Digital Commons Network^™

Exclusive Enteral Nutrition And Corticosteroids: Two Effective Methods Of Induction Treatment In Crohn’S Disease, Sarah E H Hutchison, Rachel L. Stottlar

Physician Assistant Capstones, 2016 to 2019

Objective: To compare the effectiveness of corticosteroids (CS) versus exclusive enteral nutrition (EEN), as induction therapy of Crohn’s disease to induce remission. Design: Systematic literature review. Methods: Searches were done in PubMed utilizing the terms: enteral nutrition therapy, exclusive enteral nutrition, inflammatory bowel disease, Crohn’s disease, corticosteroids, pediatric, nutrition, and steroids. Articles were excluded with patients > 18 years of age, confounding variables, inclusion of other treatment options, or physician discretion bias in selecting a treatment option. Results: Ultimately, three articles were included in our review. Two of three studies examined showed a statistically significant improvement in remission rates in …

Lacuny Executive Council Meeting Minutes, December 2019, Lacuny

Meeting Minutes

No abstract provided.

Andre Dennis V. Administrator New Jersey State

2019 Decisions

USDC for the District of New Jersey

Usa V. Jeremy Brashear

2019 Decisions

USDC for the Middle District of Pennsylvania

M. S. V. Hillsborough Township Public S

2019 Decisions

USDC for the District of New Jersey

Antonio Castro V. Attorney General United States

2019 Decisions

Agency

Jonathan Banks V. James Owens, Iii

2019 Decisions

USDC for the Eastern District of Pennsylvania

Rachel Jones V. Pennsylvania State Police

2019 Decisions

USDC for the Eastern District of Pennsylvania

A Bridge Between Earth & Sky: How The Natural World Shaped The Civilizations Of Ancient And Early-Modern Persia, Sophia Cabana

Senior Honors Projects, 2010-2019

This project seeks to investigate the ways in which nature shaped the culture of ancient Persia through technology, architecture, agriculture, and art. Furthermore, this project investigates how the symbols and mentalities of ancient Persia were carried forward into the early-modern period. Achaemenid Persia and Babylon are studied as societies which influenced one another and combined to create the foundation of Persian culture as it is currently understood, which then combined in later centuries with other Middle Eastern and Central Asian cultural movements to produce the Safavid and Mughal Empires. The Safavids and Mughals imitated and revived Persian culture in order …

The Impact Of A Nurse Engagement Model Implementation On Patient Outcomes, Karen Strauman

Doctor of Nursing Practice (DNP) Projects

As key figures in health care today, nurses contribute greatly to the provision of safe, quality care delivery in the acute care setting. Increasing evidence indicates that patient outcomes are better in hospitals with good nurse work environments, including those with a professional practice model of care delivery. With health care organizations currently facing demanding competitive markets, multiple governmental regulations, various accreditations, financial stability, patient safety concerns, patient and family satisfaction, sustainable quality metrics, resource stewardship, and workforce issues such as turnover and shortages, it is imperative that organizations look to assuring they have a strong nursing workforce. Professional practice …

William Jones V. Mark Capozza

2019 Decisions

USDC for the Western District of Pennsylvania

Nlrb V. Imagefirst Uniform Rental Serv

2019 Decisions

National Labor Relations Board

Usa V. Daniel Carino

2019 Decisions

USDC for the District Court of the Virgin Islands

A Formal Hcahps Teaching Program Targeting Communication Improves Hcahps Scores, Bobbie Davis

Master's Projects and Capstones

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey given to patients after discharge from an inpatient unit is a validate tool used to determine the level of patient experience. Organizations across the country, including the Northern California Academic Medical Center, have implemented many initiatives aimed at improving these scores. HCAHPS scores for the hematology/oncology unit at this medical center remain low even after previous education efforts. The aim of this quality improvement project was to improve the patient experience, as evidenced by HCAHPS scores, with the implementation of an HCAHPS teaching program for nursing staff, focusing on …

Improving Discharge Medication Education On A Sepsis Unit: A Quality Improvement Project, Maria Noguez

Master's Projects and Capstones

Ineffective discharge education plays a role in increased readmission rates, adverse drug events, and worsened patient outcomes post-hospitalization. When combined, the resulting financial burden on America’s healthcare system is exorbitant, as is the physical and mental toll on unsuspecting patients. To close the current gaps in discharge teaching, this project is incorporating the teach-back method and utilizing updated medication handouts.

Starting on the sepsis unit of a large, local medical center – the Clinical Nurse Leader (CNL) interns employed assessment tools to identify areas for improvement. The data revealed rushed, incomprehensive discharge medication education and reflected in low HCAHPS scores …

Policy Library- 922 Sexual Misconduct, Indiana State University. General Counsel

Policy Library

No abstract provided.

Policy Library- 125 Bylaws Of The Isu Board Of Trustees, Indiana State University. General Counsel

Policy Library

No abstract provided.

Using Archaeological Remote Sensing To Evaluate Land Use And Constructed Space In Chaco Canyon, Jennie Odessa Sturm

Anthropology ETDs

Archaeological remote sensing includes a suite of non-invasive methods that can be used to study elements of the archaeological record that may not be achievable otherwise. Using primarily geophysical remote sensing, and especially ground-penetrating radar (GPR), three studies involving questions of “use” were conducted in Chaco Canyon, New Mexico. The first used GPR to study the built interior features of a single room in Pueblo Bonito to evaluate use and function of that room. Three categories of features were identified in the GPR data and confirmed with subsequent excavation. The second study used GPR to re-evaluate an enigmatic land use …

Improving Discharge Medication Education On A Sepsis Unit: A Quality Improvement Project, Kayla Melton, Maria Noguez, Fabiola Lopez, Jillian Eisenberg, Deanna Lee

Master's Projects and Capstones

Ineffective discharge education plays a role in increased readmission rates, adverse drug events, and worsened patient outcomes post-hospitalization. When combined, the resulting financial burden on America’s healthcare system is exorbitant, as is the physical and mental toll on unsuspecting patients. To close the current gaps in discharge teaching, this project is incorporating the teach-back method and utilizing updated medication handouts.

Starting on the sepsis unit of a large, local medical center – the Clinical Nurse Leader (CNL) interns employed assessment tools to identify areas for improvement. The data revealed rushed, incomprehensive discharge medication education and reflected in low HCAHPS scores …

A Survey Of Single-Use Plastic Foodware Ordinances Of The San Francisco Bay Region, Christopher Slafter

Master's Projects and Capstones

Municipal jurisdictions in the San Francisco Bay Region (SFBR) are passing comprehensive single-use plastic (SUP) foodware ordinances in response to growing public pressure, and a California mandate to achieve zero waste. SUP foodware items have become an issue of concern because they are readily available in the restaurant industry, and are regularly among the top-ten pollutants collected during beach cleanups. SUP foodware items pose a danger to marine wildlife and contribute to rising carbon dioxide (CO₂) emissions. Policy makers in the SFBR are creating local ordinances that regulate the distribution and use of a variety of SUP foodware …

Post-Conflict Justice And Legal Traditions: A New Conceptual Framework, Maureen E. Wilson

Doctor of International Conflict Management Dissertations

Transitional justice seeks to deal with legacies of the most brutal conflicts and political transitions within states; however, there is no one-size-fits-all approach. Post-conflict justice, as a subset of transitional justice, is concerned with justice mechanisms in the wake of armed conflict. Despite a growing literature exploring the conceptualization and effectiveness of transitional justice, less attention has been paid to the factors influencing the decision to adopt transitional justice and choice of mechanism(s). Further, theoretical understandings of how these choices ultimately contribute to the broader goals of justice, truth, and peace are limited. This study proposes domestic legal traditions as …

Applying The Model Of Interrelationship Environments And Outcomes To Simulation For Nurse Leaders To Enhance The Professional Practice Work Environment: Creating A Mile One Nurse Leadership Simulation Toolkit, Alicia Garcia-Cisneros

Doctor of Nursing Practice (DNP) Projects

In nursing leadership, defining a culture of accountability is pivotal to ensure patient safety and achieve optimal patient outcomes. Nurse leaders play a significant role in transforming the professional environment, work culture, and professional behavior to deliver the highest-quality patient care. Often, nurse leaders are challenged in developing workplace environments and structures that encourage professional autonomy, advocacy, and culture climates as well as in motivating nursing staff to feel engaged. Despite an abundance of evidence underscoring the importance of staff engagement, a Gallup study revealed that only 30% of U.S. employees and 13% of employees worldwide are engaged in their …

Understanding The Mechanism Of Stress Mitigation In Selenium-Doped Germanium Electrodes Via A Reaction-Diffusion Phaseield Model, Xiao Wang

Theses and Dissertations

Recent experiments revealed micrometer (µm)-sized Selenium (Se)-doped Germanium (Ge) particles forming a network of inactive phase (Li-Ge-Se) bring superior performance in cycling stability and capacity over un-doped Ge particles. Therefore, based on two states of Li (one for diffusion and another for alloyed reaction), a phaseield model (PFM) is developed incorporating both chemical reaction and Li diffusion to investigate remaining elusive underpinning mechanism. The reaction-diffusion PFM enables us to directly determine the conditions under which the lithiation process is diffusion- and/or reaction-controlled. Moreover, coupling the elasto-plastic deformation, the model allows us to investigate the role of the inactive phase in …

Numerical Modeling Of Effects Of Extreme Precipitation And Flooding On Earthen Levees Under A Changing Climate, Firas Jasim

Theses and Dissertations

Adaptation to climate change requires a careful evaluation of the infrastructure performance under extreme events in a changing climate. Earthen levees are critical infrastructure systems, which play a vital role to the country’s safety, environment, and economic security. The main objective of this study is to quantitatively assess the integrity of earthen levees subject to extreme precipitation and flooding under a changing climate. A multi-disciplinary modeling framework is developed and applied to two earthen levees, Elkhorn and Sherman Island levees, in California. Patterns of extreme precipitation and flooding are obtained for the study areas under current and future climate. A …

Healing The Black Mind, Vanessa Etienne

Capstones

Due to an oppressive history, the African American community is more likely to have issues regarding mental health, but less likely to pursue professional treatment for it. However, as the perception of mental health care in the Black community starts to shift, many are finding unconventional ways to approach healing. http://vanessaetienne.tilda.ws

State V. Bills Appellant's Reply Brief Dckt. 46612

Idaho Supreme Court Records & Briefs, All

No abstract provided.

Statement To The Board Of Trustees, Fall 2019, David Trubatch

University Senate - Board of Trustees Statements

Reports to the University Board of Trustees by the Senate President - President Trubatch's Board of Trustees Address (Fall 2019)

Censorship, Free Speech & Facebook: Applying The First Amendment To Social Media Platforms Via The Public Function Exception, Matthew P. Hooker

Washington Journal of Law, Technology & Arts

Society has a love-hate relationship with social media. Thanks to social media platforms, the world is more connected than ever before. But with the ever-growing dominance of social media there have come a mass of challenges. What is okay to post? What isn't? And who or what should be regulating those standards? Platforms are now constantly criticized for their content regulation policies, sometimes because they are viewed as too harsh and other times because they are characterized as too lax. And naturally, the First Amendment quickly enters the conversation. Should social media platforms be subject to the First Amendment? Can—or …

Assistance In Mine Action: Resolution Adopted By The General Assembly On 13 December 2019, Un

Global CWD Repository

The General Assembly,

Recalling its resolution 72/75 of 7 December 2017 and all its previous resolutions on assistance in mine clearance and on assistance in mine action, all adopted without a vote,

Recalling also all relevant treaties and conventions1 and their review processes,

Noting the twentieth anniversary of the entry into force of the Convention on the Prohibition of the Use, Stockpiling, Production and Transfer of Anti-Personnel Mines and on Their Destruction,2 and the establishment of both the United Nations Mine Action Service and the Inter-Agency Coordination Group on Mine Action,

Noting with appreciation the extent to which the International …

Modeling Micromechanics Of Solidluid Interactions In Granular Media, Daniel Johnson

Theses and Dissertations

Micromechanics of solidluid interactions can play a key role controlling macro-scale engineering behavior of granular media. The main objective of this study is to numerically investigate the micromechanics involved in solidluid mixtures to develop a better understanding of the macroscopic behavior of granular media for different applications. This is accomplished by developing a numerical model coupling the Discrete Element Method (DEM) and the Lattice Boltzmann Method (LBM) and employing it to study three distinct yet interrelated applications throughout the course of this research. In the first application, the DEM model is used to provide a clear relationship between energy dissipated …