Digital Commons Network^™

Inferior St-Elevation Myocardial Infarction Presenting When Urgent Primary Percutaneous Coronary Intervention Is Unavailable: Should We Adhere To Current Guidelines?, Juan Carlos Kaski, Dan Atar, Mahboob Alam, David Hasdai, Hani Jneid, Barry F Uretsky

Faculty, Staff and Students Publications

The pivotal studies that led to the recommendations for emergent reperfusion therapy for ST-elevation myocardial infarction (STEMI) were conducted for the most part over 25 years ago. At that time, contemporary standard treatments including aspirin, statin, and even anticoagulation were not commonly used. The 2013 American College of Cardiology Foundation (ACCF)/American Heart Association (AHA) guidelines and the 2017 European Society of Cardiology guidelines give a class I recommendation (with the level of evidence A) for primary percutaneous coronary intervention (pPCI) in patients with STEMI and ischemic symptoms of less than 12 h. However, if the patient presents to a hospital …

Stat1 Dissociates Adipose Tissue Inflammation From Insulin Sensitivity In Obesity, Pradip K Saha, Peter M Masschelin, Jessica B Felix, Robert Sharp, Zeqin Lian, Vasanta Putluri, Kimal Rajapakshe, Kang Ho Kim, Dennis T Villareal, Reina Armamento-Villareal, Huaizhu Wu, Cristian Coarfa, Nagireddy Putluri, Sean M Hartig

Faculty, Staff and Students Publications

Obesity fosters low-grade inflammation in white adipose tissue (WAT) that may contribute to the insulin resistance that characterizes type 2 diabetes. However, the causal relationship of these events remains unclear. The established dominance of STAT1 function in the immune response suggests an obligate link between inflammation and the comorbidities of obesity. To this end, we sought to determine how STAT1 activity in white adipocytes affects insulin sensitivity. STAT1 expression in WAT inversely correlated with fasting plasma glucose in both obese mice and humans. Metabolomic and gene expression profiling established STAT1 deletion in adipocytes (STAT1a-KO) enhanced mitochondrial function …

Postacute Covid-19: An Overview And Approach To Classification, Hana M El Sahly, Robert L Atmar, Prathit A Kulkarni

Faculty, Staff and Students Publications

As the coronavirus disease 2019 (COVID-19) pandemic has progressed, a large volume of literature has developed delineating the clinical manifestations of acute infection. Recent reports have also started to describe persistent symptoms extending beyond the period of initial illness or hospitalization. Anecdotes of different signs and symptoms occurring after acute infection have also arisen in the lay press. Here we describe the current existing medical literature on the emerging concept of postacute COVID-19 and suggest an approach to classifying different manifestations of the syndrome. We also review long-term clinical manifestations observed in patients who recovered from infection due to other …

Inferior St-Elevation Myocardial Infarction Presenting When Urgent Primary Percutaneous Coronary Intervention Is Unavailable: Should We Adhere To Current Guidelines?, Juan Carlos Kaski, Dan Atar, Mahboob Alam, David Hasdai, Hani Jneid, Barry F Uretsky

Faculty, Staff and Students Publications

The pivotal studies that led to the recommendations for emergent reperfusion therapy for ST-elevation myocardial infarction (STEMI) were conducted for the most part over 25 years ago. At that time, contemporary standard treatments including aspirin, statin, and even anticoagulation were not commonly used. The 2013 American College of Cardiology Foundation (ACCF)/American Heart Association (AHA) guidelines and the 2017 European Society of Cardiology guidelines give a class I recommendation (with the level of evidence A) for primary percutaneous coronary intervention (pPCI) in patients with STEMI and ischemic symptoms of less than 12 h. However, if the patient presents to a hospital …

The Effects Of Moderate-Severe Plaque Psoriasis On Patient Well-Being And Prevention Of Flares, Glenn Devera

Nursing | Senior Theses

Psoriasis is a chronic skin condition that is indicated by red, patchy and scaly skin that can be painful when irritated. Patients with psoriasis have an increased risk for a number of chronic diseases. Despite the expansion of treatments for moderate-to-severe psoriasis over the last decade, patients may still find that treatment strategies are not as successful, leaving them dissatisfied with their treatments. A relationship built upon trust between the nurse and the patient diagnosed with psoriasis may serve to help ensure optimal care. A comprehensive literature review was performed and found that best practices for patient management need to …

Gut Microbiota And The Development Of Type 2 Diabetes, Janet Ryan

Nursing | Senior Theses

This paper explores the question: Can interventions focusing on healing the gut microbiome of a prediabetic patient prevent or delay the onset of type 2 diabetes? Diabetes is a major health problem that is becoming the biggest epidemic of the 21^st century. Efforts to derail the progression of disrupted blood glucose metabolism are often futile leaving patients frustrated with a lifelong burden of disease management. Recent studies suggest that collectively the gut microbiome acts as an endocrine organ and that injury to this “organ” can lead to dysfunctional glucose regulation. A comprehensive literature review revealed that further studies are …

An Exploration Of Cultural Transmission Through The Application Of Jazz Theory To The Music Of Frederic Chopin, Aaron Michael King

Graduate Theses/Dissertations

Connections between classical music and jazz were observed and detailed, providing an expanded understanding of the cultural underpinnings of Western music. This study featured explanations of concepts found in jazz theory, such as approach tones and ii⁷-V⁷-I⁷ progression, and comparisons of stylistic features of both music. These concepts were then applied to describe features in the music of Frederic Chopin, specifically “Nocturne No. 1,” “Berceuse,” and “Prelude No. 4.” Through cross-cultural analysis, this study aims to provide the reader with information and further appreciation of the elements found in jazz music and to delineate the …

Investigating The Presence Of Culture In Engineering Design: A Case Study On Culture In Design Methods, Perception, And Outcomes, Malena Ataa Durowaah Agyemang

All Dissertations

Overwhelming global statistics on economic, social, and health disparities has driven engineers and designers to develop solutions to minimize these disparities [1,2,11,12,3–10]. For the scope of this study, these efforts are referred to as design for humanitarian engineering and global development (HEGD). HEGD solutions are designed to improve access to medical technologies, energy, clean water, and even spark economic development [1–10]. However, many HEGD solutions go unadopted, halting their intended benefits [9,13,22,23,14–21]. Efforts to improve HEGD adoption have focused on ways to incorporate culture in the design solution’s aesthetics or in approaches post-deployment [24,25,34,35,26–33]. However, a review of failed HEGD …

Genetic And Mirna Transcriptomic Analysis Of Autoregulation Of Nodulation Signaling In Medicago Truncatula, Diptee Chauligain

All Dissertations

Legumes can source nitrogen from the air through biological nitrogen fixation inside root nodules formed in a symbiosis with rhizobia. A complex root-to-shoot-to-root signaling pathway called Autoregulation of Nodulation (AON) controls the number of nodules formed depending on the plant’s nitrogen requirements. In Medicago truncatula, the MtSUNN receptor complex in the shoot binds to the root-generated AON signals, peptides called MtCLEs, resulting in downregulation of miR2111 expression in the shoot, with the effect of decreased transport of miR2111 to the roots. Decreased miR2111 levels in the roots then cause an increase in transcript levels of the miR2111 targets MtTML1 …

Decentralized Event-Triggered Control In The Presence Of Adversaries, Paul Griffioen, Raffaele Romagnoli, Bruce H. Krogh, Bruce Sinopoli

Faculty Work Comprehensive List

Decentralized control systems are widely used in a number of situations and applications. In order for these systems to function properly and achieve their desired goals, information must be propagated between agents. However, communication between agents entails connecting to a network, potentially allowing adversaries to infiltrate the system through the network and attack multiple agents. To increase resiliency against these attacks, it is desirable for agents to operate disconnected from the network as much as possible, only communicating with other agents when it is absolutely necessary to achieve their goal or to maintain the safety of the overall system. This …

Practices Of Athletic Trainers Using Weight Charts To Determine Hydration Status And Fluid-Intervention Strategies, Jeremy M. Eith, Clint R. Haggard, Dawn M. Emerson, Susan W. Yeargin Ph.D., Atc

Faculty Publications

Context

Determining an athlete's hydration status allows hydration-related concerns to be identified before significant medical or performance concerns arise. Weight charts are an accurate measure of hydration status changes, yet their clinical use by athletic trainers (ATs) is unknown.

Objective

To investigate ATs' use of weight charts in athletic settings and describe their subsequent clinical decisions.

Design

Cross-sectional survey.

Setting

High schools and National Collegiate Athletic Association Divisions I, II, III and National Association Intercollegiate Athletics colleges.

Patients or Other Participants

A total of 354 ATs (men = 162, women = 175; 17 respondents did not answer the demographic questions) …

Can Soil Phosphorus Sorption Saturation Estimate Future Potential Legacy Phosphorus Sources?, A. N. Sharpley, K. R. Brye, J. M. Burke, L G. Berry, M. B. Daniels, P. Webb

Crop, Soil and Environmental Sciences Faculty Publications and Presentations

Various soil extraction methods are used to indicate plant available P in soil but do not account for soil specific sorption of subsequent applications of P. Thus, estimates of soil phosphorus sorption saturation (PSS; estimated from Mehlich-3 extractable P, Al, and Fe) have been used in conjunction with Mehlich-3 extractable soil phosphorus (M3P) to overcome these limitations. As less is known about the effect of land management on PSS than M3P under field conditions, the effect of field management on PSS was investigated for three pastures over 5 yr (2014-2018). Swine slurry was applied to two fields (Field 1 received …

The Phonology Of Mbati, Sarah Gloria Lepage

Theses and Dissertations

This description of the phonology of Mbati/Isongo (C13) (mdn) of CAR is based on a word-list recorded by native Mbati speakers. A description of nominal and verbal morphology is included as a foundation for discussing morphophonemic processes. Only open syllables and consonant-glide clusters are allowed. Alveolar and velar plosives are affricated or palatalized before the high front vowel. Prenasalized consonants act as phonological units, rather than clusters. Mid-vowels within noun roots harmonize according to the feature [ATR]. [−ATR]-dominated vowel assimilation occurs within verb stems. Vowel hiatus is resolved by glide formation, diphthong formation, elision, and epenthesis, depending on the vowels …

The Political Economy Of Small Medium Enterprise Development: Characteristics, Productive Value, And Market Constraints In Industrial Manufacturing, Christine Ngo, Miao Chi

Faculty Journal Articles

This paper highlights the importance of small and medium-sized enterprise (SME) development and introduces the theoretical concept of productive value for qualitative analysis of firms. Vietnam’s industrial development experience is used as a case study. Although the Vietnamese government has channelled rents and business opportunities towards the state sector, the domestic private sector has been crucial to the country’s industrial development. Given this context, this study analyses how Vietnamese SMEs in the private sector generate productive value and overcome market failures that constrain their growth. Research findings demonstrate that most local SMEs in the industrial sectors rely on low pricing …

A Patient-Centered Asthma Management Communication Intervention For Rural Latino Children: Protocol For A Waiting-List Randomized Controlled Trial, Robin Dawson, Sue P. Heiney, De Anne Hilfinger Messias, Dennis Ownby

Faculty Publications

Background: Rural Latino children with asthma suffer high rates of uncontrolled asthma symptoms, emergency department visits, and repeat hospitalizations. This vulnerable population must negotiate micro- and macrolevel challenges that impact asthma management, including language barriers, primary care access, parental time off from work, insurance coverage, distance from specialty sites, and documentation status. There are few proven interventions that address asthma management embedded within this unique context. Objective: Using a bio-ecological approach, we will determine the feasibility of a patient-centered collaborative program between rural Latino children with asthma and their families, school-based nursing programs, and primary care providers, facilitated by the …

The Move Framework: Meanings, Observations, Viewpoints, And Experiences In Processes Of Social Change, Seamus A. Power, Gabriel M. Velez

College of Education Faculty Research and Publications

Social psychologists are often criticized for failing to capture the dynamic nature of psychological processes. We present a novel framework to address this problem. The MOVE framework contends that to comprehend complex, contradictory, and divergent patterns of thought, affect, and behavior within changing, real-world contexts, it is necessary to undertake ecologically valid research that is attentive to the lived experiences and meaning-making processes of culturally embedded individuals over time. A focus on meanings, observations, viewpoints, and experiences is essential for social psychological research that holistically captures how people construct, understand, respond, position, and act over time within changing …

Technology, Trust, And The Flow Of Quality Information: A Grounded Theory Study Of Decision-Making Among K-12 Education Leaders In New York State, Mary Melissa Greene

Education Doctoral

This qualitative study utilizing the grounded theory methodology examined the lived experiences of education leaders in New York State regarding decision-making in light of the extreme variability in the flow and quality of online information. Study findings indicated that the leaders’ strong desire to avoid misinformation, combined with the strong tendency to rely on social influence exerted within local and regional peer groups, ultimately limited the amount of interaction or reliance upon online sources for decision-making. Study participants indicated they relied heavily on trusted advisors and peer groups in the same geographic area for professional advice and as a decision-making …

Recalibrating Normalcy: Healing Perspectives Of Provisional Critical Care Nurse Leaders, Johaun T. Jackson

Education Doctoral

The purpose of this research was twofold: to explore the paradox existing between nursing as a healing occupation and the normalized violence occurring within the profession, as such, to inform from the perspectives of healing and cultural recalibration; and, secondly, to investigate the perspectives of charge nurses who may or may not have recognized psychological trauma, transformed pain, or transcended woundedness from lateral violence in the workplace. With the deployment of a lifeworld, phenomenological method, combined with the nurse as wounded healer theory, this study qualitatively measured and thematically captured the descriptive essence of nine provisional critical care leaders or …

Assessing K-12 Leaders’ Level Of Critical Consciousness And Social Justice Predisposition In An Effort To Address Inequity In Suburban School Districts, Lucia Kaempffe

Education Doctoral

The purpose of this qualitative, descriptive phenomenological research study was to identify the level of critical consciousness of kindergarten through Grade 12 building leaders (principals and assistant principals) in suburban districts with graduation rates of 90% or above. The study also sought to understand the leaders’ predisposition toward social justice in an effort to redesign and implement educational structures that attend more holistically to a diverse student population. Through nine semi-structured interviews, reflection, and sharing, this study was able to gauge the participants’ existing levels of critical consciousness based on their past experiences. The data was coded and interpreted to …

Millennial Job Satisfaction And Retention In Technical And Business Professions In The United States, Amy Jean Considine

Education Doctoral

Millennials have been found to have higher turnover than previous generations, costing organizations and the U.S. economy over $30 billion annually (Adkins, 2016). Higher turnover for millennials has both short-term and long-term implications for organizations. The purpose of this study was to examine the relationships of job satisfaction, demographic characteristics, and retention for millennials working in technical and business professions in the United States. Using a quantitative, postpositivist paradigmatic design, this study employed the Minnesota Satisfaction Questionnaire (MSQ) short form (University of Minnesota, 2016), the Turnover Intention Scale (TIS-6) (Roodt, 2004), and demographic questions that were adapted into an electronic …

The Black Man’S Experience As A Teacher In K-12: Examining The Insight, Education, And Challenges To Diversifying The Teaching Population, Natasha A. Oates

Education Doctoral

The K-12 teaching profession is dominated by White females, with only 2% of Black male K-12 teachers in the job. The purpose of this qualitative phenomenological study was to examine the insight, education, and challenges Black males face to diversify the K-12 classroom. As the vital instrument of the study, using in-depth, semi-structured interviews, the researcher examined five New York State Black male K-12 educators to discover their perspectives and experiences regarding why Black male educators are underrepresented in the K-12 setting. Five formulated meanings emerged, representing the participants’ experience that included: (a) career motivation, (b) absence of diversity, (c) …

Professional Development For Student Employees Of Color, Monica Duran

Master's Theses

The purpose of this study was to conduct a Participatory Action Research (PAR) project with undergraduate student employees at a large research institution in order to reimagine the career and leadership development programs so that they are responsive to, and supportive of, students who identify as people of color. This would be done using a framework of Yosso’s Community Cultural Wealth theory (2005). The participants of this study were five undergraduate student employees who worked within a single department in a division of Student Affairs. The methodology used was Participatory Action Research, which is a methodology in which the researcher …

2020 December, Morehead State University. Office Of Communications & Marketing.

Morehead State Press Release Archive, 1961 to the Present

Press releases for December of 2020.

Employee Engagement As A Shared Responsibility: A Study Of Engagement Strategies Employed By Legal Assistants, Thomas A. Steele

Graduate Theses and Dissertations

The purpose of this study was to identify strategies used by legal assistants to engage, stay engaged, and reengage, when appropriate, in their work, in particular when common organizational efforts fall short or do not exist. Constructivism and job demands-resources (JD-R) were the primary frameworks for understanding and analyzing the phenomenon of developing engagement strategies.

Qualitative data were drawn through semi-structured interviews with 16 legal assistants. The interviews were recorded and transcribed. Trustworthiness and validity were enhanced by using multiple respondents and allowing each to review the transcripts for accuracy, fairness, and clarity. The transcriptions were then analyzed for themes. …

High-Temperature Optoelectronic Device Characterization And Integration Towards Optical Isolation For High-Density Power Modules, Syam Madhusoodhanan

Graduate Theses and Dissertations

Power modules based on wide bandgap (WBG) materials enhance reliability and considerably reduce cooling requirements that lead to a significant reduction in total system cost and weight. Although these innovative properties lead power modules to higher power density, some concerns still need to be addressed to take full advantage of WBG-based modules. For example, the use of bulky transformers as a galvanic isolation system to float the high voltage gate driver limits further size reduction of the high-temperature power modules. Bulky transformers can be replaced by integrating high-temperature optocouplers to scale down power modules further and achieve disrupting performance in …

Implementing Change: A Case Study Of Adaptive Leadership, Tina Smith

Graduate Theses and Dissertations

Persistent low levels of student achievement is a concern that has been the focus of many school improvement initiatives. Research has demonstrated that Professional Learning Communities are an initiative that leads to improved academic outcomes. Additionally, research has demonstrated the importance of effective leadership for a change initiative to be successful.

Using the conceptual framework of adaptive leadership as applied to implement a school improvement initiative, this study was conducted to understand how instructional leaders perceive their leadership changed as a result of implementing professional learning communities in their school. The participants were instructional leaders who led schools participating in …

The Impact Of Governance On The Reputation Of The Organization, Sarah Ahmed Abdulkreem, Hadeel Kadhm Saeed

Journal of Economics and Administrative Sciences

The current study aims to determine the extent of SOMO's interest in governance and whether this interest is sufficient to be reflected in enhancing its organizational reputation, and the field of research was in the oil marketing company SOMO. (109), (105) questionnaires were distributed, (94) forms and (11) forms were not retrieved, and the valid questionnaires had reached (91). The analytical and descriptive approach was used for the study, and the current research has found a positive impact of government on the reputation of the organization, and this research demonstrated the existence of the proposed relationship and the impact between …

Using Kernel Density Estimator To Determine The Limits Of Multivariate Control Charts, Fahad Hussein Enad, Asmaa Ghaleeb Jaber

Journal of Economics and Administrative Sciences

Quality control is an effective statistical tool in the field of controlling the productivity to monitor and confirm the manufactured products to the standard qualities and the certified criteria for some products and services and its main purpose is to cope with the production and industrial development in the business and competitive market. Quality control charts are used to monitor the qualitative properties of the production procedures in addition to detecting the abnormal deviations in the production procedure. The multivariate Kernel Density Estimator control charts method was used which is one of the nonparametric methods that doesn’t require any assumptions …

Students Can Still Assimilate Different Cultures Via Virtual Learning, Yuanto Kusnadi, Gary Pan

Research Collection School Of Accountancy

The year 2020 has been unique and exceptional. The Covid-19 pandemic has posed significant challenges to economies and societies across the world. Universities too had to pivot and adapt, with lessons and examinations moved online, for example. One of the challenges faced by universities is how to equip their students with the relevant skillset of gaining exposure to different cultures through internships and exchanges when international borders are largely closed. To overcome the constraint posed by the Covid-19 pandemic, a recent initiative by the Singapore Management University (SMU), called SMU-X Overseas (virtual), has allowed students to work on real-world projects …

Text As Data: An Overview, Kenneth Benoit

Research Collection School of Social Sciences

When it comes to textual data, the fields of political science and international relations face a genuine embarrassment of riches. Never before has so much text been so readily available on such a wide variety of topics that concern our discipline. Legislative debates, party manifestos, committee transcripts, candidate and other political speeches, lobbying documents, court opinions, laws – not only are all recorded and published today, but in many cases this is in a readily available form that is easily converted into structured data for systematic analysis.