Reducing The Incidence Of Anaphylaxis Events In School Settings, Sabina L. Muresan

Master's Projects and Capstones

Problem: Statistics show in a 2014 nationwide study that a 16% rate of anaphylaxis was reported in over five thousand schools. The anaphylactic reaction occurred between 79-83 % in classrooms and 12-15% in lunchrooms; 19% of the life-threatening reactions occurred on field trips, playgrounds, and other school events. Recent studies identified a knowledge deficit among school personnel when it comes to addressing food allergies.

Context: The microsystem that will benefit from this project is part of a broader educational organization, a School District, in San Jose, Ca. The organization serves over 9000 students with diverse backgrounds, rich in ethnic and …

Identification Of Genes That Determine Fitness, Virulence, And Disease Outcomes In Mastitis Associated Eschericia Coli, Michael Andrew Olson

Theses and Dissertations

Escherichia coli is an incredibly diverse group of bacteria that consist of both commensal and pathogenic strains that cause disease in a wide variety of tissues in many different animals. The current dogma, based on years of extensive molecular and genetic studies, is that individual strains have adapted to specific environments through acquisition of specific genes or come from lineages that are particularly suited to a unique tissue or host. However, mastitis-associated E. coli (MAEC) have thus far resisted such descriptions. The fitness and virulence factors of MAEC are poorly understood and molecular tools are rarely applied. This dissertation reports …

Relationship Between Diabetic Self-Management Education And Microvascular Complications In Adults With Type Ii Diabetes: An Integrative Review, Emily Hallberg

Master of Science in Nursing Final Projects

Aims. The aim of this integrative review is to explore the impact of diabetic self-management education on reduction or delay in progression of microvascular complications in adults age 18 and older.

Background. According to the Center of Disease Control, more than 34 million Americans have diabetes. Between 90 and 95% of them have type II diabetes making it the most prevalent type of diabetes. Microvascular complications are a sad reality for people diagnosed with diabetes with poor glycemic control. Microvascular complications of diabetes are long term complications that affect small blood vessels including neuropathy, nephropathy and retinopathy. These microvascular complications …

Medication Adherence To Successful Tuberculosis Treatment Outcome Among Tb/Hiv Patient At Prof. Dr. Sulianti Saroso Infectious Disease Hospital, Yusmaniar Yusmaniar, Adin H Kurniawan

Pharmacology and Clinical Pharmacy Research

Tuberculosis/Human Immunodeficiency Virus (TB/HIV) co-infection has poorer treatment outcome compared to non-co-infected patients. To benefit from therapy and to avoid contracting treatment-resistant strains, the individuals must adherent to medications. There is limited information regarding successful TB treatment outcomes and their associated factors. Thus, the study was designed to identify medication adherence associated with treatment outcomes among TB/HIV Patients at Prof. Dr. Sulianti Saroso Infectious Disease Hospital. This research was an observational study with retrospective approach from January 2015 to December 2017 by taking data from medical records and TB-01 form of TB/HIV patients in the outpatient clinic of the disease …

The Diamond, December 11, 2020, Dordt University

Dordt Diamond

• Front Page: Dordt Ends Semester with 153 Total Recorded Positive COVID-19 Cases; Home to Quarantine: Dordt Students to Spend Last Two Weeks in Isolation; Saving Those Who Served
• News: Marriage Culture at Dordt University; Ed Starkenburg to Retire from Dordt University; Is Theft a Problem at Dordt?; Small Business Saturday a Life Vest to Some; Students on Campus During Online Learning
• Feature: A Fractured Faith; Rain or Snow, Hot or Cold, 712 Nutrition Has the Healthy Treat for You; Married Professors Share Their Story; De Vries' Agricultural Journey; Custom Clips and College Profits; Buker Brought to Dordt
• Art & Entertainment: …

Nurse Interrupted: Educating Nurses To Reduce Work Interruptions In The Intensive Care Unit, Lelayitu Shiferaw

Master's Projects and Capstones

Background: Interruptions occur in high frequency in the critical care hospital setting.

The purpose of this study is to understand the impact of work interruption for the critical care nurse and to examine ways to mitigate predominant, non-urgent interruptions.

Methods: The nurse interrupted project followed the Lean methodology framework to identify which high-frequency interrupters to address. Baseline assessment of the intensive care unit (ICU) nurses identified alarms and patient family member calls as predominant causes of interruption. A literature review was conducted to understand work interruption for nurses and to identify available solutions.

Intervention: To address the …

Aiming For Zero: Creating A Culture Of Safety And Improving Cauti Outcomes In The Microsystem, Shiela Escobar

Master's Projects and Capstones

Abstract

Problem: Catheter-associated urinary tract infection (CAUTI) remains the leading cause of hospital-acquired infection (HAI) despite being preventable. CAUTI increases the length of stay, morbidity, mortality, readmissions, and costs. There is also increasing antimicrobial resistance in pathogens causing CAUTI. Thus, reducing HAIs such as CAUTI should be a priority for every institution.

Context: The microsystem for this CAUTI quality improvement project is a 24-bed adult medical-telemetry unit in an acute care teaching hospital with excessive CAUTI. This project aims to improve the unit’s CAUTI standardized infection ratio (SIR) from a baseline of 2.54 to 1.75 by October 2020. A SIR …

Exploring Reproductive Oppression Among Undocumented Immigrants In Texas, Darci Phillips

Master's Projects and Capstones

Abstract

Reproductive rights (RR) have been defined as all individuals and couples having the basic right to “decide freely and responsibly the number and spacing of their children and to have the information, education and means to do so” (United Nations Population Division, n.d.). Reproductive justice (RJ) was born from combining reproductive rights with social justice (Ross & Solinger, 2017, p. 9) and goes beyond RR by placing a greater emphasis on access. Access takes other factors into consideration such as the disproportionate number of women of color who cannot afford abortion care or are unable to travel long distances …

Amplification Of Legal Advocacy: Public Health Approaches To Releasing Immigrant Detainees At The Otay Mesa Detention Center, San Diego, California, United States, Kaylin Rosal

Master's Projects and Capstones

This paper reviews the current health practices of Immigration and Customs Enforcement (ICE) detention centers, focusing on asylum seekers housed at Otay Mesa Detention Center (OMDC) located in San Diego, California, United States. Many asylum seekers, or foreign nationals who have been confirmed to have a credible fear of persecution in their home countries, regardless of how they enter the United States, are placed into Federal Immigration and Customs Enforcement detention centers. Two avenues for the release of detainees while they wait for their asylum cases to be heard by an immigration judge are bond and parole applications, the basis …

Evaluating The Implementation Of The Switch® School Wellness Intervention And Capacity-Building Process Through Multiple Methods, Gabriella M Mcloughlin, Priscila Candal, Spyridoula Vazou, Joey A Lee, David A Dzewaltowski, Richard R Rosenkranz, Lorraine Lanningham-Foster, Douglas A Gentile, Laura Liechty, Senlin Chen, Gregory J Welk

2020-Current year OA Pubs

BACKGROUND: School wellness programming is important for promoting healthy lifestyles and academic achievement in youth; however, research is needed on methods that can help schools implement and sustain such programs on their own. The purpose of this study was to investigate factors within and outside the school environment that influenced school capacity for implementation and potential sustainability of wellness programming.

METHODS: As part of the School Wellness Integration Targeting Child Health (SWITCH®) intervention, elementary school wellness teams (N = 30) were guided through a capacity-building process focused on promoting the adoption of healthy lifestyle behaviors in students. Data on implementation …

Translating Evidence-Based Guidelines Into Practice—Are We Getting It Right? A Multi-Centre Prospective International Audit Of Nutrition Care In Patients With Foregut Tumors (Inform), Merran Findlay, Judith D. Bauer, Rupinder Dhaliwal, Marian De Van Der Schueren, Alessandro Laviano, Adrianne Widaman, Lisa Martin, Andrew G. Day, Leah M. Gramlich

Faculty Research, Scholarly, and Creative Activity

Malnutrition is highly prevalent in patients with foregut tumors comprising head and neck (HNC) and esophageal (EC) cancers, negatively impacting outcomes. International evidence-based guidelines (EBGs) for nutrition care exist; however, translation of research evidence into practice commonly presents considerable challenges and consequently lags. This study aimed to describe and evaluate current international nutrition care practices compared with the best-available evidence for patients with foregut tumors who are at high risk of malnutrition. A multi-centre prospective cohort study enrolled 170 patients commencing treatment of curative intent for HNC (n = 119) or EC (n = 51) in 11 cancer …

How Does Child Maltreatment Impact Social Emotional Development In Children Under Five?, Jazmine Fennig

Graduate Teacher Education

Research examined in this paper found that children under the age of five years old who are victims of child maltreatment, can display hindered development in social emotional behavioral domains. Being that the brain develops so rapidly and is fragile during this age, there is a plethora of developmental, mental struggles, personal struggles, and complications that children can face during the remaining years of childhood, adolescence, and adulthood as a result (Campbell, Walker, & Egede, 2016; Kahr Nilsson, Landorph, Houmann, Olsen & Skovgaard, 2019; & McKelvey, Edge, Mesman, Whiteside-Mansell & Bradley, 2018). Effects can range from short term to long …

Power Ultrasonication Improves Tenderness And Proteolysis In Beef Steak During Aging, Chandler Stafford

Fall Student Research Symposium 2020

Among the eating qualities attributed to cooked meat, tenderness is considered an essential factor in dictating consumers' overall satisfaction and future purchase. Tenderness can be influenced by several extrinsic and intrinsic factors; however, the extent of postmortem proteolysis that occurs during meat aging is the main contributor to end-product tenderness. The process involves enzymatic degradation of key cytoskeletal proteins and the signaling of cellular apoptosis, which ultimately leads to the breakdown of muscles structural integrity, resulting in tenderization. The calcium-dependent calpain system, specifically calpain-1, has been recognized as the main protease involved in postmortem tenderization. In the presence of calcium, …

Vegetation Green Up: Ground-Truthing Ndvi Data Using Wildlife Cameras, Steven Handtke

Fall Student Research Symposium 2020

Plant phenology in mountainous areas follows elevation gradients, with spring green-up beginning in low elevations and increasing in elevation as the season progresses. This green-up is an important ecological event as studies have shown ungulates sync their spring migration to this green wave for maximum nutrition consumption at the beginning of the season. This correlation is useful when studying habitat use of ungulates. The current standard for tracking this green-up uses the normalized difference vegetation index, or NDVI. This index tracks changes in vegetation using satellite imaging every eight days and assigns a value on a greenness scale that correlates …

Mitochondrial Pyruvate Consumption Decreases Glycolytic Flux In Postmortem Muscle, Natalie Keele

Fall Student Research Symposium 2020

Mitochondrial pyruvate consumption decreases glycolytic flux in postmortem muscleColor, water-holding capacity and tenderness are important aspects of meat quality that are impacted by pH. The pH of meat is primarily determined by the amount of anaerobic glycolysis that occurs postmortem. As glycogen is degraded, it will produce ATP, pyruvate and hydrogen ions that acidify the meat, and this acidification process is essential for proper meat quality development. In the absence of oxygen, pyruvate is converted to lactate to restore NAD+ necessary for further glycolysis. In this state of anoxia, mitochondria are often ignored due to their reliance on oxygen to …

Cytokine Indicators Of Inflammation In Mice Fed A Western Type Diet, Emily Mortensen

Fall Student Research Symposium 2020

Colorectal cancer is currently the second leading cause of cancer-related deaths in the United States and is projected to cause 53,200 deaths during 2020. The risk of colon cancer increases by 8-20% in individuals who suffer from colitis, which is inflammation of the colon lining. Colitis is common in patients with inflammatory bowel disease (IBD), including Crohn's disease and ulcerative colitis. The development of colorectal cancer is complex and can be associated with dysbiosis of the gut microbiota, which has been shown to be affected by diet. Disruption of the gut microbiome can lead to the overgrowth of pathogenic bacteria …

Belief, Virtue, And Illness In Late-Nineteenth Century Domestic Manuals, Anneka Walton

Fall Student Research Symposium 2020

The belief that one's health is a result of their behavior has persisted throughout much of history. At times, these beliefs were so direct as to blame any and all illness on the "sins" of the victim. In some ways, we still see these beliefs persist today. While we now understand many of the true causes of illness, we continue to believe that poor behaviors can result in poor health outcomes, and often treat people suffering from conditions they "brought on themselves" accordingly. The object of this research is to better understand how American societal beliefs of the causes of …

Top 30 Full Text Downloads By Series For Fy 2020 (7/1/19‐06/30/20) Digitalcommons@University Of Nebraska‐Lincoln, Paul Royster

Institutional Repository Information

Top 30 downloaded series, UNL Digital Commons FY 2020 (7/1/19—6/30/20)

Library Philosophy and Practice (e-journal) • Historical Materials from University of Nebraska-Lincoln Extension • Robert Katz Publications • Nebraska Law Review • Nebraska Tractor Tests • Management Department Faculty Publications • Publications from USDA-ARS / UNL Faculty • Faculty Publications, Department of Psychology • USDA National Wildlife Research Center - Staff Publications • Textile Society of America Symposium Proceedings • Educational Administration: Theses, Dissertations, and Student Research • Electronic Texts in American Studies • Great Plains Quarterly • Public Access Theses, Dissertations, and Student Research from the College of Education …

Nitrogen Uptake By Two Plants In Response To Plant Competition As Regulated By Neighbor Density, Xuan Jia, Chaohe Huangfu, Dafeng Hui

Biology Faculty Research

Plant species may acquire different forms of nitrogen (N) to reduce competition for the same resource, but how plants respond to neighbors with different densities in their N uptake is still poorly understood. We investigated the effects of competition regime on the uptake of different N forms by two hygrophytes, Carex thunbergii and Polygonum criopolitanum, by conducting a hydroponic test of excised roots and an in situ experiment in a subtropical wetland ecosystem. The two species were grown either in monocultures or mixtures with various neighbor densities. Root functional traits and N uptake rates of different N forms were measured. …

For These Employees Seeking Degrees, 2020 Brings Stress - And Success, Matt Windsor

Browse All News

No abstract provided.

Trends And Determinants Of Newborn Mortality In Kyrgyzstan: A Countdown Country Case Study, Mahdis Kamali, James E. Wright, Nadia Akseer, Hana Tasic, Kaitlin Conway, Saman Brar, Cholpon Imanalieva, Gerrit Maritz, Arjumand Rizvi, Zulfiqar Ahmed Bhutta

Woman and Child Health

Background: Kyrgyzstan has made considerable progress in reducing child mortality compared with other countries in the region, despite a comparatively low economic standing. However, maternal mortality is still high. Given the availability of an established birth registration system, we aimed to comprehensively assess the trends and determinants of reproductive, maternal, newborn, and child health in Kyrgyzstan.
Methods: For this Countdown to 2030 country case study, we used publicly available data repositories and the national birth registry of Kyrgyzstan to examine trends and inequalities of reproductive, maternal, and newborn health and mortality between 1990 and 2018, at a national and subnational …

The Weekly Challenger, December 10, 2020, The Weekly Challenger, Et Al

Weekly Challenger Newspaper Collection

The December 10, 2020, issue of The Weekly Challenger.

Managing Hypertension With Lifestyle Modifications, Ladonna D. Willis

MSN Capstone Projects

Cardiovascular disease has taken the lives of millions of Americans, specifically, African Americans who do not have access to health care, which leads to morbidity and increased mortality. This benchmark project proposes to provide cardiovascular educational packets to patients who are admitted to the hospital and have been diagnosed with hypertension.

Feminist Participatory Action Research As A Tool For Climate Justice, Naomi J. Godden, Pam Macnish, Trimita Chakma, Kavita Naidu

Research outputs 2014 to 2021

The Asia Pacific Forum on Women, Law and Development (APWLD) uses Feminist Participatory Action Research (FPAR) to strengthen grassroots women’s movements to advocate for an alternative development model – the ‘Feminist Fossil Fuel Free Future’ (5Fs) – to ensure new, gender-just, economic, political, and social relationships in a world free from climate injustices. Grassroots women of the global South face the extreme impacts of climate change resulting in reinforced and exacerbated inequalities driven by a patriarchal capitalist economy. APWLD’s Climate Justice-FPAR 2017–2019 (CJ-FPAR) supported young women researchers across Asia to lead grassroots research to expose the disproportionate impacts of climate …

Framework For Water Management In The Food-Energy-Water (Few) Nexus In Mixed Land-Use Watersheds In Colombia, Camilo Torres, Margaret Gitau, Jaime Lara-Borrero, Diego Paredes-Cuervo

Purdue University Libraries Open Access Publishing Fund

The food-energy-water (FEW) nexus approach has emerged as an alternative for managing these resources more efficiently. Work from studies conducted in the FEW nexus in Latin America is scarce in the scholarly literature. This study aims to develop a framework for water management at the FEW Nexus, with a focus on Colombia. The study focuses on a typical mixed land-use watershed in the Andean region with specific objectives being to: (1) characterize the watershed with respect to land use, climate, water resources, and other factors pertinent to the nexus; (2) explore the relationship between factors in the FEW nexus that …

Rsif Weekly Vol.1 No.28, Regional Scholarship And Innovation Fund (Rsif)

Rsif Newsletters

No abstract provided.

Using The Model For Improvement To Address Invasive Hemodynamic Safety Concerns In Critical Care, Selena Truban

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Abstract

The use of invasive catheters to monitor hemodynamic readings is common in the critical care setting and requires the use of specialized equipment. Variation in equipment set-up impacts operational efficiency and creates the potential for improper patient treatment based on inaccurate readings. The methodology of setting up and maintaining hemodynamic pressure lines in the critical care units lacked structural and processional measures, creating the potential for patient harm. Multimodal strategies, guided by the Model for Improvement, were used to increase the use of evidence-based methods for setting up and maintaining invasive hemodynamic lines in the critical care units. A …

Decreasing The Fall Rate On A Medical Surgical Unit With An Enhanced Fall Algorithm In The Electronic Medical Record, Natali Sokolovski

Master's Projects and Capstones

This paper summarizes the quality improvement falls prevention project on a Medical-Surgical unit with an Enhanced Fall Algorithm incorporated in the Electronic Medical Record conducted by two Clinical Nurse Leader students of the University of San Francisco.

This project addresses the patient falls events in a San Francisco-Bay Area Hospital on a Medical-Surgical unit. The aim is to decrease the rate of falls on a Medical-Surgical microsystem unit by 50% with an Enhanced Fall Algorithm incorporated into the Electronic Medical Record by June 2021. The patient population consists of general medical surgical patients where many of the patients have an …

Nature Of The Evidence Base And Frameworks Underpinning Dietary Recommendations For Prevention Of Non-Communicable Diseases: A Position Paper From The Academy Of Nutrition Sciences, Christine M. Williams, Margaret Ashwell, Ann Prentice, Mary Hickson, Sara Stanner

School of Health Professions

Abstract This Position Paper from the Academy of Nutrition Sciences is the first in a series which describe the nature of the scientific evidence and frameworks that underpin nutrition recommendations for health. This first paper focuses on evidence which underpins dietary recommendations for prevention of non-communicable diseases. It considers methodological advances made in nutritional epidemiology and frameworks used by expert groups to support objective, rigorous and transparent translation of the evidence into dietary recommendations. The flexibility of these processes allows updating of recommendations as new evidence becomes available. For CVD and some cancers, the paper has highlighted the long-term consistency …

Hormon Etilen Dan Auksin Serta Kaitannya Dalam Pembentukan Tomat Tahan Simpan Dan Tanpa Biji, Syariful Mubarok, Alin Robiah Al Adawiyah, Arin Rosmala, Fathi Rufaidah, Anne Nuraini, Erni Suminar

Jurnal Kultivasi

Tomat merupakan salah satu komoditas tanaman hortikultura penting di Indonesia. Seiring dengan perkembangan teknologi, sudah banyak dikembangkan varietas tomat baru yang mempunyai karakter-karakter yang diinginkan antara lain tahan akan penyakit, produktivitas tinggi tinggi, kandungan nutrisi tinggi dan lain-lain. Penerapan teknologi melalui pendekatan hormonal sangat penting untuk menghasilkan jenis tomat baru, diantaranya adalah hormone etilen dan auksin. Kedua hormone tersebut sangat berpengaruh terhadap pertumbuhan dan hasil tomat khususnya untuk menghasilkan tomat yang adaptif pada kondisi lingkungan tercekam dan ketahanan simpan buah yang tinggi. Teknologi mutasi pada kedua hormone tersebut sudah dapat menghasilkan tomat yang diinginkan diantaranya adalah tomat iaa9-3 yang merupakan …