Digital Commons Network^™

Vol. 4, Issue 2 Masthead

Southern African Journal of Policy and Development

No abstract provided.

2020 Western Australian Crop Sowing Guide, Brenda Shackley

Bulletins 4000 -

This edition of the 2020 Crop Sowing Guide includes the major crops grown in WA - wheat, barley, canola, oat and now a new section on lupin and pulses. The publication aims to provide information to support growers with decisions on the best choice of variety for each of the major crops for the upcoming season. The lupin and pulse sections also include an agronomy guide summary to support management decisions required for these high-valued crops.

2019 Winter Library Collections News, Dewitt Wallace Library

Library News

No abstract provided.

Modeling Elementary Students’ Ideas About Heredity: A Comparison Of Curricular Interventions, Cory Forbes, Dante Cisterna, Devarati Bhattacharya, Ranu Roy

School of Natural Resources: Faculty Publications

Learning about heredity is important across the K–12 continuum. However, these ideas may be challenging for students. We examined third-grade students’ ideas about heredity in the context of a new, six-week, model-based science unit that uses corn as a model organism to support students’ ideas about heredity. We analyzed data collected during implementation of the unit, including student artifacts and interviews. We compared these data to those from a pilot version of the curriculum – implemented in the prior year – that was focused on the same disciplinary concepts but was not designed around scientific modeling. Our findings illustrate levels …

Predictors Of Overall Personal Achievements Of Nigerian American Graduates Living In Four Texas Cities, Amos Obiefuna

Theses & Dissertations

The purpose of this quantitative study was to examine the relationships between some of the variables most cited in literature and the overall achievement level of Nigerian Americans in four Texas cities—Austin, Dallas, Houston and San Antonio. Specifically, this study investigated the variables that significantly affected and predicted overall achievements. The Nigerian American questionnaire (NAQ) was used to gather the data for this study. The NAQ survey instrument was developed using some questions from previously validated survey instruments. These instruments included COPE, CASE, SWLS and JSS, which were used to extract relevant variable-related questions for the present data. The variables …

Balancing The Demands Of College And Athletics: First-Generation Female Student Athletes’ Perception Of The College Experience, Adrienne Rodriguez

Theses & Dissertations

Research Focus. The launch of the 1972 Title IX regulation education amendment arrived at a pivotal time for women in sports. “Title IX recognized the uniqueness of intercollegiate athletics by permitting colleges and universities to have separate and equal athletic programs for women” (Hogshead-Makar, & Zimbalist, 2007, p. 2). As more women began to participate in sports, pressures to perform both competitively and academically presented different challenges for female athletes during their collegiate career. For a female student-athletes to be successful in both academics and athletics, the student-athlete must discover a means to sustain a reasonable balance academically and athletically …

Success Profile: A Case Study Of The African-American Women In The President's Office, Pamela Ray

Theses & Dissertations

Research Focus. Women and minorities have struggled historically in American society due to inequality, racism, and restrictions to advancement, and have turned to education to better their quality of life (Littlefield, 1997; Synnott, 2008). Research indicates there is growing concern about the lack of ethnic minority women at the higher education administrative level, especially for African-American women as the chief executive officer–university/college President (American Council on Education, 2011). Seltzer (2017) has reported no change in the growth of African-American women university/college presidents. The basis for this study is the prevailing lack of information on African-American women’s success factors in leadership …

Implementing The Patient-Centered Care Paradigm In An Academic Research Environment, Fernando Orgas

Theses & Dissertations

Research Focus. The healthcare landscape is transitioning from a provider-centered care model toward greater emphasis on patient-centered care (PCC). The shift to PCC reflects efforts to increase the quality of healthcare and the care experience. The current state of research within healthcare remains focused on how to provide high-quality and sound research that will bring new equipment, procedures, and verify strategies that may benefit healthcare globally. However, changes in the healthcare atmosphere bring a new perspective to research. How is the paradigm shift to patient-centered care implemented in an academic research environment? Does this holistic mindset fully cross into …

Affordable Care Act And Preventive Care Usage: A Mixed Method Analysis Of Cardiovascular Care, Brit Peek

Theses & Dissertations

It is a commonly held belief that access to health insurance affects the level of utilization of preventive care services, and thus plays a crucial role in the effective management of avoidable chronic illnesses, decreasing levels of premature mortality, and enabling individuals to live wholesome long lives. Based on this belief, among other goals, the Affordable Care Act (ACA) was designed to increase access to health insurance and related medical services for the population of the United States. This dissertation attempts to identify whether this belief is valid or not by testing whether the usage of preventive care changed between …

Understanding Employee Engagement: A Mixed-Methods Study, Joren M. Scharn

Theses & Dissertations

For over 4 decades businesses around the world have been conducting employee satisfaction surveys at regular intervals and this surfaced a strong positive relationship between employee satisfaction, customer satisfaction, and overall company performance. In recent years however, academics and researchers have reopened the debate on whether employee or job satisfaction metrics are in fact reliable indicators of productivity, suggesting that employee engagement has a far stronger correlation to productivity. This study addresses two interrelated problems that are associated with a practice that is common in working environments all over the world. According to literature, it is generally accepted that (a) …

Preventive Healthcare Usage In The United States: Does Health Insurance Matter, Diane Rodriguez

Theses & Dissertations

The Centers for Disease Control in the United States has maintained that adults who avoid preventive care services are more likely to suffer from long term chronic diseases because they are not addressed or treated in a timely manner. Examining the effects of providing access to healthcare to uninsured adults and increasing preventive services can help in reducing chronic diseases and enable adults to live longer, healthier lives. The purpose of this study was to identify the relationship between the utilization of preventive health services and socioeconomic factors such as insurance status, race/ethnicity, household income, marital status, education, gender, age, …

The Independent Ed. 7 Vol. 1, Rollins College Students

The Independent

Managing Staff

Kenzie Helmick, Editor-in-Chief

Caitlyn Patel, Chief Creative Officer

Scott Novak & Mary Catherine Pflug, Co-Founders

Design Team

Senior Designer: Francisco Wang Yu

Designers: McKinnon bell, Capri Gutierrez, Samantha Maris, Jordan McLean, Julia Taylor

Artists/Photographers: Samantha Anderson, Christine Cole, Ghina Fawaz, Elizabeth Fleming, Maisie Haney, Sara Mehdinia

Editors

Senior Editors: Jack Gabriel, Emily O'Malley, Kate Taramykin

Copy Editors: Hannah Butcher, Fia Frasz, Elizabeth Trepanier, Rachel Ulangkaya

Contributors

Annie Baumm, Maa Bruce-Amanquah, Natalie George, Ashleigh Kutryb, Alleson Lawless, Raul Tavarez Ramirez, Alekhya Reddy, Daniela Saffran, Howard Tursi

A Biomechanical Evaluation Of A Next-Generation Integrated And Modular Acdf Device Possessing Full-Plate, Half-Plate, And No-Profile Fixation Iterations., Ripul Panchal, Anup Gandhi, Chris Ferry, Sam Farmer, Jeremy Hansmann, John E Wanebo

Neurosurgery

Study Design: In vitro biomechanical study.

Objectives: The objective of this in vitro biomechanical range-of-motion (ROM) study was to evaluate spinal segmental stability following fixation with a novel anterior cervical discectomy and fusion (ACDF) device ("novel device") that possesses integrated and modular no-profile, half-plate, and full-plate fixation capabilities.

Methods: Human cadaveric (n = 18, C3-T1) specimens were divided into 3 groups (n = 6/group). Each group would receive one novel device iteration. Specimen terminal ends were potted. Each specimen was first tested in an intact state, followed by anterior discectomy (C5/C6) and iterative instrumentation. Testing order: (1) novel device (group …

Mifepristone Treatment In Four Cases Of Primary Bilateral Macronodular Adrenal Hyperplasia (Bmah)., Pejman Cohan, Honey E East, Sandi-Jo Galati, Jennifer U Mercado, Precious J Lim, Michele Lamerson, James J Smith, Anne L Peters, Kevin C J Yuen

Neurology

CONTEXT: Primary bilateral macronodular adrenal hyperplasia (BMAH) is a rare form of adrenal Cushing syndrome conventionally treated with adrenalectomy. Medical treatment is often reserved for patients not eligible for surgery. However, to date there have been few studies about the efficacy of mifepristone for the treatment of BMAH associated with hypercortisolism.

OBJECTIVE: To describe a series of patients with hypercortisolism due to BMAH treated with mifepristone from multiple medical practices.

DESIGN: We retrospectively assessed four patients treated with mifepristone for hypercortisolism due to BMAH who had either failed unilateral adrenalectomy, declined surgery, or were poor surgical candidates.

RESULTS: Mifepristone induced …

December 2019 Quicknotes, Southern Adventist University

QuickNotes – Advancement e-Newsletter

QuickNotes is an e-newsletter that comes from Advancement at Southern Adventist University. December 2019 edition features the article "Alumni Invited to Join Southern for MLK Community Service Day".

Using Video And Mobile Applications To Manage Distress Following Acute Copd Exacerbation With Respiratory Failure: A Case Report, Linda Rose Shober

Case Report Posters

Chronic lower respiratory diseases, mainly chronic obstructive pulmonary disorder (COPD), represent a significant economic burden to the healthcare system and are among the top three leading causes of death in the United States. An acute exacerbation of chronic pulmonary disorder (AECOPD) is a worsening of the respiratory symptoms associated with COPD including dyspnea, increased sputum production, cough, and airway obstruction. Frequent AECOPD influences psychological status and may worsen comorbid anxiety, depression, and increase distress levels. As a result, motivation, mood, and participation in therapy may also be affected. Most exacerbations may be treated effectively on an outpatient basis. A fraction …

A Hip Strengthening Protocol For A Patient Following Achilles Repair: A Case Report, Matthew Morris

Case Report Posters

The Achilles tendon is the most frequently ruptured tendon in the body and rupture most commonly occurs in men ages 30-50. Operative repair has more complications, but lower re-rupture rate, than non-operative management. Early weight-bearing after surgery has been shown to be beneficial. Hip weakness has been associated with lower extremity conditions such as gait deviations, ankle sprains, and knee instability. Previous research has found that individuals with Achilles tendinopathy have hip muscle weakness compared to controls. There is a lack of literature assessing the effect of using a hip strengthening protocol following Achilles repair. The purpose of this case …

Regaining Independence In Ambulation For A Visually Impaired Patient With Rhabdomyolysis: A Case Report, Brandon Bourgoin

Case Report Posters

Rhabdomyolysis is a myopathic condition with an acute onset that causes a rapid degradation of muscle tissue. It causes a significantly elevated release of creatine kinase (CK), a muscle enzyme that is a cellular component in healthy muscle tissue, into the blood stream. Common causes include muscle trauma (injury/strenuous activity), drug/alcohol abuse, medications, toxins, infections, and extended periods of immobility. Hallmark signs/symptoms include muscle pain, swelling, weakness, and dark “tea colored” urine. The purpose of this case report is to describe PT management for a homebound legally blind elderly male with rhabdomyolysis looking to increase independence in the home and …

Treatment Approach For Traumatic Myositis Ossificans Using Ultrasound And Stretch Protocol: A Case Report, Paul Eo

Case Report Posters

Traumatic Myositis Ossificans (MO) can happen at any age, but the highest prevalence occurs in young active males after trauma (60-75% are traumatic). MO can occur from repetitive minor trauma, which is common in horseback riders who develop MO in the adductors and shooters who present with MO in their deltoid. Patients with MO commonly present in the clinic with signs and symptoms of pain, a palpable mass, and joint stiffness. Patients often report persistent muscle pain longer than that of a simple muscle strain or contusion. Currently, there is a paucity of evidence in the conservative treatment of traumatic …

Muscle Energy Techniques As Part Of A Comprehensive Plan Of Care For A Patient With Hip And Knee Osteoarthritis: A Case Report, Daniel White

Case Report Posters

Osteoarthritis (OA) is a chronic musculoskeletal condition which affects over 27 million Americans. The hip and knee joints are most affected by OA. Many risk factors are modifiable in the development of OA. While muscle energy techniques (MET) are commonly used to treat lumbopelvic dysfunction, limited evidence exists for its use as part of a comprehensive plan of care in patients with OA. The purpose of this case report was to describe the management of a patient with mild/moderate OA utilizing a comprehensive plan of care including MET.

Balance And Strength Interventions For An Individual Post Left Sided Mca Cva: A Case Report, Annie Mckenzie

Case Report Posters

Cerebrovascular accident (CVA), or stroke, is the fifth leading cause of death in the United States (US) with more than 140,000 deaths each year. It is the leading cause of long-term disability in the US, reducing functional mobility in more than half of all stroke survivors ages 65 or older. This condition costs the US approximately 34 billion dollars a year and it is estimated to increase to 108 billion per year by 2025. Strokes are caused by the interruption of the blood supply to the brain, which occurs when a blood vessel ruptures (hemorrhagic stroke) or is blocked by …

Treatment Of A Work-Related Superior Glenoid Labral Repair: A Case Report, Alexandra Touri

Case Report Posters

A superior glenoid labrum tear is a common injury in the shoulder. The highest incidences of superior labrum tear from anterior to posterior (SLAP) lesions occur in individuals from 20-29 years old and 40-49 years old. Common signs and symptoms include: instability in the joint, shoulder dislocations, pain with overhead activities, decreased range of motion, and loss of strength. SLAP lesions are less commonly seen in the workplace. There is little detail/research about which joint mobilizations/therapeutic exercises are most beneficial for this population. The purpose of this case report is to explore the post-operative PT management of a Workers’ Compensation …

Tissue Plasminogen Activator Effects On Stroke And Physical Therapy Outcomes In Acute Care: A Case Report, Lindsey Leboeuf

Case Report Posters

An ischemic stroke occurs when blood flow to an area of the brain is restricted by a blood clot. Symptoms include: Numbness or weakness on one side of the body, facial droop, trouble speaking, and trouble walking. Patients can also display decreased balance, ataxia, flaccidity, spasticity, inattention or neglect, and visual changes. Patients who can identify these symptoms within 3 hours of their onset can be eligible to receive tissue plasminogen activator (tPA). tPA works by dissolving the blood clot to enhance blood flow in the brain which helps decreases the damage caused by the stroke. Patients who receive tPA …

Return To Golf In A 71-Year-Old Female After A Mako Robotic-Arm-Assisted Unicompartmental Knee Arthroplasty: A Case Report, Katelyn Austin

Case Report Posters

Knee osteoarthritis (OA) is the most common joint disorder in the elderly. Unicompartmental knee arthroplasties (UKA) have been increasing in prevalence at a rate of 30% each year. Robotic-arm-assisted UKAs increases the accuracy of implant positioning compared to traditional techniques which helps with a quicker recovery. Little literature on UKAs, but total knee arthroplasty (TKA) interventions should focus on knee range of motion (ROM), strengthening, gait training, icing, and a home exercise program (HEP). There are good outcomes for return to golf post TKA, but no information about UKAs. The purpose of this case report was to look at the …

Physical Therapy Management Of Low Back Pain In A Young Female With Ankylosing Spondylitis Associated With Hla-B27 Antigen: A Case Report, Jake Adkins

Case Report Posters

Ankylosing spondylitis (AS) is a form of arthritis characterized by chronic inflammation of the axial skeletal system that causes back pain and loss of mobility with strong potential for slow, eventual spinal fusion. It affects 0.2-0.5% of the United States population and has no known cure, yet greater than 60 genetic components are involved. HLA-B27 is a genetic component highly correlated with AS. Its presence creates inflammatory response at bony attachment sites of tendons, ligaments, and joint capsules.Presentation can vary widely and may include intermittent and/or significant back pain and stiffness across multiple body segments for long periods of time, …

The Use Of Tai Chi With Conventional Therapy Practices For An Individual Presenting With Hemiparesis Post-Stroke: A Case Report, Ashley Pollina

Case Report Posters

No abstract provided.

Blood Flow Restriction Therapy And A Comprehensive Home Exercise Program Following An Acl And Meniscal Repair: A Case Report, Kathryn Demoor

Case Report Posters

Every year in the United States, up to 60 per 100,000 people sustain an anterior cruciate ligament (ACL) tear. Medial meniscus tears have been reported in roughly 60% of the ACL tear population, while lateral meniscus tears have been reported in approximately 30%. Blood flow restriction therapy (BFRT) has shown improved strength and muscle hypertrophy with low load exercises by occluding blood flow at the proximal thigh. A minimally structured physical therapy (PT) program with a home exercise program (HEP) has been shown to be more effective at 3 months after ACL reconstruction (ACLR) compared to standard PT sessions alone. …

Acute Inpatient Rehabilitation Of A Patient Following A Pontine Stroke With Limited Recorded Medical History: A Case Report, Russell Curl

Case Report Posters

795,000 strokes occur annually in the United States, or one every 4 seconds. Impairments following a stroke may include deficits in strength, coordination, sensation, and language skills. Expected impairments of pontine strokes include hemiplegia, sensorimotor dysfunction, ataxic hemiparesis, and dysarthria. There is little current research on pontine strokes. The purpose of this case report is to outline the physical therapy plan of care and response to treatment for a patient following a pontine stroke in the acute inpatient rehabilitation unit of a hospital.

Strength And Movement Interventions For A Female Patient With Neck And Upper Back Pain: A Case Report, Ross Kulick

Case Report Posters

No abstract provided.

Interdisciplinary Administration Of Lsvt-Big By A Physical Therapist And Occupational Therapist On A Patient With Parkinsonism: A Case Report, Shelby Clare

Case Report Posters

The clinical diagnosis of parkinsonism is “the presence of at least two of the four cardinal signs: resting tremor, rigidity, bradykinesia, and postural instability.” Symptoms often lead to limited functional mobility. Patients who have unilateral bradykinesia with hypokinesia, changes in gait, balance, and decreased quality of life have positively responded to Lee Silverman Voice Technique (LSVT) BIG treatment according to Rehabilitation Research and Practice. LSVT-BIG focuses on increasing movement amplitude to achieve bigger, faster, and more precise movements in an attempt to restore normal movement patterns. The purpose of this case study is to describe interdisciplinary treatment of LSVT-BIG on …