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Relationship Between The 24-Hour Movement Guidelines And Fundamental Motor Skills In Preschoolers, Chelsea L. Kracht, E. Kipling Webster, Amanda E. Staiano

Population and Public Health Science Faculty Publications

Objectives: To examine the association among 24-Hour Movement Guidelines and fundamental motor skills (FMS) in preschoolers. Design: Prospective cohort study with one-year follow-up. Methods: Parents of 3−4-year-old children reported child age, sex, race, and time spent viewing screens (hours/day). Accelerometers measured preschooler physical activity (PA) and sleep. The 24-Hour Movement Guidelines were examined (≥3 h/day total PA including ≥1 h/day of moderate-to-vigorous [MVPA], 10−13 h/day of sleep, and ≤1 h/day of screen-time). Trained researchers administered the Test of Gross Motor Development-Third Edition (TGMD-3) to assess FMS. Linear regression was used to assess guidelines met and raw locomotor, ball skills, and …

Food & Feelings

In Case You Missed It

DECEMBER 2020

The Intelligent Risk Equation: When Opportunities Outweigh Threats, Daryl Watkins, Valarie Denney

Publications

The Baldrige Excellence Framework contains several references to pursuing intelligent risks (Bailey, 2016). Nevertheless, many organizations do not systematically identify, assess, and pursue intelligent risks. The Intelligent Risk Equation: When Opportunities Outweigh Threats by Daryl V. Watkins and Valerie P. Denney examines the concept of positive risk as opportunity through a case study of a hypothetical university. The article maps the examples presented in the case study to key Baldrige terms to illustrate the systems nature of intelligent risk management.

Relation Of Oral Ulcers To Quality Of Life: A Cross-Sectional Study, Enji Ahmed, Ayat Gaml Abdelnasser, Mai Zakaria, Soheir Gafar

Dentistry

Oral ulcers affect many dental patients; impairing their lives physically, psychologically, and socially. Due to the absence of information about oral ulcers in our population, the authors undertook a pilot study to obtain a more complete picture of prevalence of oral ulcers, its probable risk factors and its burden on the quality of life. Materials and methods The authors performed a cross‑sectional study with 605 adult dental patients. All patients filled a questionnaire inquiring about the risk factors. An oral examination was performed to each participant to determine presence or absence of oral ulcers; and the type of the oral …

Pharmacy Newsletter : December 2020, Pharmacy Department

Department of Pharmacy Archives

Content:

• COVID-19 Pandemic & the Vaccines trial | Global progress
• ToxTok | Hand Sanitizer, How poisonous they are
• Drugs Safety & Management in Lactation
• Amiodarone Induced Thyrotoxicosis (AIT) | A Case
• Myths & Reality | Flu Vaccine

Rigorous Hand Hygiene Practices Among Health Care Workers Reduce Hospital-Associated Infections During The Covid-19 Pandemic, Rozina Roshan, Anam Shahil Feroz, Zohra Rafique, Nazleen Virani

Section of Internal Medicine

The experiences of these recent months have left us with as many new questions as they have given us new solutions. The main question that infection prevention and control department is having these days is "Why have hospital-associated infections (HAIs) reduced during COVID-19 pandemic?" What is the one unique strategy that has brought decline in increasing HAIs? Would it be appropriate to say that rigorous hand hygiene practices among health care workers (HCWs) have reduced HAIs in a tertiary care hospital of Pakistan? This commentary is written to understand the effect of rigorous hand hygiene among HCWs on number of …

Effects Of Music And Meditative Movement On Affect And Flow: A Feasibility Study, Lai Yiu Yeung

Masters Theses

This study aims to explore the feasibility and the potential effects of adding music to meditative movement on affect and flow. Fifteen participants were recruited and they were randomly assigned to one of the three groups: (1) Meditative movement only; (2) Recorded music and meditative movement; and (3) Live music and meditative movement. Participants from each group engaged individually in a 45-minute online session, practicing three qigong exercise sets. To determine the feasibility, the acceptability and practicality were investigated through the analysis of anecdotal notes, open-ended questionnaires, and video recordings. Potential effects of music and meditative movement were examined by …

A Snapshot Semester: Students’ Reflections Of Performance And Mental State Throughout A Graduate Course, Bradley D. Borges

Graduate Theses and Dissertations

Graduate students are anecdotally reputed to be among the most stressed groups of young adults. Common sources of stress for graduate students have included coursework, assistantships, finances, career preparation, and family (Wyatt & Oswalt, 2013; Mazzola, Walker, Shockley & Spector, 2011; Oswalt & Riddock, 2007). Guided reflection can be used by educators to assist students in both learning (Boud, Keogh & Walker, 2013; Kolb, 1984) and managing stress (Shoulders, Whitehead, & Morrison, 2018). By understanding how students’ progress through a semester in terms of both their learning and their management of stress, instructors and academic advisors can better anticipate times …

Hypervalent Iodine Compounds With Halogen-Containing And Phosphinate Ligands, Yakun Cao

Chemistry Theses and Dissertations

In modern organic chemistry, hypervalent (HV) iodine(III) compounds have been used widely as oxidizing agents but applications of λ³-iodanes in polymer and material chemistry is still underexplored. In the first project, a new series of heterocyclic HV iodine(III) compounds with I–Cl bonds and various substituents at the N atom were synthesized and successfully employed in the synthesis of highly branched polymers when added to mixtures of styrene and 1,4-divinylbenzene containing 10–80 mol% of the divinyl crosslinker, or even pure crosslinker. HV iodine(III) also can be utilized for polymer modification. HV iodine(III) compounds with fluorine-containing ligands (F, CF_{3 …}

Applied Behavior Analysis In The Secondary Art Classroom, Linda S. Stewart

Masters Theses

Special needs students in the secondary art classroom can be difficult to reach. Students with special needs are required by law to be provided with a fair and appropriate education. The challenge for art educators is to adequately meet the needs of all students in the classroom. This paper examines a brief history of education for students with special needs, behavior management in the classroom, Applied Behavior Analysis (ABA) therapy, the token system, and the value of a structured classroom environment. ABA therapy techniques in the secondary art classroom provide a tool in the classroom management aspect of providing structure …

Leading Change During The Convergence Of An Epidemic And A Pandemic, Sarah Oerther, Daniel B. Oerther

Civil, Architectural and Environmental Engineering Faculty Research & Creative Works

As the first wave of COVID-19 cases spread around the globe in early 2020, the healthcare community adopted a medical model that emphasized the use of resources to mitigate viral spread (Oerther & Watson, 2020). Schools, churches, and businesses shutdown, and healthcare facilities – from outpatient clinics to inpatient elective surgeries – were closed or cancelled. Even long-term care facilities, such as nursing homes, limited access of visitors to patients in an attempt at mitigation. And for six months, the healthcare community focused almost exclusively on a medical response to COVID-19, securing stockpiles of ventilators and fast-tracking vaccine development.

Validation Of A Swahili Version Of The 9-Item Patient Health Questionnaire (Phq-9) Among Adults Living With Hiv Compared To A Community Sample From Kilifi, Kenya, Paul Mwangi, Moses K. Nyongesa, Hans M. Koot, Pim Cuijpers, Charles R.J.C. Newton, Abubakar Abdillah

Institute for Human Development, East Africa

Background: Depression remains under-investigated in people living with HIV in sub-Saharan Africa due to paucity of adequately validated measures. This study aimed to validate an adapted version of the 9-item Pa- tient Health Questionnaire (PHQ-9) among adults living with HIV compared to those from the community in Kilifi, Kenya.

Methods: Analysis of data from 450 adults living with HIV and 337 adults from the community was conducted examining the reliability, factorial structure, measurement invariance and discriminant validity of interviewer- administered PHQ-9, Swahili version.

Results: Internal consistency of the Swahili PHQ-9 was good overall, in adults living with …

California, Joshua L. Baker

Texas A&M Journal of Property Law

Although California continues to transition away from its historical status as one of the nation’s most important oil and gas-producing states, California is still among the top-ten states in oil production and produces a significant amount of natural gas. California has a long history of oil and gas exploration, production, refinement, and marketing, and as a result, well-established common law principles and statutory and regulatory laws are in place that govern all facets of the industry. The following update summarizes key changes in California oil and gas law for the survey period from January 1, 2019 to October 15, 2019.

December 2020 Magazine

Ergo

No abstract provided.

Randomized Controlled Study In The Use Of Aromatherapy For Pain Reduction And To Reduce Opioid Use In The Emergency Department, Adam N. Brown, Cindy Reed, Denise C. Rhew, Crystal Adkins, Merle Tai

General Submissions: Presentations (Oral and Poster)

The purpose of this study is to evaluate the effectiveness of a combination of lavender, sweet marjoram, and pink grapefruit oils on a patient's perception of pain, and the ability to reduce the use of opioids in an emergency department setting. In the midst of the current opioid epidemic, there is much discussion on the multi-modal approach to the treatment of pain. One potential source of analgesics that can be utilized in this approach to pain control is aromatherapy with essential oils.

Goal Zero: Eliminating Mislabeled Specimens In The Emergency Department, Michele Samsa, Tracie Henderson

General Submissions: Presentations (Oral and Poster)

This emergency department (ED) noticed an increase in misidentified laboratory specimens noted to be the highest in our hospital region. Misidentified specimens can result in misdiagnosis, medication errors and repeat laboratory (Lab) specimen collection with a direct impact on patient comfort, nurse workload and increased cost can result. This project was developed as a quality improvement project aimed at reducing misidentified laboratory specimens and promote patient safety.

Team Selection For Critical Care Transport, Cheryl Riwitis, Cynthia J. Bowers

General Submissions: Presentations (Oral and Poster)

Critically ill or injured patients often require specialized care. Regionalization of specialty services necessitates transport of patients from the scene of an accident to a trauma center or from one hospital to another (inter-facility) to receive specialized services, for example, trauma, cardiology or neurology. Debate exists regarding the selection of the transport team. No clear guidelines exist for critical care transport team selection (Swickard, Swickard, Reimer, Lindell, & Winkelman, 2014).

Emergency Department Pediatric Self Efficacy Scale (Pedi-Ed-Se): A Psychometric Study, Elizabeth Molle, Stephanie German

General Submissions: Presentations (Oral and Poster)

Extant literature supports that ED health care providers lack self-efficacy for recognizing and managing pediatric emergencies, particularly in community-based hospital settings. Further, empirical evidence supports that in-situ simulation provides an effective educational venue for improving self-efficacy. However, a gap exists in measuring self-efficacy with a validated and reliable instrument. Therefore, an instrument development research study was done to construct and test the new instrument.

Translating Field Practice Of An Emt To Acute Care Practice: A 9-Day Training Program To Increase Competency And Decrease Turnover, Lori Schaaf

General Submissions: Presentations (Oral and Poster)

Employee turnover can be directly related to the onboarding process which can cost upwards of $50,000 per employee. In 2017, turnover rates for EMTs at this network system were at 50% and there was a lack of role clarity and expectations. In the state of Ohio, there are also four different pre-hospital competency levels for EMTs, these include the emergency medical responder (EMR), basic EMT (BEMT), advanced EMT (AEMT), and Paramedic. Furthermore, the organization expanded quickly over the last 5 years, growing from 2 emergency departments to 12. This compounded the need to review the onboarding process. The objective was …

Implementation Of Emergency Department Nurse Triage Sepsis Screening Protocol, Lynne E. Ward, Jennifer M. Heusinkvelt, Lacey J. Huber, Breann N. Miller, Azusa Ronhovde, Susan A. Barnason, Katie A. Kranau

General Submissions: Presentations (Oral and Poster)

Sepsis is a life-threatening condition associated with high morbidity and mortality rates resulting in the death of 270,000 Americans annually (CDC, 2018). Most patients diagnosed with sepsis are admitted through the ED. Unlike many other emergency conditions, the signs and symptoms of sepsis along with variances in patient presentations are often vague and subtle, making early identification and treatment a challenge. The purpose of this study was to evaluate the implementation of an ED nurse-led triage sepsis protocol.

Epinephrine In Anaphylaxis: Assessing Knowledge Gaps In Administration And Strategies To Mitigate Error, Joyce Foresman-Capuzzi, Megan Buckley, Lisa Eckenrode, John Capuzzi

General Submissions: Presentations (Oral and Poster)

Given the low volume, high-risk situation which necessitates Epinephrine treatment in anaphylaxis, gaps in knowledge and practice were observed, resulting in error. A hypothesis was developed that nurses educated prior to 2000 would have a gap in administration knowledge, leading to error potential. This project was designed to identify those gaps and develop education to address them, leading to best practice and enhanced patient safety during a low volume, high risk emergency. Epinephrine is a high-risk drug,in that concentration differs according to diagnosis and has previously been expressed in ratio format, leading to confusion and error. Since the early 2000's, …

Ed Volunteer Safety Patrol: A Falls Reduction Strategy, Tina Johnson

General Submissions: Presentations (Oral and Poster)

Patient falls with injuries (FWIs) in the hospital are a serious risk. The Joint Commission reports that 63% of the 465 FWIs reported since 2009 led to death. In our emergency department (ED), we aimed to reduce falls with increased bundle compliance by expanding the role of volunteers.

Utilizing Cognitive Behavioral Therapy, Token Economy Technique To Positively Impact Boarding Of Pediatric Psychiatric Patients, Crystal Crider, Luna Sanchez Rivera, Beth Beaver, Sarah O'Rourke, Genalynne C. Mooneyham, Ann White

General Submissions: Presentations (Oral and Poster)

Recent US data estimates 5% to 7% of pediatric ED visits are related to mental health. The most common mental disorders diagnosed in childhood are Tourette syndrome, attention-deficit/hyperactivity (ADHD), behavior, mood, anxiety, autism spectrum (AS), and substance use disorders (SUD). Between 2011 and 2015, psychiatric ED visits per 1000 youth increased by 28%. Disposition is the major issue; the wait for outpatient psychiatry is long and inpatient psychiatric beds are a limited resource. This negatively impacts patient behavior, overall ED throughput and patient/family/staff satisfaction. This ED sought to develop an evidence based, proactive, consistent approach to improving pediatric patient behavior …

Effects Of Prehospital Communication Times In Stemi Patients, Melissa Connor, Kate Hurley, Ning Yao, Theresa Nicholson, Morgan Harris, Tyler Rodriguez, Nicholas Jackson, Pamela Miller

General Submissions: Presentations (Oral and Poster)

Expedient transfer of a ST-elevation myocardial infarction (STEMI) patient presenting to the Emergency Department (ED) to a cath lab for percutaneous coronary intervention (PCI) is well understood to make a difference in the patient outcome. The American Heart Association has given a goal of 30-30-30 from first medical contact (FMC) to device time, meaning that patients should spend no more than 30 minutes at each step when transported to a hospital, evaluated in an ED and re-perfused in a cath lab. In Los Angeles County, Mobile Intensive Care Unit (MICN) nurses are certified to provide specialty pre-hospital guidance from the …

Integrating Volunteer Peers Into The Emergency Care Of Substance Use Disorder, Brittany Punches, Colleen E. Laurence, Kiran A. Faryar, Rachel M. Ancona, Robert S. Braun, Natalie M. Qualkenbush-Frye, Daniel P. Ritchie, Michael S. Lyons

General Submissions: Presentations (Oral and Poster)

Peer influence increases the likelihood that individuals receiving substance use disorder (SUD) treatment will achieve sustained recovery. Analogous models in the emergency department (ED) for initial linkage to SUD treatment are less defined and typically require delayed peer contact after the initial encounter. EDs have ready access to populations in need of linkage to SUD treatment but face substantial operational and resource barriers. We describe a novel program using an existing hospital volunteer service framework to introduce real-time peer involvement with ED linkage to care efforts.

A Bibliometric Analysis Of The Aga Khan University Research Contribution In Early Child Development, Peter Gatiti, Anil Khamis

Libraries

The research contribution of the Aga Khan University to the Sustainable Development Goals (SDGs) has been explored through a bibliometric analysis. The analysis shows exponential growth of research across the SDGs undertaken by AKU-affiliated researchers. The analysis identified areas of interdisciplinary research, with a significant focus on societal development of interest to AKU, as per its mandate, and reflective of the work of the Aga Khan Development Network (AKDN) of which AKU is an integral part. Building on the bibliometric analysis, this paper focuses on early childhood development and early childhood education with reference to the SDGs. A specific query …

Perspectives On Patient Experience: A National Survey Of Hospitalists, Rafina Khateeb, Angela Keniston, Amber Moore, Christine Hrach, Kimberly A Indovina, Patrick Kneeland, Mark Rudolph, Marisha Burden

Open Access Publications

Despite efforts to improve patient experience (PX), little is known about the perspective of hospitalists regarding PX initiatives and priorities. A survey was distributed to hospitalist groups across the country assessing involvement in PX initiatives and their perceived effectiveness, what PX means to providers, and facilitators/barriers in improving PX. Ninety-nine percent of respondents had encountered some improvement activity around PX. The most prevalent were communication training, group Hospital Consumer Assessment of Healthcare Providers and Systems data, and interdisciplinary bedside rounding. Respondents rated most initiatives a 5 to 6 out of 10 for their effectiveness, with the perception of effectiveness increasing …

Final 5-Year Findings From The Phase 3 Helios Study Of Ibrutinib Plus Bendamustine And Rituximab In Patients With Relapsed/Refractory Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma, Graeme A M Fraser, Nancy L. Bartlett, Et Al

Open Access Publications

No abstract provided.

Proteomic Analysis Of Platelet-Rich And Platelet-Poor Plasma, Olga Miroshnychenko, Robert J. Chalkley, Ryan D. Leib, Peter A. Everts, Jason L. Dragoo

Publications and Research

Background

Autologous blood products, such as platelet-rich plasma (PRP) are commercial products broadly used to accelerate healing of tissues after injuries. However, their content is not standardized and significantly varies in composition, which may lead to differences in clinical efficacy. Also, the underlying molecular mechanisms for therapeutic effects are not well understood.

Purpose

A proteomic study was performed to compare the composition of low leukocyte PRP, platelet poor plasma (PPP), and blood plasma. Pathway analysis of the proteomic data was performed to evaluate differences between plasma formulations at the molecular level. Low abundance regulatory proteins in plasma were identified and …

Detecting Snake Fungal Disease (Ophidiomyces Ophiodiicola) In The Lower Rio Grande Valley, Manuel Zavala

Theses and Dissertations

Emerging diseases such as Snake Fungal Disease (SFD) caused by the fungus Ophidiomyces ophiodiicola (Oo) have caused population declines in various snake species in the United States which play a crucial role in the ecosystem as a natural pest control. This fungus targets the scales as a medium to thrive on which can lead to facial disfiguration and respiratory infections. We examined snakes to see if SFD was present in the LRGV and if other fungal species pose a threat to the various snake species population. The data for this study consisted of 14 live snakes captured in …