Digital Commons Network^™

Weapons On Campus Policy

Public Safety Policies

At University of Health Sciences and Pharmacy in St. Louis, we are committed to the safety, security, and well-being of our students, faculty and staff. The Universitye continually works to improve security and foster a safe and secure climate for learning and living. The purpose of this policy is to establish restrictions regarding the possession of firearms and weapons on University Property, in vehicles parked on campus, University vehicles, or at University sponsored events and activities.

Gene Therapy Reimbursement Models – A Stakeholder Assessment, Aaron Bholé, Matthew Luminais, Msc, B. A. Sillah, Md, Mba

Phase 1

Introduction: The first one-time curative gene therapy was approved in December 2017 with a list price of $850,000, and there is a historic increase in gene therapy clinical trials with 89 having reached phase III as of May 2018. Gene therapy’s high upfront cost will challenge the traditional reimbursement models which are well suited for common, chronic conditions.

Objective: This stakeholder assessment surveys groups to identify existing opinions and generate insights regarding gene therapies and their reimbursement models.

Methods: A 12 question survey was sent to 200 stakeholders with the list generated from author’s contacts. Stakeholder groups targeted were providers, …

Normalized Healthcare Utilization Among Refugees Resettled In Philadelphia, 2007-2016, Kaushal Desai, Mph, Colleen Payton, Phd, Mph, Ches, Kevin Scott, Md, Brandon George, Phd, Ms, Marc Altshuler, Md

Phase 1

Background/Purpose: About 70,000 new refugees are resettled in the United States each year, of which approximately 600 are resettled in Philadelphia. This project seeks to better understand the patterns of healthcare utilization, including primary care, emergency, and hospitalization, among refugees resettled in Philadelphia, PA, between 2007 and 2016.

Methods: Demographic and healthcare utilization data for 1,144 refugees seen at Jefferson Family Medical Associates were compiled from the Jefferson Longitudinal Refugee Health Registry. Descriptive statistics were used to describe the demographic characteristics of the refugee population. Negative binomial count regressions were used to test for significant correlations between major demographic variables …

Medication Assisted Treatment In The Primary Care Setting: A Prospective Review, Bridget M. Smith, Lara Weinstein, Md

Phase 1

Introduction: Project HOME Health Services (PHHS) initiated a Medication Assisted Treatment program for Opioid Use Disorder in a primary care setting that is the first of its kind in the city of Philadelphia. This study assesses the MAT program by evaluating the Quality of Life (QoL) of the participants as well as their perception of the program.

Objective: The purpose of this study is to assess the QoL of the participants in the MAT program at PHHS and to evaluate the participants’ satisfaction with the program.

Methods: The population includes patients enrolled in the MAT program at PHHS who consented …

Housing First For People With Opioid Use Disorder (Oud), Ashley Katzenstein, Lara C. Weinstein, Md, Mph, Drph

Phase 1

Introduction

Philadelphia’s opioid crisis has subsequently resulted in an increase in unsheltered individuals. Significant barriers in healthcare access exist for individuals experiencing homelessness and substance use disorders, often leading to poor health outcomes and significant disease burden.

Objective

This study’s purpose is to determine the prevalence of physical and mental illness among individuals with experiences of homelessness and OUD upon entry to a permanent supportive housing program through Pathways to Housing PA (PTHPA).

Methods:

This study is a cross-sectional analysis of physical and mental health conditions of individuals who entered PTHPA’s housing program by July 2018. All individuals included had …

Rethinking Emergency Response To Mass Casualty Incidents: Disaster Medicine Education And The Role Of Medical Students, Claire Zurlo, Edward Jasper, Md, Mph

Phase 1

Introduction: The threat of a mass casualty incident (MCI) is one that must be taken seriously and for which hospitals must be prepared. In the wake of a disaster, emergency departments are often taxed beyond their ability to handle the demands of incoming traumas. In response to this, Dr. Edward Jasper, an emergency physician at Thomas Jefferson Hospital, designed the Hospital Emergency Response Team (HERT) to alleviate the pressure on the ED during a MCI. The HERT is a team of nursing and medical students who are FEMA trained to respond in the event of a MCI.

Objective: The primary …

Signs Of Humanity: A Qualitative Exploration Of Panhandling In Philadelphia, Alyssa Tate, Rosemary Frasso, Phd, Msc, Cph, Willie Baronet, Mfa, Katherine Brierly, Steven Buffer, Kaela Edwards, Zach Fusfeld, Jenna Garret, Nisha George, Nichole Holmes, Emily Wei

Phase 1

People who participate in panhandling are those who ask for financial or other assistance on the street. In Philadelphia, it is known that a large portion of people who panhandle also experience housing insecurity or other hardship. Panhandlers are a very visible fraction of a city’s homeless population and their experiences are of particular interest because their cardboard signs can give insight into common hardships such as housing and food insecurity and substance abuse disorders. While panhandlers in Philadelphia have been surveyed in the past, there is not recent literature on their lived experiences and perspectives and information was not …

Raps Sheet, December 2018, Retirement Association Of Portland State

RAPS Sheet: Monthly Newsletter

No abstract provided.

The Impact Of Clustered Care On Patient Perception Of Sleep Quality And Noise Levels In A Hospital Setting, Christina Perry

2018 Fall Honors Capstone Projects - Archive

The aims of this study are to identify the effects of the changes made to the environment in the hospital setting and to observe the patient’s perception of noise levels. Other aims include to identify whether or not patients are receiving adequate rest and which activities are preventing them to do so. Ultimately, the goal is to identify whether or not clustering care provided by the lab, nurses and respiratory improve a patient’s perception of their quality of rest. Rounding is done every two hours instead of the usual one hour between the times of 2200 and 0600 when a …

Qed: The Research Annual Of The Uta Honors College 2018, Uta Honors College

QED: The Research Annual of the UTA Honors College - Archive

No abstract provided.

Characterization Of Antibiotic Use For Acute Otitis Media In Pediatric Physician Practices, Jasica N. Truong Pharmd, Kristin M. Held Pharmd, Bcop, Jennifer E. Macfarlan Mph, Tibisay Villalobos Md, Faap

Department of Pharmacy

No abstract provided.

Message From The Vice President Of Research, The Mcnair Team

McNair Scholars Research Journal

No abstract provided.

Electrospinning Approach For The Improvement Of Mechanical And Dielectric Properties Of Anisotropic Nanofiber Mat By Using A Novel Fiber Alignment Technique, Blesson Isaac

Mechanical and Aerospace Engineering Dissertations - Archive

Many advanced applications, including aerospace, can benefit from materials with superior mechanical and dielectric properties. For these applications, most fiber alignment electrospinning research has focused on either mechanical property improvement or dielectric property improvement, but not both simultaneously. Through an improved apparatus design and system parameter optimization, this work develops an electrospinning apparatus that produces an increased electrostatic force and more tightly controlled discharged particle path to enable a more uniform distribution and higher degree of alignment in deposited electrospun material, which results in simultaneous improvement of both mechanical and dielectric properties. The current state-of-the-art in aligned electrospinning techniques are …

Smartphone And Social Media Use And Its Health Associations, Cory Newell

Psychology Theses - Archive

While mobile phones offer users communication, information, and entertainment almost instantaneously, there is a growing concern about the impact smartphone and social media use has on mental and physical health. This study addressed gaps in the literature by simultaneously measuring objective and subjective smartphone use rather than relying on subjective reports alone, and then assessed how they were differentially related to health. Generally, it was predicted that measures of smartphone use would be reliable and valid, and that higher use would predict worse health. Overall, a diverse sample (39% White, 22.1% Asian, and 16.9% African American) of 136 young adults …

Examining Nurses’ Behavior And Attitudes Regarding Opioid Medications And Opioid Educational Resources, Jacqueline Kirby

2018 Fall Honors Capstone Projects - Archive

Nurses are responsible for the pain assessment and the administration of opioids for their patients. Nurses use pain assessment tools and non-verbal indicators to ascertain the necessity of pain-relieving drugs. To further understand nurses’ behavior and attitudes regarding opioid medications and the resources nurses use to aid them in clinical decisions regarding opioids, a survey was administered to graduate nursing students at a large university. Subjects (n = 332) most commonly reported non-verbal cues and patient requests specific to drug names and doses as significant indicators of drug-seeking behavior. While most of the participants reported that they administer opioids in …

A Qualitative Systematic Review And Narrative Synthesis Of The Effectiveness Of Interventions For Non-Intimate Parter, Scott Sainato

Social Work Dissertations - Archive

Social Workers have an ethical obligation to “monitor and evaluate policies, the implementation of programs, and practice interventions” (National Association of Social Workers, 2017, 5.02A). This study seeks to meet ethical standards for social workers as well as advance the general knowledge base in the area of Non-Intimate Partner – Youth family Violence (NIP-YFV) by conducting the first systematic review and narrative synthesis in the area of NIP-YFV. The following research will identify and explain why certain interventions are most effective in addressing NIP-YFV. Discussion and conclusion will detail the implications this study has on social work practitioners, policy makers, …

Polarization And Nuclear Fear: How Partisan Message Processing Affects Public Trust In Government, Ian Trevor Owens

Political Science Theses - Archive

Scholars have found that an environment that appears increasingly polarized in the United States has been accompanied by a decline in institutional trust over several decades. Scholarship involving partisanship and trust suggests that out-party groups are less receptive to political messages than in-groups. In the wake of the false emergency alert in Hawaii that sent citizens into a panic for 38 minutes, messaging and nuclear issues remain a salient topic for study. This thesis presents the results of an experiment (N = 2,310) investigating how political trust is influenced by the partisan interpretation of a message. Survey respondents were presented …

Online Bioanalytical Mass Spectrometry Methods For Analysis Of Small And Large Biomolecules Using One- And Two-Dimensional Liquid Chromatography, Yehia Zakaria Baghdady

Chemistry & Biochemistry Dissertations - Archive

In recent years, the innovation in biomarkers and biotherapeutics has increased the demand for state-of-the-art analytical platforms to achieve reliable and accurate discoveries and quantitative analysis methods. The challenges in their determinations are not limited to the large number of small and large biomolecules but also involve the great heterogeneity in chemical properties and abundance of those analytes. Liquid chromatography and mass spectrometry have advanced significantly to be the most common platform for analyzing biological samples. However, there are still many unmet challenges that that require application of novel bioanalytical methods to fill many gaps in online sample preparation, chromatographic …

The Relationship Between Spirituality And Pain Resiliency In Geriatric Individuals Who Are 65 Years Or Older With Chronic Pain In Dallas, Tx, Jonathan Lall

2018 Fall Honors Capstone Projects - Archive

Although there have been studies conducted on the relationship between aspects of religiosity and spirituality, and pain perception and management, a gap in research becomes evident when considering the relationship between spirituality and pain resiliency, particularly in the geriatric population. Spirituality has been shown to play a fundamental role in overall pain management of a patient. Understanding the relationship between pain resiliency and spirituality can possibly change how we educate patients on resiliency of pain. Therefore, the purpose of the study is to examine relationships between an individual’s spirituality and their resilience to chronic pain. Forty-two subjects from a church …

Service Learning Education Intervention: Survey Of Knowledge On Parasitic Worms And Hand Hygiene In Northern Belize Adolescents Ages 10-18, Tiffany Kim

2018 Fall Honors Capstone Projects - Archive

The purpose of this project is to assess if there is a knowledge barrier concerning hand hygiene and the contraction of parasitic worms in the northern districts of Belize. In countries around the world, hygiene maintenance is an issue. This issue is complicated by factors such as deficient knowledge, poor implementation of hand hygiene, and minimal access to clean water or soap. This lack of consistent hand hygiene practice often leads to higher infection rates. The most prominent infection observed in communities of Belize is of parasitic worms. Hand hygiene and its effect upon infection rates by parasitic worms requires …

Preparation Of Dual Fluorescence Agents-Loaded Nanoparticle And Its In Vitro And In Vivo Application, Hong-Hao Thi Vu

Bioengineering Theses - Archive

There’re many existing imaging tools that composed of different imaging moieties to improve both resolution and sensitivity, however there’s not yet any imaging method that could be effectively utilized in both in vitro and in vivo study. To fill the gap, dual dyes-labeling fluorescent imaging nanoprobes was synthesized to simultaneous carry both visible fluorescent isothiocyanate (FITC) dye and near infra red (NIR) dye, 1,1′,3,3,3′,3′- hexamethylindotricarbocyanine iodide dye agent (HITC). For that, nanoparticles (NPs) was synthesized from 2-Hydroxyethyl methacrylate, styrene, acrylic acid and fluorescein-o-acrylate which contains visible FITC dye. The NPs were then labeled with HITC dye via physical entrapment to …

Data Science Applications In Health An Social Care, Maryuri Ariela Quintero

Industrial, Manufacturing, and Systems Theses - Archive

Health and social care are areas of concern worldwide nowadays. Chronic diseases such as cancer and social problems such as tobacco consumption are leading risks of deaths in many countries, and preventive efforts are urgently needed to decrease the negative impact that those problems cause. Technology has made available an unprecedent amount of data in the health and social care fields, which scientists are using to achieve a better understanding of many problems that are a burden for the health and social systems globally. Although previous studies have provided approaches to analyze data, more efficient and accurate methods are needed …

Soy- Based Flexographic Ink For Linerboard Printing, Rahul Ramchandra Pingale

Masters Theses

Many printing inks use volatile solvents in the formulation, which are hazardous to the environment from emission of VOC’s and at the same time, synthetic resins in these inks are not biodegradable. These problems with the fluctuating and rising price of petroleum are main reasons to look for new resources for making more environmentally friendly printing inks. The majority of the commercially available water based inks are formulated based on using acrylic resins, synthetic colorants, solvents/water and additives, which are the common main components for formulating printing inks. In this research, soy proteins were tested for their suitability to partially …

Super Unleaded Malbec? A Case Study In Flawed International Standard Setting At The Codex Alimentarius, Justin Schwegel

Journal of Food Law & Policy

The World Trade Organization’s (WTO) Agreement on the Application of Sanitary and Phytosanitary Measures (SPS Agreement) provides rules on the adoption and enforcement of SPS measures. It also presumes that food safety regulations adopted by WTO Members that conform to relevant international standards are consistent with the SPS Agreement. The relevant international standard setting body for food safety is the Codex Alimentarius Commission, which conducts most of its food safety risk management work through subsidiary bodies such as the Codex Committee on Contaminants in Food (CCCF). CCCF establishes maximum limits for food contaminants and codes of practice for reducing food …

The Global Food Security Act: America's Strategic Approach To Combating World Hunger, Michael Adkins

Journal of Food Law & Policy

The world’s farms currently produce enough calories to adequately feed everyone on the planet. From the 1960s through 2008, per capita food availability worldwide has risen from 2220 kilocalories per person per day to 2790. Specifically, developing countries have recorded a rise in kilocalories per person per day, from 1850 to 2640. Yet, despite overall availability, around 815 million people still suffer from hunger or some form of malnutrition. Approximately one in ten people are undernourished.

Agro-Industrial Lignocellulosic Biomass: A Sustainable Platform For The Production Of Α-Amylase And Xylanase A, Rajeev Ravindran

Doctoral

Enzymes such as α-amylase and xylanase offer potential for numerous industrial applications such as food, beverage, and animal feed production, detergents, textile, cosmetics and biodiesel production. Economic factors such as achievement of optimum yields and production cost are the main deterrents in the industrial use of these enzymes. Enzymes are generally produced via microbial fermentation using expensive mediums which account for 30 to 40% of the production cost. Food industry wastes such as spent coffee waste (SCW) and Brewers’ spent grain (BSG) are two of the most common food waste products expelled by the food and beverage industry here in …

Longitudinal Analysis Of Information Security Incident Spillover Effects, Justin M. Pelletier

Articles

When a company is hacked, market participants take notice. This has been observed consistently for at least a decade, mostly through calculating abnormal returns of individual corporate stocks after a company’s information security incident an-nouncement. Some researchers have found that information security incidents have had a decreasing effect on stock price over time. Their reports suggest that breach related stock price impacts have become increasingly shallow and short-lived. This has led some information security economists to suggest that market forces are not enough to incentivize sufficient cor-porate investment to information security. They argue that further regulation is necessary to remedy …

December 2018 Issue

OCCUPATION: A Medium of Inquiry about Health through Occupation

No abstract provided.

The Role Of Cathelicidin In The Regulation Of Gut Microbiota And Inflammasome Activation In Alcoholic Liver Disease., Fengyuan Li

Electronic Theses and Dissertations

Alcoholic liver disease (ALD) is characterized by gut dysbiosis and hepatic and intestinal inflammation. Gut microbiota is critically maintained by antimicrobial peptides (AMPs) expressed in the epithelial and immune cells. AMPs are also identified as immune-regulators in various diseases. Previous studies demonstrated that deficiency of AMPs REG3 lectins exacerbated alcoholic steatohepatitis. LL-37 is the sole member of human cathelicidin AMP family, named CRAMP in mouse. Despite of the extensive studies in infectious diseases and in gut-microbiota-related inflammatory bowel disease, the role of LL-37/CRAMP in ALD is yet unknown. Our previous studies showed a decreased intestinal CRAMP in a mouse model …

Public Policy And Strategies To Support Institutional And Technological Innovations In The New Water Economy: The Example Of Innovation Technology Clusters In Developing And Diffusing Water Technologies., Craig Francis Barham

Electronic Theses and Dissertations

A long list of water technologies has been central to human development throughout history. From the well in ancient times to desalination in the contemporary period, water technologies are needed to produce, distribute and treat water to support human life, industry, agriculture, and environmental health. As human development puts intense pressure on the planet's limited fresh water supplies, society is turning to increasingly innovative water technologies to close the supply-demand gap. The water economy represents a significant share of total economic output it its own right, while at the same time water directly or indirectly underpins all other economic activity. …