Digital Commons Network^™

To Bpd Or Not To Bpd: A Comparison Of The 2022 Versus 2011 Nichd Web-Based Risk Estimator For Bronchopulmonary Dysplasia, Mitch Kinkor, Jake Schneider, Farhath Sulthana, Janelle R. Noel-Macdonnell Phd, Alain Cuna

Research Days

This study compares the performance of the 2022 National Institute of Child Health and Human Development (NICHD) Bronchopulmonary Dysplasia (BPD) Outcome Estimator and its original 2011 version in identifying high-risk infants.

Decision In Art. 78 Proceeding - Beltran, Elias (2024-05-08)

Decisions in Art. 78 Proceedings

No abstract provided.

Institutional Pilot Changes Lead To A Reduction In Emergency Department Boarding Patients, Rohan Akhouri, Jennifer Watts, Christopher S. Kennedy, Kelly A. Sinclair, Bethany Bolt, Ashley Daly

Research Days

Background: Crowding and boarding pediatric emergency departments (ED) is an ongoing problem associated with a mismatch in resources and patient care demands. ED boarding can be defined as a patient admitted to an inpatient unit who remains in the ED. ED boarding occurs when there is limited availability of inpatient bed space – either due to patient volume or decreased staffing. ED boarding is associated with adverse events, and increased mortality. Few studies address the impact of inpatient strategies on ED boarding. The objective of our study was to evaluate hospital-based strategies within a single institution and their effect on …

Outcomes Of Toddler’S Fractures After Implementation Of Comprehensive Care Management Protocol With Controlled Ankle (Cam) Boots, Sheena J. Amin Md, Janet K. O'Rear Bsn, Julia Leamon Msn, Olivia R. Pruss Bs, Mckenna C. Noe Bs, Micah K. Sinclair Md, Caleb W. Grote Md, Phd

Research Days

A study comparing skin breakdown complications in patients being treated for toddler's fractures at a single academic medical center before and after implementation of a new management and immobilization protocol involving the use of CAM boots.

Pediatric Readiness In The Ambulatory Care Setting, Mary Haywood, Chris Kennedy, Robert D. Schremmer Md, Emily Cramer, Kevin Meilak Md

Research Days

Background: Emergent presentations are a relatively uncommon occurrence in the ambulatory care setting. However, when they do occur, they can be life threatening. Given their uncommon occurrence, many clinicians believe that emergencies do not present or do not occur in these settings. However, there can be up to 42 emergent presentations per office site per year, depending on location. Most commonly pediatric patients present with respiratory distress, but seizures, anaphylaxis, dehydration, and psychological/behavioral complaints can also present emergently to these clinics. Despite this, most offices are not prepared to handle these presentations. According to various studies, this is typically due …

Oscillometry In Term Neonates Without Respiratory Disease, Anna Nelson, Cheri Gauldin, Brooke Smith, Venkatesh Sampath, Winston Manimtim

Research Days

This feasibility study aims to determine normative values of oscillometry for neonates without respiratory disease.

Conservative Management Of Medial Femoral Condyle Osteochondritis Dissecans In The Pediatric Knee, Kennedy J. Morey, Brian Harvey, Kennison Adams, El Domingo-Johnson, Angie Vanderpool, Natalie Stork, Donna Pacicca, Brian Lee, Kevin Latz

Research Days

This study investigates the effectiveness of various non-operative treatments for osteochondritis dissecans (OCD) lesions in the medial femoral condyle (MFC) of the knee, a condition commonly affecting pediatric populations. Our project aims to evaluate outcomes such as symptom resolution, return to activity, and the potential for avoiding surgical intervention among patients undergoing different methods of conservative management. Through a retrospective analysis of patients, the study identifies trends in the effectiveness of different conservative treatment methods.

Increasing The Rate Of Infants Rooming In With Their Mothers With Low-Acuity Congenital Heart Disease, Anna Nelson, Amy Marks, Ekta Patel

Research Days

This quality improvement study aimed to increase the number of infants with low-acuity congenital heart disease that could room-in with their mothers in a high-risk delivery center.

Automate Isolation Infection-Prevention Precautions (Aid-Ip): Improving The Efficiency Of Hospital Isolation With Viral Respiratory Infections, Timothy Burchard, Michael Platt, La'sonya Buford

Research Days

The AID-IP project is a QI study working to improve the process of isolation and de-isolation regarding respiratory viruses at Children's Mercy Hospital. Specifically, we aim to improve adherence to proper isolation precautions, minimize cognitive workload regarding the maintenance of isolation for staff, and improve family satisfaction with isolation practice.

Nrp, Pals, And Their Utilization During Code Events In A Pediatric Quaternary Hospital: A 'Compressed' Analysis, Mitch Kinkor, Deepa Kumar, Allison Taber, Stephen Pfeiffer, Jessica Brunkhorst, Danielle Reed

Research Days

Both the Pediatric Advanced Life Support (PALS) and Neonatal Resuscitation Program (NRP) algorithms are utilized for resuscitation during pediatric codes. The optimal time period to transition from NRP to PALS is not well studied. This study describes the utilization of chest compressions, prescribed medications, and patient outcomes during and after code events organized by the algorithm used to direct resuscitation (PALS or NRP) in a similarly aged patient population.

Identification Of Genetic Disorders Based On Phenotype And Subsequent Medical Management, Sara J. Strandlund, Jotishna Sharma, Bonnie R. Sullivan, Ashley K. Sherman, Laura A. Cross

Research Days

Many genetic disorders in the neonatal period contribute to significant morbidity and mortality. This study evaluates the indications for genetic testing based on phenotype and compares these with the diagnostic yield of symptom driven exome sequencing and chromosome microarray in the NICU. Overall, this study highlights that while there are diagnostic limitations to exome sequencing, genetic testing remains an important adjunct to clinical care.

Health Disparities In Slipped Capital Femoral Epiphysis (Scfe) Presentation, Rithika Ginjupalli, George Thomas, Rohit Siddabattula, Richard M. Schwend, Caleb Grote

Research Days

This study identifies various health disparities in SCFE presentations using neighborhood-level determinants COI and ICE in addition to sociodemographic determinants such as race and gender.

Back To Basics, Paul Schmall

World of Coal Ash Proceedings

CCR Dewatering – Back to the Basics Authors Dr. Paul Schmall - United States - Keller Abstract The increase in CCR pond closure activity spurred by the EPA’s 2015 rule publication has created a tremendous opportunity to innovate with respect to traditional methods of safely working around and on saturated CCR material. The volume of work and the speed at which it must be completed requires that the industry adapt in order to meet regulatory timelines. One technique that has been successfully implemented is the use of conventional construction dewatering technology to stabilize CCR by reducing and controlling pore pressures. …

Innovative Solutions For A Unique Ccr Facility Closure – A Case Study, Brittany Hebbeler, Nathan Bader, Shane Harris

World of Coal Ash Proceedings

The Tennessee Valley Authority (TVA) is in the process of closing the former CCR pond and landfill at the Shawnee Fossil Plant in Paducah, Kentucky. This presentation will be a case study of the unique project and the innovative solutions implemented throughout design and construction. During closure construction, free water was removed via pumping and a wellpoint dewatering system was necessary to remove interstitial water within the pond and allow for CCR placement within previously ponded areas. Over 4 million cubic yards of material has been moved from the landfill to contour and create closure grades in the former pond …

Manufacturing Of Leed Sustainable Building Materials From Previously Landfill Ccr, Randall Stremmel

World of Coal Ash Proceedings

Manufacturing of LEED Sustainable Building Materials from Previously Landfilled Off-Spec Fly Ash Authors Mr. Randall Stremmel - United States - Pittsburgh Mineral and Environmental Technology Abstract This speech highlights the groundbreaking work of Brixx Technology in developing a patented process for producing sustainable building materials using previously landfill off-spec fly ash. Through extensive research and development, Brixx Technology has successfully demonstrated the viability of its technology through lab bench testing, a pilot plant, and a mass production facility in India. This paper focuses on their newly established facility in Ohio, where the innovative process transforms landfilled coal combustion residuals (CCR) …

Paper_Dry Fgd Byproduct Characteristics And Utilization In China – Development And Trends, Qingfa Su, Muh-Cheng Wu, Jianchun Wang, Cangeng Xu

World of Coal Ash Proceedings

Dry FGD process is a major FGD technology other than wet FGD process and has been widely used in China. In the last decade, it has been successfully applied not only to coal-fired power plants, but also to iron and steel sintering and pelleting plants, glass kilns, carbon black, aluminum, catalytic cracking, coking and other industry installations. In contrast to gypsum produced from wet FGD process, characteristics of dry FGD byproducts are often site-specific, depending on source flue gas compositions, unit operations, operating conditions, and other factors. These could affect dry FGD byproduct performance in utilization applications and generated products. …

Considering The Big Picture, Andrew Rodzianko, Monica Moody

World of Coal Ash Proceedings

Considering the Big Picture: Planning and Designing for a Multiple CCR Landfill Site Authors Mr. Andrew Rodzianko - United States - AECOM Ms. Monica Moody - United States - AECOM Abstract The phasing and design challenges are numerous for any site looking to construct, operate, and close on-site CCR landfills while closing on-site impoundments. In some cases, it may be preferable to build multiple landfills, greatly increasing site-wide phasing, planning, and design elements to be considered. This presentation will review potential benefits and challenges such a site may face and discuss several specific planning and design elements for consideration. Specific …

Planning For The Future Of Beneficial Use, Gabe Lang, Don Fuller Ii, Nortey Yeboah

World of Coal Ash Proceedings

Planning for the Future of Beneficial Use Authors Mr. Gabe Lang - United States - Watershed Geo Mr. Don Fuller II - United States - Stantec Mr. Nortey Yeboah - United States - Southern Company Abstract The future need for fly ash and other CCR’s for beneficial use purposes, following the decommissioning of fossil plants, has been well documented within the industry. Plant shutdowns will result in a market shortage for the ready-mix concrete and other industries that support key infrastructure within the U.S. In addition, CCR units are closing under the EPA CCR Rule, a process that will continue …

Pvc Liner Interface Friction & Slope Stability, John Klamut, Ron Harris, James Shields

World of Coal Ash Proceedings

PVC LINER INTERFACE FRICTION AND SLOPE STABILITY Authors Mr. John Klamut - United States - GAI Consultants, Inc. Mr. Ron Harris - United States - GAI Consultants, Inc. Mr. James Shields - United States - GAI Consultants, Inc. Abstract PVC liners have been used for numerous CCR landfill liner systems. In general, the industry has moved away from the use of PVC liners in favor of HDPE or LLDPE geomembranes. An important reason for this shift is due to the veneer stability of PVC liner systems when compared to HDPE or LLPE geomembrane liner systems. The results of stability analyses …

Ash Alchemy-​ Ash Beneficiation In The Production Of Waste Liner Materials, Cyril Attwell, Kelley Reynolds-Clausen, Phenyo Mvuyana

World of Coal Ash Proceedings

Ash Beneficiation in the Production of Waste Liner Materials Authors Mr. Cyril Attwell - South Africa - ARC Innovations Dr. Kelley Reynolds-Clausen - South Africa - Eskom Holdings SOC LTD Ms. Phenyo Mvuyana - South Africa - Eskom Holdings SOC LTD Abstract Ash Beneficiation in the Production of Waste Liner Materials. Kelley Anne Reynolds-Clausen1, Phenyo N Mvuyana2 and Cyril N Attwell3 1Eskom Research, Testing and Demonstration, Eskom Holdings SOC Ltd, South Africa. [email protected]. 2Eskom Transmission, Eskom Holdings SOC, Ltd, South Africa [email protected]; [email protected] 3ARC Innovations, 83 Bonnyvale Road, .Norton Home Estates, Gauteng, South Africa. [email protected] Keywords: Alkali-activation, coal ash, liners, …

Community Resiliency And Individual Resiliency Among Young, Slum Dwelling Women In Kampala, Uganda: Results From The Topowa Study., Abigail Gilliard, Matthew Lyons

Symposium of Student Scholars

Intro: Young women in sub-Saharan Africa experience a variety of stressors and negative health outcomes. Women who dwell in slums are at particular risk of high stress and poor health. In order to survive in these difficult environments, young women have to develop significant resiliencies that help them deal with the challenges they face. The slums of Kampala, Uganda represent one such environment in which young women face significant challenges but also display incredible resiliency. However, these young women’s perspectives are poorly understood and rarely reported in the scientific literature.

Methods: As part of an ongoing NIH-funded R01 intervention study, …

Ai As A Teacher’S Aide, Kathryn Schuetze

Symposium of Student Scholars

This presentation examines current AI tools and solutions, establishing that AI is capable of simplifying a teacher’s workload through tasks such as summarizing lesson content, identifying trends in student feedback and quiz results, and research. The “best” AI model varied by task– Claude being preferred for summarizing from PDFs and websites, while Google’s Gemini was preferred for more general use questions and information, such as generating project ideas.

Natural Reflection:Reducing The Environmental Impact Of Architecture Through Biomimetic Design, Keenan Doricent

Symposium of Student Scholars

For my fifth year architecture thesis study, I researched how typical building projects contribute to our environmental issues today and possible ways to reduce that contribution moving forward. In my literature review, I discuss the potential of biomimetic design as a possible solution for more environmentally considerate architecture techniques. Building operations and the construction process are two of the leading contributors to energy consumption and our growing ecological footprint as an industry. Everything from sourcing materials, to site preparation, and ultimately building occupation, factor into the effect of a structure's life on the environment. The embodied and operational energy use …

Spatial Associations Of Lung Cancer Rates And Socioeconomic, Health, And Environmental Factors In Georgia, Nguyet Le, Jun Tu

Symposium of Student Scholars

According to CDC, Lung and Bronchus Cancer ranks the highest by the rate of cancer deaths among different types of cancers in the United States with the rate of 31.8 per 100 thousand people, and also for Georgia with the rate of 33.4 per 100 thousand people. Thus, to reduce the death rate of lung cancer, it is quite important and urgent to understand its risk factors. Smoking and inhaling radon are among the top risk factors of lung cancer for individuals. The socioeconomic, health, and environmental characteristics of communities might be also related to the likelihood of getting …

Ccr Landfills – Part 2: Using A Graphical Interpretation With Model Simulations To Predict Groundwater Elevations During And After Ccr Landfill Construction, Jerry Wylie, Rong Yu

World of Coal Ash Proceedings

State solid waste regulations require the post-settlement bottom elevation of the base liner system of a CCR landfill to be a minimum of 4 feet above the long-term seasonal high (LTSH) groundwater table prior to operation. During landfill sump construction, standing water was observed outside of and within the sump footprint. Because the landfill base liner had been placed, direct groundwater measurements were not feasible by installing piezometers within the sump. Using groundwater elevation data from piezometers outside of the landfill, historical measurements within the landfill near the sump, data from surveys and photogrammetry, and previous groundwater flow model simulations, …

The Legacy Ash Rule- ​ Can Beneficial Reuse Be A Solution, Tom Kierspe

World of Coal Ash Proceedings

THE LEGACY ASH RULE: CAN BENEFICIAL REUSE BE A SOLUTION? Authors Mr. Tom Kierspe - United States - The SEFA Group, LLC Abstract Tom Kierspe, P.E.1 1The SEFA Group, 219 Cedar Road, Lexington, SC 29073 KEYWORDS: Coal Ash Beneficiation, Beneficial Reuse, Encapsulated Reuse, Coal Ash Recycling, Thermal Beneficiation, Pond Reclamation, STAR Process, Stakeholders, CCP Impoundments, Characterization ABSTRACT On May 18, 2023, EPA proposed changes to the CCR regulations for inactive surface impoundments at inactive electric utilities, referred to as “legacy CCR surface impoundments”. With the final rule currently proposed to be issued April 2024, utilities are reevaluating these sites. Much …

Understanding The Challenges To Establishing Suitable Groundwater Monitoring Systems, Wayne Weber, James Feild, Rob Heimbach, Chris Hoglund

World of Coal Ash Proceedings

Understanding the Challenges of Establishing Suitable Groundwater Monitoring Systems for Compliance with the Legacy Rule Revisions to CCR Regulations. Authors Mr. Wayne Weber - United States - Burns & McDonnell Dr. James Feild - United States - Burns & McDonnell Mr. Rob Heimbach - United States - Burns & McDonnell Mr. Chris hoglund - United States - Burns & McDonnell Abstract The “Legacy Rule” revisions of Coal Combustion Residuals (CCR) regulations for surface impoundments and CCR management units at inactive and active plants, as appropriate, includes requirements to establish a groundwater monitoring system consisting of a network of groundwater wells, …

Applying Ccr Lessons Learned To Legacy Rule Implementation, Sarah Holmstrom, Greg Tieman

World of Coal Ash Proceedings

Applying CCR Lessons Learned to Legacy Rule Implementation Authors Mrs. Sarah Holmstrom - United States - TRC Mr. Greg Tieman - United States - TRC Abstract Since the Coal Combustion Residuals (CCR) Rule first went into effect in 2015, compliance monitoring programs, closure plans and remedy selection strategies have been established and implemented to expeditiously comply with the self-implementing rule on a site-by-site basis. Over that timeframe, USEPA has released numerous decisions and opinions (e.g., Part A, Part B) regarding the achievement and demonstration of compliance with the CCR Rule, including but not limited to comments regarding adequacy of detection …

Constructing A Landfill In A Former Ccr Basin, Kory Anstead

World of Coal Ash Proceedings

Design and Construction Challenges with Construction of a Landfill in a Former CCR Basin Authors Mr. Kory Anstead - United States - AECOM Abstract Utilizing best engineering practices and discussing lessons learned associated with challenges encountered during construction of a landfill for CCR materials in a former CCR basin. Challenges encountered included higher than anticipated groundwater conditions, presence of rock at higher elevations, not feasible to construct one of the sediment basins due to ash excavation sequence, softer subgrade conditions, and storm water management. These challenges were mainly the result of limitations in access to investigate future landfill area located …

Implementing Automation And Smart Pumping Systems In Ccr Projects, Dave Donahue, Faizan Chowdhury

World of Coal Ash Proceedings

Implementing automation and SMART pumping systems in CCR projects for improved water collection, treatment, and discharge Authors Mr. Dave Donahue - United States - Xylem Mr. Faizan Chowdhury - United States - Xylem Abstract Smart Technology, Sustainability, Discharge Regulations Safe, sustainable management of spent coal combustion products remains a critical priority for the power generation and coal ash industries. Companies must implement reliable, efficient recycling and remediation programs that minimize environmental impact and operational costs, while protecting people and equipment. Today’s pumps conduct real-time monitoring of site conditions providing information to the user, such as rainfall amounts, well levels, flow …