Digital Commons Network^™

Evidence-Based Discharge Education Guidelines To Improve Adherence To Self-Care And Decrease 30-Day Readmissions For Older Heart Failure Patients, Lisette Melton

Doctor of Nursing Practice

Heart failure is a complex, debilitating, chronic disease characterized by high mortality and frequent hospital readmissions. Heart failure affects 5.7 million people in the United States with 670,000 new patients diagnosed each year. Patients are most vulnerable during the transition from the acute care setting to home. Limited patient knowledge on symptom recognition leads to detrimental outcomes for the patients; therefore, discharge education is paramount for decreasing readmissions. The national benchmark for 30-day readmission is 27%. The purpose of this quality improvement project was to improve compliance with the 2013 American Heart Association guidelines through discharge education by Telemetry staff …

Provider Adherence To Prescribing The Elimination Diet, Seth Osgood

Doctor of Nursing Practice

Allergy-related diseases, chemical sensitivities, and food intolerances have increased dramatically over the last 20 years in both the pediatric and adult populations, contributing to escalating rates of morbidity. Despite an abundance of literature supporting the negative impact food reactions can have in multiple disease states, food reactions continue to be seen as a modern enigma in medicine and are often met with great skepticism. There are a variety of interventions available to identify food reactions in both adults and children; yet, the traditional elimination diet remains the standard of care. Regardless of its utility and clinical effectiveness in the healthcare …

Teacher Development Multi-Year Studies: Conceptual Framework, Hilary Hollingsworth, Elizabeth Cassity, Debbie Wong, Jacqueline Cheng

Initial Teacher education

The purpose of this conceptual framework for DFAT’s teacher development multi-year study series is to improve the following elements across the series: clarity on the purpose of the series; consistency in terminology and methodology; connections to give the ability to draw common conclusions and explain differences; communication to create a shared understanding of the series and each stakeholder’s role and responsibility, and to use internal and external means to engage strategically and disseminate findings. To date, Timor-Leste, Vanuatu and Laos have committed to undertake multi-year studies of their teacher development investments.

Openebgm: An R Implementation Of The Gamma-Poisson Shrinker Data Mining Model, Travis Canida, John Ihrie

The R Journal

We introduce the R package openEBGM, an implementation of the Gamma-Poisson Shrinker (GPS) model for identifying unexpected counts in large contingency tables using an empirical Bayes approach. The Empirical Bayes Geometric Mean (EBGM) and quantile scores are obtained from the GPS model estimates. openEBGM provides for the evaluation of counts using a number of different methods, including the model-based disproportionality scores, the relative reporting ratio (RR), and the proportional reporting ratio (PRR). Data squashing for computational efficiency and stratification for confounding variable adjustment are included. Application to adverse event detection is discussed.

Furniture For Quantitative Scientists, Tyson S. Barrett, Emily Brignone

The R Journal

A basic understanding of the distributions of study variables and the relationships among them is essential to inform statistical modeling. This understanding is achieved through the computation of summary statistics and exploratory data analysis. Unfortunately, this step tends to be under-emphasized in the research process, in part because of the often tedious nature of thorough exploratory data analysis. The table1() function in the furniture package streamlines much of the exploratory data analysis process, making the computation and communication of summary statistics simple and beautiful while offering significant time-savings to the researcher

Interpreting Contracts Via Surveys And Experiments, Lior Strahilevitz, Omri Ben-Shahar

Articles

No abstract provided.

Strengths And Limitations Of Nitrogen Rate Recommendations For Corn And Opportunities For Improvement, Thomas F. Morris, T. Scott Murrell, Douglas B. Beegle, James J. Camberato, Richard B. Ferguson, John H. Grove, Quirine Ketterings, Peter M. Kyveryga, Carrie A.M. Laboski, Joshua M. Mcgrath, John J. Meisinger, Jeff Melkonian, Bianca N. Moebius-Clune, Emerson D. Nafziger, Deanna Osmond, John E. Sawyer, Peter C. Scharf, Walter Smith, John T. Spargo, Harold M. Van Es, Haishun Yang

Plant and Soil Sciences Faculty Publications

Nitrogen fi xation by the Haber–Bosch process has more than doubled the amount of fi xed N on Earth, significantly influencing the global N cycle. Much of this fi xed N is made into N fertilizer that is used to produce nearly half of the world’s food. Too much of the N fertilizer pollutes air and water when it is lost from agroecosystems through volatilization, denitrification, leaching, and runoff. Most of the N fertilizer used in the United States is applied to corn (Zea mays L.), and the profitability and environmental footprint of corn production is directly tied to N …

Interviews And Conversations About Leaving Services (Icals): A Review Of Resources After Tanf, Maria C. Cole

Social Work Theses - Archive

The Temporary Assistance for Needy Families (TANF) policy is designed to protect the nation’s most vulnerable families from severe hardship. The policy encourages moving people from “welfare to work” and improving child welfare. TANF, though, has remained largely unchanged since its adoption in 1996 despite persistent poverty nationwide and worsening poverty in the Dallas-Fort Worth metropolitan area. Consequently, TANF has not effectively responded to poverty nor has it improved child welfare. The researcher conducted a comprehensive literature review which identified employment barriers found to affect families leaving TANF services. Several studies illuminated that mental or behavioral health, substance abuse, race …

Development Of The Personal Genomics Industry, Jorge L. Contreras, Vikrant Deshmukh

Utah Law Faculty Scholarship

Today, numerous commercial services offer genetic testing, genotyping and genome sequencing services both to medical providers and directly to the public. Twenty-five years ago, such offerings would have been unthinkable, both in terms of cost and medical practice. This chapter describes the development of the personal genomics industry and its evolving business models and goals.

Fda Regulation Of Mhealth And Wellness Devices: What You Need To Know, Barbara Zabawa

Faculty Works

The integration of mobile health (mHealth) technologies into wellness and healthcare practices presents both opportunities and regulatory challenges. This article explores the role of the U.S. Food and Drug Administration (FDA) in regulating mHealth and wellness devices, particularly as technological advancements blur the lines between general wellness tools and medical devices. It examines the FDA's framework under the Food, Drug, and Cosmetic Act (FDCA) for classifying and overseeing devices based on intended use and associated risks, including the distinctions between medical devices and low-risk wellness products. Guidance documents for mobile medical applications and low-risk wellness devices are analyzed, highlighting their …

Endocrine Disrupting Effects Of Halogenated Chemicals On Fish, Amy Elizabeth Godfrey

Open Access Dissertations

Halogenated chemicals are commonly used in a variety of everyday products such as cookware, electronics, furniture and baby products. Some of these chemicals have been found to negatively affect development and endocrine disruption. Therefore, there is a need for the development of next generation replacements that are less toxic; however, more studies need to be conducted to ensure their safety. The main objective of this dissertation was to assess the endocrine disrupting potential of halogenated and next generation chemicals, singly and in mixtures, in fish. We tested three well studied halogens, perfluorooctanoic acid (PFOA), tris (1,3-dichloro-2-propyl) phosphate (TDCPP) and tetrabromobisphenal …

Skeletal Biomechanics And Response To Mechanical Load: A Comparative Approach In The Mouse And Chukar Partridge, Kari A. Verner

Open Access Dissertations

Dynamic mechanical loading plays an important role in regulating bone geometry and strength. A healthy skeleton adapts to the bone tissue strain profile and magnitude of loads it experiences on a daily basis in order to maintain reasonable safety factors. In skeletal diseases, such as osteoporosis, a bone’s ability to adapt and maintain structural integrity in response to increased mechanical strains is apparently impaired, which allows skeletal resorption to progress unabated and could eventually lead to mechanical failure. In order to develop better treatments for bone wasting diseases, it is important to understand the mechanobiology of how the healthy skeleton …

Integration Of Ict In Teaching And Learning Biology: A Case Study Of A Secondary School In Mvomero District, Tanzania., Jamal Hassan Mwaya

Master of Education

This study was conducted to find out how Biology teachers integrate ICT in teaching and learning activities. The plan for carrying out this study was motivated by various policies such as Education and Training Policy 1995; ICT Policy 2007, and Education Policy 2014which emphasize the integration of ICT in basic education. However, teaching and learning of Biology requires much use of technology, the information regarding to teachers if they are using ICT in teaching and learning Biology is inadequate. This qualitative research study, therefore, explored how teachers integrate ICT in teaching and learning of Biology in one of selected secondary …

The Blight Of The Bumblebee: How Federal Conversation Efforts And Pesticide Regulations Inadequately Protect Invertebrate Pollinators From Pesticide Toxicity, Emily Helmick

Journal of Food Law & Policy

This article explores the Endangered Species Act's conservation efforts towards the Rusty-Patched Bumblebee as a case study that highlights the gaps in protections afforded to invertebrate pollinators. It focuses on how the law does not adequately protect endangered invertebrate pollinators from inadvertent pesticide poisoning and introduces the threat that this poses to our food system.

Exploring Students’ Use Of Learning Contracts In Preparing For The National Athletic Training Board Certification Examination, William Dill

Dissertations

The purpose of this study was to explore the application of learning contracts in the process of preparing to take the AT BOC exam. The goal of this study was to investigate best practices to assist students in being successful when taking the BOC certification examination. Self-directed learning in medicine was an important skill in the ever-changing healthcare landscape. One self-directed learning tool, learning contracts, had been studied in other healthcare fields. However, little research had been conducted utilizing learning contracts in athletic training. In addition, providing students with a research based instrument that could be used to improve success …

Towards A Better Understanding Of The Molecular Mechanisms Underlying Plant Development And Stress Response, Peipei Wu

All Dissertations

The spectacular array of diverse plant forms as well as the predominantly sessile life style of plants raises two questions that have been fascinating to scientists in the field of plant biology for many years: 1) how do plants develop to a specific size and shape? 2) how do plants respond to environmental stresses given its immobility?

Plant organ development to a specific size and shape is controlled by cell proliferation and cell expansion. While the cell proliferation process is extensively studied, the cell expansion process remains largely unknown, and can be affected by several factors, such as cell wall …

A View From Within: A School Founder's View Of Educating Children From The Inside Out, Allison B. Slade

Dissertations

The media and political affiliations often color the view of charter schools within different sectors of the community. However, there is no argument that there is much to be done improve achievement in our public school systems across the country, especially those who educate high numbers of often marginalized populations. This study looks at one charter school in Chicago, Illinois, which has a focused mission and vision to “Educate Children from the Inside Out.” It examines the school through the social science portraiture method. Data collection includes interviews with current and former staff and students, observations, review of school documents, …

168th Commencement, Fall

Commencement Programs

No abstract provided.

Influence Of Dietary Salt Knowledge, Perceptions, And Beliefs On Consumption Choices After Stroke In Uganda, Martin N. Kaddumukasa, Elly Katabira, Martha Sajatovic, Svetlana Pundik, Mark Kaddumukasa, Larry B. Goldstein

Neurology Faculty Publications

Background

Previous research on Uganda's poststroke population revealed that their level of dietary salt knowledge did not lead to healthier consumption choices.

Purpose

Identify barriers and motivators for healthy dietary behaviors and evaluate the understanding of widely accepted salt regulation mechanisms among poststroke patients in Uganda.

Methods

Convergent parallel mixed methods triangulation design comprised a cross-sectional survey (n = 81) and 8 focus group discussions with 7-10 poststroke participants in each group. We assessed participant characteristics and obtained insights into their salt consumption attitudes, perceptions, and knowledge. Qualitative responses were analyzed using an inductive approach with thematic analytic procedures. Relationships …

Human-Bear Interactions Among Black Bears In Bryce Canyon National Park, Utah, And Polar Bears On Alaska's North Slope, Wesley G. Larson

Theses and Dissertations

Human-bear interactions are an important consideration of bear biology, as interactions can lead to destruction of property as well as injury or death for both human and bear. Successful analysis of why these interactions occur can lead to appropriate preventative measures and mitigation of further conflict. Bryce Canyon National Park (BRCA) is comprised of relatively poor bear habitat, but a black bear population exists on the Paunsaugunt Plateau, on which the park occupies the eastern edge. Park managers expressed interest in learning more about bear movements and, specifically, bear use of anthropogenic features following a number of human-bear incidents located …

Intramyocellular Lipid Droplet Size Rather Than Total Lipid Content Is Related To Insulin Sensitivity After 8 Weeks Of Overfeeding, Jeffrey D. Covington, Darcy L. Johannsen, Paul M. Coen, David H. Burk, Diana N. Obanda, Philip J. Ebenezer, Charmaine S. Tam, Bret H. Goodpaster, Eric Ravussin, Sudip Bajpeyi

Faculty Publications

© 2017 The Obesity Society Objective: Intramyocellular lipid (IMCL) is inversely related to insulin sensitivity in sedentary populations, yet no prospective studies in humans have examined IMCL accumulation with overfeeding. Methods: Twenty-nine males were overfed a high-fat diet (140% caloric intake, 44% from fat) for 8 weeks. Measures of IMCL, whole-body fat oxidation from a 24-hour metabolic chamber, muscle protein extracts, and muscle ceramide measures were obtained before and after the intervention. Results: Eight weeks of overfeeding did not increase overall IMCL. The content of smaller lipid droplets peripherally located in the myofiber decreased, while increases in larger droplets correlated …

Automatic Protein Shake Freestyle Vending Machine, Balaji Salunkhe

Theses

This paper discusses the design and implementation of an automatic protein shake freestyle vending machine. This machine is capable of providing protein shakes as per the customer’s requirement. Customers are able to decide what kind of protein supplement they want according to their fitness needs, and they can give the appropriate instructions to the machine to prepare their protein drink by use of a touch system. Other customers, who are unable to decide or new to fitness supplements can choose a pre-designed drinks according to their personal fitness. As such, the machine gives the freedom of selection to the customer …

Effect Of Homoeopathic Preparation Of Ruta Graveolens On The Progression Of Childhood Myopia Before, During And After Cessation Of Treatment: A Retrospective Study, Sandeep Sathye

Indian Journal of Research in Homoeopathy

Background: Increased incidence and progression of myopia, especially in Asian countries, have been attributed to excess near work. Topical use of Atropine was effective in controlling myopia but has got side effects and rebound effect after stopping the treatment. Homoeopathy mentions Ruta graveolens (Ruta) for myopia with its action on accommodation. Aim: The aim of the study is to evaluate the effect of Ruta on annual myopia progression rate (AMPR) before, during and after stopping treatment in childhood myopia. Materials and Methods: Ten cases of simple myopia in progressive stage aged 11–16 years were studied retrospectively. Myopia or spherical equivalent …

The Relationship Between Bmi & Mandated Physical Education Requirements Of Elementary Schools, Kathryn Fairlamb

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The physical activity policies of elementary schools in Arkansas and correlations between physical activity requirements and body mass index have been studied. Examination of the policies at the individual school, district, or state level were noted. The statewide BMI database was consulted. Interviews with physical education teachers was conducted to assess policy implementation. Results may provide schools and policy makers with insight on future physical activity policies.

Effect Of Silicate Slag Application On Wheat Grown Under Two Nitrogen Rates, Brandon White, Brenda S. Tubana, Tapasya Babu, Henry Mascagni, Flavia Agostinho, Lawrence E. Datnoff, Steve Harrison

Faculty Publications

Field studies were established on the alluvial floodplain soils in Louisiana, from 2013 to 2015, to evaluate the effect of silicate slag applications on productivity of wheat (Triticum aestivum), under sufficient and high nitrogen (N) application rates. Treatments were arranged in a randomized complete block design, with four replications consisting of twelve treatments: a factorial combination of two N (101 and 145 kg N ha-1) and five silicate slag rates (0, 1, 2, 4.5, and 9 Mg ha-1), and two control plots (with and without lime). Nitrogen had a greater impact on wheat productivity than silicate slag application. Wheat grain …

Incorporating Flaxseed (Linum Usitatissimum) Oil Into Queso Blanco At Different Stages Of The Cheese Manufacturing Process, Cristhiam Gurdian, Vondel Reyes, Emmanuel Kyereh, Franklin Bonilla, Cesar Galindo, Alexander Chouljenko, Kevin Mis Solval, Charles Boeneke, Joan M. King, Subramaniam Sathivel

Faculty Publications

The objective of this study was to evaluate the physicochemical and microbial properties of queso blanco (QB) with flaxseed oil (FO) incorporated at different stages of the cheese manufacturing process. Whole milk was homogenized, coagulated with citric acid, salted with NaCl, and the resulting curds were pressed. Then QBFO was produced by incorporating FO during homogenization (QBFO-H), coagulation (QBFO-C), or salting (QBFO-S). The cheeses were stored at 8 °C for 30 days. Significantly lower lipid oxidation in QB was observed when FO was added during coagulation or salting compared to homogenization. However, lipid oxidation values of QBFO-H did not exceed …

Effect Of Lactation On Conceptus-Maternal Interactions At The Initiation Of Implantation In Cattle: I. Effects On The Conceptus Transcriptome And Amino Acid Composition Of The Uterine Luminal Fluid, Niamh Forde, Constantine A. Simintiras, Roger G. Sturmey, Alexander Graf, Eckhard Wolf, Helmut Blum, Pat Lonergan

Faculty Publications

Approximately 65-75 days postpartum (dpp), the estrous cycles of nonlactating (dried off immediately postpartum: n = 12) and lactating (n = 13) Holstein Friesian cows were synchronized and on day 7 a single blastocyst derived from superovulated nulliparous Holstein Friesian heifers was transferred to each cow. A control group of nulliparous heifers (n = 8) were synchronized, inseminated to a standing heat, and slaughtered on the same day as nonlactating and lactating recipients (day 19; estrus = day 0). The uterine horn ipsilateral to the corpus luteum was flushed with 10 ml phosphate-buffered saline and the conceptus, and uterine luminal …

December 2017 (Issue 1) : Nutrition In Gout, Aga Khan University Hospital, Karachi

Nutrition and Food Services Department (NFSD) Archives

• What is gout?
• Who is at risk of developing gout?
• What are purines?
• Nutrition and Gout
• How to Balance Diet for Gout

Pharmacy Newsletter : December 2017, Pharmacy Department

Department of Pharmacy Archives

Content:

• Twice Daily Dose of Levetiracetam and Clinical Pharmacokinetics
• Management of Acute Hyperkalemia in Neonates
• Drug Induced Neuroleptic Malignant Syndrome (NMS)
• Influenza and Influenza Vaccine Myths and Reality.

Identifying Patterns In Health Care Disparities And Barriers To Health Care In Rural Tanzania, Karlee Platts, Christina Sanborn, Melinda E. Lull

Pharmacy Faculty/Staff Publications

Tanzania is a country in East Africa with a population of 55 million people. HIV/AIDs, malaria and nutritional deficiencies claim the lives of many each year across Tanzania. The World Health Organization (WHO) reported in 2013 that approximately 70 percent of the population of Tanzania live in more rural areas where access to healthcare, health education, and medications for these diseases may be limited. The objective of this study was to illuminate significant health disparities in rural Tanzania based on literature and direct observations to identify barriers to quality health care.

A comprehensive literature evaluation was completed on reports published …