Digital Commons Network^™

Implementation Of Trauma Service Guideline For The Use Of Phenobarbital In The Management Of The Non-Icu Trauma Patient At Risk Or Experiencing Severe Alcohol Withdrawal, Joseph Rappold, Julianne Ontengco, Stephen Tyzik, Suneela Nayak, Ruth Hanselman, Amy Sparks

Operations Transformation

The trauma service in a large academic tertiary medical center admits a large proportion of patients with the secondary diagnosis of alcohol use disorder. Given the successful use of phenobarbital in the critical care unit for withdrawal prophylaxis and treatment of acute withdrawal, a quality improvement project was established to create and implement guidelines for the non ICU patient.

A root cause analysis demonstrated several issues to include inconsistent clinical decision documentation. As a result, several countermeasures were initiated to address the various issues.

Post implementation of countermeasures, a decrease in the amount of severe alcohol withdrawal as well as …

Politics On The Periphery: Oscar Ewing And A Special Relationship With Israel, Sarah Weaver

The Journal of Purdue Undergraduate Research

This essay explores the role of Oscar Ewing, an Indiana native and a graduate of Indiana University (IU), in the story of the U.S. relationship with Israel, forming even prior to Israeli statehood in 1948. The essay will show that Oscar Ewing strategically utilized his political influence and role as U.S. federal security administrator—not diplomat or member of the State Department—to impact U.S. policy toward Israel. Although Ewing is a relatively unknown name in the history of the Truman administration and Israel, his influence and contribution to the early development of the well-known special relationship between the United States and …

Volume I | Issue Ii | 2019.Pdf, Dujpew Editorial Board

Dartmouth Undergraduate Journal of Politics, Economics and World Affairs

No abstract provided.

Celebrating Knowledge And Success With An Nclex Challenge Event, Carol B. Murch

General Submissions: Presentations (Oral and Poster)

This project was the combining of 60+ years of experience as Nurse Educators and a community of nursing students who were preparing to take the National Council Licensure Examination for Registered Nurses (NCLEX-RN). To increase the student's knowledge and critical thinking skills necessary to successfully pass the exam, members of a state nursing chapter created, planned and offered an NCLEX Challenge Event.

A Culture Of Aggression: School Culture And The Normalization Of Aggression In Two Elementary Schools, Brent D. Harger

Sociology Faculty Publications

Since the late 1990s, increased public and academic attention has been focused on topics related to bullying and peer aggression in schools, yet these behaviors have proven difficult for schools to address. Using data from an ethnographic study of two rural elementary schools in the Midwestern United States, I make both methodological and theoretical contributions to the literature on this topic. Methodologically, I show that examining ‘minor’ aggressive behaviors in schools reveals the way that more serious issues are also normalized. Theoretically, I show that students and adults actively construct shared understandings in these schools regarding the normalization of aggression, …

Education, Behaviour And Exclusion: The Experience And Impact Of Short School Days On Children With Disabilities And Their Families In The Republic Of Ireland, Deborah Brennan, Harry Browne

Reports

This report is about the educational experiences of children with disabilities and their families in the Republic of Ireland. The research was carried out by Technological University Dublin and Inclusion Ireland. The research involved an on-line survey and interviews. 393 parents of school-aged children from all over Ireland answered the survey.

Substance Abuse Among College Students In The United States, Sam Lofgran

Ballard Brief

College students are one of the largest groups of substance abusers in the United States. Many turn to substances to deal with mental illness and academic stress, particularly using study drugs to help with their academics. Students are exposed to drugs because of party culture and Greek life, where substance abuse is much more common. Substance abuse impacts many of these students' education, leading them to get lower grades and struggle academically. It also results in more emergency room visits due to substance abuse and addictions. Long-term drug abuse often leads to long-term health problems as well. Universities and outside …

Greater New Haven Community Index 2019, Mark Abraham, Camille Seaberry

Reports

No abstract provided.

Girls' Access To Education In Ghana, Harper Forsgren, Asia Haslam, Shelby Hunt, Nathan Heim, Andrew Wirkus

Ballard Brief

Lack of access to education negatively impacts a person's development in a number of ways and leads to fewer opportunities and increased risks for the individual. Females are disproportionately affected by the lack of gender equality in Ghana's educational system. This inequality comes as a result of practices such as child marriage, child labor, inadequate training of teachers. the inability to accommodate for girls' menstruation cycles at school, and hidden costs of sending children to school. All of these factors are confounded by social norms that tend to see female education as less valuable and thus more disposable than male …

Homelessness In The United States, Cassie Hall

Ballard Brief

Homelessness is an issue for individuals all across the country who lack stable housing and the finances for other necessities like water. food and safety. Homelessness occurs for several reasons. including poverty, mental illness. and substance abuse. Many negative outcomes have been reported as a result of homelessness. including negative impacts on physical health, worsening of mental illness. worsening of substance abuse. and negative outcomes for children and youth. Several practices have been implemented to avoid such outcomes including emergency shelters. food kitchens. transitional housing, and Housing First approaches. Practices in Housing First have the greatest impact to report.

Usage Of Electronic Cigarettes Among Youth In The United States, Cade Hyde

Ballard Brief

Electronic cigarette usage among youth in the United States has been rising at an increasingly large rate in recent years. Usage rates of electronic cigarettes (hereafter referred to as e-cigarettes) doubled among high school students in a 4 year span from 2013 to 2017. The year following, the percentage of high school students using e-cigarettes doubled again: in 2018, 20.8% of high school students reported using e-cigarettes. as compared to 11.7% in 2017. As reported by the Centers for Disease Control and Prevention (CDC), currently 1 in 5 high school students consistently use e-cigarettes. making them the most-used type of …

Education As The Great Equalizer? Racial And Ethnic Differences In The Effect Of Education On Cognitive Impairment In Later Life, Kyler J. Sherman-Wilkins, Amy D. Thierry

College of Humanities and Public Affairs

Though evidence suggests that the prevalence of cognitive impairment has declined, there still exists a disproportionate burden of ill cognitive health for people of color. In this paper, we test two alternative mechanisms to explain the interactive effect of education and race/ethnicity on cognitive impairment risk: the minority poverty and diminishing returns hypotheses. Drawing on data from the 2012 wave of the Health and Retirement Study (HRS) (n = 8093), we estimate logistic regression models to determine differential effects of education on cognitive impairment. We find that non-Hispanic black and Mexican American older adults have higher odds of being cognitively …

An Examination Of The Structural Validity Of The Maslach Burnout Inventory-Student Survey (Mbi-Ss) Using The Rasch Measurement Model, José Manuel Pérez-Mármol, Ted Brown

Health Professions Education

Background: Health professional students often experience stress and potential burnout when completing their entry-to-practice education. Therefore, having valid scales such as the Maslach Burnout Inventory-Student Survey (MBI-SS) to detect and monitor burnout amongst health professional students is paramount. Purpose: This study investigated the structural validity of the three individual Maslach Burnout Inventory-Student Survey (MBI-SS) subscales. In particular, the dimensionality, scalability, differential item functioning (DIF) based on gender, rating scale structure, and reliability of the three MBI-SS were examined. Method: A sample of 225 Australian occupational therapy undergraduate students completed it. The Rasch Measurement Model (RMM) was used to analyse the …

Kids Count The State Of The Child In Tennessee 2018 Policy And Issue Guide, Tennessee. Commission On Children & Youth.

The State of the Child in Tennessee

No abstract provided.

Minority Students In Stem Careers In The U.S. – The Role Of Ap Calculus, Kendall Coleman

Dissertations

“The number of native-born S&E [science and engineering] graduates entering the workforce is likely to decline unless the nation intervenes to improve success in educating S&E students from all demographic groups, especially those that have been underrepresented in S&E careers” (National Science Board [NSB], 2003, p. 13). More than a decade ago, the National Science Board (NSB) sounded an alarm regarding the projected decline in native-born science and engineering graduates with the aim of driving strategic fundamental changes. There is limited evidence that the NSB’s prognostication is actively being addressed. Approximately 81% percent of all full-time graduate students in U.S. …

Creation And Implementation Of A Pediatric Advanced Practice Nurse Critical Care Fellowship Program, Bonnie Stojadinovic, Christine A. Schindler, Margaret Faut Callahan, Maureen O'Brien, Tom B. Rice, Theresa Mikhailov

College of Nursing Faculty Research and Publications

Advanced practice registered nurses (APRNs) who begin their careers in the pediatric intensive care unit (PICU) may be challenged in this practice environment. Inadequate prior experience as a staff nurse, limited opportunities for clinical placements in the PICU during graduate education, and being in a fast-paced, high-acuity practice environment without prior exposure to critically ill children are practice challenges in the PICU setting. The goal of postgraduate education training programs (fellowship programs) for the acute care pediatric nurse practitioner (ACPNP) is to prepare students to become beginner practitioners who can function effectively in the acute care setting within a few …

Integration Of Suboptimal Health Status Evaluation As A Criterion For Prediction Of Preeclampsia Is Strongly Recommended For Healthcare Management In Pregnancy: A Prospective Cohort Study In A Ghanaian Population, Enoch Odame Anto, Peter Roberts, David Coall, Cornelius Archer Turpin, Eric Adua, Youxin Wang, Wei Wang

Research outputs 2014 to 2021

Background: Normotensive pregnancy may develop into preeclampsia (PE) and other adverse pregnancy complications (APCs), for which the causes are still unknown. Suboptimal health status (SHS), a physical state between health and disease, might contribute to the development and progression of PE. By integration of a routine health measure in this Ghanaian Suboptimal Health Cohort Study, we explored the usefulness of a 25-question item SHS questionnaire (SHSQ-25) for early screening and prediction of normotensive pregnant women (NTN-PW) likely to develop PE. Methods: We assessed the overall health status among a cohort of 593 NTN-PW at baseline (10–20 weeks gestation) and followed …

Sepsis Education Utilizing ‘Sepsis Alert’ Checklist To Support The Adherence Of Early Management Bundle In The Emergency Department, Jean Jun

Doctoral Dissertations and Projects

Early recognition and timely management of sepsis is a priority within hospitals due to its direct impact on patients’ outcomes. It is critical for healthcare providers to be educated and aware of the signs and symptoms of sepsis. The emergency department (ED) is the forefront of the hospital where majority of patients with sepsis are assessed and either discharged or admitted into the hospital. Therefore, it is critical for ED nurses to be educated in the early signs of sepsis and follow evidence-based practice guidelines when managing these patients. The project leader implemented a sepsis education intervention aimed at clinical …

A Sikh Boy’S Exclusion In Australian School: A Phenomenological Study Of Parent’S Response, Kanwarjeet Singh, Jane Southcott

The Qualitative Report

Diasporic relocation and resettlement ideally generate new experiences for diasporic communities and their host societies. At times, host societies (in general) and education (in concomitance) could remain impervious towards the unique cultural practices of diasporic communities, fostering a cultural gap. Such gaps may result in conflicts that impact social engagement, including education, posing cultural and educational challenges for diasporic people. Towards realisation of social justice and whilst balancing diversity, contemporary multi-cultural Australian society and educational institutions may cultivate the enactment of exclusion for students with unique diasporic cultural backgrounds. Hence, the search for equity within Australian education may remain elusive. …

Curricula For Empathy And Compassion Training In Medical Education: A Systematic Review., Sundip Patel, Alexis Pelletier-Bui, Stephanie Smith, Michael Roberts, Hope Kilgannon, Stephen Trzeciak, Brian W Roberts

College of Science & Mathematics Departmental Research

BACKGROUND: Empathy and compassion are vital components of health care quality; however, physicians frequently miss opportunities for empathy and compassion in patient care. Despite evidence that empathy and compassion training can be effective, the specific behaviors that should be taught remain unclear. We synthesized the biomedical literature on empathy and compassion training in medical education to find the specific curricula components (skills and behaviors) demonstrated to be effective.

METHODS: We searched CENTRAL, MEDLINE, EMBASE, and CINAHL using a previously published comprehensive search strategy. We screened reference lists of the articles meeting inclusion criteria to identify additional studies for potential inclusion. …

Full Stem Ahead, Shawn Knowlton, Megan Elbel

Honors Program: Expanded Learning Clubs

After school club that introduces students to STEM and builds problem-solving skills through hands-on, interactive activities.

Examining Information Considered In Texas School Board Superintendent Evaluations: A Modified Replication Study, Audrey Young

Electronic Theses and Dissertations

The purpose of this study was to identify the information, through a modified replicated study, that Texas public school board trustees utilize as part of their evaluation of the district superintendent. This modified replicated study used a survey with ranking and multiple choice. The survey in this study was developed by Dr. Phil Gore for Washington school board members and modified by the researcher for Texas. A convenience sample of 168 school board trustees across the state of Texas was invited to participate in the study

The findings in this study identified the various elements from which schoolboards derive information …

Stem Opportunities - High School 2019, Huey-Xian Kelly Wong, Madeleine Rauhauser, Annie Morgan Nelson

Honors Program: Expanded Learning Clubs

This publication details the lesson plan for the “Opportunities in STEM” club for the summer of 2019. This club began out of a desire to educate high school students about the opportunities and careers available in the science, technology, engineering, and mathematics fields. Often, students feel that the prospect of entering a STEM field is daunting and out of their grasp. What it means to be a scientist is often unclear, and students never consider opportunities out of the fear of the unknown, particularly when science is associated with complexity and difficulty. This lesson plan integrates experiments with a wealth …

On The Margins Of Friendship: Aggression In An Elementary School Peer Group, Brent D. Harger

Sociology Faculty Publications

This article uses qualitative data from a larger study of two elementary schools in a rural city of about 15,000 people in the Midwestern United States. Here, I focus on a single peer group and those who are on its margins to provide insight into the intersection of friendship, aggression, and masculinity. In doing so, I address the lack of research examining how aggression functions within peer groups and why those who are victimized choose to remain in these groups.

Philosophy And Actions For Authentic, Meaningful, And Lifelong Learning, Anthony Klever

Master of Arts in English Plan II Graduate Projects

This portfolio explores several major areas of education related to English teaching. A major research essay, “Incomplete Instructions: Building the Future of Technical Writing in Ohio Education”, explores the current situation and prospective future of technical writing in the state of Ohio’s education system. Also, a reflective essay, “Reflective Narrative: My Journey as a Student and My Map for Teaching”, explores the many elements of teaching philosophy with particular attention to English teaching. Another research essay, “Meaningful Revision: Revise for a Day, Teach Revision for a Lifetime”, explores the function of revision and offers suggestions for increasing the meaningfulness …

Integrated Pest Management In The Academic Small Greenhouse Setting: A Case Study Using Solanum Spp. (Solanaceae)., Daniel S. Hayes, Ingrid E. Jordon-Thaden, Jason T. Cantley, Angela J. Mcdonnell, Christopher T. Martine

Faculty Journal Articles

Premise

Botanical faculty and staff at academic institutions are often tasked with establishing and/or caring for plant collections held in small greenhouse facilities. Once plants are in place, an especially acute challenge is managing plant pest/pathogen populations. Integrated pest management (IPM) approaches are an excellent option, but few examples exist in the literature of successful programs that have been developed in academic small greenhouse settings.

Methods and Results

Over several years, we developed an IPM program for two small research greenhouses on the campus of a primarily undergraduate institution where hundreds of plants have been grown for studies in the …

Factors Influencing Graduate Program Choice Among Undergraduate Women, Bryna J. Harrington, Halei C. Benefield, Brooke C. Matson, Rebecca E. Hamlin, Jennifer E. L. Diaz, Grace E. Mosley, Rushina Cholera, Audrey R. Verde

Cooper Rowan Medical Journal

Context: Despite equal enrollment proportions in MD and PhD programs, there are fewer women than men in MD-PhD programs and academic medicine. Factors important in degree program selection, including the perception of gender disparities, among undergraduate students were characterized.

Methods: In 2017, pre-health students at four public North Carolina universities were invited to participate in an online survey regarding career plans, decision factors, and perceptions of gender disparities in MD, PhD and MD-PhD pathways. The authors characterized factors important to program selection, and evaluated the association of intended graduate program with perceived gender disparities using Fisher’s exact tests.

Results: …

Interdisciplinary Lens On Indigenous Health Iniquities: Planning, Nursing, Anthropology, Geography, Education, Chantal Francouer, Alana Kehoe, Ivy Tran, Steven Vanloffeld, Lillian Woroniuk, Jacob Renaud

Head and Heart Posters 2019

Indigenous peoples experience poorer health outcomes on almost every measure of health and wellbeing, when compared to the rest of Canada. For decades researchers have been working independently on addressing health inequalities, yet little progress has been made on closing the gap. This Discipline-specific way of thinking is too narrow and neglects indigenous ideologies of holistic approaches to health. An interdisciplinary approach to indigenous health research provides a more collaborative and integrated opportunity to address the multidimensional aspects of health. This paper has the goals to contribute to the limited research on interdisciplinary indigenous health research.

Interdisciplinary Lens On Indigenous Health Iniquities: Planning, Nursing, Anthropology, Geography, Education, Chantal Francouer, Alana Kehoe, Ivy Tran, Steven Vanloffeld, Lillian Woroniuk, Jacob Renaud

Learning with your Head & Heart

Indigenous peoples experience poorer health outcomes on almost every measure of health and wellbeing, when compared to the rest of Canada. For decades researchers have been working independently on addressing health inequalities, yet little progress has been made on closing the gap. This Discipline-specific way of thinking is too narrow and neglects indigenous ideologies of holistic approaches to health. An interdisciplinary approach to indigenous health research provides a more collaborative and integrated opportunity to address the multidimensional aspects of health. This paper has the goals to contribute to the limited research on interdisciplinary indigenous health research.

The Role Of Technology On The Education Of Children, Corin L. Osborn, Alexandra Harris, Ryan W. Kleinschmidt, Jared Warren, Ralph E. Cash

Faculty Proceedings, Presentations, Speeches and Lectures

No abstract provided.