Digital Commons Network^™

Spare The Rod: African American Students’ Experience Of Postsecondary Student Conduct Processes, Melissa Sanders

Educational Leadership & Policy Studies Dissertations - Archive

Although African Americans enroll at postsecondary institutions at similar rates as other ethnic groups, consistently, they lag in degree completion. This has led to lower wages, fewer employment opportunities, and higher health disparities among African Americans. Consequently, the literature is full of studies attempting to increase Black student degree attainment. This includes their perception of campus climates, academic preparedness, and sense of belonging. However, other opportunities to promote and encourage African American scholastic success, such as the disciplinary process, are understudied. To address this gap, I utilized a phenomenological qualitative study to examine the way African Americans perceived the impact …

Targeted Drug-Loaded Nanoparticle System (Tdnps) To Ameliorate And Treat Idiopathic Lung Fibrosis, Harish Ramachandramoorthy

Bioengineering Dissertations - Archive

Idiopathic pulmonary fibrosis (IPF) is a fatal progressive disease with a dismal prognosis and 3-5 years of survival. Up to date, there are no effective treatments, and a few current therapies that do not ameliorate the pulmonary fibrosis but rather just increase the survival time by 2-3 years. The major factor limiting the treatment is the lack of targeted therapies to deliver the drugs past the mucosa, into the disease microenvironment. To combat this disease, we proposed a localized therapy via our targeted drug-loaded nanoparticles (TDNPs) to effectively deliver drugs and treat lung fibrosis. Our objective was to design TDNPs …

Development Of A Decesion Tree To Rehabilitate Or Replace The St. Francis Bridge Over Ih-30, Md Farhan Abir

Civil Engineering Theses - Archive

ABSTRACT: The ASCE infrastructure report card indicated that about 42% of the nation’s bridges are over 50 years old, and 7.5% of the bridges are structurally deficient. The 61-year-old St. Francis bridge over IH-30 is one of the Texas Department of Transportation (TxDOT) bridges that exhibit significant deterioration in the superstructure, including potholes and delamination in the deck. The bridge was load posted to 28,000 lb. limit and has substandard vertical and horizontal clearances to the bottom chord of the beams and supporting piers, respectively, which creates a high risk for vehicle impact. In 2017, an over-height truck struck the …

Study Of The Impact Of Atmospheric Variability On Subsurface Methane Emissions: Application To Leak Detection And Quantification For Underground Natural Gas Pipeline Leaks, Shanru Tian

Civil Engineering Dissertations - Archive

Natural gas (NG), taken as a bridging fuel for achieving a low-carbon future, has rapidly grown to be a significant component of the global energy system and requires extensive pipeline infrastructures, most of them buried underground. Fugitive methane (CH4) emissions from NG pipeline leaks pose environmental, safety, and economic threats to the public. An effective leak detection and quantification (LDAQ) survey method is critical to identifying a leak and assessing the size when it has occurred, thus initiating appropriate response actions to repair it and accounting for the environmental risks accurately. However, gaps exist between LDAQ survey methods, and the …

Factors Affecting Health-Seeking Behaviour Among Men Who Have Sex With Men In Starehe Sub-County, Nairobi City County, Anthony Omariba

MSc in Advanced Practice Nursing

Men who have sex with other men (MSM) exist in Africa, as they do elsewhere. The continued proscription of MSM behavior leads to exclusion and discrimination. According to a global report, MSMs are responsible for most HIV transmission. MSMs in Kenya constantly fear being hurt because of their sexual orientation, and there is scant knowledge of their health-seeking behavior. There is a need to improve the health of this group to lower disease spread to achieve global HIV reduction. This study aims to explore MSM healthcare-seeking behavior, describe barriers to healthcare-seeking, and establish perceptions of the sexual risks associated with …

Traumatized Defendants, Troubled Attorneys: The Impact Of Vicarious Trauma On The Defense Attorney-Client Relationship, Charise Peters

Student Theses

Approximately 90% of justice-involved youth have experienced some form of trauma by the time they become involved in the justice system, and attorneys report being negatively impacted by their work with trauma-exposed populations generally. Yet, research has not focused on how varying degrees of youth trauma can impact attorney decisions and if that differs based on youth race. This study, therefore, explored vicarious trauma and its impact on juvenile defense attorneys, including how an attorney’s experience of vicarious trauma impacts case handling and perception of their youth client and how that differs based on client race and trauma history. We …

Impairment-Based Multidisciplinary Rehabilitation Management In Multiple Sclerosis In Pakistan, Sarah Razaq, Fahim Anwar, Wasim Wali

Pakistan Journal of Neurological Sciences (PJNS)

No abstract provided.

Psychiatric Manifestations Of Dengue Fever- A Case Report From Pakistan, Ifrah Hambal, Samrah Nasir, Tania Nadeem

Pakistan Journal of Neurological Sciences (PJNS)

A 29-year-old male presented to Aga Khan University Hospital with complaints of fever, body-aches, vomiting and one episode of gum bleeding. A Dengue antigen test done prior to presentation was positive. He was admitted for medical management. During hospital stay, the patient developed manic symptoms including over-talkativeness, expansive mood, disinhibited behavior, excessive planning, paranoia and aggression. He remained oriented to time, place and person and neurological examination was unremarkable. He was managed with anti-psychotics and benzodiazepines, and his psychiatric symptoms improved with improvement in his medical condition. This case highlights the possibility of psychiatric manifestations occurring in context of a …

Short, Medium And Long Term Neurological Manifestations And Outcome In Covid-19 Patients, Sajid Hameed, Bashir Soomro, Samar Iltaf, Abdul Malik, Anjum Farooq, Alam Ibrahim Siddiqi, Safia Awan, Mohammad Wasay

Pakistan Journal of Neurological Sciences (PJNS)

Background and objective: There is a need to improve the understanding of Covid-19 neurological complications in a temporal manner. The objective of our study was to find out temporal relationship of neurological manifestations and outcome in Covid-19 Patients.

Methods: This was a multi-center observational study from six centers in Pakistan. Data of covid patients with six months follow up was retrospectively collected from the hospital records. Time periods were divided into short-term (< 1 month), medium-term (2-3 months) and long-term (>4 months). SPSS version 26.0 (SPSS Inc., Chicago, IL, USA) was used to analyze the data.

Results: Neurological manifestations were reported in 208 out of 905 covid …

Decompressive Hemicraniectomy For Patients With Malignant Cerebral Venous Sinus Thrombosis, Sadaf Majid, Waseem Tariq Malik, Asfandyar Khan Niazi, Ehsan Ul Haq, Hina Yusuf, Raja Farhat Shoaib, Maimoona Siddiqui Siddiqui

Pakistan Journal of Neurological Sciences (PJNS)

Background and objective: Cerebral venous sinus thrombosis (CVST) is a rare cause of stroke and may lead to the development of raised intracranial pressure due to edema, infarct or bleed. These patients may require decompressive hemicraniectomy to reduce the raised intracranial pressure. However, the evidence for hemicraniectomy in these patients is scanty. Our objective was to perform a retrospective chart review to describe the clinical characteristics of patients who underwent decompressive hemicraniectomy for malignant CVST and their outcomes.

Methods: We retrospectively analyzed the medical records of patients with CVST who underwent decompressive hemicraniectomy between 2013 and 2020 at Shifa International …

Hurdles Of Intravenous Thrombolysis In Acute Ischemic Stroke At Balochistan, Anjum Farooq, Muhammad Essa, Nimra Shafique, Sakina Gull

Pakistan Journal of Neurological Sciences (PJNS)

Background and objective: Intravenous thrombolysis (IVT) with alteplase tPA (tissue plasminogen Activator) is the FDA approved treatment for acute ischemic stroke. The objective of this study was to determine the hurdles of intravenous thrombolysis in acute ischemic stroke in Balochistan.

Methods: A prospective cross-sectional observational study was carried out from June 2021 to December 2021 at Neurology department of Bolan Medical Complex Hospital Quetta on 272 patients of acute ischemic stroke who fulfilled the criteria. Proforma was filled by relative or patient after informed consent. Proforma included sex, age, diagnosis, time of presentation after stroke and reason of delay. Data …

Multiple Sclerosis And Parkinson’S Disease: Poles Apart Or Cut From The Same Cloth?, Wajid Jawaid

Pakistan Journal of Neurological Sciences (PJNS)

No abstract provided.

December 2022 Quarterly Budget And Expenditure Reporting For All Heerf I, Ii, And Iii Grant Funds, East Tennessee State University

ETSU COVID-19 Information [2020-2023]

No abstract provided.

Diabetes Self-Management Education And Support: Understanding Knowledge And The Impact, Christina Dietz

All Dissertations

Diabetes has reached epidemic proportions in the United States. To address this, many organizations employ diabetes self-management education and support (DSMES) programs to aid in managing the impact of increasing prevalence. The purpose of this dissertation is to examine the impact of two Upstate South Carolina DSMES programs on several process and outcome measures for adults with diabetes, while also identifying current primary care provider DSMES knowledge and perceptions in an Upstate South Carolina health system.

This dissertation found inconclusive results on the impact of DSMES on PCP utilization, retinal exam screening, nephropathy attention, HDL, LDL, TC, and TG. DSME …

Don’T Judge A Book By Its Covr: Learning And Training In Virtual Reality; The Effects Of Two Levels Of Immersion, Kendall Carmody, Meredith Carroll

Aeronautics Faculty Publications

Immersive devices, such as virtual reality (VR) devices are swiftly being integrated into military and civil operations as advanced tools for training, with studies observing the beneficial aspects of employing these devices for training cognitive skills (Xie et al., 2021). However, further research is needed to understand specific characteristics of the learning effectiveness of the technology and identify which levels of immersion benefit specific learning constructs in training. This study examined the effect of immersion on four constructs related to learning, including memory retention, learner engagement, learning performance in the form of knowledge acquisition, and perceived learning in a virtual …

Role Of Macrophages In Ocular Surface Fibrosis, Alyanna Corpuz

Pharmaceutical Sciences (MS) Theses

The present study is designed to investigate whether irradiation as used for conditioning regimen to ablate recipient’s diseased bone marrow prior to transplantation could trigger macrophage activation and polarization and whether macrophages could cause the transdifferentiation of ocular surface fibroblasts into myofibroblasts, thus contributing to oGVHD-associated fibrosis.

Bone marrow cells were cultured in M-CSF to obtain M0 macrophages, which were subsequently polarized into M1 and M2 phenotypes using IFN-g + LPS and IL-4, respectively.

The macrophages were exposed to 7 Gy radiation. The effect of irradiation on macrophage activation markers, phagocytosis, and apoptosis was assessed using real-time PCR, confocal microscopy, …

Adaptive Leadership, Organisational Resilience And The Mediating Effect Of Change Management Amid Egyptian Academia Crises, Maha Ahmed Zaki Dajani, Dr. Maha Ahmed Zaki Dajani

Business Administration

This study aims to investigate the impact of adaptive leadership practices on organisational resilience within Egyptian academia amid the change management crisis, using the ADKAR change model. A self-administered online questionnaire (Google Form Survey) was distributed to collect data from 135 faculty members working at several private and public universities located in Greater Cairo/Egypt. The response rate was approximately 90% (out of 150 faculty members). A structural equation modelling technique was applied to test this study‟s hypotheses. The primary purpose of this study is to provide empirical evidence that leadership adaptability and organisational resilience are among the most sustainable sources …

The Ward Round: Friend Or Foe In Postgraduate Training? A Grounded Theory Study Of Residents’ Perspectives, Mariam Noorani

Paediatrics and Child Health, East Africa

The ward round has traditionally been a learning activity in medical education. Apart from education, ward rounds have multiple roles including patient care and communication. Some studies have described the ward round as an ideal place to learn patient management while others reported that little learning happens on rounds due to lack of time and patient volume. This study aimed to develop a deeper understanding of ward round learning from the perspec-tive of postgraduate trainees. A constructivist grounded theory approach was used and data was collected during focus group discussions. Data were analyzed by initial coding, then grouped into focused …

Ispad Clinical Practice Consensus Guidelines 2022: Assessment And Management Of Hypoglycemia In Children And Adolescents With Diabetes, Mary B. Abraham, Beate Karges, Klemen Dovc, Diana Naranjo, Ana Maria Arbelaez, Joyce Mbogo, Ganesh Javelikar, Timothy W. Jones, Farid H. Mahmud

Paediatrics and Child Health, East Africa

No abstract provided.

Acute Kidney Injury In Hospitalized Children With Sickle Cell Anemia, Anthony Batte, Sahit Menon, John Ssenkusu, Sarah Kiguli, Robert Kalyesubula, Joseph Lubega, Edrisa Ibrahim Mutebi, Robert Opoka, Chandy John, Michelle Starr

Paediatrics and Child Health, East Africa

Background: Children with sickle cell anemia (SCA) are at increased risk of acute kidney injury (AKI) that may lead to death or chronic kidney disease. This study evaluated AKI prevalence and risk factors in children with SCA hospitalized with a vaso-occlusive crisis (VOC) in a low-resource setting. Further, we evaluated whether modifcations to the Kidney Disease: Improving Global Outcomes (KDIGO) defnition would infuence clinical outcomes of AKI in children with SCA hospitalized with a VOC.

Methods: We prospectively enrolled 185 children from 2 – 18 years of age with SCA (Hemoglobin SS) hospitalized with a VOC at a tertiary hospital …

Student And Teacher Perspectives On Asynchronous Learning During The Covid Pandemic, Michele Ehrhart

Education Doctorate Dissertations

The COVID Pandemic shut down schools across the country, leaving K-12 schools unprepared for virtual learning. In this mixed methods study, I examined data gathered from my 8th-grade science classes to assess the effectiveness of asynchronous instruction. My original research question was: How much if at all, did learning outcomes differ as a function of how the lessons were taught (uninterrupted instructional video versus interrupted/interactive Edpuzzle video)? Based on a preliminary examination of data, my study expanded into how self-regulated learning affected students’ comprehension, interest, and motivation. Study results showed no statistical differences in students’ comprehension based on how lessons …

Relevance Of The Obstacles To The Achievement Of Food Sovereignty In Ecuador, Analysis Through The Neutrosophic Soft Set, Tannia Cristina Poveda Morales, Silvia Elizabeth Bonilla Veloz, Diego Armando Freire Muñoz

Neutrosophic Sets and Systems

No abstract provided.

Bridgewater Review, Vol. 40, No. 2, December 2022

Bridgewater Review

No abstract provided.

Perceived Quality Of Senior Care In An Assisted Living Facility Following The Outbreak Of Covid-19, Kaylie Hill

Theses/Capstones/Creative Projects

The COVID-19 pandemic has posed a monumental obstacle to the healthcare field in terms of severely reducing the number of healthcare workers. Among the many industries affected by staffing shortages are assisted living facilities (ALFs), in which residents are dependent on care staff for daily assistance. This study sought to investigate whether long-term residents of ALFs perceive a difference in the quality of their care under the circumstances of the pandemic as opposed to those of pre-pandemic times. Semi-structured interviews were facilitated with 10 long-term residents who have been residing in an Omaha ALF since prior to the outbreak of …

Garcia Family History, Austin Garcia

Your Family in History: HIST 550/700

The Family History of

Austin D. Garcia

2 September 2022

Austin Garcia authored this family history as part of the course requirements for HIST 550/700 Your Family in History offered online in Fall 2022 and was submitted to the Pittsburg State University Digital Commons. Please contact the author directly with any questions or comments: [email protected]

The American Society Of Pain And Neuroscience (Aspn) Evidence-Based Clinical Guideline Of Interventional Treatments For Low Back Pain, Dawood Sayed, Jay Grider, Natalie Strand, Jonathan M. Hagedorn, Steven Falowski, Christopher M. Lam, Vinicius Tieppo Francio, Douglas P. Beall, Nestor D. Tomycz, Justin R. Davanzo, Rohit Aiyer, David W. Lee, Hemant Kalia, Soun Sheen, Mark N. Malinowski, Michael Verdolin, Shashank Vodapally, Alexios Carayannopoulos, Sameer Jain, Nomen Azeem, Reda Tolba, George C. Chang Chien, Priyanka Ghosh, Anthony J. Mazzola, Kasra Amirdelfan, Krishnan Chakravarthy, Erika Petersen, Michael E. Schatman, Timothy Deer

Anesthesiology Articles

INTRODUCTION: Painful lumbar spinal disorders represent a leading cause of disability in the US and worldwide. Interventional treatments for lumbar disorders are an effective treatment for the pain and disability from low back pain. Although many established and emerging interventional procedures are currently available, there exists a need for a defined guideline for their appropriateness, effectiveness, and safety.

OBJECTIVE: The ASPN Back Guideline was developed to provide clinicians the most comprehensive review of interventional treatments for lower back disorders. Clinicians should utilize the ASPN Back Guideline to evaluate the quality of the literature, safety, and efficacy of interventional treatments for …

The Impact And Outcomes Of Sustainable Intensification Initiatives In Six Countries On Women, Men, And Other Social Groups, Katherine A. Snyder, Emanuel Sulle

East Africa Institute

This study reviewed over 160 papers and reports in sustainable intensification, with a focus on the target countries of Malawi, Ghana, Ethiopia, Laos, Bangladesh and Nepal. It collected literature by carrying out searched with both scopus and google scholar with specific key words and combinations. This search focused on target regions and countries as well as social equity. Under “sustainable intensification”, we obtained a list of 5493 papers. Sustainable intensification and gender yielded 58, SI in Sub-Saharan Africa produced 545. Country by country the papers were fewer and when gender and social equity were included, the number of papers were …

Workshops Report For Mesophotic And Deep Benthic Community Fish, Mobile Invertebrates, Sessile Invertebrates And Infauna, Rachel Bassett, Stacey L. Harter, Randy Clark, Ian Zink, Katherine Hornick, Jennifer Hart, Hanna Bliska, Melissa Carle, Tracey Sutton, Amanda Demopoulos, Andy David, Kristopher Benson, Jill Bourque, Martha Nizinski, Nancy Prouty, Stephanie Sharuga, Alicia Caporaso, Jennifer Le, Jennifer Herting, Cheryl Morrison, Matthew Poti

Marine & Environmental Sciences Faculty Reports

Two workshops with subject matter experts in the appropriate fields, were held in November and December 2021 to elicit guidance and feedback from the broader mesophotic and deep benthic scientific community. These workshops focused on best practices/approaches and identifying data gaps relative to habitat assessment and evaluation goals of the Mesophotic and Deep Benthic Community (MDBC) restoration portfolio. The first workshop was a combined effort of the Habitat Assessment and Evaluation (HAE) Project Team and the Deepwater Horizon (DWH) Program. Industrial Economics, Inc. (IEc) provided extensive workshop planning, organizing, execution, and facilitation support during all stages of the workshop. Based …

Nursing News & Views - December 2022, Joanne Miller Rn

Nursing Newsletters

No abstract provided.

The Adoption Of The Hpv Vaccine School-Entry Requirement In Puerto Rico: How Practical Lessons Can Inform Future Vaccine Policies, C. Vázquez-Otero, Elizabeth Lockhart

Center for Health Policy and Health Services Research Articles

Vaccine requirements are policy-level strategies used to improve population health outcomes; however, discourse politicization of vaccines may hinder adoption and implementation. An example of the complexities related to adoption of vaccine policies in the United States (US) is the human papillomavirus (HPV) vaccine school-entry requirement. In 2018, Puerto Rico's (PR) Department of Health adopted this policy. This study assessed stakeholders' recommendations for adoption of the HPV vaccine school-entry requirement that could inform future vaccine policies. Stakeholders (e.g., researchers, members of medical and non-profit organizations) were interviewed from May to August 2018. Participants (n = 20) discussed recommendations for public health …