Digital Commons Network^™

Trust Me...I'M A Trauma Nurse, Wendy Hyatt, Stephen Clayton, Erin Kunkel, Elisha Nunley

General Submissions: Presentations (Oral and Poster)

Purpose: There is a large number of staff in the Emergency Department, high turnover rates, many different areas of focus which lead to inconsistencies in the care and documentation of care for trauma patients. The goal was to develop a small group of specially trained Emergency Department nurses to care for trauma patients and initiate the quality improvement process at the bedside.

Design: Course content was researched, developed and approved by both the trauma service and the emergency department. The content was based on evidence-based practice found in current literature, including American College of Surgeons requirements and hospital policy. Highlights …

Evaluating The Ergonomics Of Cardiac Arrest Care, Zakk Arciaga, Erin Kane, Michael Ehmann, Mustapha Saheed, Alan Hsu, Theodore Fagrelius

General Submissions: Presentations (Oral and Poster)

Purpose: To identify the ideal physical setup that maximizes vital equipment visibility for the resuscitation team to allow rapid assessment of cardiac rhythms during pulse checks, real-time feedback on CPR quality, and better identification of the team leader.

Design: Quality Improvement (QI) project.

Setting: Adult Emergency Department in an urban, academic, level I trauma and tertiary referral center treating over 70,000 patients per year.

Participants/Subjects: Key stakeholders involved in cardiac arrest care were identified and invited to participate in a simulation exercise during the 2014-15 and 2015-16 academic year. Participants in these simulation evaluations were Johns Hopkins Adult Emergency Department …

Trauma Nurse Fellowship: Developing The Novice Trauma Nurse, Laura Garlow, Lisa Ulbricht, Anita Johnson, Jamie Van Ness, Jayne Petefish, Stacy Petrucelli, Amanda Coetzee, Tress Ritter, Barry Renz, Lonnie Moton, Nancy Ballard

General Submissions: Presentations (Oral and Poster)

Purpose: Residency and fellowship programs have successfully been implemented in combination with workshops to develop nurses and increase nursing knowledge over the past several years. These programs can improve both quality and efficiency of care; improve work satisfaction, engagement, confidence, team relationship and to reduce turnover. There are gaps in the literature related to the effectiveness of short term fellowship and residency programs. The Trauma Nurse Fellowship (TNF) is a condensed education program that incorporates lecture, simulation, and clinical experience to maximize learning.

Design: This is a feasibility study to determine the effectiveness of the TNF on new trauma nurse …

Hospital-Wide Communication To Improve Quality Outcomes Of Stroke Patients, Amy Garner, Angela Rheal

General Submissions: Presentations (Oral and Poster)

Purpose: Time is vital in the initial care of stroke patients. Swift recognition of symptoms, immediate access to diagnostic tests, and appropriate treatment play a vital role in a patient's functional outcomes (Middleton et al., 2015). Delays in any one of these areas can postpone treatment and thus complicate the recovery of the patient. Identified disruptions at this facility included delays in patient registration, lack of coordination for medical order entry, and communication issues regarding imaging availability. This project sought to evaluate and eliminate possible interruptions in service, with a goal of reducing the time to evaluation and treatment.

Design: …

Transforming Clinical Leadership: Standardized Charge Nurse Development, Susan Hanser, Stephanie Fowler

General Submissions: Presentations (Oral and Poster)

Charge nurses dramatically impact the workflow of a nursing unit but often feel ill-prepared to lead. At our community hospital, we created a charge nurse development class that incorporates four identified themes: 1) Leadership principles: an introduction to the standards by which all leaders at our organization conduct themselves. This invites discussion and reflection on what leadership looks like at the bedside. 2) Key quality concepts: metrics and reimbursement facts, how our facility compares to others and discussions about how the charge nurse can effect change. 3) Communication techniques: feedback scripting that enables the nurses to initiate difficult conversations and …

Experiments In Sound And Music Quantum Computing, A Kirke, Er Miranda

School of Art, Design and Architecture

No abstract provided.

Interactional Competence In Japanese As An Additional Language: An Overview, Tim Greer, Midori Ishida, Yumiko Tateyama

Faculty Publications

Speaking a language involves more than just knowledge of grammar, vocabulary, and pronunciation: It also requires the abilities to interpret what your interlocutor is saying, to formulate a relevant response, and to deliver it in a timely manner. In addition, it entails skills such as dealing with trouble in talk when it arises and being able to identify an appropriate moment to start speaking. In short, it requires interactional competence (IC). As this applies to speaking a language other than one's first, this volume of Pragmatics & Interaction examines specific interactional competences {ICs) that speakers of Japanese as an additional …

Developing Recipient Competence During Study Abroad, Midori Ishida

Faculty Publications

Partly as a response to Kinginger's (2009) call for studies that examine the interaction in which L2 speakers participate during study abroad and its relationship with long-term development, this chapter explores what features of social interaction might afford L2 speakers opportunities to "form new practices" (Pallotti & Wagner, 2011, p. 1), especially when using receipts.

2017-12-04 Newsletter, Morehead State University. Staff Congress.

Staff Congress Records

Staff Congress newsletter for December 4, 2017.

2017-12-04 Minutes, Morehead State University. Staff Congress.

Staff Congress Records

Staff Congress minutes for December 4, 2017.

Zinc Chloride Activates Phospho-Akt And Promotes Chondrocyte Maturation In The Atdc5 Chondrogenic Cell Line, Donya T. Burgess

Seton Hall University Dissertations and Theses (ETDs)

Fracture healing is characterized by inflammation, cartilage formation, bone deposition, and remodeling. Endochondral ossification is an important part of callus formation that relies on the maturation of chondrocytes. Early in their maturation these cells express collagen type II alpha 1 chain (COL2A1) and express collagen type X alpha 1 chain (COL10A1) as they mature further and become hypertrophic chondrocytes. Activation of the insulin pathway is considered a primary factor involved in the initiation of chondrogenesis and its progression during bone healing. Insulin mimetics like zinc chloride (ZnCl₂) have been shown to improve bone healing outcomes and enhance bone …

Respiratory Distress In The Neonate: Case Definition & Guidelines For Data Collection, Analysis, And Presentation Of Maternal Immunization Safety Data, Leigh R. Sweet, Cheryl Keech, Nicola P. Klein, Helen S. Marshall, Beckie N. Tagbo, David Quine, Pawandeep Kaur, Ilia Tikhonov, Muhammad Imran Nisar, Sonali Kochhar

Department of Paediatrics and Child Health

No abstract provided.

Failure To Thrive: Case Definition & Guidelines For Data Collection, Analysis, And Presentation Of Maternal Immunisation Safety Data, Elizabeth Ross, Flor M. Munoz, Bassey Edem, Cassandra Nan, Fyezah Jehan, Julie Quinn, Tamala Mallett Moore, Sanie Sesay, Hans Spiegel, Librada Fortuna

Department of Paediatrics and Child Health

No abstract provided.

Leadership Identity Development In Intercollegiate Female Student-Athletes: A Case Study, Natalie M. Poole

Electronic Theses and Dissertations Archive

The study is focused on the process of leadership identity development through an in-depth analysis of the experiences of and influences on intercollegiate female student-athletes at a mid-south, mid-size university that participates in Division 1 collegiate athletics. Research was conducted within the theoretical framework of the Leadership Identity Development (LID) model authored by Komives, Owen, Longerbeam, Mainella, and Osteen (2005). This study was interested in the degree to which the data upheld the presence of the four developmental influences of the LID model: 1) peer influences, 2) adult influences, 3) reflective learning, and 4) meaningful involvement. Framed by an understanding …

Secure Bootstrapping And Access Control In Ndn-Based Smart Home Systems, Lei Pi

Electronic Theses and Dissertations Archive

Smart home systems utilize network-enabled sensors to collect environmental data and provide various services to home residents. Such a system must be designed with security mechanisms to protect the safety and privacy of the residents. More specifically, we need to secure the production, dissemination, and consumption of smart home data, as well as prevent any unauthorized access to the services provided by the system. In this work, we study how to build a secure smart home system in the context of Named Data Networking, a future Internet architecture that has unique advantages in securing Internet of Things. We focus on …

Communication Barriers And Health Among Hispanics: A Quantitative Study Exploring Race, Ethnicity, And Language, Daisy Angeles

Electronic Theses and Dissertations Archive

Sociological and medical research on Hispanic health often emphasizes the phenomenon termed the "Hispanic Paradox;" however, it is currently unclear whether this applies equally for Hispanics who only speak Spanish, speak both English and Spanish, or exclusively speak English. I conduct a two-step analysis using data from 2005 and 2010 from the National Health Interview Survey to examine how race, ethnicity, and language influence various health measures, controlling for sex, age, and education. Findings from the first analytic stage demonstrate that there is significant health heterogeneity within the Hispanic group because of communication barriers. Findings from the second analytic stage …

A Geospatial Investigation Of The Potential For Inter-Aquifer Communication In Shelby County, Tennessee: A Multi-Scale Spatial Dependency Model, Andrew Barnett Murphy

Electronic Theses and Dissertations Archive

The upper-Claiborne confining unit overlies the Memphis aquifer in Shelby County, Tennessee. Hydrogeologic windows are locations where clay intervals are thin or absent within the confining unit, resulting in localized vertical recharge. Previous work has not been geostatistically focused. In this study, 430 borehole geophysical logs were analyzed. The objectives were to: 1) capture and analyze exisiting well log data in a geodatabase 2) utilize geostatisitical modeling at a variety of scales 3) integrate well log data with historic water-table elevation trends and 4) produce multi scaled maps that illustrate hydrostratigraphic trends in terms of inter-aquifer communication. Geostatisitical ordinary kriging …

"I Am A Cartoon? Not Me!": Racial Identity Work And Resistance To Native American Caricature Iconography Erasure, Anthony Jerome Stone Jr.

Electronic Theses and Dissertations Archive

The Indigenous population of the United States remains a neglected demographic in sociological research. Scholars in other disciplines, and few in sociology, have studied a wide range of issues within the Native Americans populations, including health, socioeconomics, political representation, and law. However, few have researched the emergent controversy over media representations and identity. Although academics from several disciplines have examined Native American Mascots and other such images, few have noted the ways in which those who identify as Native (American) talk about such representations in regard to their identity. For this study, research was conducted to examine the ways Native …

My News, Georgia Southern University

My News (2014-2020)

• Commencement to take place Dec. 8
• Double Eagle gives back to soldiers overseas

• From farm work to homework: First-generation graduate walks this fall

• Bakari Sellers named 2018 annual Martin Luther King Celebration speaker

• Fraternity brothers vacation with a purpose

• Student turned journalist: Senior Harley Strickland to start work with WTOC this sprin

School Administrators’ Perceptions Of The James Stronge Teacher Evaluation System, Jean Schoenlank

Seton Hall University Dissertations and Theses (ETDs)

This qualitative study examined school administrators’ perceptions of the James Stronge teacher evaluation system, one of five approved evaluation systems by the New Jersey Department of Education from the Teacher Effectiveness and Accountability for the Children of New Jersey Act (TEACHNJ) in 2012. Fourteen administrators from a suburban district were interviewed to examine their views of the Stronge model’s influence on teachers’ instructional practice, the accuracy of the ratings found from using this model, and its influence on their instructional leadership.

The results indicate the seven performance indicators at the heart of the Stronge evaluation system are valuable to administrators …

Small For Gestational Age: Case Definition & Guidelines For Data Collection, Analysis, And Presentation Of Maternal Immunisation Safety Data, Elizabeth P. Schlaudecker, Flor M. Munoz, Azucena Bardají, Nansi S. Boghossian, Asma Khalil, Hatem Mousa, Mirjana Nesin, Muhammad Imran Nisar, Vitali Pool, Hans M.L. Spiegel

Department of Paediatrics and Child Health

No abstract provided.

Congenital Microcephaly: Case Definition & Guidelines For Data Collection, Analysis, And Presentation Of Safety Data After Maternal Immunisation, Malini Desilva, Flor M. Munoz, Erick Sell, Helen Marshall, Alison Tse Kawai, Alisa Kachikis, Paul Heath, Nicola P. Klein, James M. Oleske, Fyezah Jehan

Department of Paediatrics and Child Health

No abstract provided.

The Free Press Vol. 49, Issue No. 10, 12-04-2017, Sarah Tewksbury

Free Press, The

The Free Press will stand by its predecessors -- End of net neutrality could be near -- New direction for USM Young Americans for Freedom -- Senate funded Trevor Project at USM has high hopes -- High school students seek a head start at USM

Investigating Multiple Domains Of Household Livelihood Security: Insights From Urban Slums In Bangladesh, S Akter, S Rahman

School of Geography, Earth and Environmental Sciences

In this article, the authors construct indices of Household Livelihood Security (HLS) domains, namely, economic, food, health, and education securities and empowerment with data from 1,120 poor households in two urban settlements of Bangladesh. The authors then jointly identify domain-specific socioeconomic determinants employing a multivariate Tobit model. A quintile analysis of domains shows high levels of inequalities among these poor households. The HLS domains are significantly positively correlated, and a host of factors significantly influence individual HLS domain. Interventions targeted at improving education, provision of business training and building of land asset are suggested to improve livelihood security.

Talking To Birds, Lee W. Sang

Valparaiso Fiction Review

No abstract provided.

Thematic Analysis Of Mainstream Rap Music - Considerations For Culturally Responsive Sexual Consent Education In High School, Kimberly Johnson, Christine Markham, Susan R. Tortolero

Journal of Applied Research on Children: Informing Policy for Children at Risk

Background: Much of the research literature on sexual consent and sexual consent education has been focused on college students, providing a significant gap in our understanding of high school students, especially ethnic minority youth, who are at greatest risk for unwanted sexual contact and sexual activity. Furthermore, recent research suggests that music with sexually suggestive and misogynistic themes influence sexual communication and consenting behaviors. An analysis of rap music produced after the year 2000 is necessary to identify themes that may influence sexual communication among youth. Methods: A thematic analysis was conducted to examine the lyrics of mainstream rap music …

Community Mobilization: A Community-Wide Approach To Promoting Adolescent Sexual Health, Sam E. Greenberg, Laura Davis, Cheryl Tutt Msw, Tonya Katcher Md, Mph

Journal of Applied Research on Children: Informing Policy for Children at Risk

Community mobilization is a strategy that organizes a community across sectors for long-term change, and is one way for communities to provide supports for young people to make healthy sexual choices. In the context of teen pregnancy, community mobilization can address the interconnected web of factors that influence teen sexual attitudes by bringing together parents, educators, health care practitioners, young people, and other key community stakeholders to address the issue jointly. From 2014 to 2016, Advocates for Youth, through a cooperative agreement with the US Office of Adolescent Health, provided financial support and capacity-building assistance to three communities to address …

Working With Faith-Based Communities To Develop An Education Tool Kit On Relationships, Sexuality, And Contraception, Jennifer Torres, Kimberly Johnson-Baker, Sheryl B. Bell, Jamie Freeny, Sharon Edwards, Susan R. Tortolero, Honora I. Swain-Ogbonna

Journal of Applied Research on Children: Informing Policy for Children at Risk

Communities disproportionately affected from higher rates of unplanned teen births are in need of sustainable approaches to prevention strategies. One approach is to build the capacity of faith-based communities (FBCs) to address the sexual health needs of the surrounding community. However there is a need for comprehensive, user-friendly resources designed for FBCs that provide critical decision-making information related to pregnancy prevention inclusive of contraception. Using community-based, theoretical and practice-informed strategies, we developed a user-friendly sexuality education tool kit in five phases: (1) building relationships with faith leaders; (2) piloting educational sessions within churches; (3) gaining insight from participating faith leaders; …

Sexual Health Education For Behavior Change: How Much Is Enough?, Ross Shegog, Elizabeth Baumler, Robert C. Addy, Melissa Peskin, Melanie Ann Thiel, Susan R. Tortolero, Christine Markham

Journal of Applied Research on Children: Informing Policy for Children at Risk

Purpose: Successful implementation of sexual health curricula in school settings is often compromised by competing academic priorities. This study explores the association between exposure to sexual health lessons (time-on-task in hours and lesson content topics) and delayed sexual initiation of middle school students at long term follow-up.

Methods: Post hoc data analysis was conducted from a RCT (n=15 middle schools) in the south-central U.S. in which grade 7 students demonstrated delayed sexual initiation (adjusted odds ratio [AOR]: 1.54, 95% CI: 1.20 to 1.99) by grade 9 follow-up after using It’s Your Game (IYG), a 24 lesson sexual health curriculum. Logistic …

Be Legendary – Using Intervention Mapping And Participatory Strategies To Develop A Multi-Component Teen Pregnancy Prevention Intervention For Older Teen Males Of Color, Kimberly Johnson, Christine Markham, Rianne Smith, Susan R. Tortolero

Journal of Applied Research on Children: Informing Policy for Children at Risk

Background- Due to the lack of interventions on sexual and reproductive health for older teen males of color engagement with the target population is critical for intervention development. Be Legendary (BL) was developed using intervention mapping, design thinking strategies and participatory methods alongside African-American male high school students. BL is a culturally responsive, school-based teen pregnancy prevention intervention for older teen males that combines sex education with youth development to improve sexual and reproductive health outcomes and build socio-emotional and leadership skills areas. Methods -To develop BL, we engaged 13 male high school students ages 16-19 in weekly workshop …