Digital Commons Network^™

Administering Dexamethasone Prior To Peripheral Nerve Blocks, Jacob Millwood

Doctoral Projects

Post-operative pain creates burdens for the patient and their family members while also drastically increasing the price of cost to the healthcare system. The Institute of Medicine Committee on Advancing Pain Research, Care, and Education states that the annual economic cost of chronic pain in adults is $560-630 billion (IOM, 2011). Regional anesthesia has been shown to provide potent analgesia that often times leads to a reduction in systemic analgesic requirements, opioid related side effects, general anesthesia requirements, and possibly the incidence of chronic post-operative pain. There are several adjunct medications that can be combined with peripheral nerve blocks to …

Increasing Student Registered Nurse Anesthetists Clinical Self-Efficacy Using Peer Mentoring, Megan Christine Bass

Doctoral Projects

The purpose of this project is to determine if clinical self-efficacy is increased in SRNAs at The University of Southern Mississippi after participation in the peer mentoring program. The project was a one-group pre and posttest design in a sample of SRNAs who received peer mentoring. To evaluate the students’ perceived clinical self-efficacy before and after the peer mentoring educational intervention, the Rowbotham and Schmitz Student Self-Efficacy scale (SSE) (2013) was adapted and administered to second-year SRNAs (N=17). Clinical performance, skill and knowledge development, social interaction with clinical faculty, and coping with clinical stress are the four areas evaluated by …

Proposed Practice Change To Perform Ultrasound Lung Scans Immediately Following Upper Extremity Peripheral Nerve Blocks To Rule Out A Pneumothrax, Robert Gaston

Doctoral Projects

Regional anesthesia is a technique that can be used for a variety of surgeries. There are risks involved when regional anesthesia is performed. Specifically when upper extremity nerve blocks are performed a potential complication is a pneumothorax. The purpose of this DNP project was to propose a practice change to perform ultrasound (US) lung scans immediately following upper extremity peripheral nerve blocks to rule out a pneumothorax. A needs assessment was conducted at the host facility to determine if the anesthesia providers were aware that US was a method that could be useful for detection of a pneumothorax. Currently, the …

Implementing Computerized St-Segment Analysis Utilizing 5-Lead Ecg Cables During The Perioperative Period For Myocardial Ischemia Detection In Patients At Risk For Cardiovascular Disease, Lauren Robertson

Doctoral Projects

Cardiovascular disease (CVD) is one of the leading causes of death in the United States (U.S.) annually (Centers for Disease Control and Prevention, 2011). Mississippi has a disproportionately higher percentage of citizens likely to have CVD (Mississippi State Department of Health [MSDH], n.d.). The numerous stressors related to surgery are alone enough to increase the demand of the heart and lead to ischemia of the myocardium. Surgical stressors combined with preexisting CVD can exponentially increase the risk of ischemia. It is estimated that over a third of all surgical patients have ischemic heart disease. Puelacher et al. (2015) reported 40% …

Evaluation Of Delivery Methods Of Chemical Dependency And Wellness Education, Marissa Coggin

Doctoral Projects

Anesthesia practice is learned in a stressful environment, and these stressors may lead to the students’ development of maladaptive coping mechanisms. Despite significant improvements in our understanding of addiction and our approaches to combat this problem, the risk of substance misuse remains high in nurse anesthesia students. Education and intervention are imperative when taking preventative measures. The purpose of this Doctor of Nursing Practice (DNP) project was to determine whether delivery method of chemical dependency/wellness educational program effects the level of understanding of anesthesia providers and substance misuse and the development of healthy coping mechanisms.

In determining whether the delivery …

Theatre Students Make Dresses For Young Girls In Need, Staff Report

University of Mississippi News

Costume design class partnered with St. Peter's Episcopal Church's Little Dresses Ministry

The Assessment Of A School-Based Dental Program, Peggy H. Hyden

Dental Hygiene ETDs

The Assessment of a School-Based Dental Program

by

Peggy H. Hyden

B.S., Dental Hygiene, Caruth School of Dental Hygiene, Texas A&M College of Dentistry, 1979 M.S., Dental Hygiene, University of New Mexico, 2018

ABSTRACT Purpose: The purpose of this study was to compare non-participants and participants of a school-based dental program and assess the utilization and satisfaction of services offered. Methods: Sixty-seven hundred questionnaires, containing 20 questions, were distributed to the parents/guardians of the Carlsbad and Loving school systems. Surveys were taken home by the students, given to the parent/guardians and returned within 1 week. Descriptive statistics was used to …

Using Mixed Effects Modeling To Quantify Difference Between Patient Groups With Diabetic Foot Ulcers, Rachel French

Mahurin Honors College Capstone Experience/Thesis Projects

When diabetes progresses, many patients suffer from chronic foot ulcers. In a study described in Matrix Metalloproteinases and Diabetic Foot Ulcers (Muller et al., 2008), sixteen patients with diabetic foot ulcers were examined throughout a twelve week healing period. During this period, levels of matrix metalloproteinases (MMP-1), their inhibitors (TIMP-1), and the extracellular matrix in a wound area were measured at distinct time intervals for each patient. The ratios of these healing components are vital in determining whether a wound will heal or become chronic and never properly heal. Connecting Local and Global Sensitivities in a Mathematical Model for Wound …

Commencement Convocation Program, Usf, Baccalaureates, December 8, 2017, University Of South Florida

USF Graduation and Convocation Programs

Outstnding Graduate - Alexis Drees; Honorary Doctor of Science - Andrew Hamilton; King O'Neal Scholars - Aneesa Ali, Andrew Apugliese, David Blanchard, Janet Diaz Montes, Mary Edwards, Shayna Gurvitz, Bonnie Hogan Lowlery, Ryan Kurtz, Robert Lockridge, Natalie Meyer, Rachel Moore, Ashley Nandrasy, Carlos Pena Duran, Brittany Raymond, Paul Rogers, Nicholas Romano, Khadijah Tiamiyu, Xamil Vega, Amy Whitehurst, George Wolf, and Alexander Zhideev

Safety And Efficacy Of Apremilast Through 104 Weeks In Patients With Moderate To Severe Psoriasis Who Continued On Apremilast Or Switched From Etanercept Treatment: Findings From The Liberate Study., K Reich, M Gooderham, A Bewley, L Green, J Soung, R Petric, J Marcsisin, J Cirulli, R Chen, V Piguet

Dermatology Faculty Publications

Background

Apremilast, an oral phosphodiesterase‐4 inhibitor, has demonstrated efficacy in patients with moderate to severe psoriasis.

Objective

To evaluate long‐term efficacy and safety of apremilast in biologic‐naive patients with moderate to severe plaque psoriasis and safety of switching from etanercept to apremilast in the phase 3b LIBERATE trial.

Methods

Two hundred fifty patients were randomized to placebo, apremilast 30 mg BID or etanercept 50 mg QW through Week 16; thereafter, all patients continued or switched to apremilast through Week 104 (extension phase). Skin, scalp and nail involvement at Weeks 16, 52 and 104 were assessed using the Psoriasis Area and …

Career Corner: Wayne National Forest Looking For Forest Archeologist, Ohio University College Of Arts & Sciences

All Forum Articles

No abstract provided.

In Argentina, Macri’S Victory In Midterm Elections Comes With Warnings, Andrã©S Gaudã­N

NotiSur

No abstract provided.

2017 Fall Commencement Program: Winona State University, Winona State University

WSU Commencement Programs

This is the Winona State University Fall 2017 commencement program. Commencement was on Friday, December 8, 2017.

The Bison, December 8, 2017

The Bison Newspapers

No abstract provided.

40 Writers Selected For Ebww Humor Anthology, Erma Bombeck Writers' Workshop

Erma Bombeck Writers' Workshop Blog

We're bringing to life a book filled with funny coming-of-age essays from 40 women humorists. More than 100 writers answered the call for submissions for a proposed humor anthology, edited by prolific writer Allia Zobel Nolan and a team from the University of Dayton's Erma Bombeck Writers' Workshop.

Fat Lies, Diane Pascoe

Erma Bombeck Writers' Workshop Blog

I had just announced to my Love God that I was going to join that famous weight-loss program for my second go-around. You know, the triumph of hope over experience. My lost weight had crept back, as it often does. So it was time to sign up again, pay my monthly dues and waddle into the weekly meetings.

Sickness Does Make You The Best Mommy, Florence Kimani

Erma Bombeck Writers' Workshop Blog

I'm lying in bed, half worried to death because I cannot fix breakfast for my family. I feel like the Salvation Army is doing a street march in my head. I also have a bout of diarrhea that came knocking minutes after going to bed.

The Other Grandmom, Anne Bardsley

Erma Bombeck Writers' Workshop Blog

She is Mimi. I am Gigi. She is short. I am tall. She loves to make oodles of Christmas cookies. I bake mini-muffins. She excels in the small details. I've never even met a detail. Her nails are always done beautifully. My ring finger nail has a piece of mulch sticking out right now. She travels internationally and has tons of travel points. I have no travel points. She has a pleasant singing voice. You probably don't need to hear me sing.

Aecom Center For Sports Administration Announces Gift From Eaton (December 8, 2017), University Communications And Marketing

OHIO News Articles Archive

No abstract provided.

Stroll Patrol Unites The Community With The Police Department [Video] (December 8, 2017), University Communications And Marketing

OHIO News Articles Archive

No abstract provided.

Minutes, College Of Arts & Sciences Council Meeting, December 8, 2017, University Of South Florida St. Petersburg. College Of Arts & Sciences

College Council Meeting Minutes

Minutes from the December 8, 2017, meeting of the University of South Florida St. Petersburg College of Arts and Sciences' Council.

Using Thermography To Monitor Inflammation As A Non-Invasive Supplementary Diagnostic Tool For Mild Traumatic Brain Injury In A Sprague Dawley Rat Model, Sonja Anne Jensen

Theses and Dissertations

Incurring high economic cost due to medical imaging modalities, there is a need for a low-cost, on site, diagnostic screening tool for the early detection of Traumatic Brain Injury (TBI). We hypothesize that patients with TBI will exhibit temporal and spatial gradient dynamics in the thermal signature on the surface of the skin, and that these dynamics reflect the inflammatory process. Hence, we implemented far-infrared (FIR) thermography using a blunt TBI rat model to analyze changes in the external, surface temperature gradient as an indication of internal inflammation. Results show a consistent increase in average surface temperature after 0.5 days …

Understanding Sleep In Pediatric Patients With Sickle Cell Disease Admitted For Vaso-Occlusive Pain Crisis Through Objective Data, Kalindi Narine, Fan Yang, Tanvi Banerjee, Jude Jonassaint, Nirmish Shah

Computer Science and Engineering Faculty Publications

Sickle cell disease (SCD) is an inherited red cell disorder that leads to sickling of red blood cells, anemia and vaso-occlusion. The most common reason for hospitalization and morbidity in children is pain due to vaso-occlusive crisis (VOC). Importantly, poor sleep quality can lead to increased pain the subsequent day and nocturnal pain leads to reduced deep sleep, both which can then modify pain sensitivity. Studies using sleep diaries have shown this cyclical relationship between sleep and pain. Frequent occurrences of restless sleep are therefore believed to contribute to an increased severity and intensity of pain episodes. There is very …

A Game We Have To Lose: Overcoming The Harm Of Coming Into Existence, Hannah Strang

Honors Projects

This paper explores the asymmetry of pleasure and pain as expressed in David Benatar’s book Better Never to Have Been, which is the basis for the argument that it is always an irreparable harm to bring a person into existence, and therefore we are morally obligated to pursue extinction as a species. I will examine Benatar’s argument in support of the asymmetry’s existence and analyze the strength of his argument for extinction overall, ultimately determining that his conclusion is too strong. I will defend this claim on the grounds that Benatar’s asymmetry implies the truth of two claims that must …

Cracking Down: A Longitudinal Study Of The Judiciary's Changing War On Drugs, Jennifer P. Schrauth

Honors Capstones

In the United States, drugs continue to be a longstanding problem, causing the addictions and deaths of millions of people. Although drug and drug epidemic trends change with the passage of time, their similarly harmful effects on humanity and society have remained the same. Through drug rehabilitation, particularly Drug Courts, a great deal of the chaos caused by drugs has been stopped. Through research, including the examination of studies, facts, epidemics, drug trends over time, and personal experience working with judges who have helped to create Drug Courts, I conclude that adaptability and group effort were the key pieces in …

Factors Influencing The Level Of Technology Adaptation By Middle-School Teachers, Janice Favre Strigh

Seton Hall University Dissertations and Theses (ETDs)

The purpose of this qualitative case study was to examine those factors influencing a teacher’s level of adaptation to a one-to-one laptop program in a middle-school setting. The school chosen for this study is located in a semi-rural district with approximately 500 students in sixth through eighth grade. Over the past 10 years, the school district has implemented a one-to-one laptop program with students currently having access to their own personal computer each day. Collins’s (2007) technology, leadership management, and policy pyramid model provided a framework for this analysis. Teachers’ perceptions of leadership support for the planning activities, organizational integration …

Cardozo Law News Brief: December 8, 2017, Benjamin N. Cardozo School Of Law

Cardozo Law News Brief 2017

Featured Faculty:

• Michael E. Herz
• Edward Zelinsky

Campus News:

• Learning From the master’s Series Begins as Cardozo Hosts Attorney General Eric Schneiderman
• Cardozo to Accept GRE Scores For 2018 School Year
• Luxury Brand Attorneys Discuss Challenges During Panel Discussion

Second Law Analysis Of Dual Fuel Low Temperature Combustion In A Single Cylinder Research Engine, Hamidreza Mahabadipour

Theses and Dissertations

A detailed second law analysis of dual fuel LTC is not yet available in the open literature even though dual fuel low temperature combustion (LTC) has been studied before. To address this gap, a previously validated, closed-cycle, multi-zone, simulation of diesel-natural gas dual fuel LTC was used to perform a second law analysis. In the current study, a 2.4-liter single-cylinder research engine operating at a nominal load of 6 bar BMEP and 1700 rpm was used. Zone-wise thermodynamic irreversibilities as well as total cumulative entropy generated and lost available work over the closed cycle were quantified. Subsequently, two convenient second-law …

Micromechanical Modeling Of Shear Banding In Granular Media, Charles Clayton Goodman

Theses and Dissertations

Shear banding is a commonly observed yet complex form of instability in granular media by which the deformation is localized in a narrow zone along a certain path. The aim of this study is to investigate the micromechanics of shear banding using the discrete element method (DEM). For this purpose, a model was developed and calibrated to simulate the macroscale behavior of sand under plane strain conditions. Upon validation against laboratory experiments, two types of confining boundaries, displacement- and force-controlled, were examined to study the kinematics of shear bands. A constant volume test was then used to investigate the evolution …

Evulation Of The Usability Of The Libraries Page With Bgsu Students, Rebecca Lord

Honors Projects

This research project explores the usability and usefulness of the “Libraries” webpage located within students’ MyBGSU account through usability testing. Usability testing is a method in which participants are asked to complete tasks within a platform (e.g. webpage, mobile app, etc.) that mimic a typical user in order to understanding their behavior, challenges, and thoughts about it. Ten Bowling Green State University (BGSU) students of various majors and years were randomly selected and asked nine questions about their opinions regarding the “Libraries” page, such as what they like and don’t like, and what they find useful, as well as things …