Digital Commons Network^™

Development Of Ecls Transport Checklist, Laura Hatton, Lakshmi Raman, Donna Taylor, Margarita Ramos

2024

QUALITY

Purpose: To develop a tool that will prevent complications related to transporting patients on ECLS thereby improving positive outcomes.

Background: In 2021, a patient on ECLS was transported from the unit to acquire imaging. The usual practice was to obtain an X-ray to confirm cannula placement after a transport. However, the X-ray was not obtained when the patient got back to the unit and unbeknownst to the team, the patient’s cannula had significantly moved despite visualization of intact sutures. The change in cannula position was not discovered until the morning X-ray that was taken several hours later. When the …

The Diamond, September 27, 2024, Dordt University

Dordt Diamond

• Front Page : Dordt Reaches Record Enrollment 5 Years in a Row; International Instrumental Tour Canceled; Rumors of Mold Never Grow Old
• News: Why Do So Many Professors Attend Covenant CRC?; Savor the Sounds; What is Heartland Break?
• Feature: From Rain to Restoration; Dordt Trapshooting Club Feels Impact of Rock Valley Flooding; Production Arts - Behind the Stream; Nursing Department Hosts Simulation Lab Open House
• Politics: The Prison is My Mission Field; Take Two on Assassination; Discussing the Debate
• Sports: Women's Volleyball Season Preview; Swim Team Highlight; Defenders Show Up and Shut Out; The Reality of …

Teaching Music To Students With Differences And Disabilities: A Label-Free Approach, Alice M. Hammel, Ryan M. Hourrigan

ABLE Books

No abstract provided.

Jheinsiny Lopez-Flores V. Attorney General United States Of America

2024 Decisions

Agency

Usa V. Antoine Wiggins

2024 Decisions

USDC for the District of New Jersey

William Webb,Jr. V. Department Of Justice

2024 Decisions

USDC for the District of Delaware

Minutes (9-27-2024), Associated Students, Incorporated

Associated Students, Incorporated records

No abstract provided.

Faculty Recital | Unabashedly Romantic

Bailey School of Music Concert Programs

Jesús Castro-Balbi, Cello, and David Korevaar, Piano

with Michael Heald, Violin, and Julia Bullard, Viola

Woodwind/Percussion Seminar, September 27, 2024 [Program], University Of Northern Iowa. School Of Music.

Music Recital Programs

Program of a music recital given by faculty, students, or guest artists from the School of Music at the University of Northern Iowa.

September 27, 2024 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.

"Finding Your People: Seeking Strength And Solidarity In Employee Resource Groups (Ergs)" - The One Club For Creativity's "Where Are All The Black People?" 2024 Conference Proceedings & Reading List, Javier O. Garcia

Publications and Research

Employee Resource Groups (ERGs) help create community in the workplace, and can serve as a source of strength for employees of marginalized identities.

This panel, originally held at The One Club for Creativity's "Where Are All the Black People?" conference and career fair in 2024, explores the value of intersectional identities in the workplace.

The featured panelists offer insights into the changing landscape of DE&I (diversity, equity, & inclusion) - particularly in the advertising, marketing communications, and creative industries - the impact it is having on employees, and how ERGs can serve as a catalyst for professional and organizational growth. …

A Study Of Civil Liability Views Of U.S. Midwestern Police, Daniel Hall, Morris Jenkins, Eric Lambert, Shanon L. Gillette, Yung Hyeock Lee

Justice, Law, and Public Safety Studies Department Faculty Conferences

In the past several years, there has been a greater social call for police officers to be civilly and/or criminally liable for their actions. It is unclear if concern for liability exists today among police officers and if this concern influences how officers interaction with community members. The current study explored the civil and criminal liability views of police officers and if officers feel that this liability changed how they provide services. Data for this survey came from a recent survey of police officers in the U.S. Midwest. The results will be presented and discussed

Ud In The News Sept. 20-27, University Of Dayton

News Releases

Gloria Falcão Dodd in the International Marian Research Institute discussed apparitions with EWTN and National Catholic Register. The National Desk, Washington Post, Newsweek and New York Post interviewed political scientist Christopher Devine.

Assessment Of Water Pollution In A Waste Storage Drainage Area (A Case Study In Eskişehir, Türkiye), Ali̇ Kayabaşi, Özlem Toygar Sağin, Candan Gökçeoğlu

Turkish Journal of Earth Sciences

Before 2016, the Eskişehir city landfill was an irregular landfill. Since then, it has been transformed into a regulated landfill. This study aimed to investigate the presence of pollution in the landfill drainage area. For this purpose, water samples were collected from the landfill drainage area and the Kadirbey Farm Spring, upstream of the landfill area, during the rainy and dry seasons of 2021. Analyses of the heavy metal content, total dissolved soil (TDS), chemical oxygen demand, biochemical oxygen demand, pH, phenol material content, ammonia nitrogen content, and conductivity were conducted on the samples. Electrical resistivity tomography (ERT) measurements were …

Detecting Edges Of Geologic Sources From Gravity Or Magnetic Anomalies Through A Novel Algorithm Based On Hyperbolic Tangent Function, Hanbing Ai, Yunus Levent Eki̇nci̇, Ahmad Alvandi, Hazel Deni̇z Toktay, Çağlayan Balkaya, Arka Roy

Turkish Journal of Earth Sciences

Directional derivative-based edge detectors are commonly used to outline the abrupt lateral variations in densities or magnetizations of geologic sources from potential-field datasets. Some subtle traces of faults, lithological contacts, and lineaments can be made more visible on anomaly maps using these algorithms. However, these algorithms generally suffer from common limitations such as blurry edges with low-resolution or faulty boundaries. To minimize these challenges, we proposed a new efficient edge detector that benefits from the hyperbolic tangent function. The performance of this detector was tested on the responses of a synthetic gravity model and Bishop's complex magnetic model. A Gaussian …

Cover And Contents

Turkish Journal of Earth Sciences

No abstract provided.

Butte Priority Soils Operable Unit (Bpsou) Butte Hill Revegetation Specifications (Bhrs), Mike Mcanulty

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Committee Disclosure

Catholic Dioceses in Bankruptcy

No abstract provided.

Committee Plan

Catholic Dioceses in Bankruptcy

No abstract provided.

Got Questions? Call Us: Utilizing Telephone Triage To Help Pediatric Patients After Discharge, Susan Webber, Ann Gosdin

2024

EBP

Background: Discharge follow-up programs help to reduce avoidable readmissions and unnecessary returns to the emergency department. Our organization lacked a clearly defined post-inpatient discharge process for patients on the hospitalist service. Information on the after-visit summary (AVS) includes follow-up appointment instructions and lists the main hospital phone number. Primary care providers often refer patients back to the hospital for questions related to the hospital stay. Post-discharge follow-up phone calls are labor-intensive, hard to sustain, and may not meet the patient’s needs. We sought a technology solution to assist and engage families post-discharge.

Purpose: This project aims to determine if …

Evaluation Of Supplemental Oxygen Use In The Acute Care Cardiology Unit And Opportunities For Standardizing Practice, Melanie Walsh, Alexandra Birely, Sarah Mahmalji, Sonali S. Patel

2024

RESEARCH

Purpose:
Oxygen delivery via nasal cannula is a standard therapy in hospitalized pediatric patients; however, it can have adverse effects in certain populations, such as infants with cardiac shunting physiology1,2. An oxygen-air blender can be used via standard nasal cannula to provide the lowest amount of fraction of inspired oxygen (FiO2) in order to reduce harm2. A recent Pediatric Acute Care Cardiology Collaborative (PAC3) Hospital Survey indicates that 88% of participating acute care cardiology units (ACCU) provide blended oxygen to patients, however, indications for use are not well-established3,4. A local ACCU nursing staff survey revealed mixed use of blended …

Timeliness Of “Red Event” Reviews: Optimizing “Cardiac-Multidisciplinary Assessment Of Performance” (C-Map) Rounds With Morbidity And Mortality Review, Andrea Torzone, Glenda Moate, Linn Groom, Mary Hart, Erin Hunter-Mcphan, Christa Conley, Kimberly Moore, Sarah Zoretic, Priya Bhaskar, Nicholas Andersen, Ryan Butts, Yousef Arar

2024

QUALITY

Background:
/="/">Review of Morbidity and Mortality (M&M) events within Heart Centers (HC) is critical for improving patient care. Timely review is important to maintain transparency and accuracy in recall and produce actionable items to reduce the likelihood for similar occurrences. Cardiac-Multidisciplinary Assessment of Performance (C-MAP) rounds and M&M Selection Committee were initiated July 2020 to review surgical patient outcomes, team performance, and events deviating from expected course. M&M selection committee consists of physicians, advanced practice nurses, and quality improvement consultants to determine patients appropriate for review at M&M conference. We aim to analyze timeliness of review following patient …

High Reliability Pediatric Heart Centers: Always Working Toward Getting Better, Andrea Torzone, Alexandra Birely

2024

QUALITY

Background
As provision of care reaches a new complexity in pediatric cardiology, programs are called upon to evaluate how they can bring their teams into the future of pediatric cardiac care. High reliability principles support high-quality care and improve outcomes, thus should be embraced to guide continuous improvement. Although much has been written about high reliability in healthcare, it has not been explored within pediatric heart centers. The purpose of this review is to examine high reliability through the lens of a contemporary pediatric heart center, elaborating on key concepts and proposed considerations for maintaining a high reliability heart …

Management Of Failure To Thrive In An Infant With Unrepaired Congenital Heart Disease: A Case Study On Energy And Nutrient Dense Formula, Alexandra Birely, Sarah Dundas

2024

EBP

Introduction: Infants with congenital heart disease (CHD) are at risk for malnutrition and failure to thrive (FTT). Preoperative nutritional status impacts postoperative outcomes; thus nutrition should be optimized before surgery. Unrepaired infants have higher energy requirements & fluid restrictions, posing challenges in promoting growth for surgery. Energy and nutrient-dense formula has successfully treated FTT in the postoperative phase, however, evidence is limited in unrepaired infants.

Case Description: The case presented is a 4-month ex-36 week infant, past medical history significant for CHD with large ventricular septal defect (VSD), atrial septal defect (ASD), pulmonary stenosis and solitary kidney. Following discharge …

Owning Your Practice Through Evidence-Based Practice (Ebp) - Transformational Leadership Strategies That Create The Foundation For Ebp Enculturation, Sara Moore, Kathleen Ellis, Zara Sajwani-Merchant, Lindsey Patton

2024

INNOVATION

Background: Nursing Research and Evidence-Based Practice (NREBP) is central to advancing nursing science and integrating nursing practices supported by scientific inquiry to improve health outcomes and quality of care^1,4. The gap between what nurses know and what they do can have life-altering consequences^2,7 . The degree to which nurses base their practice behaviors on research, EBP competence, and use of EBP skills is sub-optimal and is directly influenced by organizational and institutional barriers³. Common barriers to implementing EPB behavior change include organizational culture, leadership, networks and communication, resources, evaluation, monitoring and feedback, and availability …

Optimized Pain Management Protocol For Pediatric Needlestick Procedures: Boosting Team Coordination And Pain Relief, Dhanu N. Bhandari

2024

EBP

PICOT Question:Among clinical staff in the Integrated Therapy Unit (ITU), how does the implementation and education of a standardized set of topical anesthetic agents affect staff consistency with the new pain management procedure over six months compared to existing inconsistent practices?

Background:Effective pain management during pediatric needlestick procedures is critical but often neglected, leading to immediate distress and long-term issues like needle phobia. Research shows that proper pain management not only reduces pain but also improves patient satisfaction and clinical outcomes. However, inconsistent use of strategies like topical anesthetics has hindered optimal care. This project aimed to …

From Identification To Action: Nurses Respond To Human Trafficking, Misty Daugherty, Jill Hanks, Alison Kell, Annie Tolliver, Katie Fields, Lily Velez

2024

INNOVATION

Background: In 2022, nurses from a pediatric healthcare system hosted a Human Trafficking Conference to educate healthcare providers on the identification of human trafficking victims. In post-conference surveys, participants reported a gap in their ability to respond once a human trafficking victim was identified. The conference planning committee reconvened in 2023 to address this gap and shifted from a didactic presentation to application and simulation.

Purpose: Research shows in our home state, there are about 313,000 people being trafficked, up to 50% of them being youth. It is estimated that up to 88% of human trafficking victims encounter healthcare …

The Minutes Of The Marshall University Graduate Council Meeting, September 27, 2024, Marshall University Graduate Council

Graduate Council Minutes

No abstract provided.

The Effects Of 401(K) Vesting Schedules—In Numbers, Samantha Prince, Timothy G. Azizkhan, Cassidy R. Prince, Luke Gorman

Faculty Scholarly Works

Many Americans terminate employment, voluntarily or involuntarily, prior to vesting in their 401(k) plans. This costs them a lot of money; it also saves companies a lot of money. Vesting schedules used by some 401(k) plans cause plan participants to forfeit significant portions of their compensation—employer contributions made on their behalf—that should be increasing their retirement savings. This money is recycled by such plans to offset their employer contribution obligations and other costs. We analyzed data from Form 5500s to identify trends in and implications of vesting schedule use by 408 single-employer 401(k) plans over the five-year period of 2018-2022. …

Understanding Necrotizing Enterocolitis Endotypes And Acquired Intestinal Injury Phenotypes From A Historical And Artificial Intelligence Perspective., Alain Cuna, Navin Kumar, Venkatesh Sampath

Manuscripts, Articles, Book Chapters and Other Papers

Necrotizing enterocolitis (NEC) remains a devastating disease in preterm and term neonates. Despite significant progress made in understanding NEC pathogenesis over the last 50 years, the inability of current definitions to discriminate the various pathophysiological processes underlying NEC has led to an umbrella term that limits clinical and research progress. In this mini review, we provide a historical perspective on how NEC definitions and pathogenesis have evolved to our current understanding of NEC endotypes. We also discuss how artificial intelligence-based approaches are influencing our knowledge of risk-factors, classification and prognosis of NEC and other neonatal intestinal injury phenotypes.