Digital Commons Network^™

Glycemic Control In Cardiac Surgery Patients: Revising And Educating Nurses On An Evidence-Based Insulin Infusion Protocol, Joelle D. Hargraves

Dissertations

Glycemic control following cardiac surgery is challenging. Inadequate glycemic control, whether it is hypoglycemia or hyperglycemia, is associated with poor patient outcomes. Recently published studies examining glycemic control in critical illness including cardiac surgery, and clinical practice guidelines from professional organizations support moderate glycemic control (blood glucose [BG] 110 - 180 mg/dl). The problems guiding this evidence-based practice (EBP) change was lack of a current up-to-date evidence-based clinical practice guideline for glycemic control in critical illness and nurses' knowledge deficit.

Community And Regional Economic Analysis: Unveiling Economic Dynamics With The Location Quotient Method And Beyond, Daniela M. Mattos

Cornhusker Economics

In addition to the Location Quotient analysis, several other economic development analytical tools can contribute valuable insights to investment decisions, such as population-employment ratios and shift-share analysis. The use concomitant of these tools boosts the information provided by the Location Quotient analysis, offering a more holistic perspective. Recognizing that each analytical tool provides only a partial view, it is essential not to rely solely on one method when making investment decisions. Comprehensive decision-making necessitates leveraging multiple tools to gain a more nuanced and accurate understanding of local economies.

The Bg News April 10, 2024, Bowling Green State University

BG News (Student Newspaper)

The BGSU campus student newspaper. April 10, 2024. Volume 103-Issue 24.

The Parthenon, April 10, 2024, Evan Green, Matthew Schaffer, Sarah Davis, Joseph Dicristofaro, Victoria Ware, Abigail Cutlip, Rafael Alfonso, Scott Price, Baylee Parsons, Emma Gallus, Luke Jeffrey

The Parthenon

No abstract provided.

Application Of Quality And Patient Safety Principles To Improve Patient Mobility, Sandhyadevi Tagaram, Md

Master of Science in Healthcare Quality and Safety Capstone Presentations

Decreased patient mobility in hospitals leads to an increased incidence of hospital-associated complications, falls, and delirium, resulting in prolonged post-hospital stays, an increase in patient mortality, morbidity, and rise in healthcare costs and utilization. Our project, UMove to IMPROVE, was piloted in two medical-surgical units in November 2023 to enhance safe patient mobility practices, improve patient flow and reduce hospital-associated complications.

The nursing and PCAs will assess the patient's baseline mobility and their level of assistance at admission and during the shift changes by calculating the activity measure for post-acute care( AMPAC) score. The AMPAC scores are used to assess …

A Novel Lentiviral Vector-Based Approach To Generate Chimeric Antigen Receptor T Cells Targeting, Pappanaicken R Kumaresan, Sebastian Wurster, Karishma Bavisi, Thiago Aparecido Da Silva, Paul Hauser, Jordan Kinnitt, Nathaniel D Albert, Uddalak Bharadwaj, Sattva Neelapu, Dimitrios P Kontoyiannis

Faculty, Staff and Student Publications

Invasive aspergillosis (IA) is a common and deadly mold infection in immunocompromised patients. As morbidity and mortality of IA are primarily driven by poor immune defense, adjunct immunotherapies, such as chimeric antigen receptor (CAR) T cells, are direly needed. Here, we propose a novel approach to generate Aspergillus fumigatus (AF)-CAR T cells using the single-chain variable fragment domain of monoclonal antibody AF-269-5 and a lentiviral vector system. These cells successfully targeted mature hyphal filaments of representative clinical and reference AF isolates and elicited a potent release of cytotoxic effectors and type 1 T cell cytokines. Furthermore, AF-CAR T cells generated …

Reducing Unnecessary Head Cts In Adult Emergency Department Patients With Head Injuries Through Implementation Of A Provider Training Initiative, Kelli Mcallister, Susannah Sitton

Group: Samford University Moffett & Sanders School of Nursing

Emergency department (ED) providers often overuse head computed tomography (CT) scans for mild traumatic brain injuries (mTBI), driven by patient demand, fear of litigation, and a culture favoring information leading to to increased risks, costs, and wait times. The Doctor of Nursing Practice (DNP) project aimed to address this issue at Flowers Hospital and AdventHealth by implementing the Canadian CT Head Rule (CCHR) uniformly by ED providers. Guided by the Iowa Model of evidence-based practice change, the project involved pre-intervention assessments, educational initiatives, and post-intervention evaluations. Pre-intervention, a significant number of CT scans were ordered unnecessarily. Post-intervention, there was a …

Lindenwood Digest, April 10, 2024, Lindenwood University

Lindenwood Digest

The Lindenwood Digest has been a digital employee newsletter since 2009.

Structure And Replication Cycle Of A Virus Infecting Climate-Modulating Alga Emiliania Huxleyi, Miroslav Homola, Carina R. Büttner, Tibor Füzik, Pavel Křepelka, Radka Holbová, Jiří Nováček, Marten L. Chaillet, Jakub Žák, Danyil Grybchuk, Friedrich Förster, William H. Wilson, Declan C. Schroeder, Pavel Plevka

School of Biological and Marine Sciences

The globally distributed marine alga Emiliania huxleyi has cooling effect on the Earth’s climate. The population density of E. huxleyi is restricted by Nucleocytoviricota viruses, including E. huxleyi virus 201 (EhV-201). Despite the impact of E. huxleyi viruses on the climate, there is limited information about their structure and replication. Here, we show that the dsDNA genome inside the EhV-201 virion is protected by an inner membrane, capsid, and outer membrane. EhV-201 virions infect E. huxleyi by using fivefold vertices to bind to and fuse the virus’ inner membrane with the cell plasma membrane. Progeny virions assemble in the cytoplasm …

Perspective Chapter: Empowering Sustainable Development Through Education – A Perspective On The Educational Landscape And Its Impact On Sustainability, Khalid Aada

Writing and Language Studies Faculty Publications

Over the past decade, there has been a compelling discourse on transitioning from a rational paradigm, steeped in functionalist and utilitarian models, to a paradigm more aligned with the preservation of natural resources and life. This shift is crucial for addressing the urgent need to integrate sustainable principles into the educational sphere, with the aim of instigating a genuine cultural transformation. Recognizing the global impact of social, economic, and environmental challenges, numerous international entities advocate for an ambitious, complex, and transformative approach to sustainability in education. This scholarly work explores the intricate relationship between education, cultural change, and sustainability. It …

Effects Of Peer Mentoring On Success And Satisfaction In Undergraduate Nursing Students: A Pilot Study, Rebecca Fraley

Honors Theses

Studying the impact of a mentorship program involving undergraduate nursing students can inform educators of methods to increase student success and decrease attrition in baccalaureate nursing programs. This study aimed to determine if a mentoring session every three weeks between a first semester Bronson School of Nursing (BSON) student and a senior year nursing student increased the confidence and satisfaction of the first semester BSON student. A Student Success Survey (see Appendix A) was filled out at the beginning, middle and conclusion of the mentee students fall semester. The Student Success Survey was also administered to a control group made …

Fs Social Justice Committee Agenda 2024-04-10, Northern Illinois University

Faculty Senate Archives

No abstract provided.

Brilliance Unbothered: A Phenomenological Exploration Of The Influence Of The Impostor Syndrome On Black Graduate Women Enrolled In Master’S Level Programs At Predominantly White Institutions, Phyllis Clark

Graduate Theses, Dissertations, and Capstones

Framed within Hill-Collins' (2009) Black feminist thought, this study delves into the emergence of the impostor syndrome construct among Black graduate-level women in higher education. Despite the growing literature on impostor syndrome and its consequences across various demographics and sectors, inadequate scholarly attention has been dedicated to comprehending the specific challenges faced by Black women in education. Nine participants enrolled in Master's programs at predominantly White institutions were engaged in this exploration. Consistent with most of the existing literature, findings accentuated the pivotal role of educational attainment for Black women, who consistently outpace other groups. Interviews further unveiled a relentless …

Jazz Band Three, April 10, 2024 [Program], University Of Northern Iowa. School Of Music.

Music Recital Programs

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

Genomic Population Structure Of Great Hammerhead Sharks (Sphyrna Mokarran) Across The Indo-Pacific, Naomi L. Brunjes, Samuel M. Williams, Alexis L. Levengood, Matt K. Broadhurst, Vincent Raoult, Alastair V. Harry, Matias Braccini, Madeline E. Green, Julia L. Y. Spaet, Michael J. Travers, Bonnie J. Holmes

Fisheries Research Articles

Context

Currently, little information exists describing the population structure of great hammerhead sharks (Sphyrna mokarran) in Australian waters. Aims

This study used single nucleotide polymorphisms to investigate fine-scale population structure in S. mokarran across the Indo-Pacific. Methods

DNA was extracted from 235 individuals across six Australian locations and a Red Sea outgroup. Population parameters were calculated and visualised to test structuring across locations. Key results

No fine-scale population structuring was observed for S. mokarran across the Indo-Pacific. However, population structuring occurred for all Australian locations when compared to the Red Sea outgroup. Conclusions

Findings suggest a single stock …

"Great Injustice In American Literature": African American Girlhood In Black And White Authored Children's Publications, 1887-1920, Becca Driggs

Undergraduate Honors Theses

This thesis examines the role of African American girls in creating and dismantling nineteenth-century race myths through a comparison of publications in black and white authored presses. Fictional stories published in St. Nicholas, the most popular turn-of-the-century children’s magazine, reveal that white authors, specifically Southern women, intentionally crafted narratives demeaning African American girls to cement a national racial hierarchy. Their work indoctrinated white children in racism and undermined African American legitimacy in the decades following the Civil War and Reconstruction. Concurrently, black authors recognized these attacks and in their press explored the lived experiences of African American girls to counter …

Comparison Of Constant Prompt Delay And Least-To-Most Prompting To Teach Receptive, Sarah Gindelberger

Theses

Applied behavior analysis (ABA) is used in schools to teach students with autism spectrum disorder. Policies guide the selection and implementation of research-based practices to ensure positive student outcomes. Discrete trial teaching is often used as an instructional teaching method. To maximize learning, different prompting interventions can be used during discrete trial teaching. Constant prompt delay and least-to-most prompting are effective research-based interventions that can be implemented as instructional teaching procedures for students with autism spectrum disorder. Constant prompt delay was compared to least-to-most prompting to determine whether constant prompt delay would lead to more effective and efficient mastery acquisition …

Office Of Research, Economic Engagement And Outreach Update, April 10, 2024, Office Of Research, Economic Engagement And Outreach

Office of Research, Economic Engagement and Outreach

No abstract provided.

The Effect Of Massage Therapy On Test Anxiety Experienced By Traditional-Aged Undergraduate Business Students, Jorge A. Pazmiño

Graduate Theses, Dissertations, and Capstones

Test anxiety impacts traditional-aged undergraduate business students and influences their academic performance and overall well-being. This study explored the efficacy of massage therapy (MT) as a means of mitigating test anxiety within this demographic. Building on existing literature that addresses the consequences of anxiety and alternative coping mechanisms, this research study focused on MT as a potential strategy for test anxiety management. The study employed the Adult Manifest Anxiety Scale–College Version (AMAS-C) to gather data from participants at a private liberal arts institution in the East South-Central region of the United States. An experimental group received an MT intervention, while …

Limit Theory And Inference In Non-Cointegrated Functional Coefficient Regression, Ying Wang, Yundong Tu, Peter C.B. Phillips

Cowles Foundation Discussion Papers

Functional coefficient (FC) cointegrating regressions offer empirical investigators flexibility in modeling economic relationships by introducing covariates that influence the direction and intensity of comovement among nonstationary time series. FC regression models are also useful when formal cointegration is absent, in the sense that the equation errors may themselves be nonstationary, but where the nonstationary series display well-defined FC linkages that can be meaningfully interpreted as correlation measures involving the covariates. The present paper proposes new nonparametric estimators for such FC regression models where the nonstationary series display linkages that enable consistent estimation of the correlation measures between them. Specifically, we …

Feed More, Waste Less, Kaitlyn Dietz

Honors Projects

With college prices and the cost of food increasing, so has the rate of food insecurity among college students. Food insecurity is defined as the lack of availability or access to food to meet someone’s basic and necessary needs. Food insecurity is associated with lower grades, depression, higher perceived stress, and lower graduation rates. Campuses across the country are responding to the problem in a variety of ways, including distribution of food directly to students through food pantries. Meal plans are expensive in the addition to college tuition and housing. The lowest cost for a meal plan at Bowling Green …

Nicholls ’25 Earns Goldwater Scholarship, Keith Testa, Alexandra Hatch

UNH Today Archive

No abstract provided.

An Analysis Of Orientation And Preceptorship Influence On Nurse Job Satisfaction Across Two States., Kathryn Robinson, Robert Cavanaugh, Rebecca Dias, Alexandra Peary, Ryan Johnson, Vikram Rao, Breac Baker, Kelley Strout, Rhonda Board, Brianne Olivieri-Mui

Faculty Publications

A large public nursing data set was used to determine whether orientation and/or preceptor programs impact job satisfaction among registered nurses in Maine and Massachusetts. There was no association between orientation and preceptor programs and satisfaction, nor evidence that new nurse status modified the relationship. There is a need for evaluation of orientation and preceptor programs' structure and effectiveness, and innovation is needed in promoting job satisfaction, thereby increasing nurse retention.

An Analysis Of Orientation And Preceptorship Influence On Nurse Job Satisfaction Across Two States., Kathryn Robinson, Robert Cavanaugh, Rebecca Dias, Alexandra Peary, Ryan Johnson, Vikram Rao, Breac Baker, Kelley Strout, Rhonda Board, Brianne Olivieri-Mui

Faculty Publications

A large public nursing data set was used to determine whether orientation and/or preceptor programs impact job satisfaction among registered nurses in Maine and Massachusetts. There was no association between orientation and preceptor programs and satisfaction, nor evidence that new nurse status modified the relationship. There is a need for evaluation of orientation and preceptor programs' structure and effectiveness, and innovation is needed in promoting job satisfaction, thereby increasing nurse retention.

Development And Evaluation Of A Nurse-Leader Driven Restorative Break Initiative On Medical Surgical Unit And Its Impact On Burnout And Stress, Heike Miriam Doody

Dissertations

COVID impacted nurses on many levels, but most significantly accelerating the nursing shortage, increasing acuity, burnout, and stress (Khammissa et al., 2022). These interrelated factors created high turnover rates. Therefore, the aim of this project was to improve the burnout and stress scores of medical surgical nurses by 10% by the end of six weeks after assigning restorative breaks to be taken at specified times during the day.

Theoretical Contributions To A Positive Work Environment, Sharon Prawl

Creating Healthy Work Environments (CHWE)

A healthcare environment that supports and nurtures its professionals creates a positive work environment. Creating a positive work environment fosters camaraderie where healthcare professionals can strive to achieve their best potential.

Differential Susceptibility To Propofol And Ketamine In Primary Cultures Of Young And Senesced Astrocytes, Liang Huang, Ferit Tuzer, Abigail Murtha, Michael Green, Claudio Torres, Henry Liu, Shadi Malaeb

Department of Anesthesiology Faculty Papers

The adverse effects of general anesthesia on the long-term cognition of young children and senior adults have become of concern in recent years. Previously, mechanistic and pathogenic investigations focused on neurons, and little is known about the effect of commonly used intravenous anesthetics such as propofol and ketamine on astrocytes. Recently, astrocyte dysfunction has been implicated in a wide range of age-related brain diseases. In this study, we examined the survival and viability of both young and senescent astrocytes in culture after adding propofol and ketamine to the media at varying strengths. Oxidative stimulus was applied to commercially available fetal …

Ultrasoft Platelet-Like Particles Stop Bleeding In Rodent And Porcine Models Of Trauma, Kimberly Nellenbach, Emily Mihalko, Seema Nandi, Drew W. Koch, Jagathpala Shetty, Leandra Moretti, Jennifer Sollinger, Nina Moiseiwitsch, Ana Sheridan, Sanika Pandit, Maureane Hoffman, Lauren V. Schnabel, L. Andrew Lyon, Thomas H. Barker, Ashley C. Brown

Engineering Faculty Articles and Research

Uncontrolled bleeding after trauma represents a substantial clinical problem. The current standard of care to treat bleeding after trauma is transfusion of blood products including platelets; however, donated platelets have a short shelf life, are in limited supply, and carry immunogenicity and contamination risks. Consequently, there is a critical need to develop hemostatic platelet alternatives. To this end, we developed synthetic platelet-like particles (PLPs), formulated by functionalizing highly deformable microgel particles composed of ultralow cross-linked poly (N-isopropylacrylamide) with fibrin-binding ligands. The fibrin-binding ligand was designed to target to wound sites, and the cross-linking of fibrin polymers was designed …

Nivolumab Plus Chemotherapy In Epidermal Growth Factor Receptor-Mutated Metastatic Non-Small-Cell Lung Cancer After Disease Progression On Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitors: Final Results Of Checkmate 722, Tony Mok, Kazuhiko Nakagawa, Keunchil Park, Yuichiro Ohe, Nicolas Girard, Hye Ryun Kim, Yi-Long Wu, Justin Gainor, Se-Hoon Lee, Chao-Hua Chiu, Sang-We Kim, Cheng-Ta Yang, Chien Liang Wu, Lin Wu, Meng-Chih Lin, Jens Samol, Kazuya Ichikado, Mengzhao Wang, Xiaoqing Zhang, Judi Sylvester, Sunney Li, Ann Forslund, James Chih-Hsin Yang

Faculty, Staff and Student Publications

PURPOSE: The phase III CheckMate 722 trial (ClinicalTrials.gov identifier: NCT02864251) evaluated nivolumab plus chemotherapy versus chemotherapy in patients with epidermal growth factor receptor (

METHODS: Patients with disease progression after first- or second-generation EGFR TKI therapy (without

RESULTS: Overall, 294 patients were randomly assigned. At final analysis (median follow-up, 38.1 months), PFS was not significantly improved with nivolumab plus chemotherapy versus chemotherapy (median, 5.6

CONCLUSION: Nivolumab plus chemotherapy did not significantly improve PFS versus chemotherapy in patients with

The Perception Of Official Housing Policies For Women With Medically Assisted Treatment, Vickie Lynn Roberson

Walden Dissertations and Doctoral Studies

Opioid overdose is the leading cause of death among the homeless, with limited access to housing, food, security, and medically assisted treatment (MAT). The women on MAT are affected because they may not be readily accepted into the housing community if considered non-abstinent, unlike other substance users who would not have those problems. There previously had not been research on how housing for women was affected when on MAT or any housing facilities that have established MAT protocol. In this generic qualitative design, 10 female participants on MAT who needed housing were interviewed using semi-structured interviews. Bandura's social learning theory …