Digital Commons Network^™

Reducing Patient Handoff Inadequacies Using An Electronic Medical Record Based Standardized Handoff Tool In The Critical Care Unit, Mariah E. Needham

Master's Theses and Capstones

INTRODUCTION: Inadequate handoff communication is a contributing factor in sentinel events and adverse patient outcomes. Research has shown that the use of a standardized handoff tool can improve quality of handoff communication. This quality improvement (QI) project sought to standardize handoff and reduce the risk of adverse patient outcomes by utilizing the I-PASS handoff tool available in the electronic medical record (EMR).

AIM: The aim of this quality improvement project was to improve the accuracy of nurse-to-nurse patient handoffs.

METHODS: The outcomes measured by the post-intervention survey were the number of reported handoffs received with omissions, the percentage of staff …

Implementing A Patient-Centered Education Intervention To Reduce Incidence Of Chemotherapy-Induced Oral Mucositis (Om) Among Inpatient Chemotherapy Patients: A Quality Improvement Project, Annika K. Hamilton

Master's Theses and Capstones

Oral mucositis (OM) is a common and costly complication of chemotherapy cancer treatment resulting in high costs and poor outcomes and experiences for chemotherapy patients. At the site of this quality improvement (QI) project, the quality and content of the oral care patient education for chemotherapy patients is inconsistent. The aim of this project was to improve oral care completion and knowledge by 20% among inpatient chemotherapy patients and in turn reduce incidence of chemotherapy-induced OM. A pre-intervention survey was distributed to eight eligible patients to assess baseline oral care completion and knowledge. Patients were provided with an oral care …

Improving Breastfeeding Establishment By Reducing The Use Of Bottles And Artificial Nipples With Medically Needed Supplementation In Full-Term Breastfed Infants: A Quality Improvement Project, Sara Fazzi Garcia

Master's Theses and Capstones

Background: Breastfeeding has long been strongly recommended by national and international organizations as a prevention of many common and chronic diseases. Baby-Friendly Hospital Initiative (BFHI) was developed to motivate hospitals to protect, promote, and support breastfeeding. This Quality Improvement (QI) project aims at supporting the continuation of the Baby-Friendly designation at the organization is being implemented, by focusing on reducing the use of bottles and artificial nipples for medically necessary supplementation for full-term breastfed newborns.

Methods: The Plan-Do-Study-Act (PDSA) framework was utilized to guide this quality improvement project.

Intervention: Educational posters on the interference of the use …

Improving Patient Engagement And Adherence Utilizing Home Blood Pressure Monitoring Equipment: A Quality Improvement Project, Katelyn Fournier

Master's Theses and Capstones

To combat uncontrolled hypertension, a quality improvement project was designed that aimed to increase patient recorded self-care measures such as maintenance, management, and monitoring. By increasing both education and supplying volunteers with a free electronic home blood pressure monitor (HBPM) it was predicted that positive changed behaviors surrounding self-care would occur and subsequently, a reduction in average blood pressure. To examine this, results from Dickson’s Self-Care of High Blood Pressure Inventory (SC-HI V3) and blood pressure measurements were recorded and analyzed for average trends. Results from the improvement proved effective as self-care values well surpassed the 10% goal that was …

Associations Of Short And Medium Chain Saturated Fatty Acids And Dairy With Cognitive Functioning In The Boston Puerto Rican Health Study, Sophie M. Kenny

Master's Theses and Capstones

Cognitive decline is a major public health concern. Evidence suggests that Hispanic/Latino adults, specifically Puerto Rican adults, in the US are at a higher risk of developing dementia or cognitive decline due to the high prevalence of risk factors, including cardiovascular disease and diabetes. Emerging evidence suggests that specific dietary fatty acids, short and medium-chain-length saturated fatty acids, that are found in dairy may be beneficial for cognitive function. However, there are limited observational studies examining the effects of SMCSFA and dairy on cognitive function in Hispanic/Latino adults. We examined the cross-sectional and prospective associations between SMCSFA and dairy consumption …

Race-Ing Antitrust, Bennett Capers, Greg Day

Scholarly Works

Antitrust law has a race problem. To spot an antitrust violation, courts inquire into whether an act has degraded consumer welfare. Since anticompetitive practices are often assumed to enhance consumer welfare, antitrust offenses are rarely found. Key to this framework is that antitrust treats all consumers monolithically; that consumers are differently situated, especially along lines of race, simply is ignored.

We argue that antitrust law must disaggregate the term “consumer” to include those who disproportionately suffer from anticompetitive practices via a community welfare standard. As a starting point, we demonstrate that anticompetitive conduct has specifically been used as a tool …

Federalism, Cannabis, And Public Health: Prohibition Is Wrong, But Raich Is Still Right, Daniel G. Orenstein

South Dakota Law Review

No abstract provided.

Bioactive Potential Of Edel Cocoa Bean (Theobroma Cacao L) From Kedaton Jember: Cytotoxicity And Antioxidants Evaluation, Rina Sutjiati, Leliana S. Devi, Dwi Prijatmoko, Herniyati, Rudy Joealijanto, Erna Sulistyani, Bilqis P. Safitri, Nihla Fitriyani

Journal of Dentomaxillofacial Science

No abstract provided.

Comparison Of Effectiveness Of Normal Saline, Aquades And Mineral Water As An Irrigation Solution In Odontectomy Of Impacted Mandibular Third Molar In University Of Sumatera Utara Hospital, Ahyar Riza, Geby Ak. Bukit

Journal of Dentomaxillofacial Science

No abstract provided.

Effectiveness Of Gargle With Extract Oyster Mushroom (Pleurotus Spp) To Forming Plaque In Ecc Patients (Early Childhood Caries), Fajriani, Pharadiba, Anisa N. Ferry, Atika B. Ferry

Journal of Dentomaxillofacial Science

No abstract provided.

Association Between Eating Pattern And Food Neophobia In Children With Autism Spectrum Disorder (Asd): Parents' Perceptions, Roosje R. Oewen, Witriana Latifa, Rini Triani, Ika Anisyah, Syakriani Syahrir

Journal of Dentomaxillofacial Science

No abstract provided.

An Overview Of The Use Of Dental Floss In Pediatric Patients At The Baiturrahmah Dental Hospital, Lusy Noferike, Sri P. Utami

Journal of Dentomaxillofacial Science

No abstract provided.

Worth Writing! Worth Reading! Edition Vii (Winter 2022), New York Law School

New York Law School Community Newsletter

No abstract provided.

Fda-Approved: How Pfas-Laden Food Contact Materials Are Poisoning Consumers And What To Do About It, Katya S. Cronin

GW Law Faculty Publications & Other Works

Nearly every person in the United States currently has in their body dangerous amounts of chemicals proven to cause cancer, endocrine disruptions, liver and kidney failures, infertility, developmental difficulties, learning disorders, and immunodeficiencies. These chemicals are known collectively as “PFAS”—per- and poly-fluoroalkyl substances—and they were designed for heavily industrial applications. However, over the last two decades, they have surreptitiously and successfully migrated from heavy machinery and building sites onto the many items that consumers use to cook, serve, or store their food. With the FDA’s blessing, PFAS are now ubiquitous in food contact materials, from where they leach directly into …

Nutritional Values And In Vitro Fermentation Parameters Of Some Fodder Species Found Intwo Rangeland Areas In The Republic Of Benin, Euloge Akambi Ogoukayode Olomonchi, Ali̇ Vai̇z Gari̇poğlu, Nuh Ocak, Adem Kamalak

Turkish Journal of Veterinary & Animal Sciences

In the present study, the nutritional values and in vitro rumen parameters of three browse forages (Leucaena leucocephala (LL), Cajanus cajan (CC) and Khaya senegalensis (KS)) and five grasses (Andropogon gayanus (AG), Panicum maximum C$_{1}$ local (PMCL), Panicum maximum C$_{1}$ ameliorate (PMCA), Pennisetum purpureum (PP), and Brachiaria ruziziensis (BR)) grown in the Republic of Benin were investigated. With this aim, it was determined dry matter (DM), ash, acid detergent fibre (ADF), neutral detergent fibre (NDF), crude protein (CP), ether extract (EE), metabolizable energy (ME), dry matter intake (DMI), dry matter digestibility (DMD) and relative feed value (RFV) as nutritive values, …

Effects Of Vitamin D Administration At The Beginning Of Lactation In Dairy Cows Oninflammatory Response And Liver Metabolism, Feyyaz Kaya, Hasan Batmaz

Turkish Journal of Veterinary & Animal Sciences

This study aimed to investigate the effect of vitamin D administered 24 h after calving of dairy cows on calcium-phosphorus metabolism, carbohydrate, lipid and liver metabolism, and inflammatory response. Twenty multiparous Holstein cows were randomly assigned to the experimental (EG) and control group (CG). The EG received 5,000,000 IU vitamin D3 (5 mL) 24 h after parturition intramuscularly, whereas the CG group received 5 mL of 0.9% NaCl. Blood samples were taken 24 h after parturition before treatments and at the 3rd, 7th, 14th, and 28th days of lactation. Serum NEFA, BHBA, haptoglobin, serum amyloid A (SAA), ceruloplasmin, calcium, phosphorus, …

Genotypic Characterization Of Meat-Type Lambs Expressing The Callipyge Gene In Turkey:I. Carcass Characteristics And Retail Yield, Vasfi̇ye Kader Esen, Seli̇m Esen, Orhan Karadağ, Alper Önenç, Cengi̇z Elmaci

Turkish Journal of Veterinary & Animal Sciences

This study is set out to evaluate the effects of callipyge (CLPG) gene, attributed to sheep affecting growth and meat quality, on carcass and sensory trait of most preferred meat-type lamb (Kıvırcık, Karacabey Merino, Ramlıç, German Black-Head Mutton × Kıvırcık, Hampshire Down × Merino) in the western part of Turkey. Two datasets were used: (i) 177 lambs (66 males, 111 females) to determine genotype and allele frequencies; (ii) 48 genotypically identified male lambs for the assessment of carcass and meat sensory quality. It was found that homozygous (NN) and heterozygous (MN) conditions of the CLPG gene were observed in all …

The Effect Of Dystocia On Oxidative Stress, Colostral Antibody/Passive Immune Status, Andblood Gases In Damascus Goats And Their Kids, Tuğra Akkuş, Ömer Korkmaz, Bi̇rten Emre, Abuzer Kafar Zonturlu, Peli̇n Fatoş Polat Di̇nçer, Ömer Yaprakci

Turkish Journal of Veterinary & Animal Sciences

The present study was conducted to investigate the effect of dystocia on oxidative stress, venous blood gases, and colostrum and serum immunoglobulins G (IgG) in Damascus goats and their kids, respectively. The study sample comprised a total of 40 Damascus goats with of their own 40 kids separated into 2 groups according to the type of birth. Group 1 consisted of goats with eutocia (n = 20) and their kids (n = 20), and Group 2 consisted of goats with dystocia (n = 20) and their kids (n = 20). Blood samples were taken from the goats and their kids …

Effects Of Probiotic Supplementation For Piglets In A Nursery: A Meta-Analysis Ofcontrolled Randomized Studies, Isabella Cristina De Castro Lippi, Larissa Braganholo Vargas, Fabiana Ribeiro Caldara, Henrique Biasotto Morais, Jean Kaique Valentim, Janaína Palermo Mendes

Turkish Journal of Veterinary & Animal Sciences

The objective of this article was to evaluate the effect of probiotic addition on average daily gain and feed conversion on the final piglet nursery phase. This study used a systematic review by meta-analysis to contrast the effect of piglets supplementation without antibiotics (negative control) and with antibiotics (positive control). These results archived a dichotomy that suggests a need for different statistical treatments to evaluate these outcomes obtained by articles. Because of this, a metaanalysis evaluation is justified to identify the animal performance on probiotic or antibiotic supplementation conditions. The use of probiotics improved the feed conversion in the experiments …

Breed, Age, And Sex-Related Variations In Hematological And Some Biochemicalparameters In The Tornjak Dog, Ivona Alilovic, Dunja Rukavina, Atifa Ajanovic, Cazim Crnkic, Husein Ohran, Amir Zahirovic

Turkish Journal of Veterinary & Animal Sciences

There is an increasing significance for the breed, age, and sex-related variations in hematological and biochemical parameters in veterinary medicine. The primary objective of this study was to identify possible breed-related differences and to determine the effect of age and sex on hematologic and serum biochemical parameters in the Bosnian and Herzegovinian - Croatian Shepherd dog Tornjak raised in Bosnia and Herzegovina (B&H). Data from 19 hematological and 17 serum biochemical parameters were analyzed in the group of 100 dogs (47 females and 53 males), sexually intact and aged between one month and twelve years. Breed affected TP (total protein) …

The Conservation Method Effects Of The Barley-Vetch Mixture Planted Together On Theperformance Of Pregnant Ewes, Hasan Hüseyi̇n Şenyüz, Engi̇n Ünay, Abdulkadi̇r Eri̇şek, Arzu Erol Tunç, Çağatay Yildirim, Nurgül Erdal, Muhammed İkbal Coşkun, Hali̇l Maraş

Turkish Journal of Veterinary & Animal Sciences

The aim of this study was to examine the effects of barley-vetch hay and barley-vetch silage on liveweight change in pregnant sheep and birthweight in lambs and to determine the optimal form of barley-vetch roughage usage in sheep feeding. Forty-eight (Kıvırcık x Akkaraman (G1) sheep were blocked according to age and randomly distributed to three groups: barley-vetch hay (H, n = 16), barleyvetch silage (S, n = 16), and the control group (C, n = 16). The H group was fed barley-vetch hay ad libitum and limited concentrate, the S group was fed barley-vetch silage ad libitum and limited concentrate, …

Effects Of Age And Body Region On Wool Characteristics Of Merino Sheep Crossbreds In Turkey, Sedat Behrem, Sabri̇ Gül

Turkish Journal of Veterinary & Animal Sciences

Aim of this study was to comparatively investigate the wool characteristics of Central Anatolian Merino, Karacabey Merino and Ramlıç sheep, which are common crossbred sheep breeds in Turkey. A total of 360 wool samples were equally collected from the shoulder, rib, and rump of each lamb (3-6 months-age), yearlings (1-1.5-year age), primiparous ewes (2-2.5-year age) and multiparous ewes (3-3.5-year age) were used for analysis. Each sample was analyzed to determine fibre diameter, length, clean fleece yield, elasticity, and strength. Also, live weight after shearing and greasy fleece weights were recorded for each animal. Statistical analysis of this study was performed …

Relationships Between Famacha Scores And Some Blood Values In Sheep And Goats, Özcan Şahi̇n, İbrahi̇m Ayteki̇n, Sai̇m Boztepe, İsmai̇l Keski̇n, Ali̇ Karabacak, Yasi̇n Altay, Mervan Bayraktar

Turkish Journal of Veterinary & Animal Sciences

In this study, Akkaraman sheep and Hair goats raised extensively on the same farm were scored with the FAMACHA card. Score 1 was not present in both sheep and goats, whereas scores 5 and 2 were not detected in sheep and goats, respectively. While the number of animals with scores of 2, 3, and 4 was 9, 46, and 55 in sheep, the number of animals with 3, 4, and 5 scores in goats was 6, 55, and 41, respectively. In the study, the differences in the amount of RBC, Hct, and Hb in goats according to these score groups …

Cover And Contents

Turkish Journal of Veterinary & Animal Sciences

No abstract provided.

Forage Turnip (Brassica Rapa) Harvested In Different Phases Of Vegetative Stage Andensiled With The Additives Of Molasses And Barley And The Effects Of Additives On Silagequality, In Vitro Digestibility, And Energy Content, Serhat Yildiz, Suphi̇ Deni̇z, Fatma Özkan, Çağri Kale

Turkish Journal of Veterinary & Animal Sciences

This study was conducted to determine the silage quality, in vitro digestibility and energy content of forage turnip (Brassica rapa) ensiled with molasses or ground barley. Forage turnip was harvested at three different stages: the beginning, middle and end of the flowering period, and it was ensiled with no additive (control), 5% molasses or 4% ground barley. In the trial, pH, nutrient contents, ammonia nitrogen (NH$_{3}$-N) contents, volatile fatty acid (VFA) contents, Fleig scores, in vitro digestibility and energy content were determined. It was observed that the effect of the vegetative stage on the difference between the groups was significant …

Genetic Variation At The Olr1, Anxa9, Myf5, Ltf, Igf1, Lgb, Csn3, Pit1, Mbl1,Cacna2d1, And Abcg2 Loci In Turkish Grey Steppe, Anatolian Black, And Eastanatolian Red Cattle, Özden Çobanoğlu, Sena Ardiçli

Turkish Journal of Veterinary & Animal Sciences

Native breeds are excellent sources of genetic variation. Anatolian native breeds are relatives of the first cattle domesticated and are ancestors of many European breeds. Therefore, this study aimed to evaluate the genetic variation of OLR1, ANXA9, MYF5, LTF, IGF1, LGB, CSN3, PIT1, MBL1, CACNA2D1, and ABCG2 markers in Turkish Grey Steppe, Anatolian Black, and East Anatolian Red cattle. The analysis included 367 cattle and the genotyping was performed by the PCR-RFLP. Population genetics indices including heterozygosity, the number of effective alleles, the polymorphism information content, fixation index, and the level of possible variability realization, and moreover, the genetic diversity …

Effects Of Dietary Insect (Ephestia Kuehniella) Egg Meal On Growth Performance And Fattyacid Profile Of Common Carp (Cyprinus Carpio), Levent Doğankaya

Turkish Journal of Veterinary & Animal Sciences

The effects of mill moth (Ephestia kuehniella) egg meal (IEM) upon growth performance and fatty acid profile of common carp (Cyprinus carpio) (1.12 ± 0.01 g) were evaluated in triplicate groups for 12 weeks. Three isonitrogenous (35% CP) and isocaloric (17 MJ kg?1) diets were formulated replacing fishmeal with 0% (G-0), 50% (G-50), and 100% (G-100) IEM. The results of the trial indicated that G-50 had the highest growth performance values and a more efficient FCR (1.79). Replacement levels of IEM did not have any significant effect on survival. Total monounsaturated fatty acids (MUFA) were found to be statistically different …

Acute Phase Proteins, Endocrine And Productive Responses Of Laying Hens To Heat Stress, Amani Aldawood, Hosam Altamimi

Turkish Journal of Veterinary & Animal Sciences

This study was designed to characterize changes in the acute phase proteins (APPs), hormones parallel to performance, and egg quality traits in laying hens exposed to heat stress (HS). A total of 120 sixteen-week-old Lohmann hens was allowed an adaptation period of 5 weeks in 3 different rooms at 21 °C. The hens were then exposed to one of three climatic thermal treatments over the next 6 weeks; thermoneutrality (TN, 21 °C), constant (C-HS, 28 °C), and cyclic HS (HS, 20 h/d at 28 ± 1 °C and 4 h/d at 33 ± 1 °C). Blood samples were weekly obtained, …

Changes In Serum Pon1 Activity, Gene Expression And Their Association With Lipid Profile Parameters In Healthy Darehshori Neonatal Foals: A Preliminary Study, Rouzbeh Razavi Dehkordi, Gholam Ali Kojouri, Behnaz Karimi, Ali Mohammad Ahadi

Turkish Journal of Veterinary & Animal Sciences

Paraoxonase 1 (PON1) contributes to the antioxidant mechanisms that prevent lipoprotein oxidation and act as a negative acute-phase protein. This study aimed to evaluate changes in serum PON1 activity, the leukocyte PON1 gene expression, as well as lipid profile tests (LDL, HDL, triglyceride, and cholesterol) in 16 healthy Darehshori newborn foals up to 60 days of life. Blood samples were collected at 1, 7, 15, 30, and 60 days used for detecting biochemical parameters, PON1 activity, and, and its gene expression, using realtime RT-PCR. Low levels of PON1 activity were observed at birth, which increased significantly with increasing age at …

The Effect Of Microbial Inoculants And Molasses On Quality And In Vitro Digestibility Of Silages Prepared With Different Proportions Of Ryegrass And Hungarian Vetch, Gökhan Şen, Taşkin Erol, Kami̇l Kara, Mehmet Demi̇rci̇, Mehmet Aki̇f Karsli

Turkish Journal of Veterinary & Animal Sciences

In this study, it was aimed to determine the effect of microbial inoculants and molasses on the quality and in vitro digestibility of the silages ensiled from the cultivation of different proportions of ryegrass-Hungarian vetch mixtures grown in Central Anatolian conditions. For this purpose, 5% molasses and 10 g/ton (1.25 × 10$^{11}$ CFU/g) inoculant were added to silages of ryegrass (Lolium multiflorum L.) containing 20%, 40%, 60%, and 80% Hungarian vetch (Vicia pannonica L.), under laboratory conditions. The prepared silages were opened at the end of 60 days and their physical analysis, chemical contents, fermentation parameters, in vitro digestibilities using …