Digital Commons Network^™

Use Of Telemedicine To Improve Cpap Non-Adherence In Patients With Obstructive Sleep Apnea, A Pilot Study, Kristin L. Hanger

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

Abstract

The aim of this project is to improve continuous positive airway pressure (CPAP) non-adherence in patients newly diagnosed with obstructive sleep apnea. Obstructive sleep apnea (OSA) is caused by recurrent collapse of the upper airway during sleep. Untreated, OSA is associated with co-morbidity and decreased quality of life. The standard for OSA treatment is CPAP. Adherence to CPAP is not optimal. Applying telemedicine technology to monitor adherence of CPAP treatment, allows for early intervention. Prior research has shown mixed results with use of telemedicine on non-adherence rates.

This is a pilot study using telemedicine to monitor adherence data to …

Improving Lead Screening In A Pediatric Practice: A Quality Improvement Project, Audrey Myers

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

Abstract

Background: Detectable lead levels in children’s blood have been associated with increased cognitive difficulties, attention deficits, and poorer academic performance. Children enrolled in Medicaid have higher rates of elevated blood lead levels, yet requirements to test all children at age 1 and 2 who are enrolled in Medicaid are not being met. Nationally, 34% of children enrolled in Medicaid do not undergo proper blood lead level screening. The aim of this project was to increase required blood lead level screening rates for children with Medicaid insurance at a private pediatric practice in the Shenandoah Valley in Virginia.

Methods: The …

An Interdisciplinary Code Sepsis Team To Improve Sepsis Bundle Compliance In The Emergency Department, Jill M. Delawder

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

Purpose: Sepsis is one of the leading causes of mortality with over 700,000 hospitalizations and 200,000 deaths annually. Various tools exist to aid in the early identification and treatment of sepsis including electronic alert systems, standardized order sets, nurse-initiated protocols and specialty trained teams. Despite available guidelines, mortality rates for severe sepsis and septic shock are near 50%.

Methods: The aims of this rapid cycle quality improvement project were 1) to develop and implement an interdisciplinary team to address early implementation of evidence-based sepsis bundles in the emergency department and 2) to compare sepsis bundle compliance three months pre-and three …

An Analysis Of Interprofessional Rounds Effect On Readmission Rates And Patient Satisfaction, Cynthia Atkinson

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

Evidence supports an interprofessional approach to patient care reduces readmissions, mortality, costs, and length of stay while simultaneously increasing communication, collaboration, and satisfaction of care providers and patients (Vazirani, S., et al, 2005). The health care team in an acute care setting, especially direct patient care providers such as nurses and ancillary disciplines must assess the discharge needs of patients from admission to the hospital until discharge disposition (Zakzesky, Klink, McAndrew, Schroeter, & Johnson, 2015). The purpose of this study was to determine if interprofessional rounds improved patient satisfaction and reduced readmission rates. The interprofessional team consisted of the hospitalists, …

Can The Implementation Of Interprofessional Rounds Improve Hospital Throughput Efficiency?, Rebecca Howdyshell

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

Abstract

Efficient throughput processes are a vital part of providing cost effective, safe, quality patient care. Research has shown interprofessional rounds can have success at improving throughput processes. A rural, not-for-profit, 255 bed hospital in a Mid-Atlantic State was experiencing issues with throughput/patient flow. The aims of this quality improvement project were 1). to implement Interprofessional Rounds on the Progressive Care Unit (PCU); 2). To design and build a working Interprofessional Rounds template into meditech to guide Interprofessional Rounds and streamline discharge documentation; 3). to increase the amount of discharge orders entered between 0700 and 1300 by ten percent; and …

Effects Of A Crisis Intervention Team Assessment Center On Emergency Department Length Of Stay, Carlissa Lam

Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019

Introduction: Emergency departments are overburdened with mental health patients who lack adequate access to behavioral health resources. The influx of patients has led to an increased length of stay in the emergency department for patients who are being evaluated for mental health concerns. Overcrowding can lead to delays in treatment, undesirable medical events, and patient mortality. Crisis Intervention Team (CIT) models bring law enforcement, mental health providers, emergency departments, and individuals with mental illness together to improve care for patients in crisis. They have been instrumental in identifying patients in crisis and transporting them to a Crisis Intervention Team Assessment …

In Translation: An Examination Of Esl Policy On Paper As It Relates To The Realities Of Implementation, Grace M. Cuevas

Senior Honors Projects, 2010-2019

This honors research project explores the features of Title III requirements as they relate to the actual experience of students and their families. This paper synthesizes my experience researching English as a Second Language (ESL) specific supports and policy to inform my time spent accompanying an upper-level administrator for the Harrisonburg City Public School (HCPS) system, and interviewing professionals at an area school. In this paper I outline the results of interviews with 13 service providers. Interviews examined the “letter of the law” and the subsequent “spirit of the law” through application of a social work lens to the different …

A Snowball's Chance: Debt Snowball Vs. Debt Avalanche, Evan Mcallister

Senior Honors Projects, 2010-2019

Traditional mathematical analysis states that the most efficient way to pay off interest-bearing consumer debt is to pay the individual debts in order from largest to smallest interest rate. In doing this, the debtor will eliminate the largest sources of interest first, thus shortening the overall time-to-pay. This method is known as the “Debt Avalanche.” The “Debt Snowball” method, popularized in large part by investor-author David Ramsey, recommends that consumers pay debts in order from smallest to largest, regardless of interest rate. In this paper, I conduct an empirical analysis of the Federal Reserve’s Survey of Consumer Finance (SCF), calculating …

Fear Of Sleep May Be A Core Symptom Of Sympathetic Activation And The Drive For Vigilance In Posttraumatic Stress Disorder, Madhulika A. Gupta, Angelica D. Sheridan

Paediatrics Publications

No abstract provided.

Holy Cross Magazine, Vol. 53, No. 1, Winter 2019, College Of The Holy Cross

Holy Cross Magazine

Theodore V. Wells Jr. ’72 Receives Honorary Degree
By Evangelia Stefanakos

Syllabus: Stranger Things — Gothic Old and New
with Jonathan Mulrooney, professor of English
By Meredith Fidrocki

For Us, For Others, For Action
Alumni reflect on a half-century of mission and personal impact of the Black Student Union
By Melissa Shaw

Black Student Union Celebrates 50 Years at Holy Cross
Nearly 300 alumni and current students spent a weekend honoring the group’s history and influence
By Jane Carlton

Examining the Political Machine from the Inside-Out
Thanks to political veterans Tim Bishop ’72 and Peter Flaherty ’87, Holy Cross students …

Vortex Motions Around A Vertically Vibrating Cylinder In Oscillatory Flows, Symphony Chakraborty, Tzu-Wen Lin, Ming-Jyh Chern

Journal of Marine Science and Technology–Taiwan

Numerical simulations of the vortex-induced vibration (VIV) on a circular cylinder in an oscillatory flow were conducted using the direct-forcing immersed boundary (DFIB) method. VIV of structures is a practical engineering problem. Many engineers have devoted themselves to research on the prevention of VIV, which can cause severe damage to offshore construction equipment and structures. Fluctuating hydrodynamic force induces vibration of structures because of the vortex around the structure. This vibration causes structural failure due to the lock-in phenomenon. A phenomenon termed “springing” (a secondorder wave effect caused by superposition of the incident waves and the reflected waves or other …

Hydrodynamic Analysis Of Underwater Glider With Diamond Wing In Unsteady And Nonuniform Flow Field, Chen-Wei Chen, Zhuo Feng, Xu Liang

Journal of Marine Science and Technology–Taiwan

In this study, the hydrodynamic performance of a proposed underwater glider (UG) that utilizes a diamond wing was analyzed and its gliding ability in undersea environments with both steady and uniform and unsteady and nonuniform oceanic currents optimized. The flow field around the UG was analyzed using the software package RANS CFD. Under conditions where the current varied linearly both with water depth and time, the UG exhibited harmonically heaving and pitching motions, with a constant acceleration incident flow. The dynamic lifting and drag forces acting on the diamond wing and the dynamic heaving force and pitching moment acting at …

Maroon Archaeology Beyond The Americas: A View From Kenya, Lydia Wilson Marshall

Sociology & Anthropology Faculty publications

Archaeological research on Maroons—that is, runaway slaves—has been largely confined to the Americas. This essay advocates a more global approach. It specifically uses two runaway slave communities in 19th-century coastal Kenya to rethink prominent interpretive themes in the field, including “Africanisms,” Maroons’ connections to indigenous groups, and Maroon group cohesion and identity. This article’s analysis demonstrates that the comparisons enabled by a more globalized perspective benefit the field. Instead of eliding historical and cultural context, these comparisons support the development of more localized and historically specific understandings of individual runaway slave communities both in Kenya and throughout the New World.

Other Lands And Other Skies: Birthright Citizenship And Self-Government In Unincorporated Territories, John Vlahoplus

William & Mary Bill of Rights Journal

No abstract provided.

2018-December-15-Commencement, University Marketing And Communications, East Tennessee State University

ETSU News

No abstract provided.

Rare But Recurrent Ros1 Fusions Resulting From Chromosome 6q22 Microdeletions Are Targetable Oncogenes In Glioma., Monika A Davare, Jacob J Henderson, Anupriya Agarwal, Jacob P Wagner, Sudarshan R Iyer, Nameeta Shah, Randy Woltjer, Romel Somwar, Stephen W Gilheeney, Ana Decarvalo, Tom Mikkelson, Erwin G Van Meir, Marc Ladanyi, Brian J Druker

Articles, Abstracts, and Reports

PURPOSE: Gliomas, a genetically heterogeneous group of primary central nervous system tumors, continue to pose a significant clinical challenge. Discovery of chromosomal rearrangements involving kinase genes has enabled precision therapy, and improved outcomes in several malignancies.

EXPERIMENTAL DESIGN: Positing that similar benefit could be accomplished for patients with brain cancer, we evaluated The Cancer Genome Atlas (TCGA) glioblastoma dataset. Functional validation of the oncogenic potential and inhibitory sensitivity of discovered ROS1 fusions was performed using three independent cell-based model systems, and an

RESULTS:

CONCLUSIONS: Our findings highlight that CNS tumors should be specifically interrogated for these rare intrachromosomal 6q22 microdeletion …

Detection, Containment And Scaling Relations Of Near Source Explosionsin Granite Through Moment Tensor Representations, Mason Macphail

Earth Sciences Theses and Dissertations

The Source Phenomenology Experiment (SPE) was a series of nine, single-fired chemical explosions within the Morenci Copper mine in Arizona. Its purpose was to design, detonate, record and analyze seismic waveforms from these single-fired, partially and fully contained explosions. Ground motion data from the SPE are analyzed in this study to assess the uniqueness of the source representation of these explosions and its ability to resolve yield and depth when containment and geology or physical parameters of the source region may have a range of possible values. The P-wave velocities (V_p) at the test site are well constrained …

2018 Fall - Commencement Program, Office Of The Registrar, East Tennessee State University

ETSU Commencement Ceremonies and Programs

No abstract provided.

Measuring Teen Dating Violence Perpetration: A Comparison Of Cumulative And Single Assessment Procedures, Alison Krauss, Ernest N. Jouriles, David Rosenfield, Renee Mcdonald

Psychology Theses and Dissertations

Teen dating violence (TDV) is a widespread and harmful public health concern. The measurement of TDV has undergone some debate, with some researchers suggesting current measurement methods are suboptimal. The current study evaluates the use of cumulative assessments, a measurement method used previously in research on mental health and TDV victimization, to measure TDV perpetration. We hypothesized prevalence of frequency estimates of TDV perpetration would be higher when measured with cumulative assessments compared to a single report. Additionally, we hypothesized TDV perpetration measured cumulatively would more strongly relate to criterion variables than TDV perpetration measured with a single report. A …

Fast Forward-Backward Channel Estimation For Mimo Stbc-Ofdm Systems, Lena Chang

Journal of Marine Science and Technology–Taiwan

In the study, we develop a fast forward-backward estimation (FFBE) method for multiple input multiple output (MIMO) space time block code (STBC) orthogonal frequency division multiplexing (OFDM) systems. We examined the matrix structure of the forward-backward (FB) correlation matrix and observed this matrix possessing permutation invariant (PI) property. We also investigated the eigen-property of a matrix with PI property and proved its eigenvectors possessing symmetric property, which can be calculated from two half dimensionality submatrices. Based on these analyses, we propose a fast eigen-decomposition algorithm to reduce the computations required in the eigendecomposition of FB correlation matrix. Then, the symmetric …

Art In The Stages Of Suffering And Death, Joanna Aramini

Visual Arts Department Student Scholarship

There has always been a strong link between art and the study of science and medicine, and one of the most iconic images of suffering and death in history to date is Christ suffering on the cross. In this thesis, I examine if and how art can make it possible to transcend human pain and overcome suffering, especially in our modern society where pain is seen as something we cannot deal with, and where we look to medicine and prescriptions to diminish it. I argue that art in the states of suffering and death, closely examining Michelangelo’s La Pieta and …

Social Media And Academic Performance: Assisting Academic Achievement For English Language Learners, Eduardo D. Moreno

CUP Ed.D. Dissertations

The purpose of this quantitative retrospective, causal-comparative study was to examine what, if any, statistically significant difference existed between Measures of Academic Progress (MAP) mathematical and reading achievement of English Language Learners (ELL) in a school using Seesaw—a social media platform—and those in a school not using Seesaw in an elementary school setting in Northern California. The population of ELL third and fourth-grade students within each participating school was 52, for a total of 104 participants. All ELL students in this study come from Spanish speaking homes and were Spanish speakers. Collection of data occurred through the MAP Growth assessments. …

Blended Learning In Middle School Art: A Qualitative Case Study, Michele Mars

CUP Ed.D. Dissertations

The purpose of this exploratory qualitative case study was to explore the actions of one middle school art teacher implementing blended learning methods in an eighth grade art class to understand what effect the art teacher perceives blended learning has on eighth grade middle school art students’ engagement in the subject matter. Mezirow’s Transformational Theory was the framework that guided the study. The study was conducted in a rural middle school located in the Midwest region of the United States over a nine-week period focusing on one middle school art teacher and an eighth grade art class using blended learning …

Community College Students’ Perceived Value Of High School Career And Technical Education Program Experiences, Martin Douglass

CUP Ed.D. Dissertations

The goal of this qualitative, narrative inquiry study was to explore the voices of community college students who have taken Career and Technical Education (CTE) while in high school, investigate if they perceived value from their high school CTE classes, and determine how those experiences impacted their high school and college educations (cf. Association for Career and Technical Education, 2016; American Institutes for Research, 2013; Southern Regional Education Board, 2008). The central research question for the dissertation was: What value do local community college students believe their high school Career and Technical Education program participation provided? The screening survey had …

Alterations In Resting State Functional Connectivity Associated With Alcohol Use Severity And Impulsivity In A Community Sample, Elena R. Stein

Psychology ETDs

Alcohol Use Disorder (AUD) is characterized by neurocognitive and behavioral impairments including the multidimensional construct of impulsivity. Increased impulsivity is both a risk factor for, and a consequence of problematic alcohol use. Individuals with AUD exhibit alterations in neural circuitry when compared to those who do not have AUD. These circuit-level changes in AUD may underlie the difficulties that these individuals experience with heightened impulsivity. The present study uses data-driven resting state functional connectivity (rsFC) methodology to examine the differences in intrinsic functional networks between individuals with AUD and those who are social drinkers (SD). Participants in this secondary data …

España De La Guerra, By Brian Jeffery, Richard M. Long

Soundboard Scholar

A review of Brian Jeffery, España de la Guerra: The Spanish Political and Military Songs of the War in Spain, 1808 to 1814 (London: Tecla, 2017).

Un Angelo Senza Paradiso, By Nicoletta Confalone, Richard M. Long

Soundboard Scholar

A review of Nicoletta Confalone, Un angelo senza paradiso: La chitarra alla ricerca di Schubert (Bologna: Ut Orpheus, 2017).

Soundboard Scholar No. 4: Editor's Letter, Thomas Heck

Soundboard Scholar

An introduction to the contents of this issue.

Serum Nutrient Levels And Aging Effects On Periodontitis, Jeffrey L. Ebersole, Joshua Lambert, Heather Bush, Pinar Emecen Huja, Arpita Basu

Dental Medicine Faculty Research

Periodontal disease damages tissues as a result of dysregulated host responses against the chronic bacterial biofilm insult and approximately 50% of US adults >30 years old exhibit periodontitis. The association of five blood nutrients and periodontitis were evaluated due to our previous findings regarding a potential protective effect for these nutrients in periodontal disease derived from the US population sampled as part of the National Health and Nutrition Examination Survey (1999–2004). Data from over 15,000 subjects was analyzed for blood levels of cis-β-carotene, β-cryptoxanthin, folate, vitamin D, and vitamin E, linked with analysis of the presence and severity of periodontitis. …

Measurement Of The Radial Mode Spectrum Of Photons Through A Phase-Retrieval Method, Saumya Choudhary, Rachel Sampson, Yoko Miyamoto, Omar S. Magaña-Loaiza, Seyed Mohammad Hashemi Rafsanjani, Mohammad Mirhosseini, Robert W. Boyd

Faculty Publications

We propose and demonstrate a simple and easy-to-implement projective-measurement protocol to determine the radial index p of a Laguerre–Gaussian (LGlp) mode. Our method entails converting any specified high-order LG0p mode into a near-Gaussian distribution that matches the fundamental mode of a single-mode fiber (SMF) through the use of two phase screens (unitary transforms) obtained by applying a phase-retrieval algorithm. The unitary transforms preserve the orthogonality of modes before the SMF and guarantee that our protocol can, in principle, be free of crosstalk. We measure the coupling efficiency of the transformed radial modes to the SMF for different pairs of phase …