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2020

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Color-Changing Device To Improve Adherence To Foley Catheter Replacement Protocols And Reduce Urinary Tract Infection Frequency, Alexander Straus, Ms, Kurt Hill, Bryn Cross, Jason M. Fields, Md Jan 2020

Color-Changing Device To Improve Adherence To Foley Catheter Replacement Protocols And Reduce Urinary Tract Infection Frequency, Alexander Straus, Ms, Kurt Hill, Bryn Cross, Jason M. Fields, Md

Phase 1

Background: Catheter associated urinary tract infections (CAUTI) are a major source of patient morbidity and mortality in healthcare settings and have a significant financial impact on the healthcare system. Many hospitals have clinical protocols in place to continually reassess the necessity of indwelling foley catheters and remove them if their use is no longer warranted. However, it is still common for indwelling foley catheters to be overlooked and remain in place, even after meeting criteria for removal. A design project was conducted that sought to improve adherence to clinical protocols, and reduce frequency of CAUTIs, by creating a color-changing device …


Ethical Guidelines For The Treatment Of Patients With Suspected Or Confirmed Novel Coronavirus Disease (Covid-19), Peter A. Depergola Ii Jan 2020

Ethical Guidelines For The Treatment Of Patients With Suspected Or Confirmed Novel Coronavirus Disease (Covid-19), Peter A. Depergola Ii

Journal of Health Ethics

This white paper provides basic ethical guidelines for treating patients with suspected or confirmed coronavirus disease (COVID-19). It responds to the need from healthcare organizations to address the moral considerations inherent to caring for this patient population, particularly in the context of scarce resource allocation, the imposition of limits to individual freedoms, and de facto social distancing. These guidelines are not narrowly prescriptive, but recognize the need of decision makers to transform this guidance into specific decisions. Ethical decision making assumes that such judgments will be based on current scientific knowledge, that effectiveness of interventions is carefully assessed, and that …


The Safety, Accuracy, And Cost-Effectiveness Of Confirmatory Penicillin Allergy Testing In The Outpatient Setting As A Means Of Reducing Patient Morbidity And Mortality, Mitchell Mimbach Jan 2020

The Safety, Accuracy, And Cost-Effectiveness Of Confirmatory Penicillin Allergy Testing In The Outpatient Setting As A Means Of Reducing Patient Morbidity And Mortality, Mitchell Mimbach

Physician Assistant Scholarly Project Posters

The purpose of this review is to investigate the prevalence of documented penicillin (PCN) allergies in health care and any negative outcomes associated with being labeled as such. Additional topics researched included the safety and accuracy of PCN allergy testing, the cost-effectiveness of PCN allergy testing versus using non-PCN related antibiotics, and barriers to confirmatory PCN allergy testing implementation. A complete review of the aforementioned topics included meta-analysis’, systematic reviews, cohorts, clinical trials, and cross-sectional studies from the last five years. Databases utilized for this research included PubMed, Cochrane Review, Embase, Dynamed Plus, and ClinicalKey. Sources that were excluded from …


The Eu Ets: A Critical Analysis, Marceline Grey Swan Jan 2020

The Eu Ets: A Critical Analysis, Marceline Grey Swan

Electronic Theses and Dissertations

Carbon markets, established via cap & trade programs, are the dominant means by which climate stabilization is currently being pursued worldwide, with many centered around the European Union’s Emissions Trading Scheme. As such, a critical analysis of the EU ETS & its effectiveness is crucial to assess whether the EU carbon market is an effective mechanism to achieve climate stabilization. The effectiveness of the overall program was evaluated via a determination of whether the EU ETS, & to a greater extent the EU carbon market, has allowed for emissions reductions in line with the goal for climate stabilization set by …


Development Towards An Ethylene Sensing Artificial Metalloenzyme, Mitchell Lee Ellinwood Jan 2020

Development Towards An Ethylene Sensing Artificial Metalloenzyme, Mitchell Lee Ellinwood

Electronic Theses and Dissertations

Ethylene (ethene) is the essential ripening hormone for climacteric plants, and consequently its detection and quantification is of considerable interest to the horticulture industry. Its detection however is a non-trivial pursuit, traditionally requiring expensive and inaccessible instrumentation that fail to provide in vivo information about ethylene. A ruthenium based fluorescent probe for the selective detection of ethylene has recently been developed, and it was envisioned that this probe could be made biocompatible by encasing it within a protein scaffold making it an artificial metalloenzyme. To this end biotinylated N-heterocyclic carbenes (NHCs) were synthesized, which can be appended onto the ruthenium …


Essential Notes On Pathophysiology For Advanced Practice Nurses, Alex Sargsyan Jan 2020

Essential Notes On Pathophysiology For Advanced Practice Nurses, Alex Sargsyan

Open Educational Resources

This text is a compilation of lecture notes from pathophysiology courses I have taught over the last ten years. The goal of the text is to equip future advanced practice nurses with knowledge of pathophysiology for common diseases and disorders they may encounter in the primary care setting.


Coronavirus: Things You Need To Know As A Lawyer, Indiana Continuing Legal Education Forum (Iclef) Jan 2020

Coronavirus: Things You Need To Know As A Lawyer, Indiana Continuing Legal Education Forum (Iclef)

Indiana Continuing Legal Education Forum 2020

Meeting proceedings of a seminar by the same name, held April 22, 2020.


An Exploration Of Financial Management Programming For Residents In One Homeless Shelter: A Qualitative Institutional Case Study, Amy M. Heiser Jan 2020

An Exploration Of Financial Management Programming For Residents In One Homeless Shelter: A Qualitative Institutional Case Study, Amy M. Heiser

Occupational Therapy Doctorate Capstone Projects

Introduction: Homelessness affects the economy, societies, and individuals’ physical, mental, and emotional well-being. Occupational therapy is a holistic profession that works with all populations across the lifespan. Financial management is a life skill that many Americans struggle with. Evidence on financial management skill development within homeless shelters and occupational therapy is sparse. Occupational justice is a theoretical framework that supports the right for residents in a homeless shelter to have direct interventions toward skill development, such as education in financial management. Methods: This institutional case study explored a homeless shelter to gain knowledge of real-life program phenomena, with focus on …


July 2020, Nova Southeastern University Jan 2020

July 2020, Nova Southeastern University

KPCOM SGA Rounds

No abstract provided.


Potential Role Of Ahr In Antibody Production, Mili Bhakta Jan 2020

Potential Role Of Ahr In Antibody Production, Mili Bhakta

Browse all Theses and Dissertations

Aryl hydrocarbon receptor (AhR) mediates the immunosuppressive effects of 2,3,7,8 -tetrachlorodibenzodioxin (TCDD) in murine B cells. The effects of AhR activation on the regulation of expression of human immunoglobulin isotypes (μ, γ1-4, α1-2 and ε) and Ig secretion is unclear. Our previous results using CL-01 cell-line originating from a Burkitt’s lymphoma patient, demonstrated an inhibitory effect of TCDD on IgG expression but a surprising and marked loss of IgG secretion when the AhR was knocked out by siRNA or CRISPR/Cas9 gene editing. To determine if the AhR is a critical mediator of IgG expression, current study is focused on characterizing …


Immigrants And Interdependence: How The Covid-19 Pandemic Exposes The Folly Of The New Public Charge Rule, Medha D. Makhlouf, Jasmine Sandhu Jan 2020

Immigrants And Interdependence: How The Covid-19 Pandemic Exposes The Folly Of The New Public Charge Rule, Medha D. Makhlouf, Jasmine Sandhu

Faculty Scholarly Works

On February 24, 2020, just as the Trump administration began taking significant action to prepare for an outbreak of COVID-19 in the United States, it also began implementing its new public charge rule. Public charge is an immigration law that restricts the admission of certain noncitizens based on the likelihood that they will become dependent on the government for support. The major effect of the new rule is to chill noncitizens from enrolling in public benefits, including Medicaid, out of fear of negative immigration consequences. These chilling effects have persisted during the pandemic. When noncitizens are afraid to (1) seek …


Disentangling Dicta: Prince V. Massachusetts, Police Power And Childhood Vaccine Policy, Katherine Drabiak Jan 2020

Disentangling Dicta: Prince V. Massachusetts, Police Power And Childhood Vaccine Policy, Katherine Drabiak

Annals of Health Law and Life Sciences

No abstract provided.


Table Of Contents, Annals Of Health Law & Life Sciences Jan 2020

Table Of Contents, Annals Of Health Law & Life Sciences

Annals of Health Law and Life Sciences

No abstract provided.


Hepatitis C Litigation: Healing Inmates As A Public Health Strategy, Robert Katz Jan 2020

Hepatitis C Litigation: Healing Inmates As A Public Health Strategy, Robert Katz

Annals of Health Law and Life Sciences

No abstract provided.


Assessing The Impact Of Mother’S Perception Of Support On Breastfeeding Intensity Through Six Months, Kathryn Doyle Palomares Jan 2020

Assessing The Impact Of Mother’S Perception Of Support On Breastfeeding Intensity Through Six Months, Kathryn Doyle Palomares

Graduate Research Theses & Dissertations

INTRODUCTION: Expert recommendations instruct mothers to exclusively breastfeed for infant’s first 6 months of life. While many mothers intend to breastfeed, mothers frequently cite early breastfeeding difficulties as a leading cause of breastfeeding cessation. The large discrepancy between a mother’s intentions for exclusive breastfeeding and the actual rates warrants further investigation. OBJECTIVES: The current research study utilized data from the Infant Feeding Practices Study II to (1) to understand how the mother’s perception of breastfeeding support in the presence of breastfeeding difficulties affects breastfeeding intensity. METHODS: Multinomial logistic regression utilizing data from the Infant Feeding Practices Study II. At each …


Strategic Planning For A Psychosocial Occupational Therapy Program: A Swot Analysis, Kellie Roy Jan 2020

Strategic Planning For A Psychosocial Occupational Therapy Program: A Swot Analysis, Kellie Roy

OT Student Capstones

PURPOSE

To examine and evaluate the Northern Arizona Veterans Affairs Healthcare System (NAVAHCS) psychosocial occupational therapy (OT) program using a SWOT analysis to inform solution-oriented strategies for future directions of the program.


Characterization Of Temperature Curves In The Intensive Care Unit, Patricia Lourdes Valda Toro Jan 2020

Characterization Of Temperature Curves In The Intensive Care Unit, Patricia Lourdes Valda Toro

Yale Medicine Thesis Digital Library

Fevers are extremely common in hospitalized patients, particularly in those admitted to the intensive care unit (ICU). Up to 50% of fevers in the ICU are non-infectious in origin. Yet, the development of a fever commonly prompts extensive, costly and invasive infectious workups. Patients with persistent fevers are usually treated with antimicrobials long after infectious workups prove unrevealing. While this is viewed as a ‘safe’ approach, inappropriate antibiotic use has shown to be harmful to patients – even effecting an increase in mortality – in addition to contributing to the spread of antibiotic resistance. The purpose of this study is …


Gattonrx Magazine - 2020, Bill Gatton College Of Pharmacy, East Tennessee State University Jan 2020

Gattonrx Magazine - 2020, Bill Gatton College Of Pharmacy, East Tennessee State University

GattonRX Magazine

No abstract provided.


Gut Microbiome And Opioid-Induced Analgesic Tolerance, Sach D. Thakker, Karan H. Muchhala Jan 2020

Gut Microbiome And Opioid-Induced Analgesic Tolerance, Sach D. Thakker, Karan H. Muchhala

Biology Publications

The gut microbiome plays an important role in maintaining health and homeostasis. Chronic usage of opioids leads to microbial dysbiosis in the gut. This dysbiosis leads to several severe diseases such as irritable bowel syndrome (IBS), diabetes, cancer, and obesity. Here, we discuss the literature on how opioids affect the gut-microbiome axis and how these changes alter the ability of morphine to produce analgesic tolerance. Chronic morphine exposure leads to increases in gut permeability due to disruption of tight junction proteins and increases in inflammation due to release of proinflammatory cytokines, both of which promote tolerance to morphine. Additionally, it …


Icipe Annual Report 2020, International Centre Of Insect Physiology And Ecology (Icipe) Jan 2020

Icipe Annual Report 2020, International Centre Of Insect Physiology And Ecology (Icipe)

icipe Annual Reports

No abstract provided.


Insects For Life – A Brief History Of Icipe@50, International Centre Of Insect Physiology And Ecology (Icipe) Jan 2020

Insects For Life – A Brief History Of Icipe@50, International Centre Of Insect Physiology And Ecology (Icipe)

icipe Annual Reports

No abstract provided.


Fine, Elaine - Covid-19 Journal, Elaine Fine Jan 2020

Fine, Elaine - Covid-19 Journal, Elaine Fine

Personal Journals

COVID Diary submitted by Charleston/Coles County, IL resident and musician, Elaine Fine


Syringe Service Programs: A Solution To Promoting Good Health & Well Being, Amy Roth Jan 2020

Syringe Service Programs: A Solution To Promoting Good Health & Well Being, Amy Roth

Student Research Poster Presentations 2020

Syringe service programs offer crucial benefits for members and promote an overall better health and well being for society. SDG-3 is designed to promote good health and well being and syringe exchange programs (SEP) is one solution to helping achieve this goal by the year 2030.


Are Healthcare Workers In The Hospital Ready For Disasters In The Community?, Nicholas Hromek Jan 2020

Are Healthcare Workers In The Hospital Ready For Disasters In The Community?, Nicholas Hromek

Student Research Poster Presentations 2020

This poster presents the idea that healthcare workers in hospitals are not equipped for disasters in the community. During such a vulnerable and relevant time such as the COVID-19 pandemic, this poster focuses on the pitfalls of the healthcare and hospital system.


Can Nurses Have An Impact On Global Health Concerns, Lauren Novy Jan 2020

Can Nurses Have An Impact On Global Health Concerns, Lauren Novy

Student Research Poster Presentations 2020

Nurses can have a positive impact on global health concerns by effecting the spread of infectious diseases, non-communicable diseases, vaccination rates, and premature death, around the world.


Atomic Force Microscopy (Afm) As A Surface Mapping Tool In Microorganisms Resistant Toward Antimicrobials: A Mini-Review, Zuzanna Grzeszczuk, Antoinette Rosillo, Oisin Owens, Sourav Bhattacharjee Jan 2020

Atomic Force Microscopy (Afm) As A Surface Mapping Tool In Microorganisms Resistant Toward Antimicrobials: A Mini-Review, Zuzanna Grzeszczuk, Antoinette Rosillo, Oisin Owens, Sourav Bhattacharjee

Other resources

The worldwide emergence of antimicrobial resistance (AMR) in pathogenic microorganisms, including bacteria and viruses due to a plethora of reasons, such as genetic mutation and indiscriminate use of antimicrobials, is a major challenge faced by the healthcare sector today. One of the issues at hand is to effectively screen and isolate resistant strains from sensitive ones. Utilizing the distinct nanomechanical properties (e.g., elasticity, intracellular turgor pressure, and Young’s modulus) of microbes can be an intriguing way to achieve this; while atomic force microscopy (AFM), with or without modification of the tips, presents an effective way to investigate such biophysical properties …


Full Issue Jan 2020

Full Issue

Interpreter: A Journal of Latter-day Saint Faith and Scholarship

No abstract provided.


Uab Magazine - Spring/Summer 2020, University Of Alabama At Birmingham Jan 2020

Uab Magazine - Spring/Summer 2020, University Of Alabama At Birmingham

UAB Magazine

No abstract provided.


Reply To Crawford Et Al.: Why Trap-Neuter-Return (Tnr) Is An Ethical Solution For Stray Cat Management, Peter J. Wolf, Jacquie Rand, Helen Swarbrick, Daniel D. Spehar, Jade Norris Jan 2020

Reply To Crawford Et Al.: Why Trap-Neuter-Return (Tnr) Is An Ethical Solution For Stray Cat Management, Peter J. Wolf, Jacquie Rand, Helen Swarbrick, Daniel D. Spehar, Jade Norris

Management - TNR

The recently published article, ‘A Case of Letting the Cat out of the Bag—Why Trap-Neuter-Return Is Not an Ethical Solution for Stray Cat (Felis catus) Management,’ by Crawford et al. warrants rebuttal. The case presented in the paper, opposing the initiation of TNR trials in Australia, ignores peer-reviewed evidence which substantiates the effectiveness of TNR at reducing unowned urban cat numbers. In addition, the paper’s authors offer a number of unrealistic recommendations, which are little more than a rebranding of the failed status quo. Urban stray cats have long been considered a problem across Australia. Current practice calls for the …


Response To Wolf Et Al.: Furthering Debate Over The Suitability Of Trap-Neuter-Return For Stray Cat Management, Michael Calver, Heather M. Crawford, Patricia A. Fleming Jan 2020

Response To Wolf Et Al.: Furthering Debate Over The Suitability Of Trap-Neuter-Return For Stray Cat Management, Michael Calver, Heather M. Crawford, Patricia A. Fleming

Management - TNR

To continue dialogue over proposed Australian trials of Trap-Neuter-Return (TNR), we applied a framework requiring identification of areas of agreement, areas of disagreement, and identification of empirical data collection required to resolve disagreements. There is agreement that Australia has a problem with stray cats, causing problems of impacts on wildlife, nuisance,disease transmission (including public health issues and exchange of diseases between stray cat and pet cat populations), poor welfare outcomes for stray cats, and an emotional burden on staff euthanising healthy stray cats. There is disagreement on whether (i) current measures are failing, leading to unacceptably high euthanasia levels, (ii) …