertations

Scientific research provides the evidence necessary to build an effective framework for health recommendations. In a population of young, healthy adults the recommended duration of an indirect calorimetry measurement period when measuring resting energy expenditure was a minimum of 10 minutes, with the first 5-minutes being discarded. A steady state period was achieved during the second 5-minute segment of a 30-minute period. Furthermore, in a population of young women, short-term standing energy expenditure was statically greater than lying and sitting energy expenditure. However, recommendations to stand instead of sit may be negligible as the magnitude of the effect of short-term …


Study Of Chemical Profiles Of Volatile And Non-Volatile Bioactive Compounds Of Muscadine Grapes (Vitis Rotundifolia) During Ripening Stages And Evaluation Of Their In Vitro Biological Properties, Bolim Lee Dec 2016

Study Of Chemical Profiles Of Volatile And Non-Volatile Bioactive Compounds Of Muscadine Grapes (Vitis Rotundifolia) During Ripening Stages And Evaluation Of Their In Vitro Biological Properties, Bolim Lee

All Dissertations

Muscadine grapes (Vitis rotundifolia) have attracted consumers because of their unique flavors and high concentrations of bioactive phytochemicals. The aim of this study was to investigate the effects of ripening stages (i.e., stage I, II, and III) of muscadine on physiochemical properties, volatile organic compounds (VOCs), and phenolic compounds in the grapes, and explore the enzymatic inhibitory effects of the muscadine extracts and some of its inherent phenolics on some important enzymes, such as angiotensin-I-converting enzyme (ACE), pancreatic lipase (PL), tyrosinase, collagenase and elastase, relevant to human chronic diseases. Physiochemical properties of the muscadine grapes were evaluated in …


Genetic Study Of Grain Yield And Quality Traits In Sorghum, Richard E. Boyles Iii Dec 2016

Genetic Study Of Grain Yield And Quality Traits In Sorghum, Richard E. Boyles Iii

All Dissertations

Farming begins with a seed, and having the proper genetics within that seed to match the environment and management practices is critical. Plant breeders can be more effective at tailoring crop cultivars and hybrids when the genetic mechanisms of key traits are understood. The scope of this study was to investigate the natural diversity, genetic regions, and individual genes that are associated with components of grain yield and quality in sorghum [Sorghum bicolor (L) Moench]. These traits were characterized in different environments, years, and populations to observe the variation and interactions that exist and allow for genome-wide association studies (GWAS) …


Directly Comparing Handoff Protocols For Pediatric Hospitalists., Elizabeth H. Lazzara, Robert Riss, Brady Patzer, Dustin C. Smith, Y Raymond Chan, Joseph R. Keebler, Sarah D. Fouquet, Evan M. Palmer Dec 2016

Directly Comparing Handoff Protocols For Pediatric Hospitalists., Elizabeth H. Lazzara, Robert Riss, Brady Patzer, Dustin C. Smith, Y Raymond Chan, Joseph R. Keebler, Sarah D. Fouquet, Evan M. Palmer

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND AND OBJECTIVES: Handoff protocols are often developed by brainstorming and consensus, and few are directly compared. We hypothesized that a handoff protocol (Flex 11) developed using a rigorous methodology would be more favorable in terms of clinicians' attitudes, behaviors, cognitions, or time-on-task when performing handoffs compared with a prevalent protocol (Situation Background Assessment Recommendation [SBAR]).

METHODS: Using a between-groups, randomized control trial design (Flex 11 versus SBAR) during a pilot study in a simulated environment, 20 clinicians (13 attending physicians and 7 residents) received 3 patient handoffs from a standardized physician, managed the patients, and handed off the patients …


Education Inequality: Broadening Public Attitudes Through Framing, Norman Eng Dec 2016

Education Inequality: Broadening Public Attitudes Through Framing, Norman Eng

Publications and Research

Research over the last 50 years have been remarkably consistent when it comes to addressing education inequality: background factors like family and socioeconomics matter to school success. Yet policies remain narrowly focused on school-based reforms like testing, standards, and charter schools due in large part to America’s limited understanding of education and inequality. I argue that scholars, as the experts, are ultimately responsible for changing how policymakers and the public think about these issues—a duty they have yet to embrace. In this connection, the use of framing can help education researchers broaden attitudes and stimulate political will. Drawing mainly from …


Safeguarding Maternal And Child Health In South Africa By Starting The Child Support Grant Before Birth: Design Lessons From Pregnancy Support Programmes In 27 Countries, M. F. Chersich, Stanley Luchters, D. Blaauw, F. Scorgie, E. Kern, A. Van Den Heever, H. Rees, E. Peach, S. Kharadi, S. Fonn Dec 2016

Safeguarding Maternal And Child Health In South Africa By Starting The Child Support Grant Before Birth: Design Lessons From Pregnancy Support Programmes In 27 Countries, M. F. Chersich, Stanley Luchters, D. Blaauw, F. Scorgie, E. Kern, A. Van Den Heever, H. Rees, E. Peach, S. Kharadi, S. Fonn

Population Health, East Africa

Background: Deprivation during pregnancy and the neonatal period increases maternal morbidity, reduces birth weight and impairs child development, with lifelong consequences. Many poor countries provide grants to mitigate the impact of poverty during pregnancy. South Africa (SA) offers a post-delivery Child Support Grant (CSG), which could encompass support during pregnancy, informed by lessons learnt from similar grants.

Objectives: To review design and operational features of pregnancy support programmes, highlighting features that promote their effectiveness and efficiency, and implications thereof for SA.

Methods: Systematic review of programmes providing cash or other support during pregnancy in low- and middle-income countries.

Results: Thirty-two …


Effect Of Exotic Invasive Old World Climbing Fern (Lygodium Microphyllum) On Soil Properties, Pushpa G. Soti, Krish Jayachandran Dec 2016

Effect Of Exotic Invasive Old World Climbing Fern (Lygodium Microphyllum) On Soil Properties, Pushpa G. Soti, Krish Jayachandran

School of Integrative Biological & Chemical Sciences (Formerly Dept. of Biology)

Old World climbing fern (Lygodium microphyllum) has become one of the most serious ecological threats to the integrity of the greater Everglades ecosystem of south Florida. In this study, we analyzed the effects of Old World climbing fern on surfacesoil characteristics at invaded sites in Florida. We compared soil characteristics of six invaded and adjacent uninvaded plots at three different locations. Our results show that the fern can grow and thrive in a wide range of soil types and the impact on the soil was site specific with effects being more prominent in sites with low nutrient status. Additionally, there …


Using Soil Conditioners To Improve Soil Physiochemical Properties And Agricultural Productivity In Libya, Gandura Abagandura Dec 2016

Using Soil Conditioners To Improve Soil Physiochemical Properties And Agricultural Productivity In Libya, Gandura Abagandura

All Dissertations

The results of Libyan agricultural review confirmed that soil degradation and limited freshwater resources are the primary causes of the country’s dependence on food imports. The intrusion of the seawater into the groundwater is causing soils to become salt-affected. In addition, many crops in the country are susceptible to pests. The spatial distribution of soil degradation occurrence and type were predicted using regression models, estimating that 666 882 km2 (53.5 %) of Libyan soils are degraded with 46.4 % due to salinization, 6.4 % water erosion and 0.66 % wind erosion.

The majority of the soils in Libya are sandy …


Release And Degradation Of Microcystin-Lr Following Exposures Of Microcystis To Copper-Based Algaecides, Kyla Iwinski Dec 2016

Release And Degradation Of Microcystin-Lr Following Exposures Of Microcystis To Copper-Based Algaecides, Kyla Iwinski

All Dissertations

Microcystins (MCs) are hepatotoxic endotoxins produced by cyanobacteria such as Microcystis that can cause both ecological and human health risks, as well as economic losses in freshwater resources. The use of copper-based algaecides to manage MC-producing cyanobacteria is sometimes limited due to perceived risks of MC release from cyanobacterial cells and persistence of toxins in water resources. The aim of this research was to investigate the influence of copper concentration and form on MC release and persistence, as well as potential consequences of “no-action” management decisions (i.e. no treatment). To achieve these objectives, a tiered approach was employed utilizing both …


Why Didn’T I Know? Perspectives From Adult Children Of Elderly Parents With Dementia, Debbie Conner, Julie Postma, Catherine Van Son Dec 2016

Why Didn’T I Know? Perspectives From Adult Children Of Elderly Parents With Dementia, Debbie Conner, Julie Postma, Catherine Van Son

All Faculty and Staff Scholarship

Purpose: Approximately 27 million adults are living with undiagnosed dementia worldwide. The purpose of this study was to learn about the experiences of adult children of elderly parents who were ultimately diagnosed with dementia.

Data sources: A descriptive qualitative design was used for identifying if there were prodromal signs or symptoms that preceded the more commonly known warning signs of dementia. Twelve, 60-min interviews were conducted over the telephone.

Conclusions: The overarching theme was: “Why didn't I know?” Subthemes were “We ignored it because we didn't want it to be,” “We thought it was grief,” and “They wouldn't diagnose dementia.” …


Inhibition Of Clostridium Perfringens Growth During Extended Cooling Of Cooked Uncured Roast Turkey And Roast Beef Using A Concentrated Buffered Vinegar Product And A Buffered Vinegar Product, Andrew Mitchell Smith Dec 2016

Inhibition Of Clostridium Perfringens Growth During Extended Cooling Of Cooked Uncured Roast Turkey And Roast Beef Using A Concentrated Buffered Vinegar Product And A Buffered Vinegar Product, Andrew Mitchell Smith

Theses and Dissertations

This research evaluates the effectiveness of a concentrated, buffered vinegar product (CBV) and a simple buffered vinegar product (BV) for controlling Clostridium perfringens outgrowth during extended cooling times of ready-to-eat roast turkey and roast beef respectively. Whole turkey breasts and beef inside rounds were injected with a typical brine, then ground and mixed with CBV (0.0, 2.01, 2.70 and 3.30% wt/wt) or BV (0.0, 1.75, 2.25, and 3.75% wt/wt) and a three-strain C. perfringens spore cocktail to a detectable level of ca. 2-3 log CFU/g. The meat was divided into 10g portions and vacuum packaged and stored frozen until tested. …


Directly Comparing Handoff Protocols For Pediatric Hospitalists, Elizabeth H. Lazzara, Robert Riss, Brady Patzer, Dustin C. Smith, Y. Raymond Chan, Joseph R. Keebler, Sarah D. Fouquet, Evan M. Palmer Dec 2016

Directly Comparing Handoff Protocols For Pediatric Hospitalists, Elizabeth H. Lazzara, Robert Riss, Brady Patzer, Dustin C. Smith, Y. Raymond Chan, Joseph R. Keebler, Sarah D. Fouquet, Evan M. Palmer

Publications

BACKGROUND AND OBJECTIVES: Handoff protocols are often developed by brainstorming and consensus, and few are directly compared. We hypothesized that a handoff protocol (Flex 11) developed using a rigorous methodology would be more favorable in terms of clinicians’ attitudes, behaviors, cognitions, or time-on-task when performing handoffs compared with a prevalent protocol (Situation Background Assessment Recommendation [SBAR]).

METHODS: Using a between-groups, randomized control trial design (Flex 11 versus SBAR) during a pilot study in a simulated environment, 20 clinicians (13 attending physicians and 7 residents) received 3 patient handoffs from a standardized physician, managed the patients, and handed off the patients …