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2018 State Of The University Presentation From President Watts Available Online, Tyler Greer

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No abstract provided.

Initiative 427: Nebraska Medicaid Expansion, J. David Aiken

Cornhusker Economics

This article summarizes information regarding Initiative 427–the Medicaid expansion question on the November 6, 2018 ballot. It reprints the actual ballot language and the Nebraska Secretary of State’s summary of arguments for and against Initiative 427.

Background. Originally Medicaid covered the elderly, the disabled, children in low-income families, and low-income pregnant women. In 2010 Medicaid coverage was expanded by Congress to include the working poor. In 2012 the U.S. Supreme Court ruled that the provision of the Affordable Care Act (ACA) requiring states to expand Medicaid was unconstitutional. This made it a state option whether or not to expand Medicaid. …

A Generalisable Integrated Natural Capital Methodology For Targeting Investment In Coastal Defence, Katrina J. Davis, Amy Binner, Andrew Bell, Brett Day, Timothy Poate, Siân Rees, Greg Smith, Kerrie Wilson, Ian Bateman

School of Biological and Marine Sciences

No abstract provided.

Why Teach With Pbl? Motivational Factors Underlying Middle And High School Teachers’ Use Of Problem-Based Learning, Huei-Chen Lee, Margaret R. Blanchard

Interdisciplinary Journal of Problem-Based Learning

This quantitative study examined factors underlying middle and high school teachers’ choices about whether to use problem-based learning (PBL). Survey items measured respondents’ perceived competence, autonomy, and relatedness, and the value and costs they placed on implementing PBL. Teachers who have taught with PBL (n = 126) had significantly more formal PBL professional development, higher levels of perceived competence and value for this pedagogy, perceived more support from peers, and perceived lower costs than did the non–PBL use teachers (n = 30). Findings highlight the importance of formal PBL professional development in increasing teachers’ intention to implement PBL …

Managing Risk In Grazing Operations, Christopher D. Teutsch, Kenneth H. Burdine

Kentucky Grazing Conference

Risk is an inherent part of agricultural production systems. Crane and coworkers (2013) identified five primary areas of risk in grazing operations: 1) MARKETING risk, 2) PRODUCTION risk, 3) LEGAL risk, 4) HUMAN risk, and FINANCIAL risk. These types of risk are described in the accompanying publication entitled “Controlling Risk in Grazing-Based Production Systems” by J. Parsons. This article will discuss the risk associated with “production” in grazing systems, focusing specifically on managing drought in grass based production operations.

Keys To Optimizing Profitability In Cow-Calf Production -- Rooster's Beef, 3 Generations Of Farming & Beef, William Slaton, Becky Slaton

Kentucky Grazing Conference

Rooster's Beef ultimately began with our family farm -Rocky Bluff Farm - now owned by William and Becky Slaton. It is the cattle producer for our beef sold. The farm is named after two Natural Rock Formations on our property. We have several acres of pasture and including some wooded acres. With rotational grazing and intense management, we are able to have 65 cows in a spring calving group, 15 cows in a fall calving group, 3 bulls, 13 replacement heifers, unweaned calves and 12 calves on finisher feed. We also rent ground to raise and put up our own …

The Influence Of Body Mass Index On Survival And Length Of Stay In Patients With Septic Shock, Yasir Jawaid, Waseem Ahmed, Damir Kusmic, Aman Ajmeri, Kanaan Mansoor, Cristie Mannino, Thomas Judge, Larry E. Carter, Akash V. Ajmera

Marshall Journal of Medicine

Background: Obesity is one of the most widespread epidemics of our time. In fact, currently 65.7% of US adults age 20 and older are overweight, while 30.6% are obese. It has been well-established that obesity has numerous adverse effects on long-term health, however the specific effect on patients treated for sepsis and septic shock is unclear. Body Mass Index (BMI) is a measure of total body fat content and surrogate marker for obesity. In our study, we aimed to identify if BMI was an independent risk factor for poor survival or increased length of stay (LOS) in patients with sepsis. …

Perceptions Of Specialties And Primary Care Careers: Findings From West Virginia Medical Student And Resident Focus Groups, April L. Vestal, Laura Boone, Robert Walker, A. Brianna Sheppard, Dakota Morris, Ashley J. Noland

Marshall Journal of Medicine

The purpose of this study was to improve the understanding of how perceptions of practicing specific medical specialties contribute to career decisions. Participants included medical students and residents from training programs in West Virginia. Focus groups were conducted between September 2013 and February 2015. Thematic content analysis of focus group interviews was used to identify phrases indicating perceptions of person- versus technique-oriented personality medical specialties.

“Self-focused” and “other-focused” themes emerged within person-oriented comments. Factors affecting “self”, including work/life balance and salary and practice environment, made certain specialties more appealing. Technique-oriented comments included working in a hospital setting, performing technical procedures, …

Optimizing Quality Of Care By Patient Satisfaction For The Department Of Orthopaedics - A Survey Study, Milad Modarresi, Ammar Qureshi, Rodrigo Aguilar, Meghan Anderson, Felix Cheung

Marshall Journal of Medicine

Introduction: Hospital Consumer Assessment of Healthcare Providers and System (HCAHPS) has provided a standardized survey method in order to evaluate the patient’s satisfaction on the care they are provided. While overall patient satisfaction is clearly a multidimensional concept, the HCAHPS survey covers 8 domains of health care. This study tries to identify and establish the main determinants to patient’s level of satisfaction during their visit to Cabell Huntington Hospital Orthopaedics department.

Methods: Data was collected from surveys handed in 3 consecutive months; June, July and August of 2013. Sixteen questions were selected from HCAHPS that were appraised to be relevant …

Predicting Adverse Outcomes In End Stage Renal Disease: Machine Learning Applied To The United States Renal Data System, Zeid Khitan, Alexis D. Jacob, Courtney Balentine, Adam N. Jacob, Juan R. Sanabria, Joseph I. Shapiro

Marshall Journal of Medicine

We examined machine learning methods to predict death within six months using data derived from the United States Renal Data System (USRDS). We specifically evaluated a generalized linear model, a support vector machine, a decision tree and a random forest evaluated within the context of K-10 fold validation using the CARET package available within the open source architecture R program. We compared these models with the feed forward neural network strategy that we previously reported on with this data set.

Applying A Research Ethics Review Processes In Rural Practice-Based Research, Adam D. Baus, Tracy L. Hendershot, Martha Cook Carter, Laura K. Boone

Marshall Journal of Medicine

Introduction: Partnering with rural primary care in practice-based research allows researchers access to a vital segment of the health care sector and a window into some of the most vulnerable, high-risk, high-need patient populations. The readiness for rural primary care to fully embrace research partnerships, however, is often tempered by ethical questions in conducting research in close-knit settings. This research provides practices with a refined decision support tool for evaluating the fit of research opportunities for their unique practices.

Materials and Methods: A two-phase effort was conducted to glean insight from currently available literature on ethical considerations in practice-based research …

Outcomes Of Transcutaneous Aortic Valve Replacement Among High Risk Wv Sample Population., George M. Yousef, Julia Poe, Cameron Killmer, Basel Edris, Jason Mader, Ellen A. Thompson, Daniel Snavely, Silvestre Cansino, Joseph I. Shapiro, Mark A. Studeny

Marshall Journal of Medicine

Introduction:Transcatheter aortic valve replacement (TAVR) is a relatively new strategy for replacing the aortic valve. We elected to review our early experience to see if we could identify clinical characteristics at baseline or immediately following the procedure that would predict death within one year.

Methods:Charts for all patients assigned to receive TAVR procedure at St Mary’s medical center, Huntington, West Virginia between April, 2013 till November, 2016 were identified and reviewed. A total of seventy-two (72) cases were included.

Results: All cause mortality rate at index hospitalization, 30 days, and 12 months was 5.6%(N=4), 6.9%(N=5), 19.4%(N=14) respectively. Stroke …

Nadolol In Pregnancy: A Medical Student’S Reflection On Her Pregnancy, Rebecca King-Mallory, Shawndra Barker, Kaitlin Mcgrogan, Adam M. Franks

Marshall Journal of Medicine

Hypertension is a common concern during pregnancy. Beta-blockers are one potential treatment, but third trimester exposure has correlated with an increased risk of perinatal events. Nadolol, a nonselective beta blocker, has properties that differ from those of its selective counterparts, including longer half-life, decreased protein binding, and renal excretion in the unchanged form. There is very limited data on the use of nadolol during pregnancy, and its safety has not been completely evaluated. This case study documents the perinatal outcomes of nadolol use throughout a medical student’s pregnancy and explores the experience in obtaining and undergoing medical care.

Diagnosis Of A Centronuclear Myopathy Case In Appalachia 20 Years From Symptom Onset., Christopher Burrell, Zachary Wilson, Dominika Lozowska

Marshall Journal of Medicine

Dynamin 2 (DMN2) mutations cause centronuclear myopathy (CNM) and Charcot Marie Tooth (CMT). Herein we discuss the details of a patient's case of adult onset CNM. We also highlight the unique features of this case with regards to the importance of electromyography (EMG), muscle biopsy and genetic testing in identifying CNM, as well as potential for improving outcomes by having a high index or suspicion and emphasizing better access to healthcare in underserved areas.

Ignorance Is Not An Option, Tamela J. White

Marshall Journal of Medicine

Health literacy is a vital component in the design of public health interventions. Public understanding of health literacy and its role in attaining down stream and outcomes is not only a necessity but a moral mandate.

Leaving A Legacy, Jay Lakhani

Marshall Journal of Medicine

No abstract provided.

The Future Of Personalized Care: Humanism Meets Artificial Intelligence, Darshana T. Shah

Marshall Journal of Medicine

Another exciting year for the Marshall Journal of Medicine has passed, giving us the opportunity to both reflect on the accomplishments of the past year and summarize recent developments. The readership distribution of the Marshall Journal of Medicine spans the globe, including over 169 countries and 32,000 plus downloads. We continue to expand our scope by incorporating new submission categories such as “At the ‘Heart’ of Healthcare” and “Machine Learning in Rural Health.” This issue particularly propels us forward with a focus on the humanism of health care.

Patriotism? No Thanks!, Madhu Suri Prakash

Occasional Paper Series

Patriotic fever reigned supreme in my son’s fifth grade classroom in the public elementary school he had attended since kindergarten. It was in a middle-sized university town in the United States.

Framed photos of each student flouting the flag with patriotic pride announced his teacher’s curriculum and pedagogy. Mrs. ABZ’s message, at least as experienced by my son and me, was “Do or die!” You either subscribe to her patriotic philosophy of education, or you die as a legitimate and valued member of the class.

The school principal accepted that this was unpalatable, undemocratic, inappropriate, unjust and mis-educative—to say the …

Patriotism And Dual Citizenship, Patricia Gándara

Occasional Paper Series

I am a citizen of two countries—the United States and Mexico—and I have a deep love of both, for different reasons. I believe that being a citizen of two countries allows me to be a partial outsider in each, which perhaps gives me an uncommon perspective on both. I know that there are those who argue that it’s impossible to be truly loyal to one country if one is also a citizen of another, and there are those for whom any criticism of one’s country is tantamount to treason. I reject both of those positions.

First, I believe that a …

Turning Grass Into Cash With Small Ruminants, Kenneth Andries

Kentucky Grazing Conference

As agriculture continues to change, it is important to consider sustainability before starting or expanding any enterprise. One critical factor in any animal agriculture enterprise is controlling feeding costs. Most research indicates feeding is the largest expenses in any livestock enterprise. However, nutrition is critical to overall productivity and the income of the enterprise. Because of this, producers need to find ways to improve nutrient availability while minimizing costs to optimize production and profitability for their livestock enterprise.

Privacy Considerations For Digital Collections, Virginia Dressler

Ohio IR Day

Virginia Dressler, Digital Project Librarian at Kent State University will give the keynote presentation: Privacy Considerations for Digital Collections. The talk will focus on issues around privacy in digital collections; identifying private information and ethical considerations around less apparent privacy violations. Some case studies will be shared as well as some frameworks for practitioners to use to identify and assess privacy in digital projects.

Considerations For Making A Profit With Stocker Cattle, Jeff Lehmkuhler

Kentucky Grazing Conference

The southeast is home to more than 7.3 million beef cows (USDA 2018). At an estimated 80% weaning rate and 20% heifer retention, the southeast region would be expected to produce more than 4.6 million feeder calves that would go to market in 2018. The cow-calf industry in the region provides an opportunity for the stocker and backgrounding operations to co-exist. Much of the land in the region is best suited for forage and pasture production, which at the current moment, provides a low cost feed for adding pounds to light weight feeder cattle. Yet, the stocker and backgrounding segments …

Transfer Inference Learning, Karthik Ravi Shankar, Hanumant Prasad Singh

Defensive Publications Series

Techniques are described that combine machine learning with an edge network that includes IoT devices to yield an effective and efficient method of assessing a condition of an environment. An inference module that includes a machine-learning algorithm, installed and executing on the IoT devices, assesses a condition detected from multiple, different geographic locations. The IoT devices transfer sets of data and inferences as well as respective sets of confidence levels to converge on a verified set of inferences. The verified set of inferences is arrived at quickly and with a high confidence level.

Geneseo’S Diversity Efforts And Its Missing Link, Stella Oduro

Proceedings of GREAT Day

As a result of segregated school environments, largely due to differences in socioeconomics, college may be the first place where some students learn to work with people from different races and ethnicities (Park, 2014). Interracial friendships not only help to develop the racial climate of a campus, but also help students develop positive learning, increase critical thinking, and enhance college experiences (Tanaka, 2003). Students do not benefit if homophily forms; homophily is the “tendency of like to attract like” (McPherson et al., 2001; Park, 2014). Homophily can occur if students lack precollege experience of interacting with students of other ethnicities …

The Impact Of Low Socioeconomic Status On The Mental Health And Self-Efficacy Of College Students, Haerreem Hyun

Proceedings of GREAT Day

As an intersectional phenomenon, health is affected by race, class, gender, and other social determinants. is ethnographic study examines the impact of low socioeconomic status on the mental health and self-efficacy of college students. Pre-existing literature is reviewed to provide background knowledge of intersectionality, and interviews with SUNY Geneseo students of low socioeconomic status provide first-hand accounts of structural inequality and life experiences.

Communicative Processes Within Relational Termination And Its Effects On Face: An Application Of Facework Theory, Erica Doherty, Daniel Stern

Proceedings of GREAT Day

Framed by facework theory (Goffman, 1967; Cupach & Metts, 1994), the present study sought to identify the communication processes that emerging adults perceive as face-threatening, as well as understand strategies used to maintain face within the context of a relational termination experience. A data set consisting of six interview transcripts showcased three communication practices that are perceived as face-threatening: a desire for autonomy, differing expectations, and perceived disrespect. Furthermore, three communicative facework strategies were identified: communication regulation, interpersonal management, and selective disclosure. Implications of the findings are discussed and suggestions for future research are provided.

Perceptions Of Unintended Adolescent Pregnancy: Associations With College Students’ Neoliberal Beliefs And Type Of Contraceptive Problem, Caroline O’Brien, Jennifer Katz

Proceedings of GREAT Day

The purpose of this study was to explore perceptions of unintended adolescent pregnancy as associated with level of neoliberal beliefs and type of contraceptive problem. Northeastern U.S. undergraduate college students (N = 72) completed a measure of neoliberal beliefs and were randomly assigned to read about a couple that became pregnant after contraceptive non-adherence or a contraceptive accident. As expected, observers with greater neoliberal beliefs perceived an unintended adolescent pregnancy as more controllable than those with lesser neoliberal beliefs. Additionally, a pregnancy following a contraceptive accident was perceived as less controllable and elicited more sympathy than a pregnancy following contraceptive …

Developmental Perceptual Impairments: Cases When Tone-Deafness And Prosopagnosia Co-Occur, Sébastien Paquette, Hui C. Li, Sherryse L. Corrow, Stephanie S. Buss, Jason J.S. Barton, Gottfried Schlaug

Psychology Faculty Publications

Studies have shown subtle gray and white matter abnormalities in subjects with several developmental disorders including prosopagnosia, tone-deafness, and dyslexia. Correlational evidence suggests that tone-deafness and dyslexia tend to co-occur, suggesting a link between these two developmental disorders. However, it is not known whether tone-deafness can also be associated with other developmental disorders such as impaired face recognition or prosopagnosia. We addressed this question by assessing face perception abilities in a group of tone-deaf individuals and matched non-tone-deaf subjects. The Cambridge (CFMT) and the Warrington (WRMT) face memory tests were used to assess face processing in the combined group of …

Advancing Faculty Adoption Of Open Educational Resources In Higher Education: A Delphi Study, Stephanie Brasley

Dissertations

Purpose: The purpose of this Delphi study was to identify and describe the perceptions of open educational resources (OER) higher education experts regarding the activities needed at colleges and universities in the United States in order to advance faculty adoption of OER over the next 10 years. Also, this study examined those activities that were most important and had the greatest likelihood of being implemented.

Methodology: The researcher utilized a mixed-methods Delphi study technique to identify and describe activities to advance faculty adoption of OER. The target population for the study consisted of a group of OER higher education faculty …

Unspeakable Suffering; Eloquent Explanations: National Civil War Medicine Museum’S 26th Annual Conference, Benjamin M. Roy, Cameron T. Sauers

The Gettysburg Compiler: On the Front Lines of History

On Friday, October 12th, 2018, the National Civil War Medicine Museum kicked off its 26th annual conference and began its three-day event with a series of lectures on topics ranging from Confederate medical practice to cultural understandings of cowardice. A series of unique lectures given by a professionally diverse cast of presenters illuminated the often-peripheral field of Civil War Medicine. [excerpt]