Digital Commons Network^™

Improving Postpartum Depression Screening Practices In The Postpartum Setting, Courtney Lynn Cole

Dissertations

Abstract

Problem: Postpartum Depression (PPD) is frequently undetected in women due to barriers that limit effective recognition and diagnosis. Depression screenings and treatment referrals improve outcomes in the immediate postpartum period. Follow-up methods for positive depression screens are often missed by postpartum care teams.

Methods: A descriptive, observational design was used for this quality improvement project. A formalized depression screening protocol was created to help guide nursing staff on a Postpartum Unit when detecting a positive depression screen. Convenience sampling was utilized and the sample included patients aged 18-45. Data collected throughout this quality improvement project included Edinburgh Postnatal Depression …

Implementation Of A Structured Discharge Checklist For Children Admitted To The Hospital With Acute Asthma, Nicholas Fleming

Dissertations

Abstract

Problem: The transition process from a hospital setting to home is critical for pediatric patients and their families. However, there is no standardized process to ensure asthma discharge orders and asthma action plans are printed at the time of discharge

Methods: This observational quality improvement project utilized a pre-and-postimplementation of the Kamishibai Card (K-Card) process for pediatric discharge checklist compliance in an inpatient pediatric general medicine unit. This project used a sample of all children aged 2 years to 21 years with an asthma diagnosis admitted to the inpatient general medicine pediatric unit. This project included an …

Impact Of A Standardized Handoff Tool Between Gastroenterology And Pacu Nurses’ Communication And Satisfaction, Matthew Kahmann

Dissertations

Impact of a Standardized Handoff Tool between Gastroenterology and PACU Nurses’ Communication and Satisfaction

Abstract

Problem: Patient handoff between nurses is a critical moment where it is imperative that complete and accurate information is exchanged. Handoff of patient information can be complex, and the use of unstructured, non-standardized handoffs could result in poor communication leading to the omission of pertinent information and a decrease in patient safety and staff satisfaction. Several studies have found the use of standardized handoff tools improve communication, decrease omission of critical information, and improve staff satisfaction. While the use of standardized handoff tools is best …

Attention-Deficit Hyperactivity Disorder: Improving Outcomes Through Early Identification, Tina Lusk

Dissertations

Problem: Failure to identify and treat attention-deficit hyperactivity disorder (ADHD) is associated with academic underachievement, social difficulties, negative physical and mental health effects. Evidence suggests approximately 3% of a broad-based population sample and roughly 13% of an at-risk population are undiagnosed despite significant symptomology (Downey & Zun, 2018; Madsen et al., 2018; Okumura et al., 2019). The United States (U.S.) has no structured screening system for ADHD. Consequently, children receive no referral for diagnosis or treatment to mitigate its effects.

Methods: The Institute for Healthcare Improvement (IHI) Model for Evidence-Based Practice using the Plan Do Study Act (PDSA) cycle guided …

Self-Care Practices In Doctoral Nursing Students And Effects On Educational Experience, Megan Lutman

Dissertations

Problem: Doctoral nursing students are often faced with stressors on top of their schooling, one of which is continuing to work while pursuing their education. This in combination with normal life stressors can be challenging. The purpose of this project was to survey doctoral nursing students on what their current self-care practices.

Methods: An exploratory needs assessment project was created to gather data from Doctor of Nursing practice (DNP) and Doctor of Philosophy (PhD) nursing students in an urban, mid-sized, Midwestern, public university to identify current self-care practices, barriers to self-care, preference of self-care practices, and the impact these …

Evaluation Of A Substance Abuse Screening Tool In The Pediatric Emergency Room, Jody Sims

Dissertations

Abstract

Background: Substance abuse among adolescents is one of the most serious social health problems in the United States. The prevalence of alcohol use in adolescents is as high as 80%, while opioid overdose deaths among adolescents have risen by greater than 50% in the last 10 years. Alcohol, tobacco, and other substance use has also increased among youth and is not being properly evaluated in the pediatric hospital setting. The purpose of this project was to evaluate the use of a substance abuse screening tool with SBIRT trained staff in the pediatric emergency room setting.

Methods: The CRAFFT substance …

July 12, 2023 Greenmail, University Of Alabama At Birmingham

GreenMail (student newsletter through 2024)

No abstract provided.

Usa V. Qushawn Brown

2023 Decisions

USDC for the Middle District of Pennsylvania

Donald L. Demuth V. Commissioner Of Internal Revenue

2023 Decisions

Tax Court

Darcy Scheyer V. Lehigh University

2023 Decisions

USDC for the Eastern District of Pennsylvania

G. S. V. Penn Trafford School District

2023 Decisions

USDC for the Western District of Pennsylvania

Ms 080 Guide To Daniel J. Mccarty, Md Papers (1960-1989), Daniel J. Mccarty

Manuscript Finding Aids

Daniel J. McCarty, MD's papers primarily relate to the Arthritis Foundation and the American Rheumatism Association. Documents relate to committees, board material, and other subjects. In addition, there are a number of reprints. While the reprints date as early as 1960, the professional organization records that make up most of the collection come from the late 1970s and 1980s. See more at MS 080.

Variations In Anxiety And Related Psychiatric Comorbidity Levels Among Youths With Individual Diagnoses Of Autism Spectrum Disorder Or Attention Deficit Hyperactivity Disorder And Those With Both Diagnoses., Michael Wu, Ernesto Joubran, Divya Kumar, Nasser D. Assadi, Hoang Nguyen

HPD Articles

Children with attention deficit hyperactivity disorder (ADHD) or autism spectrum disorder (ASD) individually and those with co-occurring ADHD and ASD experience higher rates of total anxiety and psychiatric comorbidities such as gender dysphoria and locomotor skills compared to their typically developing (TD) peers. In this study, it was hypothesized that youth with comorbid ADHD and ASD would experience higher levels of overall anxiety, specifically separation, generalized, and social anxiety. A literature review of relevant studies published from 2007 to 2020 was performed, with a search involving key terms such as "Anxiety," "ADHD" and "ASD'". It was discovered that individuals with …

The Impact Of Training In Financial Basics On Small Farm Producers’ Knowledge In Selected Alabama Black Belt Counties, Eunice K. Waweru

College of Agriculture, Environment and Nutrition Sciences Graduate Theses and Dissertations

THE IMPACT OF TRAINING IN FINANCIAL BASICS ON SMALL FARM PRODUCERS’ KNOWLEDGE IN SELECTED ALABAMA BLACK BELT COUNTIES

By

Eunice K. Waweru

The author expresses her sincere gratitude to her major advisor, Dr. David Nii. O. Tackie. His encouragement, expertise, guidance, wisdom, patience, and unwavering support has been instrumental in shaping her thesis. His feedback and constructive criticisms have been of tremendous help and has helped her refine her ideas and improve the quality of her thesis. She is forever grateful for his mentorship and the opportunities he has provided her during her academic journey. Also, she is grateful to …

Creating A Veteran Suicide Prevention Module In An Entry-Level Doctor Of Occupational Therapy Program, Christina A. Swoyer

Department of Occupational Therapy Entry-Level Capstone Projects

No abstract provided.

Improving Pediatric Asthma Outcomes Through Pictorial Asthma Action Plans, Julia Donovan

Dissertations

Problem: Asthma is the leading chronic disease of children and the leading cause of childhood emergency department (ED) visits, hospitalizations, and missed school days. Asthma action plans (AAPs), including photographs or pictures of asthma medications, symptoms, triggers, and devices, have improved parents’ understanding of their child’s asthma and have increased their comfort level in caring for their child.

Methods: An interventional pre-post study with a mixed-method research design, at a large, urban, primary care pediatric clinic with two locations, evaluated the effectiveness of a pictorial AAP on a child’s asthma control. A pictorial AAP was provided, and a childhood asthma …

Extubation Readiness Test In A Pediatric Cardiac Intensive Care Unit, Mary K. Holyoke

Dissertations

Extubation Readiness Test in a Pediatric Cardiac Intensive Care Unit

Abstract

Problem: The lack of standard extubation readiness tests (ERTs), that are practiced in pediatric ICUs to monitor extubation readiness, clinicians have the difficult task of weighing the risk versus benefit of extubation. ERTs can aid clinicians in deciphering patients ready to be successfully extubated and have shown to decrease length of mechanical ventilation and decrease extubation failures.

Methods: The quality improvement (QI) project utilized a descriptive observational design to assess the effects of the implementation of an ERT in a pediatric cardiac ICU. This project used a convenience sample …

Self-Care, Resilience, Self-Compassion, And Burnout In Doctoral Nursing Students: An Exploratory Needs Assessment, Logan Justice

Dissertations

Abstract

Problem: In the United States, one in three nurses experience symptoms of burnout, and doctoral nursing students are additionally challenged to juggle multiple school, work, and life demands (Reith, 2018; Woo et al., 2020). The purpose of this project was to explore the current self-care practices of doctoral nursing students to understand how self-care relates to resilience and burnout.

Methods: This exploratory needs assessment utilized a convenience sample of Doctor of Nursing practice (DNP) and Doctor of Philosophy (PhD) nursing students at a medium sized midwestern university. An electronic data collection survey was constructed to assess student self-care practices, …

Effect Of Confusion Assessment Scores On Identifying Delirium In Intensive Care Patients, Kayla Jacobs

Dissertations

Delirium in intensive care unit (ICU) patients can lead to increased length of stay in the hospital, increased risk of complications, increased polypharmacy, family distress and increased rate of mortality (Vasilevskis et al., 2018). Research has shown that addressing modifiable risk factors can improve survival rate by up to 15%, and routine screening for delirium in ICU patients leads to decreased patient anxiety, reduced in-hospital mortality, early recognition, and treatment of delirium (Krewulak et al., 2021 ; Vasilevskis et al., 2018). This quality improvement project used evidence-based intervention to increase accurate documentation of the confusion assessment method in the ICU …

Uab Police To Hold Active Shooter Training Exercise Today, Tyler Greer

Browse All News

No abstract provided.

Physical And Psychological Effects Of Qigong Exercise In Community-Dwelling Older Adults: An Exploratory Study, Pei-Shiun Chang

Dissertations

Older adults need exercise programs that correspond to age-related changes. Qigong exercise, a type of Chinese traditional medicine exercise, is a gentle low-impact exercise and is safe for older adults. Qigong interventions have resulted in improved psychological well-being, muscle strength, flexibility and balance in Asian adults with chronic conditions. However, little data are available on the effects of Qigong exercise on older adults' health in the United States. The purpose of the study was to explore feasibility, adherence, and preliminary efficacy of an 8-week Qigong exercise intervention in community-dwelling older adults in the United States.

Summer Program Provides Research Access To Undergraduates, Erin Garrett

University of Mississippi News

NSF-funded program sponsors students from institutions across U.S.

College Of Education News, Georgia Southern University

College of Education News

• Georgia Southern University addresses teacher shortage with innovative initiatives

Marine Macroalgae Derived Natural Product Inhibitors Of Advanced Glycation End Product Formation By Scavenging Of Reactive Carbonyl Species And Their Implications In Slowing The Progression Of Prevalent Chronic Diseases, George Hanna

MUSC Theses and Dissertations

Reactive Carbonyl Species (RCS) arise from the degradation of essential primary metabolites—sugars and lipids. The resulting stress, derived from their ability to spontaneously react with proteins, DNA, and monoamine neurotransmitters, is a fundamental biological pressure that has driven the evolution of diverse mechanisms for minimizing its impact on organismal health. Relevant to human health, the complications that accompany metabolic disorders, such as diabetes, illustrate what happens when RCS stress exceeds the body’s capacity to prevent excessive damage and the formation of the resulting Advanced Glycation End Products (AGE). These include elevated risks for cardiovascular disease, liver disease, kidney disease, neurodegeneration, …

Brief Communication: Is Vertical Shear In An Ice Shelf (Still) Negligible?, Chris Miele, Timothy C. Bartholomaus, Ellyn M. Enderlin

Geosciences Faculty Publications and Presentations

Vertical shear is recognized today as a key component of the stress balance of ice shelves. However, the first ice shelf models were built on the neglect of vertical shear. Partly due to its historical treatment, it remains common to discuss vertical shear as though it were still considered negligible in ice shelf models. Here, we offer a historical perspective on the changing treatment of vertical shear over time, and we emphasize the term's non-negligibility in current ice shelf modeling. We illustrate our discussion in the simplest context of an analytic, isothermal, shallow-ice-shelf model.

Who's Publishing What: Live Free And Hike, Erma Bombeck Writers' Workshop

Erma Bombeck Writers' Workshop Blog

Linda Magoon's travel memoir Live Free and Hike: Finding Grace on 48 Summits is a story of courage and self-discovery.

Documents From The July 12, 2023 Meeting Of The University Of Montana Staff Senate, University Of Montana--Missoula. Staff Senate

University of Montana Staff Senate Meeting Minutes

Agenda and meeting minutes from the July 12, 2023 meeting of the University of Montana Staff Senate

A Protein Kinase Coordinates Cycles Of Autophagy And Glutaminolysis In Invasive Hyphae Of The Fungus Magnaporthe Oryzae Within Rice Cells, Gang Li, Ziwen Gong, Nawaraj Dulal, Margarita Marroquin-Guzman, Raquel O. Rocha, Michael Richter, Richard Wilson

Department of Plant Pathology: Faculty Publications

The blast fungus Magnaporthe oryzae produces invasive hyphae in living rice cells during early infection, separated from the host cytoplasm by plantderived interfacial membranes. However, the mechanisms underpinning this intracellular biotrophic growth phase are poorly understood. Here, we show that the M. oryzae serine/threonine protein kinase Rim15 promotes biotrophic growth by coordinating cycles of autophagy and glutaminolysis in invasive hyphae. Alongside inducing autophagy, Rim15 phosphorylates NADdependent glutamate dehydrogenase, resulting in increased levels of α- ketoglutarate that reactivate target-of-rapamycin (TOR) kinase signaling, which inhibits autophagy. Deleting RIM15 attenuates invasive hyphal growth and triggers plant immunity; exogenous addition of α-ketoglutarate prevents these …

A Protein Kinase Coordinates Cycles Of Autophagy And Glutaminolysis In Invasive Hyphae Of The Fungus Magnaporthe Oryzae Within Rice Cells, Gang Li, Ziwen Gong, Nawaraj Dulal, Margarita Marroquin-Guzman, Raquel O. Rocha, Michael Richter, Richard Wilson

Department of Plant Pathology: Faculty Publications

The blast fungus Magnaporthe oryzae produces invasive hyphae in living rice cells during early infection, separated from the host cytoplasm by plantderived interfacial membranes. However, the mechanisms underpinning this intracellular biotrophic growth phase are poorly understood. Here, we show that the M. oryzae serine/threonine protein kinase Rim15 promotes biotrophic growth by coordinating cycles of autophagy and glutaminolysis in invasive hyphae. Alongside inducing autophagy, Rim15 phosphorylates NADdependent glutamate dehydrogenase, resulting in increased levels of α- ketoglutarate that reactivate target-of-rapamycin (TOR) kinase signaling, which inhibits autophagy. Deleting RIM15 attenuates invasive hyphal growth and triggers plant immunity; exogenous addition of α-ketoglutarate prevents these …

Prebiotic Effects Of Dietary Xylooligosaccharides On Fish Gut Microbiota, Growth, And Immunological Parameters – A Review, Claudious Gufe, Daniel L. Merrifield, Seyed Hossein Hoseinifar, Triwit Rattanarojpong, Pongsak Khunrae, Mohsen Abdel-Tawwab

School of Biological and Marine Sciences

Xylooligosaccharides (XOSs) are increasingly being explored as prebiotics in fish diets; however, their effects and modes of action have not been well evaluated. Reports have shown that dietary XOS has the potential to improve the proliferation of beneficial gut microbes, and their metabolites, and enhance disease resistance in several fish species. In contrast, other studies report no substantial changes in immune and growth parameters compared to control groups. Like all prebiotics, the mode of action of XOS is based on their selective stimulation of beneficial gut microbiota, which will outcompete and prevent pathogen proliferation in the gut, and produce metabolites …