Digital Commons Network^™

Professional Nursing Value Development In Nursing Students Who Participate In International Service Learning, Heather Ferrillo-Diiulio

Student Theses, Dissertations and Capstones

Background: International Service Learning (ISL) is becoming widely used in nursing education as a means to provide global learning opportunities. Concrete outcomes for these experiences have not been clearly supported in previous research. Determining if ISL experience facilitate the development of Professional Nursing Values (PNV) can support the use of ISL as a viable pedagogy. Purpose: The purpose of the study was to determine if there were a difference in PNV development in students who participate in ISL as part of their clinical experiences compared to those who do not. The hypothesis was that there was a difference in the …

Cancer-Related Fatigue Clinical Guideline And Protocol For Hospitalized Oncology Patients: A Quality Improvement Project, Sulotte Valcin Amilcar

Student Theses, Dissertations and Capstones

Background: Cancer-related fatigue is one of the most common symptom experienced by cancer patients throughout their cancer trajectory. However, very little effort has been made within many oncology practices to assess this clinical problem and to provide timely nursing interventions to reduce its impact. While there have been tremendous advancements in the treatments of the disease aspects of cancer in term of medicine and advanced technology, basic assessment of related physiological concerns, such as fatigue, have not seen the same progress. Purpose: The purpose of this quality improvement project was to develop an evidence-based cancer-related fatigue assessment guideline and a …

Chemotherapy Side Effects At Home: A Nursing Impact, Gwendolyn E. Saint-Clarke

Student Theses, Dissertations and Capstones

Background: Approximately 32% of all lymphoma patients experience immunocompromised severe avoidable side effects of nadir at home after discharge postchemotherapy. The certified oncology nurses employed at a large metropolitan hospital in Atlanta, Georgia, lack standardized discharge guidelines that include regulatory organizations’ recommendations to assist patients/families with at-home self-management of the avoidable side effects. Purpose: The purpose of this quality improvement project was to utilize the institution’s existing postchemotherapy discharge protocol to assess certified oncology nurses’ knowledge of severe avoidable side effects of nadir; modify the existing healthcare institution’s postchemotherapy discharge protocol to reflect standardized practice for promoting clinical practice continuity …

Addressing Obstetric Health Care Providers' Nutritional Insight In The Low Socioeconomic Population, Nicole Theresa Marshall

Student Theses, Dissertations and Capstones

Background: During a woman's pregnant state, a diet that is adequate in nutrition is critical to the developing fetus, especially in the lower socioeconomic status population. The healthcare provider is charged with the acute fundamental awareness of this additional factor that can grossly impact pregnancy. Nutritional advice from the health care provider is one of many key points that contribute to the successful outcome of the pregnancy. Purpose: The purpose of this quality improvement project was to develop a standardized, evidence-based practice (EBP) protocol for the management of maternal nutrition, gestational weight gain, and physical activity for provider use at …

Predicting Cardiovascular Fitness In Ethnic Minority Youth: A Comparison Of Demographic, Body Composition, And Physical Activity Variables, Steven Arcidiacono

Theses and Dissertations

Prevalence of obesity, low physical activity, and poor physical fitness of youth in the United States are increasingly poor and in need of intervention to prevent later concerns like hypertension. The overall goal of this dissertation was to examine which factors weigh heaviest in predicting cardiovascular fitness in diverse youth, and how we might measure those factors by maximizing clinical utility and psychometric properties. The sample was gathered from a larger study examining physical activity in youth from Miami-Dade county enrolled in out-of-school programs. Participants (N = 58) were aged 6-17 and comprised exclusively of Hispanic and Non-Hispanic Black children …

Ptsd Subtypes, Depressive Presentation, Dissociation, And Cognitive Appraisals And Their Impact On Cardiovascular Reactivity Responses To Stress, Dyona Augustin

Theses and Dissertations

Both posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) are related to an increased risk for cardiovascular disease (CVD), with links to ischemic heart disease, myocardial infarction, cardiac mortality, and other cardiac conditions. Given that these disorders are associated with increased medical costs, disability, and employer burden, research has investigated which factors increase the likelihood that one will develop CVD. While one hypothesis suggests that individuals who exhibit exaggerated responses to stress are at greater risk of developing CVD, individuals with PTSD/depression have been shown to exhibit both exaggerated and blunted stress responses. The purpose of the present study …

An Intensive Cultural Resources Survey Of 9.65 Acres Along Cinema Ridge, San Antonio, Bexar County, Texas, Mark P. Luzmoor, Ashely E. Jones, Kristi Miller Nichols, Antonio E. Padilla

Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State

In March 2017, the Northside Independent School District (NISD) (Client) contracted Raba Kistner Environmental, Inc. (RKEI) to perform an intensive cultural resources survey within a 9.65-acre tract of land along Cinema Ridge, located immediately south of Oliver Wendell Holmes High School in San Antonio, Bexar County, Texas. The purpose of this survey was to determine if cultural resources were located within the Area of Potential Effect (APE), and if feasible, assess their significance and eligibility for inclusion in the National Register of Historic Places (NRHP) and for formal designation as a State Antiquities Landmark (SAL). As the area of potential …

Archeological Reconnaissance Of Selected Trail Corridors, Big Bend Ranch State Park, Presidio And Brewster Counties, Texas 2004 - 2010, Tim Roberts, Tim Gibbs, Joshua Gibbs

Index of Texas Archaeology: Open Access Gray Literature from the Lone Star State

Between 2004 and 2010, Texas Parks and Wildlife Department (TPWD) archeologists conducted reconnaissance level archeological investigations of selected trails at Big Bend Ranch State Park, Brewster and Presidio Counties, Texas. The purpose of the investigations was to provide cultural resources information that would be beneficial in developing a multi-use trail system in the park that would avoid both direct and potential secondary impacts to archeological sites, when possible, or provide recommendations for mitigative measures, when necessary. These investigations also provide the baseline data needed for conducting future conditions assessments on these sites.

During the course of these investigations, a total …

Ready To Learn: The Impact Of The Morning Blast Physical Activity Intervention On Elementary School Students, Tingting Xu, Erik Jon Byker, Monica Rae Gonzales

Faculty Publications

Objective: The purpose of this study was to investigate the effects of a physical activity intervention programme, named “Morning Blast”, on elementary school students’ math learning and daily physical activity. The Morning Blast intervention programme was a 16-week cardiovascular endurance emphasized physical activity program that students voluntarily participated in before the school day. Participants that volunteered, did so for the duration of the program. Methods: This mixed-methods study included seven educators and 83 students (n=90). The students were all children who were enrolled in Grades 3, 4, and 5 in a semi-rural elementary school in the United States. …

Using Wireless Pedometers To Measure Children’S Physical Activity: How Reliable Is The Fitbit Zip?, Tingting Xu, Erik Jon Byker, Monica Rae Gonzales

Faculty Publications

The purpose of this study is to examine the reliability of wireless pedometers in measuring elementary school children’s physical activity. Activity measurement using a wireless pedometer Fitbit Zip^TM was compared to activity measurement using Yamax Digi-Walker^TM SW701 for a group of randomly selected 25 children in Grades 3, 4, and 5. Fitbit Zip^TM wireless pedometers were found to have an appropriate degree (Nunnally & Bernstein, 1994) of accuracy and reliability compared to the Yamax Digi-Walker^TM SW701 pedometer. The Fitbit Zip^TM wireless pedometer collected more step counts than the Yamax Digi-Walker^TM SW701 pedometer; however, the …

2017-2018 Factbook, Tennessee. General Assembly

Factbook

This Fact Book provides an overview of the state's budget for the fiscal year.

Tennessee's Independent Living & Developmental Disabilities Networks: Joint Publication On Network Programs And Collaboration, Tennessee Council On Developmental Disabilities

Annual and Special Reports

This document highlights Independent Living programs for Tennesseans with disabilities.

Resource Map Of Expenditures For Tennessee Children, Annual Report - April 2017, Tennessee Commission On Children And Youth

Resource Mapping Reports

This report compiles the federal and state expenditures for services across all departments and agencies for Tennessee children from the previous fiscal year.

End-Of-Life Training In Us Internal Medicine Residency Programs: A National Study, Derek Cegelka, Timothy R. Jordan, Jiunn-Jye Sheu, Joseph A. Dake, Ragheb Assaly

Faculty Publications

Background: End-of-life care is a required and important component of medical training for internal medicine residents; many of whom will go on to provide care for adults at the end-of-life stage. Although a body of past research suggests that physician training in end-of-life care needs significant improvement, a comprehensive national study of end-of-life education within US internal medicine residency programs has never been published.

Objective: To determine the status of end-of-life education in internal medicine residency programs in the United States.

Method: The study was a cross-sectional, observational study of all internal medicine Residency Program Directors in the US as …

Pathways To Increasing Farmer-Led Investments In Sustainable Agricultural Water Management In Sub-Saharan Africa, Douglas J. Merrey, Peter G. Mccornick, Molly C. Nance

Daugherty Water for Food Global Institute: Faculty Publications

Without a transformative leap forward in the use of irrigation, Africa will continue falling short in the struggle to feed its growing population, improve its people’s nutrition, grow its economies, adapt to the impacts of climate change, and eliminate poverty. While Africans must lead this transformation for it to be successful, the international community can help African countries substantially increase the use of more productive and sustainable water management practices and unlock the potential of farmer-led irrigated agriculture. Achieving highly productive irrigated agricultural systems in Africa requires an enabling environment that facilitates the full engagement of farmers, public and private …

Corn Silage Variety Trial Archive, Jonathan Kleinjan, David Casper, Kevin K. Kirby, S. M. Hawks

SDSU Extension Publications Archive

This report features the available corn silage data from 2003-2017. Crop performance testing results are released annually through the activities of SDSU Extension and the South Dakota Agricultural Experiment Station at SDSU.

Doctors, Death, And Denial: The Origins Of Hospice Care In 20th Century America, Sarah E. Pajka

Kaplan Senior Essay Prize for Use of Library Special Collections

This essay provides insight into the social and cultural trends that led to the creation of hospice care in the United States. The essay covers the changes in treatment of death by the medical profession, from the discussion of tuberculosis sanatoriums and cancer centers in the early 1900s through the rise of medical authority, and the pivotal role of Yale School of Nursing dean Florence Wald in the 1980 opening of Connecticut Hospice, the first modern American hospice facility.

Biophysical Approaches Facilitate Computational Drug Discovery For Atp-Binding Cassette Proteins, Steven V. Molinski, Zoltan Bozoky, Surtaj H. Iram, Saumel Ahmadi

Chemistry and Biochemistry Faculty Publications

Although membrane proteins represent most therapeutically relevant drug targets, the availability of atomic resolution structures for this class of proteins has been limited. Structural characterization has been hampered by the biophysical nature of these polytopic transporters, receptors, and channels, and recent innovations to in vitro techniques aim to mitigate these challenges. One such class of membrane proteins, the ATP-binding cassette (ABC) superfamily, are broadly expressed throughout the human body, required for normal physiology and disease-causing when mutated, yet lacks sufficient structural representation in the Protein Data Bank. However, recent improvements to biophysical techniques (e.g., cryo-electron microscopy) have allowed for previously …

Polarization Of Cystic Fibrosis Macrophages Is Dysregulated, Evan Jacob Levy

Yale Medicine Thesis Digital Library

We hypothesize that intrinsic defects in cystic fibrosis (CF) macrophages affect their ability to adequately respond to extracellular stimuli, affecting their phenotypic response and contributing to a hyper-inflammatory state.

Peripheral blood-derived monocytes from healthy donors (HD) (n=10) as well as CF subjects (n=10) were differentiated into macrophages using RPMI media with 50 ng/mL of MCSF for 10 days. Cells were treated with 100 ng/mL of LPS plus 20 ng/mL of INF-gamma to activate the M1 phenotype or 20 ng/mL of IL-4 to activate the M2 phenotype. Cells were treated for 24 hours in preparation for RNA isolation and 3 hours …

State-Level Immunization Information Systems: Potential For Childhood Immunization Data Linkages., Jill E. Fuller, Emmanuel B. Walter Jr., Nancy Dole, Richard O'Hara, Amy H. Herring, Maureen S. Durkin, Bonny Specker, Betty Wey

Ethel Austin Martin Program Publications

Objectives Sources of immunization data include state registries or immunization information systems (IIS), medical records, and surveys. Little is known about the quality of these data sources or the feasibility of using IIS data for research. We assessed the feasibility of collecting immunization information for a national children's health study by accessing existing IIS data and comparing the completeness of these data against medical record abstractions (MRA) and parent report. Staff time needed to obtain IIS and MRA data was assessed. Methods We administered a questionnaire to state-level IIS representatives to ascertain availability and completeness of their data for research …

Brown V. Gnc Corp.: The Fourth Circuit’S New Standard For Literal Falsity, Olamide Orebamjo

Proxy

No abstract provided.

Better Medicine, Lehigh Valley Health Network

Better Medicine

No abstract provided.

Annual Report 2017: Community Benefit, Lehigh Valley Health Network

LVHN Annual & Statistical Reports

No abstract provided.

Guide To The 2017 Community Health Needs Assessment Lehigh Valley Hospital–Pocono, Lehigh Valley Health Network

LVHN Annual & Statistical Reports

No abstract provided.

Division Of Research And Economic Development Monthly Report For January 2017, Uri Division Of Research And Economic Development

Reports (Research and Economic Development)

The monthly reports include statistics for project proposals and awards received by individual academic and administrative departments at the University of Rhode Island.

Division Of Research And Economic Development Monthly Report For February 2017, Uri Division Of Research And Economic Development

Reports (Research and Economic Development)

The monthly reports include statistics for project proposals and awards received by individual academic and administrative departments at the University of Rhode Island.

Division Of Research And Economic Development Monthly Report For April 2017, Uri Division Of Research And Economic Development

Reports (Research and Economic Development)

The monthly reports include statistics for project proposals and awards received by individual academic and administrative departments at the University of Rhode Island.

Division Of Research And Economic Development Monthly Report For March 2017, Uri Division Of Research And Economic Development

Reports (Research and Economic Development)

The monthly reports include statistics for project proposals and awards received by individual academic and administrative departments at the University of Rhode Island.

Division Of Research And Economic Development Monthly Report For July 2017, Uri Division Of Research And Economic Development

Reports (Research and Economic Development)

The monthly reports include statistics for project proposals and awards received by individual academic and administrative departments at the University of Rhode Island.

Division Of Research And Economic Development Monthly Report For May 2017, Uri Division Of Research And Economic Development

Reports (Research and Economic Development)

The monthly reports include statistics for project proposals and awards received by individual academic and administrative departments at the University of Rhode Island.