Digital Commons Network^™

Huddle And Safety, Jaelynn Hall Bsn, Rn

MSN Capstone Projects

The purposed evidence-based practice (EBP) project focuses on a nursing intervention (team huddles) to increase safety and reduce inpatient fall rates. Negative outcomes to consider from an inpatient fall are harm and injury to the patient along with increased health care cost for the patient as well as hospital facility. Accrued cost associated with an in-patient injury resulting from a fall is not reimbursed according to the Centers for Medicare and Medicaid Services. The additional cost for hospital-acquired falls is estimated to be $6,694 (95% CI: -$1,277 to $14,665) (Agency for Healthcare Research and Quality, 2017). This was only related …

Exercise To Improve Cancer-Related Fatigue, Jennifer Watson

MSN Capstone Projects

For the average patient, medical professionals typically recommend exercise to enhance the health of their patients in multiple ways. Oncology patients, however, often have different issues that the treating physicians are more concerned about, so physical activity gets placed on the back burner. The need for exercise in oncology patients is certainly a decision that should be part of an individualized treatment plan, but it is reasonable to believe that most of these patients will benefit from participating in an exercise program. With the high demanding need to decrease chemotherapy side effects and improve lives of those undergoing it, this …

Give Student Ideas A Larger Stage: Support Cross-Community Interaction For Knowledge Building, Jianwei Zhang, Guangji Yuan, Maria Bogouslavsky

Educational Theory and Practice Faculty Scholarship

This study explores boundary-crossing interaction between two grade 5/6 science classrooms that operated as knowledge building communities. The two classrooms studied human body systems with the support of the Knowledge Forum over a ten-week period. The knowledge building practice integrated student-driven inquiry and discourse within each community and cross-community interaction mediated through “super notes” posted in a cross-community meta-space. Students co-authored super notes as epistemic boundary objects, each of which synthesized knowledge progress in an emergent line of inquiry for cross-community sharing. Qualitative analyses of classroom videos, online discourse, and interviews provide a rich description of how the students conceived, …

Effect Of Fluid Resuscitation In Patients With Esrd And Sepsis Or Septic Shock: An Integrative Review, Luke Eady

Master of Science in Nursing Final Projects

In patients with ESRD, clinicians are tentative to initiate fluid resuscitation given the chance of negative outcomes associated with fluid overload. Given this, many ESRD patients with sepsis are severely under-resuscitated with fluids and experience a delay in receiving antibiotics (Abou Dagher et al. 2015). There is also controversy surrounding the type of fluid that should be used with patients with ESRD. The mainstay fluid for treatment is 0.9% sodium chloride solution (normal saline). Patient studies have found that this fluid could be harmful to the kidneys and should not be administered in patients with kidney disease (Rochwerg et al. …

The Neuroinflammatory Effects Of Chronic Unpredictable Stress On Zebrafish, Danio Rerio, Brandon Stewart

Master of Science in Integrative Biology Theses

Stress is a state of threatened homeostasis counteracted by various physiologic and behavioral responses aimed to maintain or restore balance. As such, stress acts as a motivator to perform during the challenges of life to survive. Chronic perturbations to the stress response homeostasis without relief can lead to dysregulation, thus attenuating organ systems and structures and causing significant damage ^{1]. Individuals who undergo psychological trauma endure an acute and transient experience, which results in minimal functional impairment, but some suffer from a chronic condition called posttraumatic stress disorder (PTSD). Individuals who have PTSD are likely to experience intense stress, …

Collecting Cultural Feedback On Ethiopian Views On Girls, Sport, And Voice, Kathleen Ralls Dr.

The Qualitative Report

This qualitative study used data collected from five interviews conducted to gather cultural and linguistic feedback on a 21-question instrument created for a future study focused on Ethiopian girl athletes. Participants met the following criteria: (a) native to Ethiopia (b) at least 15 years old and (c) proficient English reading and speaking skills. Participants did not complete the questionnaire, rather, they read it and provided cultural and linguistic feedback on its content. Participants provided feedback via interviews both in person and over the phone during a two-week period. The instrument was designed to collect data from members of Girls Gotta …

Unsteady Heat Conduction Study During Underground Coal Gasification For Constructing An In-Situ Pyrolysis Project., Aly Ei-Zahaby, Khalil Bassiouny, Ayman Bakry, Ali Ahmed Ghali

Mansoura Engineering Journal

Underground coal gasification (UCG) Is a potential coal utilization technology, receiving renewed interest around the world. In the last .five years there has been Increasing Interest In tile world energy and mining Industry for tile development of a new operating underground coal gasification systems to generate synthetic gas from underground coal seams. In this paper, the problem of unsteady heat conduction In the underground coal and rock layers during underground gasification Is considered. The heating of coal results In releasing considerable amount of gases mainly hydrogen and methane which would be collected and pumped through pipelines for use in different …

Heart Failure 30-Day Readmission Frequency, Rates, And Hf Classification, Yolanda R. Brown, Twonia M. Goyer, Margaret C. Harvey

Doctor of Nursing Practice Projects

30 Day Hospital Readmission Rates, Frequencies, and Heart Failure Classification for Patients with Heart Failure

Background Congestive heart failure (CHF) is the leading cause of mortality, morbidity, and disability worldwide among patients. Both the incidence and the prevalence of heart failure are age dependent and are relatively common in individuals 40 years of age and older. CHF is one of the leading causes of inpatient hospitalization readmission in the United States, with readmission rates remaining above the 20% goal within 30 days. The Center for Medicare and Medicaid Services imposes a 3% reimbursement penalty for excessive readmissions including those who …

Pd-L1 Expression On Circulating Tumor Cells May Be Predictive Of Response To Pembrolizumab In Advanced Melanoma: Results From A Pilot Study, Muhammad K. Khattak, Anna L. Reid, James Freeman, Michelle Pereira, Ashleigh Mcevoy, Johnny Lo, Markus Frank, Tarek Meniawy, Ali Didan, Isaac Spencer, Benhur Amanuel, Michael Millward, Mel Ziman, Elin Gray

Research outputs 2014 to 2021

BACKGROUND: PD-1 inhibitors are routinely used for the treatment of advanced melanoma. This study sought to determine whether PD-L1 expression on circulating tumor cells (CTCs) can serve as a predictive biomarker of clinical benefit and response to treatment with the PD-1 inhibitor pembrolizumab.

METHODS: Blood samples were collected from patients with metastatic melanoma receiving pembrolizumab, prior to treatment and 6-12 weeks after initiation of therapy. Multiparametric flow cytometry was used to identify CTCs and evaluate the expression of PD-L1.

RESULTS: CTCs were detected in 25 of 40 patients (63%). Patients with detectable PD-L1

CONCLUSION: Our results reveal the potential of …

Interview With Laurie Bernadel, Laurie Bernadel

Auntie Sewing Squad Interviews

Laurie Bernadel was born in Queens, New York and raised in North Carolina. Her parents are Haitian immigrants. She attended the University of North Carolina, Charlotte and is now a web developer. Bernadel is a Sewing and Caring Auntie in the Auntie Sewing Squad.

A Case Study On Professional Development: Improving Stem Teaching In K-12 Education, Roshani Rajbanshi, Susan Brown, Gaspard Mucundanyi, Mehmet Ali Ozer, Nicole Delgardo

The Qualitative Report

STEM Outreach Center is a non-profit educational center in southern New Mexico that supports K-12 STEM teachers and students by providing professional development, after school programs, summer camps, and field visits. This center has been organizing the Summer Institute Professional Development (SIPD) for more than ten years. The purpose of this research is to understand the effect of SIPD on teachers’ pedagogy to excite and engage students in STEM learning. This study contributes to the program evaluation by analyzing the experiences of teachers who participated in SIPD. This qualitative study uses the open-ended questionnaire as a method of data collection. …

Poetry Writing: A Process Of Finding One’S Own Voice, Marcelo S. Pagliarussi

The Qualitative Report

This article presents, in the form of a free-verse poem, the trajectory by which the author discovered how to unleash his voice as an academic writer. The poem describes how the author became completely disillusioned with the processes and products of mainstream academic journals in accounting and business, and how the discovery, by serendipity, of a chapter presenting writing as a method of inquiry, by Richardson and St. Pierre, invigorated his academic career. Then, inspired by a series of letters written by the German poet Rainer Maria Rilke, the author presents a writing process that may be useful for other …

Emma Lettice Jaudon Griffin

African American Funeral Programs

No abstract provided.

Mary Alice Melvin

African American Funeral Programs

No abstract provided.

Local Offenses, Brenner M. Fissell

Faculty Publications

Criminal law is generally thought to exist within two jurisdictional levels: federal and state. Neglected in the legal mind, and in legal scholarship, is the vast body of criminal law promulgated by local governments. While one should ask “what” is being criminalized by cities, towns, and villages, one should also ask “how” these offenses are written. The offense-drafting practices reflected in state criminal law have been extensively studied, but this has never been attempted for local offenses. This Article undertakes that task. After surveying a large number of local criminal codes, this Article concludes that local offenses routinely fail to …

Fuzzy Filtering For Two Dimensional Images Of Mechanical Parts., Abdallah Alshnnaway, Ayman Aly

Mansoura Engineering Journal

The general idea behind the filter is to average a pixel using other pixel values from its neighborhood, but simultaneously to take care of important image structures such as edges. The main concern of the proposed filter is to distinguish between any variations of the captured digital image due to noise and due to image structure. In this work a new fuzzy filler is presented for the noise reduction of images corrupted with additive noise . The filter consists of three stages. (1) Define fuzzy sets in the input space to computes a fuzzy derivative for eight different directions (2) …

Measurement And Inspection Of Roundness Using Computer Vision., E. Gadelmawla, W. Khalifa, I. Elewa

Mansoura Engineering Journal

A common problem of quality control and inspection of circular parts is the measurement of their roundness. Errors in rounded objects can greatly affect the accuracy and function of assemblies. Therefore, there is a requirement to develop' automatic inspection methods for the inspection of roundness. This paper introduces a new approach for measurement and inspection of roundness using computer vision. Tile vision system has been established in the metrology lab and it is used to capture images for objects 10 be measured or inspected. A software (named RoundVision) has been especially developed in-house using Microsoft Visual C++ to analyze the …

Ruby Dell Watts Stowbridge

African American Funeral Programs

No abstract provided.

A Study Of The Turbulent Flows Behind A Rectangular Sharp Crested Weir In Open Channel Using Laser Doppler Velocimetry., M. Attia

Mansoura Engineering Journal

This paper describes the experimental investigation using laser Doppler velocimetry) (LDV) in the downstream of .be rectangular sharp crested weir in a horizontal rectangular channel of constant width. The study was carried out for flows on smooth and rough weir. For precise and accurate measurements of mean and fluctuating a ting flow characteristics such as streamwise and vertical turbulence intensity components and streamwise and vertical mean velocity components. The depthwise measurements were carried out for different heights of the weir along to e centerline at different cross sections downstream of weir in the wake region . The results show that, …

New Secret Key Exchange Based On Recent Cryptographic Schemes., Amina Rashad, Maged Ibrahim, Zaki Nossair

Mansoura Engineering Journal

Authenticated key exchange protocols have an important role for building secure communications amongst two or more entities over the networks. Two party authenticated key exchange protocols where each pair of parties must share a secret with each other; a three-party protocol does not cause any key management problem for the parties. In this paper, an extension of two-party key exchange protocol, which is based on Diffie-Hellman key exchange. is proposed. In this protocol each user exchanges secret key with server then each user uses this secret key to exchange session key with each other. The efficiency and the security analysis …

An Empirical Study On Public Libraries Of Kalimpong, Prabin Karkee Dr

Library Philosophy and Practice (e-journal)

This paper is an attempt to examine the present status and position of Government and Government sponsored public libraries in the Kalimpong district of West Bengal in terms of their establishments, membership patterns, physical facilities, staff strength, their collections, organizations, services and computer facilities etc. A total of 30 structured questionnaires were distributed among the Public Libraries across this hilly area and all the questionnaires were duly obtained with a response rate of 100%. Based on the findings the study suggests some recommendations for building functional and sound public libraries for providing effective and efficient library services to the hill …

Gambogic Acid Potentiates Gemcitabine Induced Anticancer Activity In Non-Small Cell Lung Cancer, Elham Hatami, Prashanth K. B. Nagesh, Meena Jaggi, Subhash C. Chauhan, Murali M. Yallapu

School of Medicine Publications

Non-small cell lung cancer (NSCLC) is the most frequent type of lung cancer accounting up to 80-85% of all lung cancer (LC) cases. Gemcitabine (Gem), a pyrimidine nucleoside antimetabolite, is widely used chemotherapy offering several months survival benefit in patients with NSCLC. The emergence of Gem resistance is a main clinical concern in cancer treatment and thus a continuous demand for development of new therapeutic strategies to improve its antitumor activity. Hence, we report an adjuvant therapeutic regimen based on natural compound, gambogic acid (GA) which has been shown to enhanced Gem induced inhibition of cancer cell growth, arrest cell …

User’S Awareness Towards Adaptive Equipment Technologies In University Libraries Of Karnataka, Chandrakanth Hg, Dr K. Ramakrishna Reddy

Library Philosophy and Practice (e-journal)

Purpose – The purpose of this study revealed that still most of the university libraries in Karnataka are struggling with have lack of AET facilities and failing the effective fulfil the different disability users informative needs and expectations. This study will prove useful for the LIS professionals and the research community to provide an insight into the current status of the AET available in university libraries in Karnataka.

Design/Methodology/Approach - A structured questionnaire was framed and relevant were collected through survey method used as the basic tool for data collection. total 29 disabilities users from 8 libraries were selected randomly …

The Skits, Sketches, And Stories Of Motherscholars, Lauren E. Burrow, Chrissy J. Cross, Heather K. Olson Beal, Shaunna Smith

The Qualitative Report

“MotherScholars” are those who creatively weave their maternal identities into their scholarly spaces. With this article we invite readers along a collaborative friendship study of our own participatory arts-based journey to understand, reclaim, and identify personal and professional benefits only realized once we acknowledged and embraced the blended reality of Mother Scholarhood. Our work is presented as a curation of individual skits, sketches, and short stories that were created during a collective 8-week time span in a shared virtual space. We open our story to interpretation and interaction through the lenses of our readers.

Out Of The Shadows: A Young Woman's Journey From Hiding To Celebrating Her Identity, Helen C. Collins Ms, Patricia A. Harrison Dr, Marek Palasinski Dr, Marcella (Pseudonym)

The Qualitative Report

In April 2019 the UK government reported that little progress had been made to remedy social outcomes inequality between Roma and the wider population, recommending further recognition of Roma, for example in census data, to enable identification of Roma, their needs, and how to meet those needs. In this article we present an account of one Roma woman’s journey from hiding her identity to celebrating it. We expose five critical incidents that challenge and mould her sense of identity and career aspiration, with insights into her hopes and dreams as she reflects upon the barriers she faces and attempts to …

The Merry Wives Of Windsor (December 5-7, 2020), William Shakespeare

Student Theatre Programs

Program for The Merry Wives of Windsor (December 5-7, 2020).

To view the photos from this production of The Merry Wives of Windsor, please click here.

Site Tolerance Of The Rada Intein, Chase Taul, Christopher Lennon Dr

Honors College Theses

Inteins (intervening proteins) invade genes at the DNA level and splice out at the protein level. Once thought of as only a parasitic type of a mobile genetic element, recent work suggests a mutualistic relationship has formed in some cases within bacterial and archaeal hosts. After translation, a precursor protein is formed with the intein between two exteins. The intein is catalytic and can excise itself out through protein splicing. Intein insertion is biased towards the active site of the protein and is thought to cause inactivation of the host protein prior to splicing. Intein splicing is responsive to a …

Roxadustat For Ckd-Related Anemia In Non-Dialysis Patients, Daniel W Coyne, Et Al.

2020-Current year OA Pubs

INTRODUCTION: Roxadustat is an oral hypoxia-inducible factor prolyl hydroxylase inhibitor that stimulates erythropoiesis and improves iron metabolism. We assessed the efficacy and tolerability of roxadustat in patients with chronic kidney disease (CKD)-related anemia not on dialysis.

METHODS: ANDES was a global Phase 3 randomized study in which adults with stage 3-5 CKD not on dialysis received roxadustat or placebo. Patients were initially dosed thrice weekly; dose was titrated to achieve a hemoglobin level ≥11.0 g/dl, followed by titration for maintenance. The primary endpoints were change in hemoglobin (weeks 28-52) and proportion of patients achieving a hemoglobin response (hemoglobin ≥11.0 g/dl …

[2020 Winner] The Power Of Guinaiya: The Intersections Of Love And Resistance Through The Native Chamoru Voice, Emily Mcmath

Ethnic Studies Research Paper Award

Over the last three centuries, the indigenous Chamoru people of Guåhan have endured several accounts of foreign colonization. Through time and physical space, native Chamorus have witnessed environmental destruction of precious ancestral land, a loss of deeply rooted cultural traditions and language, and blatant disrespect for an island and its people by the U.S. military. As an unincorporated territory of the United States, the Department of Defense has made their point clear: Guåhan is a military vessel first and foremost and the future of the island lies within the hands of the U.S. government. Though Guåhan might be small in …

Administrative Appeal Decision - Williams, Wonder (2019-03-29)

Parole Administrative Appeal Decisions

No abstract provided.