Digital Commons Network^™

Darcy Frey: Reaching New Heights, Tracy Marx

Creative Nonfiction Magazine

No abstract provided.

Twenty Questions: A Conversation With John Mcphee, Michael Pearson

Creative Nonfiction Magazine

No abstract provided.

The Essential Hyphenated Heat-Moon, Scott Chisholm

Creative Nonfiction Magazine

No abstract provided.

The Conversion, Wendy Lesser

Creative Nonfiction Magazine

No abstract provided.

The 5 Rs Of Creative Nonfiction, Lee Gutkind

Creative Nonfiction Magazine

No abstract provided.

The Miss Dennis School Of Writing, Alice Steinbach

Creative Nonfiction Magazine

No abstract provided.

Keeping Children Safe: Bring Kayden's Law To Ohio, Christina Woods-Tsiperson

Akron Law Review

After decades of punishing murder-suicide headlines, a growing body of evidence now corroborates what female domestic violence survivors have said for years: that family courts deciding child custody cases disproportionately reject mothers’ allegations of domestic violence and paternal child abuse. From prominent legal scholars to local family law attorneys (and increasingly, investigative reporters), many modern voices contend that mothers specifically face a litany of obstacles in court, including heightened judicial suspicion that they are “parental alienators,” a widespread minimization of coercive control, and state legal standards that  emphasize shared parenting over child safety.

Following the widely publicized murder of seven-year-old …

Habitat Destruction: The Where Of Biodiversity Law, Andrew W. Torrance Ph.D., Bill Tomlinson Ph.D.

Akron Law Review

The existence of appropriate habitats is essential to the continued existence of all species with which humans share the Earth. However, humans are currently enacting changes around the globe--anthropogenic environmental disruption--that threaten the habitats of many species. In this article, we first summarize existing habitat-related law in various countries, including legal designation of areas for protection (e.g., national parks), laws that enable conservation organizations to purchase but not utilize development rights, and international treaties such as the Convention on Biological Diversity or the Ramsar Convention on Wetlands of International Importance. We then propose a suite of novel approaches …

The Legal Regime Of Nautical Enquiries: A Reform Of The Moroccan Maritime Code Of Commerce To Complete?, Zahra Rochdi

Revue Marocaine de Droit, d'Economie et de Gestion (Moroccan Journal of Law, Economics and Management)

This article examines the Moroccan legal framework governing nautical enquiries following maritime incidents. Through comparative analysis with international standards, it highlights remaining gaps and the need for further regulatory reforms.

Exploratory Study Of The Importance Of Emotional Intelligence In Relation To Organizational Performance: The Case Of Managers, Safae El Ghazi, Mounia Cherkaoui

Revue Marocaine de Droit, d'Economie et de Gestion (Moroccan Journal of Law, Economics and Management)

This exploratory study investigates the relationship between emotional intelligence and organizational performance among Moroccan managers. Based on qualitative interviews, the findings highlight the growing importance of emotions and human factors in managerial performance.

Social Innovation: An Empirical Analysis At The International Level And An Attempt To Present Its Ecosystem In Morocco, Youssef Nafil, Abdellatif Bouazza

Revue Marocaine de Droit, d'Economie et de Gestion (Moroccan Journal of Law, Economics and Management)

This article examines the emergence of social innovation since the 1970s and its role in addressing unmet social needs. Drawing on international experiences, it proposes an analytical framework of the social innovation ecosystem in Morocco and highlights its contribution to socio-economic development.

The Issue Of A Single Currency Within Ecowas, Paul Cece

Revue Marocaine de Droit, d'Economie et de Gestion (Moroccan Journal of Law, Economics and Management)

This paper analyzes the feasibility, challenges, and potential benefits of introducing a single currency within the ECOWAS region. It evaluates macroeconomic convergence criteria and discusses obstacles hindering the success of monetary integration in West Africa.

Comparing Educational Pathways For Denturists To Become Maxillofacial Prosthetic Specialists In The Us And The Uk, Minseok Kim

Oral Health

Abstract

In the absence of formal training, licensure, and professionalism, this scientific literature review will seek to include denturists in the American maxillofacial prosthetics industry. Denturists are oral health professionals who perform oral examination, design, manufacture, and place removable oral prostheses. In other regions of the world, they are also known as clinical dental technologists and dental prosthetists. This practice is not widespread in the US. The review can also be assessed on the model mediated by PRISMA, which is concentrated on the experiences of international education in the United Kingdom, Canada, and Australia, where the concentration further revolves around …

Interview With Pam Widener

Creative Nonfiction Magazine

No abstract provided.

Cover To Cover Reviews Of New Books, Victoria Hay, Carlos L. Dews, Ann Collette, Lea Simonds

Creative Nonfiction Magazine

No abstract provided.

My Two Wars, Moritz Thomsen

Creative Nonfiction Magazine

No abstract provided.

Off Islander: Excerpts From A Nantucket Journal, Linda Pastan

Creative Nonfiction Magazine

No abstract provided.

Son Of Spoon River, Hilary Masters

Creative Nonfiction Magazine

No abstract provided.

From The Editor: Permission To Lie?, Lee Gutkind

Creative Nonfiction Magazine

No abstract provided.

Table Of Contents

Creative Nonfiction Magazine

No abstract provided.

Predictors Of Success In An Online Undergraduate Core Course In Finance

Journal of Economics and Finance Education

Because finance is a technically oriented business subject where competence in math and accounting plays a role in student success, we posit that technical knowledge, as proxied by math and accounting pre-tests, may predict success in an online undergraduate finance course. Since little or no lecture support is generally offered while taking an online course, students that struggle with math or accounting may have a greater challenge with the online format for a finance course. Accordingly, the purpose of this study is to evaluate the key determinants of success in an online core course in finance.

A Clinical Mathematical Model Estimating Postoperative Urine Output In Children Underwent Cardiopulmonary Bypass For Congenital Heart Surgery, Orkun Baloglu, Shawn D. Ryan, Ali M. Onder, David Rosen, Charles J. Mullett, Daniel S. Munther

Journal of Pediatric Intensive Care

Objectives: To build a proof of concept clinical mathematical model estimating postoperative urine output (UOP) utilizing pre-operative, intra-operative and immediate postoperative variables in children underwent cardiopulmonary bypass (CPB) for congenital heart surgery. Methods: Single-center, retrospective cohort study in a university-affiliated children’s hospital. Patients younger than 21 years old who underwent CPB for congenital heart surgery and were postoperatively admitted to West Virginia University Children’s Hospital`s pediatric intensive care unit (PICU) between September 1, 2007, and June 31, 2013 were included in the study. Body surface area, CPB duration, first measured hematocrit, serum pH, central venous pressure and vasoactive-inotropic score in …

Practice Variability And Unplanned Extubation Rates Across Pediatric Intensive Care Units, Krista Wollny, Amy Metcalfe, Karen Benzies, Simon J. Parsons, Tolulope Sajobi, Deborah Mcneil

Journal of Pediatric Intensive Care

Objectives The purpose of this study was to describe the care of intubated patients in pediatric critical care. Acknowledging there are several perceived factors that contribute to unplanned extubations, a secondary objective was to describe how practice variation may relate to observed differences in unplanned extubation rates. Methods A survey about practices related to the care of intubated patients was distributed to all PICUs participating in the Virtual Pediatrics System (VPS, LLC). Unplanned extubation rates for 2019-2020 were obtained from VPS. Univariate and bivariate analyses were performed to describe the responses, with unplanned extubation rates calculated as means. The text …

Development And Optimization Of A Remote Pediatric Cardiac Critical Care Bootcamp Using Telesimulation, Felina Mille, Amy Romer, Tarif A. Choudhury, Adrian D. Zurca, Stacie B. Peddy, Keith Widmeier, Marjorie Hamburger, Venkat Shankar

Journal of Pediatric Intensive Care

Objectives: We developed a novel cardiac critical care bootcamp consisting of didactic, small-group and simulation sessions. The bootcamp was remote due to the COVID-19 pandemic and included telesimulation. We aimed to assess learners’ reactions to the bootcamp and their perception of telesimulation. Methods: Paired anonymous surveys were administered before and after participation. Surveys assessed participants’ comfort in independently managing cardiac critical care scenarios, perceptions of telesimulation, barriers to its effectiveness, and specific feedback on course components. Results: Forty-three fellows from 10 institutions joined the bootcamp over two years. 38 pre- and 28 post-course surveys were completed. The course was rated …

The Association Of Teamwork And Adverse Tracheal Intubation–Associated Events (Tiaes) In Advanced Airway Management In The Pediatric Icu, John F. Jennings, Sholeen Nett, Rachel Umoren, Robert Murray, Aaron Kessel, Natalie Napolitano, Michelle Adu-Darko, Katherine Biagas, Philipp Jung, Debra Spear, Simon Parsons, Ryan Breuer, Keith Meyer, Matthew Malone, Asha Shenoi, Anthony Lee, Palen Mallory, Awni Al-Subu, Keiko Tarquinio, Lily Glater, Megan Toal, Jan Hau Lee, Matthew Pinto, Lee Polikoff, Erin Own, Iris Toedt-Pingel, Mioko Kasagi, Laurence Ducharme-Crevier, Makoto Motomura, Masafumi Gima, Serena Kelly, Josep Panisello, Gabrielle Nuthall, Kelsey Gladen, Justine Shults, Vinay Nadkarni, Akira Nishisaki

Journal of Pediatric Intensive Care

Background: Tracheal intubation in critically ill children is a life-saving, but high-risk procedure that involves multiple team members with diverse clinical skills. We aim to examine the association between the provider-reported teamwork rating and the occurrence of adverse tracheal intubation–associated events (TIAEs). Methods: A retrospective analysis of prospectively collected data from 45 pediatric intensive care units (PICUs) in the National Emergency Airway Registry for Children (NEAR4KIDS) database from January 2013 to March 2018 was performed. A composite teamwork score was generated using the average of each of five (7-point Likert scale) domains in the teamwork assessment tool. Poor teamwork was …

Complications Of Peripheral Arterial Access In Preterm And Term Neonates: A Systematic Review, Yangmyung Ma, Ahmed Salem, Andrea Jester

Journal of Pediatric Intensive Care

Aims: To provide a comprehensive review of vascular complications secondary to peripheral arterial catheterisation in preterm and term neonates. Methods: The systematic review consisted of searching PubMed, Scopus, Google Scholar, Cochrane Database of Systematic Reviews and references of journals using pre-trialled MeSH terms and articles. Results: Eight studies were included for full text analysis from 2369 initial articles: 6 retrospective reviews and 2 prospective studies. The rate of complication was 8.6% and all complications were ischemic in nature. Complications most often occurred in neonates with pulmonary/cardiac comorbidities and lower gestational ages. No association was found for weight and sex of …

Outcomes Of Pediatric Patients With Sepsis Managed On Extracorporeal Membrane Oxygenation: An Analysis Of The Elso Registry, Adrian Holloway, Jason Custer, Ripal Patel, Peta Alexander, Peter Rycus, Cortney Foster, Dayanand Bagdure, Angelina June, Vladimir Michtcherkin, William Blackwelder, Carissa Baker-Smith, Adnan Bhutta

Journal of Pediatric Intensive Care

Objective: Extracorporeal Membrane Oxygenation (ECMO) support is increasingly used for refractory septic shock. There is lack of data on the outcomes of children requiring ECMO support for refractory septic shock. Our study objective was to describe the variables associated with survival, risk factors for mortality and outcomes of children requiring ECMO support for refractory shock. Materials and Methods: Retrospective registry study of 340 international centers contributing data to the ELSO Registry, analyzing children <18 years who received ECMO with septic shock, severe sepsis, sepsis, SIRS, toxic shock syndrome, shock associated with infection and septicemia from any organism from 1990 to 2015. Outcomes were analyzed by categorizing the data into survivors and non-survivors. Logistic regression models were used to describe the association of dependent variable and multiple independent variables. Results: A total of 1928 patients were identified which met the inclusion criteria. 744 (38.5%) of the cohort survived. Survivors in this cohort tend to have longer duration of ECMO (230 hrs vs 201 hrs, p =0.005) and shorter time from intubation to ECMO cannulation (87 hrs vs 116 hrs, p =0.0033) when compared to non-survivors. Survivors were also noted to have higher pH, higher serum bicarbonate, higher saturations, and higher systolic, diastolic, and mean arterial pressures compared to non-survivors. Conclusions: These results suggest that early initiation of ECMO therapy for refractory sepsis is associated with better patient outcomes. ECMO is unlikely to recover patients once circulatory and metabolic collapse has developed.

Postoperative Inhaled Nitric Oxide Use And Early Outcomes After Fontan Surgery Completion, Kamalvir Gill, Estefania Rivera, Nicolas Ortiz Flores, Amro Alashi, Anthony Rossi, Jun Sasaki

Journal of Pediatric Intensive Care

A considerable number of patients after the Fontan operation require prolonged hospitalization due to significant perioperative morbidities. The early postoperative morbidity can be attributed to elevated pulmonary vascular resistance. We hypothesized that the postoperative outcomes would improve with the routine use of inhaled nitric oxide (iNO) to decrease pulmonary vascular resistance. From January 2015 to November 2017 (Group 1), 37 patients underwent Fontan operation, and from December 2017 to December 2019 (Group 2), 34 patients underwent Fontan operation. All patients in Group 2 received iNO in the immediate perioperative period as part of a standardized postoperative pathway. There was no …

Decompressive Craniectomy In Pediatric Traumatic Brain Injury: A Retrospective Cohort Study, Wan Xin Yew, Jan Hau Lee, Hongxing Dang, Sharon Yin Yee Low, Dianna Sri Dewi, Shu-Ling Chong

Journal of Pediatric Intensive Care

Introduction: Decompressive craniectomy in children with traumatic brain injury (TBI) and refractory raised intracranial pressure (ICP) remains controversial. We aimed to describe the clinical and operative characteristics of children with moderate to severe TBI who underwent decompressive craniectomy, and compare outcomes with those who received medical therapy. Methods: We performed a retrospective observational cohort study on children < 16 years old with moderate to severe TBI (Glasgow Coma Scale, GCS ≤ 13 who underwent DC in 2 pediatric centers in Singapore and China between 2014 and 2017, and compared their outcomes to children who underwent medical treatment, among participating centers of the Pediatric Acute and Critical Care Medicine Asian Network (PACCMAN). We defined poor functional outcomes as moderate, severe disability, vegetative or comatose state, or mortality, using the Pediatric Cerebral Performance Category scale. We performed multivariable logistic regression to identify predictors for poor functional outcomes. Results: We analyzed 18 children who underwent DC with 214 who had medical therapy. A greater proportion of children with DC (14, 77.8%) experienced poor functional outcomes, compared to those with medical therapy (87, 41.2%, p=0.003). Children who underwent DC had fewer median 14-day ICU-free days (2.5 days, interquartile range, IQR 0.0 – 5.8 vs 8.0, IQR 0.0 – 11.0, p=0.033), median 28-day hospital-free days (0 days, IQR 0.0-3.5 vs 11.0, IQR 0.0 – 21.0, p=0.002) and 14-day mechanical ventilation-free days (6.5 days, IQR 0.0 – 12.3 vs 11.0, IQR 3.0 – 14.0, p=0.011). After accounting for age, sex, GCS, cerebral edema, uncal herniation, nonaccidental injury (NAI) and need for intubation, there was no significant association between decompressive craniectomy and poor functional outcomes (aOR 1.59, 95% CI 0.35 – 7.24, p = 0.548). Conclusions: Children with DC had severe injuries, prolonged hospital and ICU stays. Future studies are needed to understand the effectiveness of DC on children with TBI.

Performance Of The Mean, Highest, And Admission Day Pediatric Sequential Organ Failure Assessment (Psofa) Scores As Outcome Predictors In A Pediatric Intensive Care Unit: A Prospective Observational Study, Debasis Maity, Moumita Samanta, Sandipan Sen, Tapan Kumar Sinha Mahapatra, Asim Kumar Mallick

Journal of Pediatric Intensive Care

Objectives: The Pediatric Sequential Organ Failure Assessment score (pSOFA) has been recently validated from its adult version having included the six clinical and biochemical parameters of organ dysfunction (respiratory, coagulation, cardiovascular, neurological, hepatic, and renal) and adapting age-adjusted cutoffs. Our goal was to find out which among the pSOFA scores (recorded on admission, highest score, and the mean score i.e., pSOFA1, pSOFAh, and pSOFAm respectively) performed better to predict mortality among the patients admitted in our pediatric intensive care unit (PICU). Methods: This prospective observational study was conducted on 104 patients (1 month to 12 years of age) admitted in …