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Development And Validation Of Autotronic Training Module For Automobile Technology Students In Polytechnics In Southern Nigeria, Saue, Baritule Prince, Chukuigwe, Ogbondah Nndameka, Bassey, Imaobong Sunday Jun 2024

Development And Validation Of Autotronic Training Module For Automobile Technology Students In Polytechnics In Southern Nigeria, Saue, Baritule Prince, Chukuigwe, Ogbondah Nndameka, Bassey, Imaobong Sunday

Journal of Informatics and Web Engineering

A research was carried out to create and verify an autotronic training module for students studying vehicle technology at polytechnics located in Southern Nigeria. The design used for the project was Research and Development (R&D). An observation has been made that the curriculum of polytechnics in Nigeria lacks sufficient substance on autotronics technology. As a result, lecturers have challenges in fully imparting the abilities that are essential for the professional world. Undoubtedly, there is now a disparity between the training that craftsmen receive and the skills that are demanded by industries. The research was carried out in the southern region …


Navigating The Nexus: Competition Law, Data Privacy, And Regulatory Challenges In The Digital Economy, Aalaa Tarek El Gohary Jun 2024

Navigating The Nexus: Competition Law, Data Privacy, And Regulatory Challenges In The Digital Economy, Aalaa Tarek El Gohary

Theses and Dissertations

Competition law and data privacy meet at a crucial point in the growing digital economy, making it essential to delve into their intricate relationship. This thesis investigates how competition law and data protection law interact within the digital market. It examines how data protection regulations influence market dynamics and competition, and how competition law affects data processing and individual rights during the digital transformation. By thoroughly exploring key themes, such as historical context, current challenges, and regulatory responses, this research aims to shed light on the changing regulatory landscape and its impact on future frameworks in the digital era. The …


Axion Dark Matter With Not Quite Black Hole Domination, Ufuk Aydemi̇r Jun 2024

Axion Dark Matter With Not Quite Black Hole Domination, Ufuk Aydemi̇r

Turkish Journal of Physics

No abstract provided.


Missed Exits: Causal Mechanisms Influencing Militarized Interstate Dispute Escalation In Latin America, Colton Arciniaga Jun 2024

Missed Exits: Causal Mechanisms Influencing Militarized Interstate Dispute Escalation In Latin America, Colton Arciniaga

Undergraduate Theses, Capstones, and Recitals

Research on militarized interstate disputes (MIDs) and the reasons for their escalation to interstate war is sparse at the global level and the regional level in Latin America. This thesis contributes new research on militarized interstate dispute escalation in Latin America. In this project, I ask: how do differences in conflict escalation indicators between states affect whether a Latin American country will participate in a Militarized Interstate Dispute that escalates to the use of force? To answer this question, I conduct a case study utilizing the most similar cases analysis approach to compare the cases of the 1995 MID between …


Saucier V. Board Of Mgrs. Of 9 Barrow Condominium Jun 2024

Saucier V. Board Of Mgrs. Of 9 Barrow Condominium

All Decisions

In a holdover-nuisance case in a co-op setting, the tenant sought a preliminary injunction due to excessive noise from building HVAC equipment, alleging breach of proprietary lease and by-laws. Tenants demonstrated likelihood of success on the merits and irreparable harm, with noise levels violating city codes. The court granted a preliminary injunction directing the board to expedite noise remediation efforts, emphasizing tenant's health risks and overriding need for relief despite ongoing mitigation efforts by the board.


Smoking Social Norms Among Spanish-Speaking Mexican-Origin Persons Who Smoke, Yessenia Castro, Zully C. Guerra, Josephine T. Hinds, Jose E. Velasquez, Tatiana Londoño, John R. Moore, Nazanin M. Heydarian, Jessica K. Perrotte Jun 2024

Smoking Social Norms Among Spanish-Speaking Mexican-Origin Persons Who Smoke, Yessenia Castro, Zully C. Guerra, Josephine T. Hinds, Jose E. Velasquez, Tatiana Londoño, John R. Moore, Nazanin M. Heydarian, Jessica K. Perrotte

School of Social Work Faculty Publications

In the United States, smoking rates increase with greater acculturation among Mexican-origin women, but not among men. Conversely, greater acculturation is associated with higher likelihood of quitting among Mexican-origin men who smoke, but not among women who smoke. Long-standing speculation is that adoption of smoking social norms in the U.S. that are less restrictive for women and more restrictive for men compared to smoking social norms in Mexico may account for these patterns. However, it is unknown whether persons who smoke actually perceive such differential norms. The current study characterized smoking social norms in the U.S. and Mexico among Spanish-speaking …


Faculty Spotlight: Bonnie Brown, Unh Communications And Public Affairs Jun 2024

Faculty Spotlight: Bonnie Brown, Unh Communications And Public Affairs

UNH Today Archive

No abstract provided.


The Impacts Of The Higher Education Expansion On Education Quality In China : Evidence From Shenzhen University, Yousong Lun Jun 2024

The Impacts Of The Higher Education Expansion On Education Quality In China : Evidence From Shenzhen University, Yousong Lun

Lingnan Theses (Doctoral degree)

Within the expansion of higher education in China, education quality should be considered into the process of reform and establishment, which is highly related to the resources of faculty and performances of management. It is crucial that universities sustainably conduct diverse academic research and meet the needs of community. Faced with the policy reform and opening up, China has more opportunities on cooperating with oversea education institutions and taking in overseas management system. This research explores the general quality assessment on higher education and the solution to balance the needs of domestic society and the growth of international education competitiveness, …


Ancient Nitrogenases Are Atp Dependent, Derek F. Harris, Holly R. Rucker, Amanda K. Garcia, Zhi-Yong Yang, Scott D. Chang, Hannah Feinsilber, Betül Kaçar, Lance C. Seefeldt Jun 2024

Ancient Nitrogenases Are Atp Dependent, Derek F. Harris, Holly R. Rucker, Amanda K. Garcia, Zhi-Yong Yang, Scott D. Chang, Hannah Feinsilber, Betül Kaçar, Lance C. Seefeldt

Chemistry and Biochemistry Faculty Publications

Life depends on a conserved set of chemical energy currencies that are relics of early biochemistry. One of these is ATP, a molecule that, when paired with a divalent metal ion such as Mg2+, can be hydrolyzed to support numerous cellular and molecular processes. Despite its centrality to extant biochemistry, it is unclear whether ATP supported the function of ancient enzymes. We investigate the evolutionary necessity of ATP by experimentally reconstructing an ancestral variant of the N2-reducing enzyme nitrogenase. The Proterozoic ancestor is predicted to be ~540–2,300 million years old, post-dating the Great Oxidation Event. Growth …


Change Is Possible: Implementing Assessment Of Library Instruction With The Help Of Change Management Theories, Carrie Jedlicka Jun 2024

Change Is Possible: Implementing Assessment Of Library Instruction With The Help Of Change Management Theories, Carrie Jedlicka

Publications and Research

Kingsborough Community College Library was tasked with formally assessing our instructional sessions, in order to align with the college’s evaluation of students’ information literacy skills. We formed a working committee and soon realized that conducting assessment would necessitate that librarians make changes to their instructional work and routines. To make this transition more manageable and to help create buy-in among librarians, the committee has begun rolling out assessment incrementally, drawing inspiration from different change management models. This poster will describe the steps taken in our assessment’s soft launch, change management theories that we’ve found helpful, and our successes and challenges. …


The Relationship Between Emotional Intelligence (Eq) And Project Success Rate In Japan, Daiki Tsunoda Jun 2024

The Relationship Between Emotional Intelligence (Eq) And Project Success Rate In Japan, Daiki Tsunoda

Harrisburg University Dissertations and Theses

Despite abundant research on the relationship between emotional intelligence and project success in various industries and countries, few papers specifically focus on Japan. However, Japan’s highly hierarchical corporate structure, combined with its high-context culture, makes emotional intelligence an even more essential trait, implying a significant gap in the existing literature that could contribute to the success of Japanese project teams. This thesis intends to fill this gap by focusing on Japanese and non-Japanese professionals working in Japanese companies in Japan and determining whether there is a positive correlation between EQ levels of employees and project success rate. For this research, …


Teachers’ Perspectives Of Using Assistive Technology When Writing Individual Education Plans With Parents, Garland Keith Voss Jun 2024

Teachers’ Perspectives Of Using Assistive Technology When Writing Individual Education Plans With Parents, Garland Keith Voss

Walden Dissertations and Doctoral Studies

Teachers of children with disabilities are not providing consistent opportunities for assistive technology (AT) services, even when mandated to do so. This phenomenon contributes to children with disabilities not receiving services that help their educational growth and development. The purpose of this study was to explore perspectives of K-2 teachers of children with disabilities in a rural Western school district about using AT when writing individualized education plans (IEPs) with parents. The conceptual frameworks for this study were Piaget’s constructivism theory and Bandura’s social cognitive theory. Eleven K-2 teachers of children with disabilities participated in semistructured recorded interviews. Data were …


Strategies For Human Capital Development In An Oil And Gas Organization, David Ebamije Akpieyi Jun 2024

Strategies For Human Capital Development In An Oil And Gas Organization, David Ebamije Akpieyi

Walden Dissertations and Doctoral Studies

Some oil and gas (O&G) leaders lack strategies to promote human capital development (HCD) training to increase employees’ productivity in their organizations, impacting their overall productivity. Therefore, O&G organizational leaders need to take deliberate steps to monitor and improve their human capital productivity continuously. Grounded in human capital theory, the purpose of this qualitative pragmatic inquiry was to explore strategies O&G leaders use to promote HCD training. The participants comprised six business leaders from O&G multinational organizations who successfully implemented strategies to promote HCD training to increase employees’ productivity. Data were collected using semistructured interviews and analyzed through thematic analysis. …


Effect Of Heggerty Phonemic Awareness Program On Fourth Graders’ Foundational Reading Skills, Kathleen Michelle Fox Jun 2024

Effect Of Heggerty Phonemic Awareness Program On Fourth Graders’ Foundational Reading Skills, Kathleen Michelle Fox

Walden Dissertations and Doctoral Studies

The problem is that fourth-grade students in the United States are not meeting reading proficiency benchmarks. Phonemic awareness is a strong predictor of reading success; however, few studies have investigated its effectiveness for intermediate elementary students who are at risk or struggling readers. The purpose of this quantitative quasi-experimental causal-comparative study was to find whether fourth-grade students who are identified as at-risk or struggling readers will show improvement in phonemic awareness and word recognition skills when taught with the Heggerty Phonemic Awareness Program as a supplement to regular reading instruction as compared to students who received traditional core reading instruction. …


Employee Engagement In The Rio Grande Valley Border Regions Of Texas, Thomas Ruseell Ferry Jun 2024

Employee Engagement In The Rio Grande Valley Border Regions Of Texas, Thomas Ruseell Ferry

Walden Dissertations and Doctoral Studies

This qualitative phenomenological study focused on the lived experiences of employees living and working in the Rio Grande Valley Texas border regions. The overall research problem was the general lack of employee engagement that has been highlighted in several studies. This research problem was further investigated to understand the lived experiences of employees in the healthcare industry and residing in border regions of Texas and how those experiences intersected with employee engagement. The purpose of this study was to explore and apply those lived experiences so that managers can use the information to better engage employees. The conceptual foundation consisted …


Human And Social Services Professionals’ Perception Of Service Delivery For African Immigrants, Krystal N. Jossell Jun 2024

Human And Social Services Professionals’ Perception Of Service Delivery For African Immigrants, Krystal N. Jossell

Walden Dissertations and Doctoral Studies

African immigrants face various barriers when accessing and utilizing health care and social support services. The challenges associated with migration and the intersectionality of being a Black immigrant can significantly exacerbate African immigrants’ physical, mental, and social well-being. The purpose of this generic, qualitative inquiry was to explore the perceptions and experiences of human and social service providers regarding the barriers and challenges of African immigrants when accessing and using health and social services, the role of cultural competency in the quality-of-service delivery, and how both affect overall service delivery. Data were collected through semi-structured interviews with seven human and …


Inpatient Length Of Stay, Readmission Rates, And Cost Burden: Financial Implications, Patricia Nneka Igboneje-Asor Jun 2024

Inpatient Length Of Stay, Readmission Rates, And Cost Burden: Financial Implications, Patricia Nneka Igboneje-Asor

Walden Dissertations and Doctoral Studies

Walden University September 2023 The purpose of this quantitative descriptive correlational study was to investigate the financial implications of Length of Stay (LOS) and Readmission Rates (RR) on the cost of patient care (C) and to determine the extent of the relationship between the variables in Texas, United States. A secondary dataset from the Texas hospital data collection database of 920 hospitals was used, where 65 hospitals were included in the study following a G*Power analysis. Pearson correlation and regression analyses were conducted to explore the relationship between the variables at a 95% confidence interval. The findings showed a significant …


Nursing Staff Shortages In Veterans Health Administration Hospitals, Bobbie Jo Campbell Jun 2024

Nursing Staff Shortages In Veterans Health Administration Hospitals, Bobbie Jo Campbell

Walden Dissertations and Doctoral Studies

Appropriate nurse staffing levels are necessary to maintain the safety of the nurses, the patients, and the organization. The Veterans Health Administration continues to have severe occupational shortages year after year and needs to identify better recruitment and retention strategies to improve the deficits. This integrative review aims to provide strategies to address nursing staff shortages in the Veterans Health Administration hospitals. For this integrative review, empirical and non-empirical sources were utilized to identify best practices for improved recruitment and retention strategies and to better understand this healthcare issue. Maslow’s hierarchy of needs was the framework for this review. The …


Best Practices To Reduce Nurse Fatigue In Hospital Intensive And Critical Care Units, Decrease Nurse Turnover, And Improve Quality Care, Alejandra Quinones-Otal Jun 2024

Best Practices To Reduce Nurse Fatigue In Hospital Intensive And Critical Care Units, Decrease Nurse Turnover, And Improve Quality Care, Alejandra Quinones-Otal

Walden Dissertations and Doctoral Studies

Nursing is an occupation with extensive duties affecting patient safety and extensive patient practices. The purpose of this integrative review was to search the existing body of knowledge related to intensive care or critical care nurses to assess work hours and other contributors to nurse fatigue and how this relates to quality patient outcomes. The review question explored the best practices to reduce nurse fatigue in intensive care or critical care related to long shifts and other factors and the relationship to patient outcomes. Methods involved thoroughly analyzing current empirical and nonempirical literature to determine themes for answering the review …


Gender Differences In Kindergarten Students’ Internalizing And Externalizing Behaviors And The Role Of Inhibitory Control, Joy Ann Stickney-Mcdonald Jun 2024

Gender Differences In Kindergarten Students’ Internalizing And Externalizing Behaviors And The Role Of Inhibitory Control, Joy Ann Stickney-Mcdonald

Walden Dissertations and Doctoral Studies

Disruptive classroom behaviors are on the rise in U.S. classrooms. Children with early behavior difficulties are at an increased risk of school dropout, incarceration, and mental illness. A review of the literature indicates gender is a significant variable that can influence students’ behaviors, social skills, and academics. The purpose of this quantitative study was to examine teachers’ perceptions of gender differences in externalizing behaviors and internalizing behaviors and the role of inhibitory control in a sample of neurotypical and neurodiverse kindergarten students. Bem’s gender schema theory was the structural framework used in this non-experimental study. The research question explored the …


Strategies For Human Capital Development In An Oil And Gas Organization, David Ebamije Akpieyi Jun 2024

Strategies For Human Capital Development In An Oil And Gas Organization, David Ebamije Akpieyi

Walden Dissertations and Doctoral Studies

Some oil and gas (O&G) leaders lack strategies to promote human capital development (HCD) training to increase employees’ productivity in their organizations, impacting their overall productivity. Therefore, O&G organizational leaders need to take deliberate steps to monitor and improve their human capital productivity continuously. Grounded in human capital theory, the purpose of this qualitative pragmatic inquiry was to explore strategies O&G leaders use to promote HCD training. The participants comprised six business leaders from O&G multinational organizations who successfully implemented strategies to promote HCD training to increase employees’ productivity. Data were collected using semistructured interviews and analyzed through thematic analysis. …


Inpatient Length Of Stay, Readmission Rates, And Cost Burden: Financial Implications, Patricia Nneka Igboneje-Asor Jun 2024

Inpatient Length Of Stay, Readmission Rates, And Cost Burden: Financial Implications, Patricia Nneka Igboneje-Asor

Walden Dissertations and Doctoral Studies

The purpose of this quantitative descriptive correlational study was to investigate the financial implications of Length of Stay (LOS) and Readmission Rates (RR) on the cost of patient care (C) and to determine the extent of the relationship between the variables in Texas, United States. A secondary dataset from the Texas hospital data collection database of 920 hospitals was used, where 65 hospitals were included in the study following a G*Power analysis. Pearson correlation and regression analyses were conducted to explore the relationship between the variables at a 95% confidence interval. The findings showed a significant negative relationship between average …


How Ai And Digitalization Can Help To Improve Managing Projects In Lean Manufacturing & Supply Chain Environment, Abhijeet Hange Jun 2024

How Ai And Digitalization Can Help To Improve Managing Projects In Lean Manufacturing & Supply Chain Environment, Abhijeet Hange

Harrisburg University Dissertations and Theses

This research examines how digitalization and machine learning (ML) revolutionize project management in supply chain and lean manufacturing settings. To improve the efficiency and caliber of their operational procedures, Acuity Brands, Amazon, Walmart, Apple, and other medium-sized businesses—which are at the center of today's competitive markets—are resorting to automation and digitalization. With an emphasis on the fusion of digital and artificial intelligence (AI), the paper explores how successful transformation initiatives are essential to the automation and digitization of manufacturing and distribution hubs. The study uses quantitative methods approach to evaluate the benefits and drawbacks of these technology integrations by integrating …


Serum Lipoproteins Are Associated With Coronary Atherosclerosis In Asymptomatic U.S. Adults Without Traditional Risk Factors, Ricardo Cury, Theodore Feldman, Jonathan Fialkow, Khurram Nasir Jun 2024

Serum Lipoproteins Are Associated With Coronary Atherosclerosis In Asymptomatic U.S. Adults Without Traditional Risk Factors, Ricardo Cury, Theodore Feldman, Jonathan Fialkow, Khurram Nasir

All Publications

Background: The relationship between atherogenic lipoproteins and subclinical coronary atherosclerosis has not been thoroughly evaluated in low-risk adults.

Objectives: The purpose of this study was to assess the association of low-density lipoprotein cholesterol (LDL-C), non-high-density lipoprotein cholesterol (HDL-C), and apolipoprotein B (apoB) with coronary atherosclerosis in adults without traditional risk factors.

Methods: We assessed atherosclerosis on coronary computed tomography angiography among asymptomatic adults in the Miami Heart Study not taking lipid-lowering therapy and without hypertension, diabetes, or active tobacco use. Prevalence of atherosclerosis was evaluated based on serum LDL-C, non-HDL-C, and apoB, and multivariable logistic regression with forward selection was …


#Disgusted: Identifying Potential Sub-Factors Of Moral Disgust Through Reflexive Thematic Analysis Of Tweets, Ryan Statton, Alison Bacon, Jaysan Charlesford, Sylvia Terbeck Jun 2024

#Disgusted: Identifying Potential Sub-Factors Of Moral Disgust Through Reflexive Thematic Analysis Of Tweets, Ryan Statton, Alison Bacon, Jaysan Charlesford, Sylvia Terbeck

School of Psychology

Social media provides an untapped resource for exploring Moral Disgust. We therefore drew on ‘tweets’ about Moral Disgust (k=526) to better conceptualise the situations, people, and concepts users found Disgusting. Our Reflexive Thematic Analysis identified two themes and accompanying subthemes: Hierarchical Disgust and Third-Party Disgust. Hierarchical Disgust was constructed from expressions of Disgust directed to power structures, abuses of power, and leaders, whereas Third-Party Disgust comprised expressions directed at negative outcomes for others, often in the form of discrimination or harm. Both themes served as a form of group protection through out-group distancing and normative in-group policing. Importantly, this research …


Admission And Discharge Practices Among Assisted Living Communities: The Role Of State Regulations And Organizational Characteristics, Cassandra L. Hua, Lindsey Smith, Sheryl Zimmerman, Gauri Gadkari, Paula Carder, Philip D. Sloane, Christopher J. Wretman, Kali S. Thomas Jun 2024

Admission And Discharge Practices Among Assisted Living Communities: The Role Of State Regulations And Organizational Characteristics, Cassandra L. Hua, Lindsey Smith, Sheryl Zimmerman, Gauri Gadkari, Paula Carder, Philip D. Sloane, Christopher J. Wretman, Kali S. Thomas

Institute on Aging Publications

A better understanding of factors associated with assisted living admission and discharge practices can help identify communities that are more likely to allow residents to age in place. This study examined how state regulations and assisted living organizational characteristics relate to community admission and discharge practices for bathing, getting out of bed, and feeding.


Implementing An Antibiotic Stewardship Program Using The Mitigate Toolkit In An Urgent Care Setting, Christina Ross Jun 2024

Implementing An Antibiotic Stewardship Program Using The Mitigate Toolkit In An Urgent Care Setting, Christina Ross

DNP and Student Works

Antibiotic resistance is one of the utmost hazards to public and global health. On average, 2.8 million annual antibiotic-resistant infections in the U.S. and more than 35,000 deaths resulted in 2019. Increased resistance rates are related to worse clinical outcomes and healthcare costs - an increase in adverse reactions such as allergic reactions and Clostridium difficile infections results. The creation of Urgent Care (UC) clinics across the U. S. has increased access to healthcare but exceeded the national average of antibiotic prescriptions to maintain patient satisfaction. Developing an Antibiotic Stewardship Program (ASP) in a UC setting will reduce inappropriate antibiotic …


Frequency Of Pharmacogenomic Variation And Medication Exposures Among All Of Us Participants, Joshua D Smith, Jason H Karnes, Eric Venner, Marsha M Wheeler, Karynne Patterson, Kimberly Walker, Divya Kalra, Sara E Kalla, Qiaoyan Wang, Richard A Gibbs, Gail P Jarvik, Janeth Sanchez, Anjene Musick, Andrea H Ramirez, Joshua C Denny, Philip E Empey Jun 2024

Frequency Of Pharmacogenomic Variation And Medication Exposures Among All Of Us Participants, Joshua D Smith, Jason H Karnes, Eric Venner, Marsha M Wheeler, Karynne Patterson, Kimberly Walker, Divya Kalra, Sara E Kalla, Qiaoyan Wang, Richard A Gibbs, Gail P Jarvik, Janeth Sanchez, Anjene Musick, Andrea H Ramirez, Joshua C Denny, Philip E Empey

Faculty, Staff and Students Publications

Pharmacogenomics promises improved outcomes through individualized prescribing. However, the lack of diversity in studies impedes clinical translation and equitable application of precision medicine. We evaluated the frequencies of PGx variants, predicted phenotypes, and medication exposures using whole genome sequencing and EHR data from nearly 100k diverse All of Us Research Program participants. We report 100% of participants carried at least one pharmacogenomics variant and nearly all (99.13%) had a predicted phenotype with prescribing recommendations. Clinical impact was high with over 20% having both an actionable phenotype and a prior exposure to an impacted medication with pharmacogenomic prescribing guidance. Importantly, we …


Development Of Biochemical And Cellular Probes To Study Ripk1 Target Engagement, Jin Wang, Dong Lu Jun 2024

Development Of Biochemical And Cellular Probes To Study Ripk1 Target Engagement, Jin Wang, Dong Lu

Faculty, Staff and Students Publications

RIPK1 inhibitors have emerged as promising candidates for treating diverse diseases, including inflammatory diseases, autoimmune disorders, Alzheimer’s disease, and cancer. However, the previously reported binding assays have limited sensitivity and stability, impeding high-throughput screening and robust characterization of the RIPK1 inhibitors. To address this challenge, we introduced two probes, T2-BDP-FL and T3-BDP-FL, derived from distinct RIPK1 inhibitors with different binding modes to establish time-resolved fluorescence resonance energy transfer (TR-FRET) displacement assays. Employing our TR-FRET displacement assays, we quantified the biochemical binding affinities of a series of RIPK1 inhibitors with diverse structural and binding modes for human RIPK1. Consistent results were …


Protocol For Improving Care By Faster Risk-Stratification Through Use Of High Sensitivity Point-Of-Care Troponin In Patients Presenting With Possible Acute Coronary Syndrome In The Emergency Department (Icare-Faster): A Stepped-Wedge Cluster Randomised Quality Improvement Initiative, Sally Aldous, Allan S Jaffe, Fred S Apple, Nicholas Mills, Richard W Troughton, Peter Kavsak, W Frank Peacock, Louise Cullen, Sarah J Lord, Christian Müller, Laura Joyce, Chris Frampton, Cameron James Lacey, Arthur M Richards, Suzanne Pitama, Martin Than Jun 2024

Protocol For Improving Care By Faster Risk-Stratification Through Use Of High Sensitivity Point-Of-Care Troponin In Patients Presenting With Possible Acute Coronary Syndrome In The Emergency Department (Icare-Faster): A Stepped-Wedge Cluster Randomised Quality Improvement Initiative, Sally Aldous, Allan S Jaffe, Fred S Apple, Nicholas Mills, Richard W Troughton, Peter Kavsak, W Frank Peacock, Louise Cullen, Sarah J Lord, Christian Müller, Laura Joyce, Chris Frampton, Cameron James Lacey, Arthur M Richards, Suzanne Pitama, Martin Than

Faculty, Staff and Students Publications

Introduction: Clinical assessment in emergency departments (EDs) for possible acute myocardial infarction (AMI) requires at least one cardiac troponin (cTn) blood test. The turn-around time from blood draw to posting results in the clinical portal for central laboratory analysers is ~1-2 hours. New generation, high-sensitivity, point-of-care cardiac troponin I (POC-cTnI) assays use whole blood on a bedside (or near bedside) analyser that provides a rapid (8 min) result. This may expedite clinical decision-making and reduce length of stay. Our purpose is to determine if utilisation of a POC-cTnI testing reduces ED length of stay. We also aim to establish an …