Implementing Interdisciplinary Team Rounding To Reduce External Ventricular Drain-Associated Infections, Laura Reiter

Student Scholarly Projects

External ventricular drains (EVD) are a common intervention in critical care areas for the management of hydrocephalus. The most common complication of this life-saving intervention is infection, which negatively impacts patient outcomes and overall healthcare costs. Current evidence shows that interdisciplinary team rounding improves compliance with evidence-based practice and reduces hospital-associated infection rates. The PICOT question that guided this project is: For patients with an external ventricular drain (EVD), what is the effect of interdisciplinary team rounding compared with the current practice of informal rounding, on compliance with an EVD care bundle and EVD-associated cerebrospinal fluid infections over two months? …

Mentoring Program For New Graduate Nurses, Kathryn Palermo

Student Scholarly Projects

Practice Problem: The high turnover rate among newly licensed nurses has a negative impact on organizational costs, healthcare spending and patient outcomes. The turnover rate among newly licensed nurses, within their first year of practice, at the designated facility was 50%.

PICOT: The PICOT question that guided this project was “In new graduate nurses, how does a formal mentorship program, compared to no formal mentorship, affect the intent to leave within six weeks?”

Evidence: The scientific evidence supported both one-on-one and group mentoring. Retention and/or turnover was shown to be a positive outcome of formal mentor programs.

Intervention: The …

How Well Can We Assess The Validity Of Non-Randomised Studies Of Medications? A Systematic Review Of Assessment Tools, Elvira D'Andrea, Lydia Vinals, Elisabetta Patorno, Jessica M. Franklin, Dimitri Bennett, Joan A. Largent, Daniela C. Moga, Hongbo Yuan, Xuerong Wen, Andrew R. Zullo, Thomas P. A. Debray, Grammati Sarri

Pharmacy Practice and Science Faculty Publications

OBJECTIVE: To determine whether assessment tools for non-randomised studies (NRS) address critical elements that influence the validity of NRS findings for comparative safety and effectiveness of medications.

DESIGN: Systematic review and Delphi survey.

DATA SOURCES: We searched PubMed, Embase, Google, bibliographies of reviews and websites of influential organisations from inception to November 2019. In parallel, we conducted a Delphi survey among the International Society for Pharmacoepidemiology Comparative Effectiveness Research Special Interest Group to identify key methodological challenges for NRS of medications. We created a framework consisting of the reported methodological challenges to evaluate the selected NRS tools.

STUDY SELECTION: Checklists …

The Lumberjack, March 24, 2021

Cal Poly Humboldt's Student Newspaper

The student newspaper of Humboldt State University.

Increasing Social And Emotional Learning Competencies Through Use Of Tabletop Role-Playing Games, Tia Ruff

Doctor of Education (EdD)

This Improvement Science Dissertation in Practice (ISDiP) aimed to investigate the use of tabletop role-playing games in supporting the social and emotional development of students in upper elementary grade levels. Using a mixed-methods approach, this ISDiP follows a team of invested school community members as they planned, implemented, studied, and reflected on the outcomes of initiating targeted social and emotional learning interventions to 16 students from a small alternative school in Anchorage, Alaska. Through a 90-day cycle, the School's Network Improvement Community (NIC) organized and executed an after-school SEL club after data on a district-wide survey indicated that social and …

Investigation Of The Influence Of Tank Geometry On A Vessel's Stability Under Free Surface Effect When In Coastal Waters, Ross Fuge, Jahir Rizvi, Jahir Rizvi

School of Engineering, Computing and Mathematics

Tank sizes on liquid cargo carriers are becoming larger to minimise wasted spaces on-board and maximise payload capacity. This trend can significantly affect a vessel's stability and its design. Therefore, this paper investigates whether spherical tanks provide better stability than a traditional tank formed with vertical sides under a range of free surface scenarios. The motions of a model liquid cargo carrier hull with various sizes of tanks and various fill levels has been investigated in a coastal basin. Regular waves of various heights and frequencies have been generated and the rolling motions of the hull have been documented. Results …

Smith V. Kount, Inc. Appellant's Reply Brief Dckt. 48228

Idaho Supreme Court Records & Briefs, All

No abstract provided.

Using Multiple Ecological Models To Inform Environmental Decision-Making, Kristy A. Lewis, Kenneth A. Rose, Kim De Mutsert, Shaye Sable, Cameron Ainsworth, Damian C. Brady, Howard Townsend

Faculty Publications

Coastal ecosystems are experiencing degradation from compound impacts of climate change and multiple anthropogenic disturbances. These pressures often act synergistically and complicate designing effective conservation measures; consequently, large-scale coastal restoration actions become a wicked problem. The purpose of this study was to use two different food web models in a coordinated manner to inform resource managers in their assessment of the ecological effects of a large-scale marsh restoration project. A team was formed that included the model developers and outside scientists, who were asked to use available model results of the calibrated simulations of an Ecopath with Ecosim (EwE) model …

[Excerpt From] Against Medical Advice: Addressing Treatment Refusal, Luanne Linnard-Palmer, Ellen Christiansen

Sigma Publications: Book Excerpts

This item record pertains to an excerpt from Against Medical Advice: Addressing Treatment Refusal, which is provided free of charge by the publisher.

About this book:

When a patient or family refuses treatment - maybe even lifesaving treatment - because it is contrary to their social, religious, or cultural beliefs, it can plunge healthcare providers, families, and patients into a difficult, emotionally charged conversation. Complex and diverse ethical dilemmas such as this can profoundly impact the health, welfare, and mental and emotional well-being of everyone involved. What's more, today's nurses and healthcare professionals will almost inevitably face this situation …

Follow-Up Rates At A Free Ophthalmology Clinic At A Homeless Shelter, Lauren Hennein, Kimberly A. Spaulding, Veronika Karlegan, Ogonna N. Nnamani Silva, Alejandra G. De Alba Campomanes

Journal of Academic Ophthalmology

Abstract

Objective Eye health among the homeless community is important, as poor vision makes this population vulnerable and adds significantly to the social and health burden. There is limited knowledge on patient follow-up rates for their eye conditions and barriers to accessing care in this population. The purpose of this retrospective chart review study is to examine follow-up rates and barriers to care for patients referred from a free, medical-student run ophthalmology clinic at a homeless shelter.

Methods All patients evaluated at a free ophthalmology clinic from September 2017 to September 2018 were included; no patients were excluded. If indicated, …

Alaska’S K-12 Capital Spending, Bob Loeffler

ISER Reports

No abstract provided.

Transversus Abdominus Plane Block For Enhanced Recovery After Surgery, Monicka Roden, Nancy Ann Westbrook, Lisa Herbinger

Group: Samford University Moffett & Sanders School of Nursing

Transversus abdominis plane (TAP) blocks are utilized as an opioid-sparing anesthetic regimen and are incorporated into Enhanced Recovery After Surgery (ERAS) programs to promote higher quality care for all surgical patients. Transversus abdominis plane blocks decrease pain scores, nausea and vomiting, respiratory depression, the time until ambulation and return of bowel mobility, and length of hospital stay. Transversus abdominis plane blocks have been shown to be superior to the current “gold standard,” thoracic epidural analgesia (TEA), for multimodal analgesia in an ERAS pathway. An ultrasound guided TAP block was performed after induction in a case involving a 41-year-old female with …

Methods To Achieve One-Lung Ventilation, Laura Starr Wagner

Group: Samford University Moffett & Sanders School of Nursing

Enabling surgical access in the thorax is the most common indication for lung isolation and one-lung ventilation (OLV). Achieving lung isolation for thoracic surgery remains an arduous task in anesthesia. Methods to achieve lung isolation are the placement of a double-lumen endobronchial tube (DLT), bronchial blocker (BB) with a single-lumen endotracheal tube (SLT), and intentional insertion of a SLT into the main bronchus. Confirmation with fiberoptic bronchoscopy (FOB) is crucial to verify placement of these devices due to high malposition rates.

Elementary Education And Library System In India: The Symbiotic Model Based On Bloom's Taxonomy, Amit Kumar Das

Library Philosophy and Practice (e-journal)

Bloom’s taxonomy has been utilized in many brunches of disciplines and several user and nonuser study has been conducted by researchers to find out the reasons of degradation of library usage. But the application of Bloom’s taxonomy in elementary education in order to flourish the reading habit and library usage has not been done much. This paper outlines the lacunas of elementary education systems in India to indicate the primary deficiency of ability to make a library-oriented community and listing the antecedents of learning to read as well as draws a relationship model between education and library system and a …

Kourtni Haskell, Plaintiff/ Appellant V. Wakefield & Assocait Es, Inc., And Matthew Frawley, An Individual, Defendants/ Appellees : Brief Of Appellee, Utah Court Of Appeals

Utah Court of Appeals Briefs (2020 –)

Appeal from the Third Judicial District Court, Salt Lake County, State of Utah The Honorable Judge Andrew Stone

Attorneys for Appellees, Mark A. Nickel

Attorneys for Appellant, Daniel Baczynski

1616 President St. Realty Llc V. Barber

All Decisions

No abstract provided.

Sugammadex In Patients With Myasthenia Gravis, Presley Harrison

Group: Samford University Moffett & Sanders School of Nursing

Myasthenia gravis (MG) is an autoimmune disorder caused by a decrease in functional acetylcholine receptors at the neuromuscular junction resulting from their destruction or inactivation by antibodies. Patients with MG can experience marked sensitivity to nondepolarizing neuromuscular blocking agents (NMBAs), and require specialized anesthetic care because of their increased risk of postoperative weakness and respiratory failure. Since pyridostigmine, a cholinesterase inhibitor, is a mainstay of MG treatment, the conventional neostigmine antagonism is unfavorable. Sugammadex is a direct, selective antagonist of aminosteroid NMBAs. It is a cyclodextrin derivative that irreversibly encapsulates rocuronium or vecuronium to terminate its action at the nicotinic …

Airway And Pulmonary Optimization In The Early Postoperative Period, Jared Hargett, David Fort

Group: Samford University Moffett & Sanders School of Nursing

Hypoxia in the early postoperative period can be the result of a various number of causes. Anesthesia providers must be able to quickly identify possible causes of hypoxia and apply appropriate pulmonary interventions. Potential causes of hypoxia can result from residual neuromuscular blockade from paralytic agents, respiratory depression from narcotic administration, laryngospasm, or an airway obstruction. Upper airway anatomy consists of cartilage and bone structures of the nose and mouth, followed by the soft tissue of the oropharynx and hypopharynx, and ending at the glottic opening of the vocal cords. The soft tissue of the oropharynx is prone to collapse …

Characterization, Bio-Uptake And Toxicity Of Polymer-Coated Silver Nanoparticles And Their Interaction With Human Peripheral Blood Mononuclear Cells, Sahar Pourhoseini, Reilly T. Enos, Angela E. Murphy, Bo Cai Ph.D., Jamie Lead

Faculty Publications

Silver nanoparticles (AgNPs) are widely used in medical applications due to their antibacterial and antiviral properties. Despite the extensive study of AgNPs, their toxicity and their effect on human health is poorly understood, as a result of issues such as poor control of NP properties and lack of proper characterization. The aim of this study was to investigate the combined characterization, bio-uptake, and toxicity of well-characterized polyvinylpyrrolidone (PVP)-coated AgNPs in exposure media during exposure time using primary human cells (peripheral blood mononuclear cells (PBMCs)). AgNPs were synthesized in-house and characterized using a multimethod approach. Results indicated the transformation of NPs …

Molecular Design Of Three-Dimensional Metal-Free A(Nh4)X3 Perovskites For Photovoltaic Applications, Jie Bie, Dai-Bei Yang, Ming-Gang Ju, Qiang Pan, Yu-Meng You, Wei Fa, Xiao Cheng Zeng, Shuang Chen

Xiao Cheng Zeng Publications

The intense research activities on the hybrid organic−inorganic perovskites (HOIPs) have led to the greatly improved light absorbers for solar cells with high power conversion efficiency (PCE). However, it is still challenging to find an alternative lead-free perovskite to replace the organohalide lead perovskites to achieve high PCE. This is because both previous experimental and theoretical investigations have shown that the Pb²⁺ cations play a dominating role in contributing the desirable frontier electronic bands of the HOIPs for light absorbing. Recent advances in the chemical synthesis of three-dimensional (3D) metal-free perovskites, by replacing Pb²⁺ with NH₄^{+ …}

State V. Cortez Appellant's Brief Dckt. 48010

Not Reported

No abstract provided.

Dataset Search In Biodiversity Research: Do Metadata In Data Repositories Reflect Scholarly Information Needs?, Felicitas Löffler, Valentin Wesp, Brigitta König-Ries, Friederike Klan

Copyright, Fair Use, Scholarly Communication, etc.

Abstract

The increasing amount of publicly available research data provides the opportunity to link and integrate data in order to create and prove novel hypotheses, to repeat experiments or to compare recent data to data collected at a different time or place. However, recent studies have shown that retrieving relevant data for data reuse is a time-consuming task in daily research practice. In this study, we explore what hampers dataset retrieval in biodiversity research, a field that produces a large amount of heterogeneous data. In particular, we focus on scholarly search interests and metadata, the primary source of data in …

A Cfar Detection Approach For Identifying Gas Bubble Seeps With Multibeam Echo Sounders, Thomas C. Weber

Center for Coastal and Ocean Mapping

A cell-averaged constant false alarm rate (CFAR) detector is described and applied to data collected with a multibeam echo sounder (MBES). The CFAR detector is designed specifically for transient targets observed with MBES, and operates under the assumption that background noise, including volume and seafloor reverberation, is locally stationary in time. This assumption, and the CFAR detector performance in general, was examined for data collected by a 30-kHz MBES operating in the Gulf of Mexico where the targets of interest were methane gas bubble plumes rising up from the seabed. Results with example data suggest that the CFAR detector was …

The Parthenon, March 24, 2021, Brittany Hively, Grant Goodrich, Emma Berry, Xena Bunton, Isabella Robinson, Tyler Spence, Denise Jackson, Zachary Hiser

The Parthenon

No abstract provided.

Wcu’S Geoexchange System, Stream Salinization, And Heated Sidewalks: Exercises In Sustainable Connections, Martin Helmke, Patricia Haug, Abigail Keebler

Sustainability Research & Practice Seminar Presentations

No abstract provided.

Documents From The March 24, 2021 Meeting Of The Associated Students Of The University Of Montana (Asum), University Of Montana--Missoula. Associated Students

Senate Meeting Agendas and Minutes, 2007-Present

Agenda and meeting minutes from the March 24, 2021 meeting of the Associated Students of the University of Montana (ASUM). The following resolution was discussed during the meeting:

SB72_20/21- Resolution Urging the University of Montana to Invest in Free Menstrual Hygiene Products in All Campus Restrooms

A Computational Investigation Of The Biophysical Mechanisms Underlying Thermotaxis In The Afd Neurons Of Caenorhabditis Elegans, Zachary Mobille

Theses and Dissertations

Thermotaxis in the nematode Caenorhabditis elegans (C. elegans) is studied at the cellular scale of the amphid finger-like ciliated (AFD) neurons, which have previously been shown to be essential for thermoreception. The voltage and calcium signals of AFD during temperature stimuli are described with ordinary differential equations. The primary calcium model is a modified version of that published by Kuramochi and Doi in 2017 to explain the calcium responses of the chemosensitive amphid single-ciliated right (ASER) neuron to fluctuations in extracellular salt concentration. To account for the effects of temperature, changes to the stimuli conditions under which inactivation takes place …

Effects Of Exercise Intensity And Type On Executive Function In Elementary-Aged Children, Patrick Pommier

Theses and Dissertations

The interactions of exercise on executive functioning (EF) have been studied thoroughly in previous literature, focusing mostly on the interactions of aerobic exercise (AE) intensity and its effects on inhibition and working memory. Although multiple categories of EF have been shown to improve based on aerobic exercise, the foundation of brain development relies within its ability to utilize all three areas of EF simultaneously. Therefore, the purpose of this study was to determine the effects of exercise intensity and type of exercise (cognitive activation) on EF in elementary-aged children. Design: Eighteen children (mean age=10.4, SD=0.5, 61.1% girls) participated in a …

Montana Kaimin, March 24, 2021, Students Of The University Of Montana, Missoula

Montana Kaimin, 1898-present

Student newspaper of the University of Montana, Missoula.

Disease Modeling And Disease Gene Discovery In Cardiomyopathies: A Molecular Study Of Induced Pluripotent Stem Cell Generated Cardiomyocytes, Satish Kumar, Joanne E. Curran, Kashish Kumar, Erica De Leon, Ana C. Leandro, Juan M. Peralta, Sarah Williams-Blangero, John Blangero

School of Medicine Publications

The in vitro modeling of cardiac development and cardiomyopathies in human induced pluripotent stem cell (iPSC)-derived cardiomyocytes (CMs) provides opportunities to aid the discovery of genetic, molecular, and developmental changes that are causal to, or influence, cardiomyopathies and related diseases. To better understand the functional and disease modeling potential of iPSC-differentiated CMs and to provide a proof of principle for large, epidemiological-scale disease gene discovery approaches into cardiomyopathies, well-characterized CMs, generated from validated iPSCs of 12 individuals who belong to four sibships, and one of whom reported a major adverse cardiac event (MACE), were analyzed by genome-wide mRNA sequencing. The …