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Lanthorn, Vol. 56, No. 16, December 6, 2021, Grand Valley State University

Volume 56, August 2, 2021 - April 18, 2022

Lanthorn is Grand Valley State's student newspaper, published from 1968 to the present.

The Efficacy Of The Health At Every Size (Haes) Approach In The Treatment Of Eating Disorders And Disordered Eating Patterns, Margaret Corrine Herin

Electronic Theses and Dissertations Archive

This study aimed to review primary research to assess the measured physical and psychological benefits of implementing the Health at Every Size (HAES) approach in treating adults with disordered eating. A scoping review was conducted between September 2020 and August 2021. Participants included those 18 years or older who were diagnosed with a DSM-5 recognized eating disorder or showing disordered eating pathology. We hypothesized that HAES would be a successful treatment approach for patients recovering from eating disorders, and that a focus on body size and weight would exacerbate and even cause eating disorder pathology. A weight-neutral approach to eating …

Metabolic Pathways And Targets In Chondrosarcoma, Ida Micaily, Megan E Roche, Mohammad Y Ibrahim, Ubaldo E. Martinez-Outshoorn, Atrayee Basu Mallick

Department of Medical Oncology Faculty Papers

Chondrosarcomas are the second most common primary bone malignancy. Chondrosarcomas are characterized by the production of cartilaginous matrix and are generally resistant to radiation and chemotherapy and the outcomes are overall poor. Hence, there is strong interest in determining mechanisms of cancer aggressiveness and therapeutic resistance in chondrosarcomas. There are metabolic alterations in chondrosarcoma that are linked to the epigenetic state and tumor microenvironment that drive treatment resistance. This review focuses on metabolic changes in chondrosarcoma, and the relationship between signaling via isocitrate dehydrogenase 1 and 2 (IDH1 and IDH2), hedgehog, PI3K-mTOR-AKT, and SRC, as well as histone acetylation and …

Religious Persecution & Oppression: A Study Of Iranian Baha’Ís’ Strategies Of Survival, Naghme Naseri Morlock

Journal of Hate Studies

Members of the Baha’í faith in Iran have been ongoing targets of systematic oppression, persecution, and extreme hate since the religion was founded in 1844. Despite there being a large diaspora as a consequence of their persecution, Baha’ís remain a thoroughly underexplored population in the field of hate studies, in addition to being neglected in most other fields as well. The Baha’ís’ experiences and unique positionality as ethnic insiders and religious outsiders in their home country provide important and distinctive insights into their survival and response strategies in the face of violence, trauma, and persecution. Drawing on fifty in-depth interviews …

Domestic Terrorist Acts As Cultural Texts: A Pentadic Analysis, A. J. Grant, Guy Philbin

Journal of Hate Studies

Former British Prime Minister Margaret Thatcher once said that publicity is the oxygen of terrorism. It is our position that mass-mediated terrorism, white supremacy, and doctrines of racial superiority that justify discrimination, segregation, domination, and even extermination of persons of color should be deprived of the oxygen of publicity. At the same time, we believe that analysis, discussion, confrontation, and condemnation of terrorism and hateful ideologies is painful but necessary. The hate speech and radical ideologies of today’s web-based terrorists reach far beyond traditional means of communication. The purpose of this paper is to use Kenneth Burke’s pentad to analyze …

The Paideia Program Is Worth Another Look, Jessica Richardi

Journal of Educational Research and Practice

Educational opportunity is unequally distributed in the United States, most notably by race and economic status. Commonly practiced in K–12 schools across the country, tracking and ability grouping serve to exacerbate those existing inequities. Recent renewed activism for racial and economic justice, coupled with concerns over learning loss due to COVID-19 school closures, makes this an ideal time for educators to reconsider a formerly well-known and ambitious whole-school reform system called the Paideia Program. The system itself is described and a comprehensive review of research and literature follows. This review demonstrates Paideia’s potential to improve educational outcomes and thus help …

What We Don’T Know About Intellectual Property: A Comparative Review Of Intellectual Property In The United States And Afghanistan, Zamira Saidi

The University of Cincinnati Intellectual Property and Computer Law Journal

No abstract provided.

Early Music Ensemble: Nobody Buys Homegrown Tomatoes, Chapman Early Music Ensemble

Printed Performance Programs (PDF Format)

No abstract provided.

Decreasing Pre-Procedural Fasting Times: A Benchmark Study, Sheila Gasparek

MSN Capstone Projects

On a busy Surgical Trauma unit, scheduled procedures and operations are often delayed for priority emergent cases. Patients admitted to the unit with delayed procedures often endure extended fasting times beyond the six-hour intention of standard nothing by mouth (NPO) after midnight fasting order. With prolonged fasting times, patients inquire about pending surgery times and dietary options. Some providers may allow ice chips, but most doctors prefer patients to remain NPO in case Operating Room availability opens for surgery, leaving already anxious and uncomfortable patients more frustrated as prolonged fasting affects patients’ physical and psychological well-being (Anderson & Comrie, 2009). …

Saint Jude's, December 5, 2021

Saint Jude's

A newsletter published for Deaf Catholics in Waltham, MA

Saint Jude's Finding Aid

Barriers And Facilitators In Rehabilitation In Chronic Diseases And After Surgery: Is It A Matter Of Adherence?, Elijah E. Sanches, Emily Aupers, Nasser Sakran, James Navalta, Tomasz Kostka, Sjaak Pouwels

Kinesiology and Nutrition Sciences Faculty Research

Although it has been generally acknowledged that participating in rehabilitation programs is better for chronic diseases or post-surgery, the adherence rates of these programs remain lower than expected. According to the World Health Organization (WHO), adherence has been defined as follows: "the extent to which a person's behavior corresponds with agreed recommendations from a healthcare provider." In general, rehabilitation is well investigated, and in chronic diseases like chronic obstructive pulmonary disease (COPD), cardiovascular disease, neuromuscular disease, cancer, and even psychiatric diseases like depression, it has been shown that exercise therapy, in particular, has beneficial effects on morbidity, mortality, and convalescence …

Extracellular Vimentin As A Target Against Sars-Cov-2 Host Cell Invasion, Łukasz Suprewicz, Maxx Swoger, Sarthak Gupta, Ewelina Piktel, Fitzroy J. Byfield, Daniel V. Iwamoto, Danielle Germann, Joanna Reszeć, Natalia Marcińczyk, Robert J. Carroll, Paul A. Janmey, J. M. Schwarz, Robert Bucki, Alison E. Patteson

Physics - All Scholarship

Infection of human cells by pathogens, including SARS-CoV-2, typically proceeds by cell surface binding to a crucial receptor. The primary receptor for SARS-CoV-2 is the angiotensin-converting enzyme 2 (ACE2), yet new studies reveal the importance of additional extracellular co-receptors that mediate binding and host cell invasion by SARS-CoV-2. Vimentin is an intermediate filament protein that is increasingly recognized as being present on the extracellular surface of a subset of cell types, where it can bind to and facilitate pathogens’ cellular uptake. Biophysical and cell infection studies are done to determine whether vimentin might bind SARS-CoV-2 and facilitate its uptake. Dynamic …

St. Francis Borgia Deaf Center Church Bulletin, December 5, 2021

Saint Francis Borgia Deaf Center Church Bulletin

A newsletter published for Deaf Catholics in Chicago, IL

Saint Francis Brogia Deaf Center Church Bulletin Finding Aid

Rearguard Or Vanguard? A New Look At Canada’S Constitutional Act Of 1791, Philip Girard

Articles & Book Chapters

The Constitutional Act 1791, which provided representative governments to Upper and Lower Canada, has often been regarded as a reactionary document. Here, a comparison with the constitutions of the eastern colonies of British North America as well as the pre-revolutionary constitutions of the Thirteen Colonies reveals a variety of ways in which the 1791 Act was more liberal and more committed to the popular element of the constitution than its comparators. The significance of the statutory form of the 1791 Act is emphasised and contrasted with the much less secure position of the popular element under prerogative constitutions. Significant concessions …

Standardizing Surgical Skin Antisepsis, Crystal Vackar

MSN Capstone Projects

Skin antisepsis is one of the most critical factors for preventing postoperative surgical site infections, but with the lack of high-quality research, the choice of which preoperative skin antiseptic is best remains a puzzling problem for clinicians (Chen, Chen, Guo, & Xu, 2020). Minimizing the patient’s risk of a surgical site infection by removing skin contaminants at the surgical site is the goal of surgical skin antisepsis. Therefore, the hospital or organization must choose the right product that is cutting costs, is the most effective, saving surgical time, and has the safest results for the patient. Before prepping the skin, …

Ventilator-Associated Pneumonia Bundle Care, Jeemole Kattezham Binnichan

MSN Capstone Projects

Ventilator-associated pneumonia (VAP) is one of the most significant nosocomial infections in intensive care units (ICU) worldwide. Patients who have this infection due to lengthy hospital stays face excessive hospital expenditures and are forced to spend more time away from their families than is necessary. VAP is a prominent cause of morbidity and mortality in ICUs, prompting plenty of studies. The most crucial target is its prevention. Understanding how to reduce VAP would help patients live longer, have a better quality of life, and reduce hospital liability. Ventilator-associated pneumonia bundle (VAPB) has been shown in numerous studies to be an …

A Formal Antibiotic Stewardship Protocol To Reduce Antibiotic Use, Shalese Ladawne Collins

MSN Capstone Projects

Background: Antimicrobial resistance is a nationwide public health crisis which is a result of indiscriminate antibiotic use. Inappropriate antibiotic prescribing for infections have been overlooked for several years in long-term care facilities. The Centers for Disease Control and Prevention have been compelled to require long-term care facilities to start an antibiotic stewardship program that is a key measure to combat antimicrobial resistance and seeks to accomplish this by improving antibiotic use. Many healthcare workers report presumed urinary tract infections to the provider without the accurate understanding of what criteria is required for the need of antibiotics.

Objective: Create a protocol …

Detection Of Postpartum Hemorrhage, Hannah Mccown

MSN Capstone Projects

Postpartum hemorrhage is a leading cause of death post vaginal delivery. Integration of the use of calculated blood collection drapes can improve accuracy in blood loss calculation. This can lead to faster diagnoses of postpartum hemorrhage before the patient starts showing life threatening signs and symptoms.

The Use Of Tele-Health Rehabilitation In Chronic Disease: A Benchmark Project, Emily C. Powers

MSN Capstone Projects

Chronic health issues such as heart disease or COPD are very common in the demographic of patients of an older age. Management often requires multiple medications and specific diets. However, an aspect of care that can often be neglected is that of exercise rehabilitation. Either due to distance, time-constraints, or simply just not wanting to do it, patients can easily neglect an aspect of their care that can have physical and mental benefits. One potential solution is that of tele-health rehabilitation which uses personalized exercise plans, a health watch, and communication through phone or video chat in order to bring …

Antiseptic Barrier Caps Benchmark Study, Meredith Gardner

MSN Capstone Projects

The purpose of this benchmark study is to determine the effectiveness of antiseptic barrier cap use compared to the previously excepted standard of scrubbing the hub for disinfection. The target audience for this presentation includes, but is not limited to, the University of Texas at Tyler students and professors. The readers of this study will be able to implement an evidence-based research project of antiseptic barrier caps to a hospital unit.

There has been significant effort toward the reduction of hospital acquired infections across the United States. Up to half of the postinsertion central-line associated blood stream infections are related …

Yoga As An Intervention For Nurse Burnout, Taylor Baugh

MSN Capstone Projects

Nursing is a demanding career, both mentally and physically, so finding ways to decompress and cope with such a job is essential. The main objective of this review is to discover the best evidence available to determine the effect of yoga on burnout in nurses. Outcomes from all keeper studies conclude that implementing yoga into practice increases nurses’ mindfulness, self-care, and coping ability while decreasing emotional exhaustion, burnout, and stress, consequently, increasing the quality of patient care provided. It is imperative that hospitals and healthcare administrators prioritize nurses’ physical and mental health, for nurse retention, cost savings related to decreased …

Overcoming Barriers To Uncontrolled Hypertension, Cassie Thacker

MSN Capstone Projects

Overcoming Barriers to Uncontrolled Hypertension using individualized educational interventions.

Implementing A Shared Governance Program, Mayra Elizondo

MSN Capstone Projects

Aim: To see the relationship between nursing satisfaction and patient safety outcomes through the implementation of a shared governance program.

Background: The adoption of shared governance in hospitals across the country would enable more nurses to have more resources, more autonomy in their practice, and thus higher satisfaction in their work environments which would improve patient outcomes.

Implications for future research, clinical practice and policy development: The following paper summarizes that shared governance programs increase the amount of satisfied nurses and improve patient outcomes. Further research is needed to develop effective guides for implementation of shared governance in healthcare facilities …

Bedside Shift Reporting: A Benchmark Project, Clydea C. Hale

MSN Capstone Projects

Patient care is forever changing to improve satisfaction, safety, and overall treatment. Over the past few years, patients and their families are more invested in their overall care in the hospital and expect to be informed every step of the way. A common complaint from patients or their families is that one nurse or staff did not know the individuals care or treatment plan, there were no shift goals to work toward discharge, and the nurse did not update the patient/family with changes in care. All of these complaints along with the patient satisfaction scores and communication between the treatment …

Evidence-Based Individualized Discharge Educational Intervention For Coronary Artery Disease (Cad) Patients; A Benchmark Project, Sumita Thapa

MSN Capstone Projects

Coronary artery disease (CAD) is the leading cause of death worldwide, whereas, in the United States, 16,800,000 people are affected, resulting in 450,000 deaths annually. Patients’ perceptions of self-management related to treatment adherence, lifestyle modifications, and risk-factor management are significant indicators of outcomes following a cardiac event. To promote self-management in CAD patients, this benchmark project aims to determine the impact of individualized education interventions by establishing a standardized nurse-led educational intervention in the cardiac unit that emphasizes adherence to self-management and treatment regimen to improve quality of life and prevent rehospitalization due to worsening cardiac events. The evidence-based findings …

Fatigue In Rheumatoid Arthritis Benchmark Study, Devan C. Salone

MSN Capstone Projects

Fatigue is perceived as one of the dominant symptoms of Rheumatoid Arthritis (RA) along with the pain that affects activities of daily life. RA-related fatigue was also described as unpredictable in its severity, duration, frequency, and intensity (Primdahl et al., 2019). The fatigue can mean feeling overwhelmed with feeling tired, unmotivated, increased pain, lack of concentration, or not getting enough sleep to combat the feeling of being tired (Choy & Dures, 2019). According to Widemark (2014), it is estimated that 40% to nearly 90% of RA patients experience chronic fatigue. The fatigue can happen at any time with RA. It …

Are Current Pain Assessments Adequate?, Allison Caspersen

MSN Capstone Projects

“Pain is what the patient says it is” has been a big proponent to improve interventions for pain management. But how are we assessing patients’ pain? They have been asked to provide us with a number to rate their pain but what do these numbers mean to the patient? Do they rate according to pain they have experienced in the past or is it based off what they imagine the pain could be? Have we ever distinguished patient preference between unidimensional and multidimensional pain assessment? The use of unidimensional pain assessment the Numerical rating scale (NRS) has been used primarily …

Resiliency Can Be Taught: The Impact Of An Evidence-Based Training On Nurse Resilience, Margaret Maxtin

MSN Capstone Projects

A small project team implemented a resiliency training class as part of an evidence-based nursing intervention. Nurses at a tertiary care facility who work on a pediatric hematology/oncology unit participated in the 2-hour training course and learned multiple skills directed at improving resiliency. All participants surveyed responded positively to the class. Future directions for the project include long term follow-up and continued resiliency classes with varied topics to continue improving resilience and decreasing burnout.

Bridging Mental Healthcare, Kristin L. White

MSN Capstone Projects

Nurses have an important role in the care given to mental health patients presenting to the emergency department (ED). Without expectations or encouragement toward growth or continued education, the quality of care and the therapeutic ability for care are crippled, as evidenced by nurses' knowledge/competency deficits and negative attitudes. Through ongoing/continued education, the cultivation of a therapeutic culture toward patients that present to the ED for mental health complaints could result. Additionally, these improvements in care, in turn, could promote not only the closure of gaps that exist for quality mental healthcare but may also lead to an increase in …

Stroke Education Program To Reduce Readmission, Karnesha Dominguez

MSN Capstone Projects

Stroke is a major cause of long-term disability and mortality in the United States, exemplifying a complex chronic disease with high co-morbidity, associated healthcare costs, and readmission rates. Unfortunately, patients diagnosed with strokes often present to acute care settings with stroke events after they have had been previously diagnosed. Readmission rates among stroke patients are as high as 13% with most readmissions being unplanned and many avoidable (Brom et al., 2021). An estimated 6.6 million Americans aged 20 years and older have had a stroke, and each year approximately 795,000 people experience a new or recurrent stroke (Duncan et al., …