Digital Commons Network^™

Intraoperative Hypotension Management For Microvascular Reconstruction Surgery Using Free Tissue Transfer: An Integrative Review, Lyndsie Lafleur

Group: Bryan College of Health Sciences Doctor of Nurse Anesthesia Practice (DNAP) Collection

Introduction: Anesthetic management for free flap surgery contributes to flap survival, as hypotension is an independent predictor of flap loss. The optimal blood pressure range is unknown and there are no standardized guidelines available in this area. The aim of this integrative review was to provide evidence-based recommendations for hypotension management during microvascular free flap reconstruction surgery. Methods: Articles evaluating anesthetic related predictors of flap survival were critically appraised for validity, reliability, and rigor of study. Results: Current practice favors the use of fluids over vasopressors, supported by animal studies and anecdotal evidence. Clinical data demonstrated vasopressor use does not …

Ondansetron Administration Prior To Subarachnoid Block In Cesarean Section: An Evidence Based Practice Analysis, Jeremy Bustamante

Group: Bryan College of Health Sciences Doctor of Nurse Anesthesia Practice (DNAP) Collection

Subarachnoid block (SAB) is a preferred regional technique utilized by many institutions for caesarean section. A sensory block height of T5 is necessary for a successful caesarean under SAB. Unfortunately, side effects often emerge related to the physiological changes as a result of sympathetic nervous system inhibition. Current research suggests up to 55%-90% of parturients experience extended block height resulting in hypotension and bradycardia.There is a reduction in cardiac output due to a decrease in systemic vascular resistance and venous pooling. Similarly, the shift of cardiac autonomic balance toward parasympathetic stimulation causes bradycardia and activation of left ventricular mechanoreceptors due …

Prioritizing Wellness In A Multi-Site New Graduate Nurse Residency Program, Andrea Wilkins Howard, Kristie Richardson, Abby Jones, Julianne Rella, Amalia Acevedo-Sanic, Klaria Turnbull, Halea Caudill, James C. Gay, Sophia Bannis, Jennifer Fruitticher, Amy Ross, Belinda Chambers, Stephanie Robinson, Catherine Palmer

Group: American Nurses Credentialing Center (ANCC)

New Graduate Registered Nurse (NGRN) burn-out is an increasing, but not well studied phenomena (Xie et al., 2021). Purpose: The purpose of the study is to determine if prioritizing wellness in a newly built, multi-site,12-month, nurse residency program will increase retention and decrease early NGRN burn-out. Relevance: Nurse wellbeing is imperative to address. The pandemic has shown addressing mental health in all workplaces is necessary, but in healthcare this is especially true. NGRN do not have the tools to properly care for themselves and need ongoing, evolving and varied strategies to be effective. Strategy: The site is a fifteen-hospital healthcare …

Animal-Assisted Therapy And Mental Health, Brianna Butler, Cade Cameron, Elizabeth Talley

Group: Blessing-Rieman College of Nursing and Health Sciences

In oncology patients, how does animal-assisted therapy affect their mental health compared to no animal intervention, in conjuction with other treatments?

Animal-Assisted Therapy In Health-Care Facilities, Jenna Disseler, Haley Milazzo, Abbey Moore

Group: Blessing-Rieman College of Nursing and Health Sciences

How does the use of animal-assisted therapy compared to the lack of animal-assisted therapy affect the psychological well being of all patients?

Pediatric Benefits Of Animal Assisted Therapy, Megan Boschert, Andrew Hardy, Cameron Morford

Group: Blessing-Rieman College of Nursing and Health Sciences

For pediatric patients, animal assisted therapy (AAT) may be a more effective method to improve overall wellbeing, including stress, fear, and anxiety, than standard or pharmaceutical methods.

Impact Of Animal Facilitated Therapy On Inpatient Outcomes, Hannah Arras, Gretchen Biessman, Kaitlin Hubbert

Group: Blessing-Rieman College of Nursing and Health Sciences

The use of Animal Facilitated Therapy (AFT) in an inpatient setting improves overall patient outcomes.

P- Inpatient stress, Anxiety, Rehabilitation

I- Animal Facilitated Therapy

C- The use of Animal Facilitated Therapy compared to not using Animal Facilitated Therapy

O- Positive patient outcomes with the use of Animal Facilitated Therapy

Embarking In Animal Activities, Haley Milazzo, Jenna Disseler, Abbey Moore, Kendra Todd

Group: Blessing-Rieman College of Nursing and Health Sciences

Reimplement the use of Animal Assisted Activities (AAA) at Blessing Hospital (BH) and raise awareness.

Forest Bathing As A Self-Care Modality For Nurses, Nancyruth Leibold

General Submissions: Clinical Settings Materials

The self-care practice of forest bathing for nurses is the focus of this article. Self-care is the use of actions to promote one's well-being and is an essential aspect of being a nurse. The Japanese form of shinrin yoku is not a perfect translation to English as forest bathing. Forest bathing means walking or being in the woods. Included in this article is the self-care practice of forest bathing, evidence, and safety tips. Forest bathing is a healthy self-care activity. Health benefits based on evidence include an increase in killer T lymphocyte cells, lower cortisol levels, reduced blood pressure, lower …

Culturally Competent Care At The End Of Life- A Hindu Perspective, Sujatha Shanmugasundaram, Margaret O'Connor, Ken Sellick

General Submissions: Clinical Settings Materials

Knowledge of particular cultural requirements is especially important in times of transition such as at the end of life, where issues of death and dying require great sensitivity to cultural and religious differences. Healthcare professionals need to understand different cultures and deliver care accordingly. This article explores the cultural aspects of end of life care among Hindus who live in places other than India and is based on a study of Hindus in Australia. The purpose of this study was to investigate the experience of families of terminally ill Indian patients. This article will explore aspects of the Hindu faith …

A Qualitative Exploration Of Spiritual Practices Of Simplicity Among Emerging Adults, Falon Opsahl Barton

Discernment: Theology and the Practice of Ministry

This article explores how emerging adults (18 to 29‐year‐olds) integrate pro‐environmental behaviors and spiritual practices of simplicity. First, this article synthesizes the research on emerging adulthood, including what it is, how they experience and express their spirituality, and their emotional and practical behaviors in response to the climate crisis. Then, this article explores how a small sample of Western Protestant emerging adults practice pro‐environmental simplicity in their daily lives. As a result of integrating spiritual practices that focus on simplicity and pro‐environmental behaviors into their spiritual expressions, emerging adults experience profound spiritual formation and a meaningful way of participating in …

The Culturally Informed-Social Justice School Counselor Supervision Model, Mariama C. Sandifer, Malti Tuttle, Melissa Mecadon-Mann, Katrina D. Wilson

Teaching and Supervision in Counseling

School counselors cultivate spaces of equity and inclusion for all students however, many school counselors lack preparedness to fulfill these responsibilities. During training programs, school counseling graduate students are provided practical opportunities to develop skills to examine school policies and practices. However, site supervisors are not always adequately prepared or trained regarding the theory and practice of supervision to facilitate fieldwork experiences. Program faculty are called to provide support for site supervisors to strengthen their ability to fulfill this role. The authors discuss and outline their designed comprehensive culturally informed, social justice-oriented supervision model for school counselor site supervision and …

Beyond The Standards: A Qualitative Analysis Of Perfectionism Among Master’S-Level Counseling Students, Sara E. Ellison, Jessica M. Tyler, Malti Tuttle

Teaching and Supervision in Counseling

This study investigates how perfectionism in counselor training impacts the relationships between students and clients/supervisors and contributes to imposter syndrome, burnout, and social disconnection. Using a transcendental phenomenological approach, we explored the experiences of perfectionism among 13 master’s counseling students during their graduate training. Four key themes emerged from the data analysis: (a) striving for enoughness, (b) masking inadequacy, (c) embracing vulnerability, and (d) connecting with authenticity. The implications of these findings for graduate training programs are discussed, emphasizing the specific needs of students grappling with perfectionism.

A Target Model For Social Justice Supervision, Sara E. Ellison, Paul Tierney, Margaret Taylor

Teaching and Supervision in Counseling

Addressing social justice in supervision is essential to dismantling systemic oppression and infusing social justice practices into the profession of counseling. Despite the importance of social justice to the training and development of novice counselors, few models exist in the professional literature to guide supervisors wishing to integrate these essential competencies. This article proposes a simple, structured Target Model for Social Justice Supervision utilizing the roles of Bernard’s Discrimination Model to focus on self-awareness, client and supervisee worldview, the counseling and supervision relationship, social justice interventions, and evaluation procedures. Specific goals, strategies, interventions, and the application of the model are …

The Crime Of Luring A Minor For Contact Sexual Abuse: Exploration Of Demographic Patterns & Criminal Records Of Convicted Offenders., Bridget Diamond-Welch, Anna E. Kosloski, Christopher P. Carey, Molly Mcdade

Criminology and Criminal Justice Faculty Publications and Presentations

Background

Child sexual abuse (CSA) is a significant public health problem, with a small but important subset of crimes committed by strangers, often facilitated through luring. Understanding the characteristics of individuals who engage in luring is essential for developing effective prevention and intervention strategies.

Objective

This study aimed to analyze the demographic characteristics and criminal histories of individuals convicted of luring a minor and to examine the types of crimes committed before and after conviction.

Participants and setting

The study included all individuals (N = 115) convicted of “luring a minor” between 2011 and 2021 in one county in …

The Utah Statesman, October 28, 2024, Utah State University

The Utah Statesman

Weekly student newspaper of Utah State University in Logan.

Rotunda - Vol 104, No 3 - Oct 28, 2024, Longwood University

Rotunda

No abstract provided.

Sustaining Life On Earth: An Arts-Based Research Exploration Of Collective Lived Experiences Of Covid-19, Nancy Gerber, Karin Hannes, Marco Gemignani, Jacelyn Biondo, Richard Siegesmund, Lucia Carriera, Elisabetta Biff, Madeline Centracchio, Mandy Archibald, Gioia Chilton, Janet L. Kuhnke, Angela Dawson, Jorge Lucero, Nicky Haire, Sara Scott Shields

College of Health Professions Faculty Papers

This article presents the philosophy, innovative methods, and final aesthetic synthesis of a collaborative arts-based research project about the lived experience of COVID-19. The project was initiated in 2020 and completed in 2022. Nineteen international arts-based research scholars participated as co-researchers, submitting their arts-based and narrative responses to the project. The six-member core research team guiding the project collected and organized the submissions while simultaneously entering into immersive, iterative, dynamic, arts-based data generation, dialogic analytic and syntheses processes with co-researchers, and each other. Materials-discursive analytic processes, arts-based responses, sensorial coding, intersubjective dialogues, and arts-based assemblages conducted iteratively throughout the project. …

Amphiphilic Shuttle Peptide Delivers Base Editor Ribonucleoprotein To Correct The Cftr R553x Mutation In Well-Differentiated Airway Epithelial Cells., Katarina Kulhankova, Anna X Cheng, Soumba Traore, Maud Auger, Mia Pelletier, Maxime Hervault, Kevin D Wells, Jonathan A Green, Addison Byrne, Benjamin Nelson, Mariana Sponchiado, Chandra Boosani, Caleb S Heffner, Kathy J. Snow, Stephen A Murray, Raul A Villacreses, Michael V Rector, Nicholas D Gansemer, David A Stoltz, Chantal Allamargot, Frédéric Couture, Colin Hemez, Stéphanie Hallée, Xavier Barbeau, Mario Harvey, Coraline Lauvaux, Bruno Gaillet, Gregory A Newby, David R Liu, Paul B Mccray, David Guay

Faculty Research 2024

Base editing could correct nonsense mutations that cause cystic fibrosis (CF), but clinical development is limited by the lack of delivery methods that efficiently breach the barriers presented by airway epithelia. Here, we present a novel amphiphilic shuttle peptide based on the previously reported S10 peptide that substantially improved base editor ribonucleoprotein (RNP) delivery. Studies of the S10 secondary structure revealed that the alpha-helix formed by the endosomal leakage domain (ELD), but not the cell penetrating peptide (CPP), was functionally important for delivery. By isolating and extending the ELD, we created a novel shuttle peptide, termed S237. While S237 achieved …

Intouch Week Of October 28, 2024, New York Medical College

InTouch

• Medical Students Run for Charity at the 2024 TCS New York City Marathon
• NYMC Goes Pink for Breast Cancer Awareness Month
• Furry Friends Bring Comfort to the College
• Faculty Spotlight: From Pupil to Professor: Alumni Lighting the Way at NYMC
• Student Spotlight: AMA Foundation Physicians of Tomorrow Scholarship Recipient

Lanthorn, Vol. 59, No. 06, October 28, 2024, Grand Valley State University

Volume 59, August 5, 2024 – April 14, 2025

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

Hungry Beautiful Animals: A Pre-Release Reading Workshop With Professor Matt Halteman, Matthew C. Halteman, Ian Tjoelker, Ella Vanden Berg

University Faculty Publications and Creative Works

Student leaders Ian Tjoelker and Ella Vanden Berg invited me to do a two session workshop on several chapters of Hungry Beautiful Animals in the Calvin University Student Philosophy Symposium.

Hungry Beautiful Animals frames Halteman’s idea as an opportunity rather than an obligation. “Going vegan” is an incremental journey rather than an identity earned by perfection. This is why Halteman focuses on the distinction between veganism, which implies a perfectionistic state, and “going vegan,” which is aspirational, and something to continually strive towards.

Targeting Trem2 Signaling Shows Limited Impact On Cerebrovascular Calcification, Sucheta Sridhar, Yingyue Zhou, Adiljan Ibrahim, Sergio Bertazzo, Tania Wyss, Amanda Swain, Upasana Maheshwari, Sheng-Fu Huang, Marco Colonna, Annika Keller

2020-Current year OA Pubs

Brain calcification, the ectopic mineral deposits of calcium phosphate, is a frequent radiological finding and a diagnostic criterion for primary familial brain calcification. We previously showed that microglia curtail the growth of small vessel calcification via the triggering receptor expressed in myeloid 2 (TREM2) in the

Volume 47-2 Complete Issue, Steven M. Schnell

The Geographical Bulletin

Volume 47-2 Complete Issue

Adapting To Drought And Floods In The Semi-Arid Landscape Of Santa Cruz County, Arizona, Cynthia L. Sorrensen

The Geographical Bulletin

This paper analyzes the actions of key interest groups and major institutional regulatory agreements that influence land use change and water demand in Santa Cruz County, Arizona, in order to better understand the capacity of residents in the county to adapt to hydroclimatic hazards (drought and flooding). We found that there are strong special interest groups working in the region to ensure their own livelihoods and interests. At times, the actions of these groups enhance the adaptive capacity of the county, but their actions can also conflict with each other, producing a less-clear outcome for adaptation. We also note that …

Water Woes: Structure And Agency Influences On Adaptive Capacity In Southwest Kansas, Rorik Ford Peterson

The Geographical Bulletin

Concerns over the continual reduction of available groundwater in southwest Kansas have been increasing. This concern is compounded by the high dependence on irrigated agriculture and the related agribusiness industry, which is a staple to the regional economy and employs a large labor force. Future climate variation may enhance the sensitivity of the region to limited water availability. Through archival research and interviews, this study examines the impact of both structural forces (such as policy makers and legal bodies) and individual agents (local farmers, ranchers, and other citizens) on the capacity of southwest Kansas to adapt to climate variation. Although …

Assessing The Impact Of Ai Assisted Software Development And User Experience Of A College Football Simulation Game: A Study Of Player And Industry Professional Perspectives, Augustus J. Scarlato Iii

USF Tampa Graduate Theses and Dissertations

This research examines the use of Artificial Intelligence (AI) in the design of video games, specifically the development of a college football simulation game. This study documents the creation of an alpha version college simulation game assisted by Open AI’s Chat GPT 4.0 API, to potentially improve game development, gameplay realism, and user interaction. The study then assesses how both student players and industry professionals perceive AI-enhanced gaming, emphasizing the usability, gameplay experience, and overall quality of the game using a Likert scale survey. The analysis also highlights differences in perceptions between students and industry professionals, with the latter group …

Volume 47-1 Complete Issue, Steven M. Schnell

The Geographical Bulletin

Volume 47-1 Complete Issue

Ideologies Of Land And Place: Gĩkũyũ And Settler Colonist Women In Kenya, Heidi G. Frontani, Rachel Rebecca Hewitt

The Geographical Bulletin

Gĩkũyũ and settler colonist women’s life histories were analyzed using textual analysis of first-person accounts to understand the ideologies behind women’s perceptions of land, place, and human-environment relationships, and to fill a gap in the literature on women in central Kenya. Earlier studies have focused on social relations between Gĩkũyũ and colonists, social issues affecting these groups, or land as an important, but nongendered construct. Our major finding was that the women’s understandings of humanenvironment relations and place reflected gender awareness, but overall were consistent with the dominant ideologies of men from their cultural background and time. Settler colonists took …

Y-27632 Targeting Rock1&2 Modulates Cell Growth, Fibrosis And Epithelial-Mesenchymal Transition In Hyperplastic Prostate By Inhibiting Β-Catenin Pathway., Shidong Shan, Min Su, Hejin Wang, Feng Guo, Yan Li, Yongying Zhou, Huan Liu, Lu Du, Junchao Zhang, Jizhang Qiu, Michael E. Disanto, Yuming Guo, Xinhua Zhang

Cooper Medical School of Rowan University Departmental Research

Benign prostatic hyperplasia (BPH) is a prevalent condition affecting the male urinary system, with its molecular mechanisms of pathogenesis remaining unclear. Y-27632, a non-isoform-selective Rho kinase inhibitor, has shown therapeutic potential in various diseases but its effects on static factors and fibrosis in BPH remain unexplored. This study investigated human prostate tissues, human prostate cell lines, and BPH rat model using immunofluorescence, flow cytometry, quantitative reverse transcription polymerase chain reaction, western blotting, and cell counting kit-8. ROCK1 and ROCK2 were significantly up-regulated in BPH tissues, correlating with clinical parameters. Y-27632 targeted the inhibition of ROCK1 & ROCK2 expression and inhibited …