Digital Commons Network^™

Patient Outcomes Following The Implementation Of A Cardiogenic Shock Algorithm, Alana E. Hall

Doctor of Nursing Practice Scholarly Projects

Problem Statement: ST-elevated myocardial infarction (STEMI) is one of the leading causes of cardiogenic shock (CS) associated with increased in-hospital mortality. Despite multiple efforts to improve outcomes, mortality remains high.

Purpose: This quality improvement project aimed to analyze the impact of a cardiogenic shock algorithm on survival to discharge for STEMI patients.

Methods: A CS algorithm was implemented at a cardiac catheterization laboratory on October 3, 2022. Using the Plan-Do-Study-Act quality improvement framework, data was retrospectively collected on patients presenting with a STEMI who meet CS criteria to determine if there was improved survival to discharge after implementing …

Impact Of A Toolkit On Fall Prevention In An Acute Midsized Rehabilitation Facility In The Southeast, Shantai D. Allen

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Older people in hospitals may face a greater risk of falls due to the use of medication, lower body weakness, and some difficulty with balance and walking. Over the past five years, there has been a steady increase in the prevalence of falls with the targeted unit reporting over 5 falls per 1000 patient days, which is higher than the national average. Purpose: The purpose of this project was to decrease falls and decrease falls with injuries in this patient population. Methods: The project employed a pre-post intervention design that measured fall incidence in the targeted unit after …

Assessing Organizational Readiness For Evidence-Based Practice (Ebp) Change For The Implementation Of A Postoperative Neuropathic Mastalgia (Pnm) Scale Among General Surgery Ambulatory Practices, Jessica Terry Gonzalez

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Assessing postoperative neuropathic mastalgia (PNM) among oncology breast surgical patients is not commonly performed using a surgery specific pain scale at large South Carolina healthcare organization and is historically misdiagnosed, mismanaged, despite representing a common and significant complication (Gong et al., 2020; Humble et al., 2015; Mejdahl et al., 2019). Studies show that early identification of patients with neuropathic-specific pain following breast cancer-related surgery facilitates better pain management and patient outcomes (Pereira et al., 2017; Sipilä et al., 2012). Assessing organizational readiness to adopt Evidence-Based Practice change is recommended to facilitate the identification of potential barriers to implementation …

Brilliant Bird Brains: Object Recognition In Herring Gulls (Larus Argentatus Smithsonianus), Kristen M. Covino, F. Dylan Titmuss, Joseph E. Brosseau, Dora C. Donacik, Maddie E. Ellms, Alyssa R. Nowicki, Daphne Okuyama, Jessica M. Robinson, Katherine A. Schickfus, Eliza L. Stanley, Mary Elizabeth Everett

Biology Faculty Works

The ability to recognize and associate objects with prior experiences has been demonstrated in several avian taxa. Corvids, for example, recognize visual stimuli associated with negative previous experiences and will modify their behavioral responses according to the level of perceived threat. However, the extent to which similar memory-based behaviors exist in seabirds is poorly understood. Our study investigated object recognition by Herring Gulls (Larus argentatus smithsonianus) on their breeding grounds, the site of a long-term monitoring project. When handling gulls and conducting field research, researchers wear standard bicycle helmets as a protective measure against physical aggression by nesting …

The Bridwell Quill. Issues 60-62: Land Of Books & Oranges, Anthony Elia

Bridwell Library Publications

No abstract provided.

Social And Biological Perspectives To Investigate And Address Illegal Shooting Of Raptors, Eve Thomason, Kenneth Wallen, Todd Katzner

Raptor Research Center Publications and Presentations

Humans have shot raptors for centuries. However, in many countries these actions have been illegal since the mid-twentieth century. Despite this history, there is not a comprehensive understanding of the characteristics of this activity, its frequency, and why it occurs. We used literature review and principles drawn from ecology, sociology, and criminology to understand this problem. First, we review literature on raptor shooting globally to explore documented motivations for shooting and we describe the history of raptor shooting in the United States of America (USA). Then, to illustrate the contemporary frequency and geographic breadth of the shooting of raptors, we …

What's Not Natural Phenomena? Let's Consider A Three-Step Innovative Concept Test For Composition Of Matter Claims, Sydney Hancock

IP Theory

Biotechnology innovation is rapidly growing, especially in the realm of biotech. This growth leads to questions about patent subject matter eligibility of natural phenomena. For example, currently the human genome and microbiome are being extensively studied, bacteriophages are being edited, animals are being cloned, and CRISPR is widespread. Additionally, composition of matter patent claims give the most protection to patent holders. Therefore, knowing when a natural phenomenon veers into human innovation is important for courts, lawyers, and innovators in the era of biotechnology and genetic engineering.

Part I discusses the history of Supreme Court cases on natural phenomena subject matter …

Dobbs' Sex Equality Troubles, Marc Spindelman

William & Mary Bill of Rights Journal

This article takes up what Dobbs v. Jackson Women's Health Org. may mean for sex equality rights beyond the abortion setting. It details how Dobbs lays the foundation for rolling back and even eliminating Fourteenth Amendment sex equality protections. The work scales these possibilities against a different dimension of the ruling that’s yet to receive the attention that it merits. An important footnote in Dobbs, Footnote 22, sketches a new history-and-tradition-based approach to unenumerated rights under the Fourteenth Amendment’s Privileges or Immunities Clause. The jurisprudence that this Footnote capacitates could transform the constitutional landscape via new economic and social …

Association Of Prolactin With All-Cause And Cardiovascular Mortality Among Patients With Type 2 Diabetes: A Real-World Study, Yun Shen, Qing Yang, Tingting Hu, Yaxin Wang, Lei Chen, Fei Gao, Wei Zhu, Gang Hu, Jian Zhou, Chunfang Wang, Yuqian Bao

Population and Public Health Science Faculty Publications

Aims The association between prolactin and mortality has been less studied, and findings were inconsistent among different populations. We aimed to investigate the association between serum prolactin (PRL) and mortality among patients with type 2 diabetes. Methods We performed a retrospective cohort study of 10 907 patients with at least 2 prolactin measurements within 2 years since and results their first inpatient diagnosis of type 2 diabetes. Baseline and mean values of serum PRL were used as exposures. A multivariable-adjusted Cox proportional hazards model was used to estimate the association between PRL and mortality. During a mean follow-up of 5.34 …

Rare Variants Found In Multiplex Families With Orofacial Clefts: Does Expanding The Phenotype Make A Difference?, Kimberly K Diaz Perez, Sydney Chung, S Taylor Head, Michael P Epstein, Jacqueline T Hecht, George L Wehby, Seth M Weinberg, Jeffrey C Murray, Mary L Marazita, Elizabeth J Leslie

Faculty, Staff and Student Publications

Exome sequencing (ES) is now a relatively straightforward process to identify causal variants in Mendelian disorders. However, the same is not true for ES in families where the inheritance patterns are less clear, and a complex etiology is suspected. Orofacial clefts (OFCs) are highly heritable birth defects with both Mendelian and complex etiologies. The phenotypic spectrum of OFCs may include overt clefts and several subclinical phenotypes, such as discontinuities in the orbicularis oris muscle (OOM) in the upper lip, velopharyngeal insufficiency (VPI), microform clefts or bifid uvulas. We hypothesize that expanding the OFC phenotype to include these phenotypes can clarify …

Specialized Astrocytes Mediate Glutamatergic Gliotransmission In The Cns, Roberta De Ceglia, Ada Ledonne, David Gregory Litvin, Barbara Lykke Lind, Giovanni Carriero, Emanuele Claudio Latagliata, Erika Bindocci, Maria Amalia Di Castro, Iaroslav Savtchouk, Ilaria Vitali, Anurag Ranjak, Mauro Congiu, Tara Canonica, William Wisden, Kenneth Harris, Manuel Mameli, Nicola Mercuri, Ludovic Telley, Andrea Volterra

Biomedical Sciences Faculty Research and Publications

Multimodal astrocyte–neuron communications govern brain circuitry assembly and function. For example, through rapid glutamate release, astrocytes can control excitability, plasticity and synchronous activity of synaptic networks, while also contributing to their dysregulation in neuropsychiatric conditions. For astrocytes to communicate through fast focal glutamate release, they should possess an apparatus for Ca2+-dependent exocytosis similar to neurons. However, the existence of this mechanism has been questioned owing to inconsistent data and a lack of direct supporting evidence. Here we revisited the astrocyte glutamate exocytosis hypothesis by considering the emerging molecular heterogeneity of astrocytes and using molecular, bioinformatic and imaging approaches, together with …

Suny Cortland Handbook 2023, State University Of New York College At Cortland

SUNY Cortland Handbook

No abstract provided.

Disentangling Sex Differences In Ptsd Risk Factors: A Systematic Overview And Multiple Mediation Analysis The The Aurora Study, Stephanie Haering, Antonia V. Seligowski, Sarah Linnstaedt, Vasiliki Michopoulos, Stacey L. House, Francesca Beaudoin, Xinming An, Thomas C. Neylan, Gari Clifford, Robert A. Swor

Articles

No abstract provided.

Review Essay: Enjoyment And Ideology Surplus-Enjoyment: A Guide For The Non-Perplexed Slavoj Žižek. London: Bloomsbury Academic. 2022. Pp. 400., Edward Sankowski, Betty J. Harris

International Dialogue

Slavoj Žižek’s Surplus-Enjoyment-A Guide for the Non-Perplexed is a difficult book. Reading it requires a different approach from what is usual with what seems to us more standardized philosophical or social scientific prose. Our approach initially at least no doubt assumes as our starting point a deploying of our shared norms, shaped by our backgrounds as U.S. based scholars aiming to advance dialogue with Žižek and some of the wide variety of authors with whom Žižek himself engages.

A Profile Of Freshman Inquiry Students Fall 2023, Rowanna L. Carpenter

University Studies Assessment Research

In order to better understand the students enrolled in Freshman Inquiry (FRINQ) courses and identify areas where they may need support, University Studies (UNST) began collecting and compiling data on these students. This report presents a profile of FRINQ students from Fall 2023. It presents an overview of all students enrolled in FRINQ during Fall 2023 and then summarizes information from the Prior Learning Survey.

Politics By Other Means: The Jurisprudence Of “Common Good Constitutionalism”, Brian Leiter

University of Chicago Law Review

Professor Adrian Vermeule proposes an alternative to what he sees as the two dominant schools of constitutional interpretation in the United States: originalism and what he usually calls “progressivism”¹ (by which he means what others call “living constitutionalism”² ). Against these approaches, he advocates for what Freudians might call a “return of the repressed”³: a recognition of the extent to which the “classical” natural law tradition’s concern with the “common good” has continued to animate our public law—explicitly for much of our history, he says, and implicitly more recently.

On Vermeule’s proposed alternative, courts (and other …

Optimizing Crop Productivity And Fertility Practices In Intermediate Wheatgrass, Roberta Bianchin Rebesquini

Department of Agronomy and Horticulture: Dissertations, Theses, and Student Research

The intensive management associated with many annual crops often includes recurring tillage, fertilization, and pesticide applications, which contribute to environmental concerns such as water pollution and soil erosion. Intermediate wheatgrass (Thinopyrum intermedium), recognized under the trade name Kernza®, is a perennial grass that can be managed to produce grain and biomass while providing desired environmental benefits such as soil conservation and nutrient cycling. There has been limited research on best management practices and crop productivity for this alternative dual-use crop in Nebraska. A field experiment was conducted beginning in 2021 to assess nitrogen (N), phosphorus (P), and potassium …

Vaccine Development, The China Dilemma, And International Regulatory Challenges, Peter K. Yu

Faculty Scholarship

This article examines the role played by China in the development of international regulatory standards at the intersection of intellectual prop- erty, international trade, and public health. It begins by briefly discussing the role China has played in the global health arena during the COVID-19 pandemic. The article then highlights the difficulty in determining how best to engage with the country in the development of new international regula- tory standards. It shows that the preferred method of engagement will likely depend on one’s perspective on China’s potential contributions and hin- drances: a perspective that focuses on global competition—in the economic, …

What Do Law Professors Believe About Law And The Legal Academy?, Eric H. Martinez, Kevin Tobia

Faculty Scholarship

Legal scholarship is replete with debates about competing legal theories: textualism or purposivism; formalism or realism; natural law or positivism; prison reform or abolition; universal or culturally specific human rights? Despite voluminous literature about these debates, great uncertainty remains about which views experts endorse. This Article presents the first dataset of American law professors’ views about legal theory. A study of over six hundred law professors reveals expert consensus and dissensus about dozens of longstanding debates.

Law professors also debate questions about the legal academy. These include descriptive questions: Which subjects (for example, constitutional law) and methods (for example, law …

Ischemia Modified Albumin In Maternal Serum And Cord Blood In Relation To Preeclampsia Severity And Neonatal Outcome, Sarah Sulaiman, Maha Jasim Al-Bayati

Iraqi Postgraduate Medical Journal

BACKGROUND:Preeclampsia is associated with ischemia and increased oxidative stress in the placenta. Ischemia-modified albumin has been widely accepted as a serological biomarker in preeclampsia.OBJECTIVE:To evaluate the relationship between maternal serum and cord blood ischemia modified albumin levels with preeclampsia severity and neonatal outcome.PATIENTS AND METHODS:This study includes 90 pregnant women who were divided into three groups: Group 1 includes 30 pregnant women with severe preeclampsia. Group 2 includes 30 pregnant women with mild preeclampsia. Group 3 includes 30 normotensive pregnant women with uncomplicated pregnancy considered as control group. The three groups were matched for age and gestational age. Maternal blood …

The Validity Of Mri And Mrv In Diagnosis Of Pseudotumor Cerebri, Mahmood Ahmed, Hasan Al-Hamadani, Noor Hummadi

Iraqi Postgraduate Medical Journal

BACKGROUND: Pseudotumor cerebri (PTC) is an entity of uncertain cause recognized by increased intracranial pressure. The diagnosis rely on clinical symptoms, absence of structural, hydrocephalus, , vascular or intracranial mass lesion on imaging, increased cerebrospinal fluid pressure measured by lumbar puncture, and normal CSF composition. MRI (magnetic resonance image) and MRV (magnetic resonance venography) findings have been reported to be associated with Pseudotumor cerebri.OBJECTIVE:To assess the validity of individual magnetic resonance imaging (cross-sectional and venographic) signs associated with PTC and determine whether the gathering of cross sectional magnetic resonance image and magnetic resonance venography findings enhances the PTC diagnostic certainty.PATIENTS …

Evaluation Of Synchronous Metastatic Colonic Cancer Management; Single Center Experience; Short Term Outcome, Yesor Abd-Al Razzaq Albadri, Mohamed Abbass, Aqeel Mahmood

Iraqi Postgraduate Medical Journal

BACKGROUND:Colorectal cancer is the fourth most frequently diagnosed cancer after lung, breast and prostate cancer, and the second leading cause of cancer death after lung cancer globally. Sometimes, distant metastases can cause the initial clinical symptoms. Synchronous metastatic colon cancer define as initially presented metastatic disease.OBJECTIVE:To evaluate the clinical presentations of patients with synchronous metastatic colon cancer, the outcome of current chemotherapy protocols used and their toxicity in our center for those  patients , and to correlate the different clinical and pathological parameters in patients with this disease .  PATIENTS AND METHODS:This is a hospital based prospective study would hold …

Cancer Of Unknown Primary Origin: Incidence Trend And Athological Features, Iraq, 2005-2019, Ola Shaker, Faris Lami, Nada Alwan

Iraqi Postgraduate Medical Journal

BACKGROUND:Cancer of unknown primary origin is an obscure group of diagnoses in which the primary anatomical site of tumor origin is not specified.OBJECTIVE: This study aimed to determine the trend of cancer of unknown primary origin in Iraq in the period from 2005 to 2019 at the national and governorate level and its pathological characteristics.METHODS:The data was compiled from the cancer registry of Iraq for the period 2005-2019 and from Al Amal Cancer Hospital for the period 2010-2019. Data included information on gender, age, geographical distribution, site of metastasis, and histology types.RESULTS:A total of 9,593 cases of CUP were registered …

Dynamic Contrast Enhanced Magnetic Resonance Imaging In Pathological Nipple Discharge, Balsam Balasim, Sahar Ahmed

Iraqi Postgraduate Medical Journal

BACKGROUND: Generally, nipple discharge represents a benign etiology. In the case where the discharge is unilateral, uniductal, spontaneous, persistent, serous or bloody, and in the case where it occurs in conjunction with a mass, the risk of malignancy is increased. Ductal ectasia and papilloma are the most common causes of pathological nipple discharges. Malignancy is a possibility, most often ductal carcinoma in situ.OBJECTIVE: To determine the value regarding dynamic contrast improved magnetic resonance imaging (MRI) in diagnosing suspicious nipple discharge.METHOD AND PATIENTS:Dynamic contrast MRI was used to assess 35 patients who have pathological nipple discharges.                    The features of MRI have …

Underwater Image Translation Via Multi-Scale Generative Adversarial Network, Dongmei Yang, Tianzi Zhang, Boquan Li, Menghao Li, Weijing Chen, Xiaoqing Li, Xingmei Wang

Research Collection School Of Computing and Information Systems

The role that underwater image translation plays assists in generating rare images for marine applications. However, such translation tasks are still challenging due to data lacking, insufficient feature extraction ability, and the loss of content details. To address these issues, we propose a novel multi-scale image translation model based on style-independent discriminators and attention modules (SID-AM-MSITM), which learns the mapping relationship between two unpaired images for translation. We introduce Convolution Block Attention Modules (CBAM) to the generators and discriminators of SID-AM-MSITM to improve its feature extraction ability. Moreover, we construct style-independent discriminators that enable the discriminant results of SID-AM-MSITM to …

The Himalayan Uplift And Evolution Of Aquatic Biodiversity Across Asia: Snowtrout (Cyprininae: Schizothorax) As A Test Case, Binod Regmi, Marlis R. Douglas, Karma Wangchuk, Zachery D. Zbinden, David R. Edds, Singye Tshering, Michael E. Douglas

Biological Sciences Faculty Publications and Presentations

Global biodiversity hotspots are often remote, tectonically active areas undergoing climatic fluctuations, such as the Himalaya Mountains and neighboring Qinghai-Tibetan Plateau (QTP). They provide biogeographic templates upon which endemic biodiversity can be mapped to infer diversification scenarios. Yet, this process can be somewhat opaque for the Himalaya, given substantial data gaps separating eastern and western regions. To help clarify, we evaluated phylogeographic and phylogenetic hypotheses for a widespread fish (Snowtrout: Cyprininae; Schizothorax) by sequencing 1,140 base pair of mtDNA cytochrome-b (cytb) from Central Himalaya samples (Nepal: N = 53; Bhutan: N = 19), augmented with 68 GenBank …

Predicting Stringent Quantiferon-Tb Gold Plus Conversions In Contacts Of Tuberculosis Patients, Sheng-Wei Pan, Donald G. Catanzaro, Marva Seifert, Rehan Syed, Naomi Hillery, Mei-Lin Ho, Valeriu Crudu, Elena Tudor, Nelly Ciobanu, Alexandru Codreanu, Antonino Catanzaro, Timonthy C. Rodwell

Biological Sciences Faculty Publications and Presentations

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Methods

Results

Striving To Increase Bipoc Family Participation In Early Childhood Family Education, Ayuko Boomer

School of Education and Leadership Student Capstone Theses and Dissertations

Boomer, A. U. (2023). Striving to Increase BIPOC Family Participation in Early Childhood Family Education. Early Childhood Family Education (ECFE) is a public education program designed and available for all parents and families in Minnesota. Despite these intentions, many Black, Indigenous, and People of Color (BIPOC) families remain unaware of ECFE's existence and its significance. The purpose of this study is to understand the current methodologies of parent education outreach and collaboration with other programs, in particular, BIPOC communities, and explore and process what efforts have been made to increase BIPOC participation in traditional ECFE parent education group classes (non-affinity …

Career Influences Of Environmental Education Field Experiences, Lacey Day

School of Education and Leadership Student Capstone Theses and Dissertations

As an environmental educator who got her start exploring the various flora and fauna around me, it has always interested me to know whether the same experiences that got me to where I am today have also influenced others to pursue similar careers. This study, because of that initial interest, set out to determine How do environmental education field experiences influence college major and/or career choice in high school students? Through a 21 question, cross-sectional survey, high school students in Allegany County Public Schools were asked a series of questions pertaining to their environmental educational field experiences, their values and …

Firearm Contagion: A New Look At History, Rachel Martin, Michael R. Ulrich

Fordham Urban Law Journal

No abstract provided.