Digital Commons Network^™

Optimizing Resource Allocation Of A Covid-19 Prophylactic In Immunocompromised Hosts, Julianna Tolotta, Abigail Hoover, Michael Joseph, Angelinia Liddy, Anshel Kenkare, Dagan Coppock

Health Equity and Quality Improvement (HEQI) Summit

Introduction

• COVID-19 presented unique challenges for the care of immunocompromised individuals.
• Patients with suppressed immune systems lack the ability to mount a robust response to vaccines, leading to an increased likelihood of developing severe COVID-19 responses and increased mortality.
• Astra-Zeneca developed Evusheld, a monoclonal antibody (Tixagevimab/cilgavimab) as a COVID-19 prophylaxis to target the SARS-CoV-2 spike protein.¹
• In December 2023, the FDA enacted an Emergency Use Authorization (EUA) for Evusheld in immunocompromised individuals and TJUH developed a roll-out plan.²
• Thomas Jefferson University Health (TJUH) distributed the drug using a tiering system that ranked the degrees of immunocompromising conditions for …

Limited Education And Training For Inpatient Nurses Caring For Pregnant Women With Opioid Use Disorder, Jaime Tsao, Bs, Stephen Didonato, Phd, Lpc, Abby Adamczyk, Mlis, Ahip, Meghan Gannon, Phd Msph

Health Equity and Quality Improvement (HEQI) Summit

Background

• The opioid epidemic continues as a public health emergency
• Pregnant women with OUD face multiple forms of marginalization and stigma based on the complex interplay of their various social identities
• OUD education and training among healthcare providers, particularly nurses, who are frontline clinicians in treating perinatal OUD, are lacking and leave the workforce unprepared and under-resourced to effectively support pregnant persons with OUD

Oncology Infusion Center Hyperglycemia Protocol, Franklin L. Thelmo, Do Jr., Eric J. Shiffrin, Md, Rose Dimarco, Pharmd, Bcps, Bcop, Emily Brand, Pharmd, Daniel Lin, Md

Health Equity and Quality Improvement (HEQI) Summit

Background

• Problem: Patients receiving chemotherapy for their cancer are often overwhelmed with the stresses of their new diagnoses and other coexistent medical issues may be forgotten or ignored. In the event dysglycemia or diabetes appears during the course of chemotherapy it may difficult for these patients to obtain care in a timely fashion and early literature suggests that dysglycemia may decrease the efficacy of chemotherapy
• Aim: Our goal was a protocol designed to ensure adequate euglycemia in patients at the Oncology Infusion Center (OIC) to eliminate insulin treatment guesswork for hyperglycemia, allow timely care with endocrinology specialists, and create a …

Identifying Inappropriate Dual Anti-Platelet Therapy (Dapt) Utilization In The Outpatient Setting, Youssef Elfatatry, Julia Palecki, Nevin Varghese, Amry Majeed, Alexis Wickersham

Health Equity and Quality Improvement (HEQI) Summit

Background

Problem Statement:

• Dual anti-platelet therapy (DAPT) is a cornerstone in management of many cardiovascular and cerebrovascular conditions; however, inappropriate and prolonged use can lead to increased bleeding risk. Despite guidelines on optimal DAPT duration for various clinical scenarios, a proportion of patients receive inappropriately extended courses of therapy, exposing them to unnecessary risk.

Project AIM:

• We aim to (1) identify inappropriate DAPT use using established clinical guidelines at two academic primary care clinics and (2) develop and implement a targeted best practice advisory (BPA) in EPIC to address gaps in adherence to DAPT guidelines to enhance patient safety and …

Patient-Provider Communication About Cognition And The Role Of Memory Concerns: A Descriptive Study, Justin Do, Bs, Casey Fishman, Ma, Emily Bratlee-Whitaker, Phd, Rn, Heejung Jang, Phd, Sakshi Bhargava, Phd, Jennifer R. Turner, Phd, Andrea Yevchak Sillner, Phd, Rn, Jacqueline Mogle, Phd, Ms, Nikki L. Hill, Phd, Rn

Health Equity and Quality Improvement (HEQI) Summit

Introduction

• 40% of Alzheimer’s disease cases could be delayed or prevented with early intervention¹
• Early detection remains challenging due to lack of consensus regarding screening, time constraints
• Subjective memory decline (SMD): “the perception of a decline in memory ability when objective cognitive testing indicates normal performance.”²
• Linked to early stages of Alzheimer’s Disease and mild cognitive impairment (MCI)
• Older adults with SCD up to 4 times more likely to develop MCI or dementia³
• Older adults consider severity of problems, potential benefits or consequences of disclosing concerns, as well as past interactions with healthcare providers when discussing cognition …

Enhancing Quality Of Life: Addressing Care Gaps In Lung Cancer Survivorship Through Comprehensive Needs Assessment, Umma Fatema, Md, Ida Micaily, Md, Ms

Health Equity and Quality Improvement (HEQI) Summit

Background

• The growing population of lung cancer survivors in the United States underscores the importance of addressing their multifaceted needs beyond treatment completion.
• There's a pressing need to understand and address the ongoing challenges of lung cancer survivors at Jefferson Health, being a major treatment center.
• Given the shifting demographics of lung cancer patients, with a growing proportion being younger individuals, the necessity for lung cancer survivorship programs has become increasingly evident
• A survivorship survey enables comprehensive assessment of survivors' physical, psychological, and practical needs
• By gathering data on the interests and needs of lung cancer survivors can guide tailored …

Implementation Of Pediatric Behavioral And Developmental Health Screening Tools At Student-Run Free Clinics In Philadelphia Shelters, Renee Li, Jasmine Miller, Martin Henry, Do, Bob Motley, Md, David Beckmann, Md, Mph

Health Equity and Quality Improvement (HEQI) Summit

Background & Project Aims

• Children experiencing homelessness (CEH) are at increased risk for behavioral health problems: 78% show behavioral problems, academic delays, or depression.¹

• Recent research suggests an increased prevalence of Autism Spectrum Disorder (ASD) among people experiencing homelessness.^2,3

• Psychosocial challenges are exacerbated by limited access to behavioral health and developmental disability screening, which is essential for early intervention.^4-6

• Recent studies have found that behavioral health screening in shelters is feasible, can generate a large number of referrals, and can be carried out by a student-run clinic without significantly disrupting workflow.^7,8

Public And Community Perceptions Of Safe Injection Sites, Bahram Pashaee, Mph, Gary Kaplan, Mslis, Amy Leader, Drph, Mph

Health Equity and Quality Improvement (HEQI) Summit

Background

• The opioid epidemic began in 1999 and the number of deaths from overdoses has since quadrupled by 2019
• 50,000 deaths in the US in 2019 from opioid overdoses and the numbers increase each year
• Research Question: What are the public’s and communities' perceptions of safe injection sites?

Correlation Of Neck Circumference With Bmi And Waist Circumference In A High-Risk Urban Cohort, Jay Satasiya, Bs, Meera Patel, Bs, Antoinette Portnoy, Bs, Noel Tharakan, Bs, Brian D. Fedgchin, Md, Glenn S. Cooper, Md, Cindy Cheng, Md, Phd

Health Equity and Quality Improvement (HEQI) Summit

Background

Problem Statement:

• Obesity is a global epidemic requiring accurate ongoing clinical assessment, as it increases risk of multiple health conditions, such as CVD.
• Body mass index (BMI) is the most widely used anthropometric measure.
• Waist circumference (WC) is an accurate measure of visceral fat.
• Neck circumference (NC) is a newer, simple assessment tool positively correlated with percent body fat, BMI and WC.
• NC is easier to measure than WC, and unaffected by external factors like lean muscle mass for BMI, and abdominal distension, respiration, and patient discomfort for WC.

Hypothesis:

• NC, less studied in black patients, who are at …

34th Annual Young Historians Conference Program, Portland State University History Department, Portland State University Challenge Program

Young Historians Conference

This is the 2024 Young Historians Conference schedule and abstracts.

The Effect Of Activated Alkaline Earth Bentonite On The Quality Of Vegetable Oils, Nodirbek I. Boyjanov, Islombek I. Boyjanov, Аslbek B. Yulchiev, Kamar P. Serkayev

CHEMISTRY AND CHEMICAL ENGINEERING

The purpose of the research is to study the adsorption properties and mineralogical structure of alkaline earth bentonites from the Navbakhor deposit, as well as to develop technological regimes for their acid activation for use as bleaching clay in the purification of vegetable oils. The authors, based on the structural structure of the studied bentonites, achieved an increase in adsorption capacity from 35 cm³/g to 100 cm³/g, by treating with hydrochloric and sulfuric acids with a concentration of 15-20% and in a bentonite:acid ratio of 1:2.5 at a temperature below 100°С. Nitrogen adsorption isotherms of activated …

Influence Of Lipolytic Enzymes On The Fractional Composition Of Wheat Alcohol, Bobir S. Kayumov, Saida Sh. Khakimova, Khasan T. Khasanov

CHEMISTRY AND CHEMICAL ENGINEERING

The purpose of this work is to study the influence of lipolytic enzymes on the fermentation activity and fractional composition of alcohol by the yeast Saccharamyces cerevisea during alcoholic fermentation. Lipolytic enzymes, intensifying the fermentation process and increasing the yield of the target product, have a positive effect on the physiological activity of yeast cells. Hydrolysis of carboxylic acid esters also occurs due to the hydrolase activity of lipases. In the presence of exogenous lipases, hydrolysis of lipids occurs due to the hydrolase activity of lipases and the fractional composition of alcohol changes. The content of esters is reduced by …

Selection Of Optimal Conditions For The Drying Process Of An Aqueous Extract From The Aerial Part Of Scutellaria Adenostegia, Shohida A. Ergasheva, Muniraxon A. Mamatxanova, Temurbek A. Khajibaev, Ravshanjon M. Khalilov, Akhmatkhon U. Mamatkhanov

CHEMISTRY AND CHEMICAL ENGINEERING

In order to establish optimal drying modes for an aqueous extract from the aboveground part of Scutellaria adenostegia, the following parameters were studied: solution concentration; solution feed rate; temperature of the drying agent at the inlet and outlet; pressure when the solution is fed into the drying chamber. It was found that in order to obtain a dry extract from the aboveground part of Scutellaria adenostegia, antihypoxic action, an aqueous extract obtained with water at a temperature of 60 ° C must be concentrated to a content of 15% of dry substances and dried in a spray dryer of the …

Synthesis Of Acetylene Diols With The Participation Of The Bu4noh/Dmso/H2o Catalytic Systems, Muyassar K. Salieva, Odiljon E. Ziyadullayev, Guzal K. Otamukhamedova, Rifkat F. Talipov, Lochin K. Ablakulov

CHEMISTRY AND CHEMICAL ENGINEERING

The purpose of this work in this study, acetylene alcohols containing heteroatomic substituents in their molecular composition- 2-(-thiophen-2-yl)but-3-yn-2-ol, 2-(3-methylthiophen-2-yl)but-3-yn-2-ol, 2-(furan-2-yl)but-3yn-2-ol, 2-(pyridin-4-yl)but-3-yn-2-ol, 2-(5-chlorothiophen-2-yl)but-3-yn-2-ol, 2-(5-bromothiophen-2yl)but-3-yn-2-ol acetylene diols were synthesized based on the reaction with acetone in a dimethyl sulfoxide solvent in the presence of the Bu₄NOH/DMSO/H₂O catalytic system. The influence of the molar ratio of starting materials, reaction duration, temperature, nature of the catalyst and solvents on the product yield was systematically studied. The composition, purity and structure of the new generation of synthesized acetylenediols have been confirmed by modern physicochemical methods. The mechanism of the reaction process …

Synthesis Of High Molecular Mass Resins Based On Furfuryl Alcohol, Boysayid U. Sayidov, Latif E. Jumanov, Muzaffar G. Alimukhamedov, Sherali A. Umarov, Farhod A. Magrupov

CHEMISTRY AND CHEMICAL ENGINEERING

The purpose of the work is to study the process of synthesis of furfuryl oligomers with high molecular weight at various ratios of furfuryl alcohol and hydroxyl-containing polyether polyol. The influence of the process method on the yield of high-molecular furfuryl oligomer is shown - with a one-step synthesis method with an increase in the amount of furfuryl alcohol from 20 to 50 moles per 1 mole of polyether polyol, the yield of the final product decreases from 75% to 56%, apparently due to high exothermic effects, causing gelation systems. In contrast to the one-time introduction of the catalyst, its …

Synthesis And Technology Of Vinyl Esters Of Aromatic Carboxylic Acids Based On Vinyl Acetate, Askar B. Parmanov, Suvonkul E. Nurmanov, Saida S. Abdurakhmanova, Sarvinoz I. Tirkasheva, Begzod F. Adashev

CHEMISTRY AND CHEMICAL ENGINEERING

In this work the vinylation reactions of aromatic carboxylic acids with vinyl acetate, which contain various substituents, in the presence of 2-chloro-4,6-dimethoxy-1,3,5-triazine were studied for the first time. The influence of the nature of the starting materials, temperature, reaction duration, solvent and reagents - zinc triflate (Zn(OTf)₂, 3,3-diphenylbinaphthol (3,3'-Ph₂BINOL-2Li), tertiary potassium butylate (KO^trBu), butyllithium (BuLi) for the synthesis of vinyl esters. The synthesis of vinyl esters of aromatic carboxylic acids was carried out: benzoiс, 2-phenylacetic, 4-methylbenzoic, 4-methoxybenzoic, 3,4-dimethoxybenzoic, 2-brombenzoic, 4-brombenzoic, 4-fluorobenzoic, 3-nitrobenzoic, 4-nitrobenzoic, 4-tertiary butylbenzoic, 2-chlorobenzoic, 4-chlorobenzoic, 3-hydroxybenzoic and 4-hydroxybenzoic acids has been studied. …

Synthesis Of Internal Acetylene Alcohols Based On The Sonogashira Reaction Of Terminal Acetylene Alcohols And Benzolchloride, Guzal K. Otamukhamedova, Odiljon E. Ziyadullayev, Abduvahob Ikramov, Sarvinoz I. Tirkasheva

CHEMISTRY AND CHEMICAL ENGINEERING

The purpose of the study is to develop a new catalytic system for the synthesis of internal acetylene alcohols from the Sonogastric coupling reaction of terminal acetylene alcohols and benzolchloride. For the first time in this work, internal acetylene alcohols have been synthesized based on reactions of some terminal acetylene alcohols – 3,4-dimethylpentin-1-ol-3, 3,4,4-trimethylpentin-1-ol-3, 1-ethynylcyclohexanol-1, 2-ethynyladamantanol-2, 2-phenylbutin-3-ol-2, 2-(naphthyl-2)butyn-3-ol-2, 2-(furanyl-2)butyn-3-ol-2 and 2-(pyridinyl-4)butyn-3-ol-2 with chloridebenzene. In order to achieve high product productivity in the Sonogashira reaction, alternative conditions have been identified by studying the molar ratios, spatial structure, induction effects of substituents, solvent and catalyst nature, as well as temperature, reaction duration …

Study Of The Influence Of B2o3 Oxide On The Physical And Technical Properties Of Ground Enamel Obtained Based On Local Raw Material Components, Shoxrux B. Naimov, Mastura Kh. Aripova

CHEMISTRY AND CHEMICAL ENGINEERING

The purpose of the study was to obtain ground enamel based on local raw materials and to study the effect of boron oxide. The selection of local raw materials for producing ground enamel showed that the resulting glass compositions are in the SiO₂–Al₂O₃–Na₂O–K₂O–CaO–B₂O₃ system. To adjust the properties, additives of nickel oxide and cobalt oxide were used. The properties of the developed compositions of primer enamels meet the requirements of GOST 24405-80. It has been determined that the addition of boron and an increase in its amount …

Formation Of Luminescent Coatings With The Use Of Low Melting Glass, Eygeniy N. Poddenezhny, Ekaterina E. Trusova, Andrei A. Boiko, Ekaterina R. Kravcova, Olga V. Davydova

CHEMISTRY AND CHEMICAL ENGINEERING

The aim of the present research is to develop compounds and technologies for applying the luminous vitrocrystalline compounds to smooth and ribbed glass substrates in LED lamp structure with a remote photoconverter that contains oxide low melting glass as the base and nanostructured cerium–doped yttrium–aluminum garnet powder as the luminophore. The luminescent coatings based on nanostructured cerium doped yttrium-aluminum garnet powder and low melting glass of composition BaO-Bi₂O₃-B₂O₃-K₂O-SiO₂ where prepared. YAG:Ce³⁺ powder was synthesized by the method of thermochemical reaction. Silica glass powder was introduced into the composition …

Anomalous Of Resistance And Magnetic Susceptibility At 280-310 K And Ambient Pressure In Bismuth Cuprates Synthesized By Solar Energy, Dilbara Dj. Gulamova, Elyor B. Eshonkulov, Valeriya R. Li, Grigor I. Mamniashvili, Timur I. Gulamov

CHEMISTRY AND CHEMICAL ENGINEERING

In order to obtain the full content of high-temperature superconducting phases using the “Super Fast Alloys Quenching” technology in the Large Solar Furnace (Parkent), precursors of bismuth cuprates of the series Bi_1,7Pb_0,3Sr₂Ca_(n-1)Cu_nO_y, n=3-30 were synthesized. Methods for study the properties of precursors are presented. The oriented nano-sized microstructure and layered structure of nanocrystalline nuclei are shown. The phase composition of the precursors at the beginning of the series (n=3-5) is represented by X-ray amorphous and crystalline phases. An increase in the content of CaO and CuO destabilizes the …

Waste Utilization In Korean Cement Plants, Geun-Seong Lee, Zebo Abdullaevna Babakhanova, Mastura Khikmatovna Aripova

CHEMISTRY AND CHEMICAL ENGINEERING

The kiln process in cement plant has the advantage of completely and effectively destroying and burning all organic substances due to high temperature and long residence time, oxygen atmosphere and excellent mixing effect, alkaline conditions of raw materials, and incorporation of trace metals into clinker, and plays a role as a pollutant emission barrier during waste utilization. Waste utilization technology is now proven and successful in cement plants. The waste utilization in Korean cement plants are greatly expanding in the view of energy and material recoveries, and economics as well as environmental preservation. Research on waste utilization in the Korean …

Income Differences Among Nations: Measuring The Effects Of Human Capital On Total Factor Productivity (Tfp), Ashley Tarrolly

CSB and SJU Distinguished Thesis

In the past two centuries, long-term economic growth has been defined by The Great Divergence, where the gap of income distribution has widened as a result of some nations experiencing modern economic growth while others have remained stagnant in their economic well-being. This panel data research examines differences in income across countries by applying development accounting to analyze differences in per capita gross domestic product (GDP) and predict each country’s total factor productivity (TFP). Data from the Penn World Tables were collected and categorized into groups based on GDP per capita to create a sample of 144 countries in 10-year …

Final Master's Portfolio, Ayotunde Afolabi

Master of Arts in English Plan II Graduate Projects

This portfolio explores themes of gender and race, identity representation, and agency within various literary texts. It encapsulates a series of analytical essays that scrutinize how these themes intersect and manifest across diverse literary landscapes, emphasizing the ways in which authors address and challenge societal norms and structures through their narratives. Each essay within the portfolio not only mirrors the engagement with these themes but also showcases the development of a theoretical approach that bridges classical literary analysis with contemporary issues of identity politics and social justice.

The Fierce Green Fire: Vol. 14 Issue 20, Wofford College Environmental Studies Program

The Fierce Green Fire

No abstract provided.

Suspicion And The Witch’S Tit, Shayna R. Miller

Theses and Dissertations

Shayna Miller’s paintings are built up panels with protruding points, appearing as if a mass is pushing up from behind the burlap-stretched painting surface. In Suspicion and the Witch’s Tit, Miller contextualizes her work in relation to a history of shaped painting and frames her discussion around references related to suspicion, embodiment, and rejection.

Welcome To The Apocalypse, Demetrius E. Wilson

Theses and Dissertations

DW’s abstract, vibrant, and bipolar paintings stem from a place of personal biography and collectively shared experience. In this paper, he examines the apocalypse, human nature, tragedy, and the demise of adolescence in our era in the face of increasing technological advances.

Wordflight, Joey Gonnella

Theses and Dissertations

Exploring subjects revolving around the nature of images, language and their subsequent disseminationn through time, this paper weaves together seemingly unrelated topics from the hot air balloons of the Franco-Prussian war to the envelope poems of Emily Dickinson.

The Humboldt Forum And The Morality Of Museums, Kaitlin Marie Bryce

Honors Capstone Projects and Theses

No abstract provided.

Simulating The Performance Of A Single Solid Propellant And Rocket Nozzle Design In A Vertical Trajectory, Kyle Austin Barbour

Honors Capstone Projects and Theses

No abstract provided.

Past And Future Winds, Alicia Ehni

Theses and Dissertations

Ehni’s thesis reflects on the role of wind to connect and transform. Looking at science and invisible forces like Earth’s magnetic field, her "Oculus" sculptures evoke old tools for orientation & migration. Birds, insects, plants, roads and sand, appear in a video and an experimental 16mm pinhole film of her bike journey along the Hudson River, NY. “Coordinates”, a magnetic drawing installation, addresses impermanence, attraction to land and fragility. Tracing memories of the Paracas desert in Peru, this thesis follows her interest in alchemy, ecology and the cosmos.