Digital Commons Network^™

The Influence Of The Social And Cultural Environment On Maternal Mortality In Nigeria: Evidence From The 2013 Demographic And Health Survey, Oluwatosin Ariyo, Ifeoma D. Ozodiegwu, Henry V. Doctor

ETSU Faculty Works

This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Introduction Reducing maternal mortality remains a priority for global health. One in five maternal deaths, globally, are from Nigeria. Objective This study aimed to assess the sociocultural correlates of maternal mortality in Nigeria. Methods We conducted a retrospective analysis of nationally representative data from the 2013 Nigeria Demographic and Health Survey. The analysis was based on responses from the core women’s questionnaire. Maternal mortality was categorized …

Dental Caries In The Fossil Record: A Window To The Evolution Of Dietary Plasticity In An Extinct Bear, Borja Figueirido, Alejandro Pérez-Ramos, Blaine W. Schubert, Francisco Serrano, Aisling B. Farrell, Francisco J. Pastor, Aline A. Neves, Alejandro Romero

ETSU Faculty Works

During the late Pleistocene of North America (≈36,000 to 10,000 years ago), saber-toothed cats, American lions, dire wolves, and coyotes competed for prey resources at Rancho La Brea (RLB). Despite the fact that the giant short-faced bear (Arctodus simus) was the largest land carnivoran present in the fauna, there is no evidence that it competed with these other carnivores for prey at the site. Here, for the first time, we report carious lesions preserved in specimens of A. simus, recovered from RLB. Our results suggest that the population of A. simus from RLB was more omnivorous than the highly carnivorous …

Ion Trajectory Simulations And Design Optimization Of Toroidal Ion Trap Mass Spectrometers, Jessica Marie Higgs

Theses and Dissertations

Ion traps can easily be miniaturized to become portable mass spectrometers. Trapped ions can be ejected by adjusting voltage settings of the radiofrequency (RF) signal applied to the electrodes. Several ion trap designs include the quadrupole ion trap (QIT), cylindrical ion trap (CIT), linear ion trap (LIT), rectilinear ion trap (RIT), toroidal ion trap, and cylindrical toroidal ion trap. Although toroidal ion traps are being used more widely in miniaturized mass spectrometers, there is a lack of fundamental understanding of how the toroidal electric field affects ion motion, and therefore, the ion trap's performance as a mass analyzer. Simulation programs …

Idioms Or Open Choice? A Corpus Based Analysis, Kaitlyn Alayne Vanwagoner

Theses and Dissertations

The ambiguous nature of idioms has been a persistent challenge for English language learners and researches alike. Problematic issues include identifying which idioms are most pertinent for study, and the question of how frequently idiom forms found in dictionaries and other canonized resources actually function as idioms in real language use. This study differentiates between idiom forms used idiomatically (idiom-principle) versus literally (open-choice principle), and provides quantitative data to assess this difference. The data was obtained through a corpus analysis of 1,000 randomly-selected idioms in 10,000 randomly-selected contexts (10 contexts per idiom), and revealed that the majority of idiom forms …

Cover Art, Kerrigan Clark

A Midwestern Review: A Magazine of the Arts and Issues at DePauw University

No abstract provided.

Chaos - Life And Shadow, Keisuke Ohtani

A Midwestern Review: A Magazine of the Arts and Issues at DePauw University

No abstract provided.

What Do We Know About Corporate Social Responsibility Messaging?, John B. Ford

Marketing Faculty Publications

As the number of submissions to the Journal of Advertising Research (JAR) continues to increase, the time has come for us to step up our peer-review process with the addition of a group of Associate Editors (AEs), who will be given oversight of manuscripts that match their areas of expertise.

Evaluating The Affective Impact Of A Place-Based Learning Course Project In The Geosciences, Nathan Charlton

Masters Theses

Coping with issues such as climate change and depletion of natural resources demands a scientifically literate public. For many students, the only exposure to earth science comes in a college-level general education geoscience course. One way to engender positive attitudes toward and interest in earth science among these students (the future public) is to connect learning to actual places to which students have a personal attachment.

This study seeks to evaluate the impact of a place-based learning project (MyPlace) currently in use in an introductory geosciences general education course at Western Michigan University. Students in the MyPlace project select a …

Financial Exploitation Of Maine's Older Adults: An Analysis Of Maine Adult Protective Services And Legal Services For The Elderly Case Records, State Fiscal Years 2010-2016, Eileen Griffin Jd, Catherine Mcguire Bs, Kimberly I. Snow Mhsa, Ba

Disability & Aging

The goal of this study was to capture information about the amount of money Maine’s older adults have lost to financial exploitation, along with information about those exploited, the perpetrators of financial exploitation, the type of loss, and amount of money lost. This report summarizes key findings emerging from this analysis. In particular, we found that, when compared to Maine’s general population of adults age 60 and older, the victims of financial exploitation served by Maine's Adult Protective Services (APS) and Legal Services for the Elderly (LSE) are more likely to be age 80 and older, female; and widowed, single, …

Efficacy Of Two Hortiled Fixtures, Jakob Johnson, Paul Kusuma, Bruce Bugbee

Controlled Environments

We tested the efficacy of the Full Spectrum and Red-Blue HORTILED TOP LED fixtures manufactured by PL Light. Both fixtures had an 80° light distribution.

The efficacy of the fixtures was measured using flat plane integration as described by Nelson and Bugbee (2014)¹ (see adjacent photo). The fixtures were suspended at 0.65 m above the floor in a 3 × 3 m room with flat black walls. The photosynthetic photon flux density (PPFD, μmol · m^-2 · s^-1) was measured with a recently calibrated quantum sensor (LI-COR model 190R). Measurements were made 2.5 cm apart near …

A Key To Success In Healthcare Education: Getting Stakeholder Commitment, Linda Parry Carney

General Submissions: Presentations (Oral and Poster)

A large teaching hospital in the Middle Atlantic United States has been working to improve outcomes related to falls, delirium, pressure ulcers and length of stay. One contributor to all of these concerns is a lack of mobility of patients. Nursing staff relied on physician orders and physical therapy to get patients moving. An Advanced Practice Nurse developed an evidence-based nurse driven protocol for nurses to take the initiative to get patients moving. A team of Nursing Professional Development (NPD) practitioners met to discuss the knowledge gap and the best way to close this gap. This group determined much more …

Bridging The Gap By Supporting Our Future, Andrea Sweeny, Danielle Coyne

General Submissions: Presentations (Oral and Poster)

According to Kramer (1974), novice nurses transition through three phases during their first year including a period of reality shock. Between 35-60% of new graduates change their place of employment during the first year and can account for more than 50% of total nurse turnover in some hospitals (Newhouse, Hoffman, & Hairston, 2007). In order to decrease attrition, supportive measures are needed for new graduates. Although new graduates identify a mentor during orientation, they experience difficulty meeting during work hours due to patient care needs. When novice nurses do not ask questions, they are assumed to be competent, which leads …

Transitioning New Graduate Nurses: A Look At Magnet® Organizations, Sheryl Cosme

General Submissions: Presentations (Oral and Poster)

Academy of Medicine, conducted an analysis on the progress of the Future of Nursing report. In the progress report, the implementation of nurse residency programs (recommendation 3), demonstrated an increase of programs across the country, but operational variability amongst programs still existed. Magnet^® designated organizations are required to demonstrate how they effectively transition new graduate nurses, by writing to Structural Empowerment (SE) 7. At an accrediting agency, a research study was conducted investigating how Magnet^® designated organizations responded to this criteria. The purpose of the study was to identify common characteristics at Magnet^® designated organizations and how …

Nurse Fellowships: Facilitating The Transition To Specialty Practice, Brenda Diaz, Anne Corbett, April Camiling

General Submissions: Presentations (Oral and Poster)

A Blood and Marrow Transplant (BMT) Registered Nurse (RN) Fellowship was developed in a large teaching hospital to increase RN retention, increase professional certification, and encourage the development of evidence based projects by staff nurses. In 2015, four nurses new to blood and marrow transplant were accepted for a one year fellowship after the completion of their orientation. Once a month, they attended an 8-hour educational program to increase their knowledge on blood and marrow transplantation. Educational sessions consisted of slide presentations, skill validation, case study presentations, observations and shadowing experiences, and independent studies. These fellows identified two opportunities for …

Achieving Specialty Certification At A Community Hospital, Deborah Goodlett, Stuart Redfearn

General Submissions: Presentations (Oral and Poster)

Background: Specialty certification of nurses is linked to improved patient outcomes, such as quality, patient safety and patient satisfaction. Nursing Professional Development (NPD) practitioners struggle to promote nursing specialty certification in organizations due to common barriers identified by nurses, some of which include cost, test anxiety, lack of access to preparation courses and exam sites (Perlstein et al., 2014). In 2014, at a small community hospital, forty-five nurses held specialty certifications. The purpose of this evidenced based practice project was to increase the number of certified nurses at the facility by 10% in 2015 and again in 2016.

Methods: NPD …

Executing Change: Teamstepps And Kolb's Learning Theory To Impact Outcomes, Lisa Chung, Janet Geskie, Renee M. Davis

General Submissions: Presentations (Oral and Poster)

Purpose

To integrate multi-modal innovations in education into an annual RN skills fair and evaluate its efficacy with regards to effective learning, learner engagement and patient outcomes.

Objectives

A competency management program designed to assess critical thinking, provide content-specific education using multiple modalities and promote team building through a series of timed, simulated activities. Competencies and education topics were selected based on regulatory and organizational requirements. Annual needs assessments coupled with quality, performance improvement and patient safety data was also incorporated.

Description

A four hour education program with five learning stations. These stations were facilitated by Nurse Educators and bedside …

New Nurses In A Residency Program Uncover Evidence That Changes Practice, Ellen Vuong, Patricia Kelly

General Submissions: Presentations (Oral and Poster)

Action Taken: Nineteen nurse residents were divided into six teams by service lines. Teams reviewed hospital data, queried clinical staff, created EBP questions using the Population, Intervention, Comparison, and Outcome (PICO) format, reviewed literature, and developed and implemented an EBP project. Each team was assigned a mentor from the leadership team to help residents develop their project, address barriers, and communicate with unit staff. The EBP curriculum included seven detective-themed classes such as "Cracking the Case: Exposing the Truth about EBP" and "The Detective's Handbook: Using the Iowa Model. Residents were given course time to complete literature reviews and creating …

Video Creation: Transforming Education To Meet The Needs Of Bedside Nurses, Shelly Pignataro, Marilyn Moonan, Shauna Memmolo

General Submissions: Presentations (Oral and Poster)

Nursing professional development (NPD) practitioners need to meet the needs of the learner while accounting for their generational differences and learning style preference. The NPD practitioners identified the need for education related to the use of halo traction in the pediatric patient population and collaborated with orthopedic experts to develop an educational video series to address the gaps in nursing knowledge. This video series needed to be available to all nurses 24 hours a day regardless of their location which lead to the development of a staff nurse educational video channel on YouTube. This inter-professional collaborative effort resulted in staff …

Creative Patient Tracers For Accreditation Preparation, Mitzi Grey

General Submissions: Presentations (Oral and Poster)

Patient tracers can be an invaluable tool in the accrediation preparation process. Patient tracers can highlight potential compliance issues and prepare staff for the survey process. The idea of using patient tracers for accreditation preparation is not new, however, tracers have a tendency to become stale and boring. This presentation will introduce fun, creative, ways to breathe new life into patient tracers!

Simulation Education To Promote Transition Into Clinical Practice, Katherine Hardin, Kelly L. Rossler

General Submissions: Presentations (Oral and Poster)

Nursing Professional Development Practitioners are continuously evaluating optimal teaching-learning methodologies to inform entry into practice success among newly licensed registered nurses. Elements such as preceptor-new graduate nurse relationships, didactic content, capacity to reflect on transition, role socialization, and customization of an internship program have the capacity to impact the transition process. Human patient simulation is a teaching methodology emerging within nurse internship programs. This presentation discusses findings from a research project which used a Hermeneutic phenomenology approach to explore graduate nurse interns' perceptions of the addition of simulation based education into a nurse residency program to promote transition into the …

Leadership Development For Clinical Staff Nurses: Program Design, Elizabeth Cambier

General Submissions: Presentations (Oral and Poster)

The Nursing Professional Development (NPD) practitioner is responsible for facilitating role development of nurses and healthcare team members, and promoting quality improvement (QI) activities. Using the nursing process and educational principles, a Midwest community hospital created a leadership development program to improve Unit Practice Team (UPT) function as part of a shared governance model. Successful shared governance requires a shift in power toward staff, access to resources, opportunities for growth, and administrative support. Successful leadership development has the potential to improve nursing quality, patient care, and staff satisfaction. A 2013 needs assessment identified four areas of development of UPT leaders: …

Class Is Over, Now What? Transform Quaility With Microlearning Refreshers, William David Campbell, Kathy Crawford

General Submissions: Presentations (Oral and Poster)

As a group, Nurse Professional Development specialists do an extraordinary job of creating meaningful learning events to advance hospital goals. However, NPD specialists can become frustrated when education projects do not achieve the desired quality outcomes. Time and energy spent developing training is futile if behavior changes are not applied and sustained after the initial training is completed. Practical application of how to implement refresher training for quality outcomes is a learning need for the NPD professional.

In this session, the presenters explore a training case study focused on preventing hospital acquired conditions (HACs). The study illustrates the art and …

Serving Up Surveys: Maximize Your Response Rates, Susan M. Politsky

General Submissions: Presentations (Oral and Poster)

The purpose of this educational activity is designed to share with NPD Practitioners evidenced-based strategies that will maximize survey response rates. The Tailored Design Method is one method used to accomplish this. Creating web-based surveys is the mode of survey highlighted. With enhanced technologies, creating web-based surveys are what NPD Practitioners and nurse researchers should consider as an option to other forms of survey and questionnaire design. If crafted the proper way, a well-designed web survey can provide useful data with acceptable sample sizes, adequate enough to generalize their findings.
With enhanced technologies including mobile devices, smart phones, tablets, and …

Fatty Acid Concentration And Phase Transitions Modulate Aβ Aggregation Pathways, Pratip Rana, Dexter N. Dean, Edward D. Steen, Ashuwin Vaidya, Vijayaraghavan Rangachari, Preetam Ghosh

Department of Mathematics Faculty Scholarship and Creative Works

Aggregation of amyloid β (Aβ) peptides is a significant event that underpins Alzheimer disease (AD) pathology. Aβ aggregates, especially the low-molecular weight oligomers, are the primary toxic agents in AD and hence, there is increasing interest in understanding their formation and behavior. Aggregation is a nucleation-dependent process in which the pre-nucleation events are dominated by Aβ homotypic interactions. Dynamic flux and stochasticity during pre-nucleation renders the reactions susceptible to perturbations by other molecules. In this context, we investigate the heterotypic interactions between Aβ and fatty acids (FAs) by two independent tool-sets such as reduced order modelling (ROM) and ensemble kinetic …

On The Ground State And Evolution Of Structural And Transport Properties Of Tin Selenide, Yufei Liu

All Dissertations

The recent surge of interest in tin selenide (SnSe) is due to the reported record-high thermoelectric figure of merit at elevated temperatures. While the researchers are exerting tremendous efforts to further improve the thermoelectric performance of SnSe via doping and nanostructuring, it is getting more and more apparent that SnSe is fascinating in many aspects of fundamental physics. SnSe is, in many aspects, an outlier of the current materials selection rules for high thermoelectric performance. Hence, answering why thermoelectric performance is high in SnSe should come before addressing how to further improve its thermoelectric performance. To this end, there are …

A High Quality And Quantity Hybrid Perovskite Quantum Dots (Cspbx3, X= Cl, Br And I) Powders Synthesis Via Ionic Displacement, Yuhang Yin, Weiling Luan, Chengxi Zhang, Fuqian Yang

Chemical and Materials Engineering Faculty Publications

Recently, all-inorganic perovskites CsPbX₃ (X= Cl, Br and I) quantum dots (QDs) have drawn great attentions because of their PL spectra tunable over the whole visible spectral region (400-700 nm) and adjustable bandgap, which revealed a promising potential on the field of photoelectronic devices, such as solar cells, LEDs and sensors. In this paper, CsPbX₃ QDs and hybrid QDs, CsPbClxBr3-x and CsPbBrxI3-x were synthesized via one-step and two-step methods comparably. The optical bandgaps of CsPbCl₃, CsPbBr₃, and CsPbI₃, were calculated as 3.08, 2.36, and 1.73eV, respectively, based on the Tauc's equation and …

Montclair Magazine (Fall/Winter 2017), Montclair State University

Montclair: The magazine of Montclair State University

No abstract provided.

The Hathitrust Federal Documents Program-Towards A Digital U.S. Federal Documents Library At Scale, Heather Christenson

Against the Grain

No abstract provided.

Collection Management Matters-Time Is Filled With Swift Transitions, Glenda Alvin

Against the Grain

No abstract provided.

Utilization Of Care By Infants With Neonatal Abstinence Syndrome In Delaware, Michele K. Savin, Dnp, Aprn, Nnp-Bc

College of Nursing Posters

Introduction: There is little information regarding use of expected well care by infants diagnosed with neonatal abstinence syndrome (NAS) post initial discharge. We describe expected and unexpected utilization of care by infants with NAS in the first year of life.

Methods: A de-identified State of Delaware Medicaid data set was obtained. Included were all infants with an ICD-9 code for NAS from 01/01/2012-12/31/2014. All associated medical claims were extracted for one year after birth. Utilization rates of primary care, immunizations, urgent or emergency care, and re-hospitalization were quantified.

Results: 499 of 522 babies were able to be fully analyzed. The …