Digital Commons Network^™

Rn Managed Warfarin Therapy Improves Patient Outcomes, Beth Ormsby, Stacee Marvin, Viktoria Leblanc, Ashley Harris

Nursing Research and EBP Day 2022

Warfarin, an oral anticoagulant, is a “high-risk” medication with narrow therapeutic range and risks for serious complications if not carefully managed. Therapeutic effect is determined using a blood test called the International Normalized Ratio (INR). Evidence shows a higher percentage of Time in Therapeutic Range (TTR) decreases the risk of adverse events including bleeding, hemorrhagic stroke, and death. An optimal TTR is 60 – 70% or higher. Improving TTR by 2.5 - 5% could significantly impact outcomes.

It was hypothesized that an algorithm based approach to Warfarin management by a consistent team of RN’s would improve TTR and outcomes.

To …

Ehealth@Home: Avoiding Readmissions For Heart Failure Patients, Krysta Harrington

Nursing Research and EBP Day 2022

The purpose of this evidence-based project was to reduce readmission rates for congestive heart failure (CHF) patients. It was hypothesized that targeted, nursing led care would reduce readmission rates. To test the hypothesis, we engaged patients post-discharge to enroll in eHealth@Home. eHealth@Home is a program at Rochester Regional Health (RRH) that serves high need CHF patients with frequent acute care utilization. These patients receive intensive monitoring and follow-up from a dedicated eHealth nurse, nurse practitioner and community health worker who work in tandem with a patient’s RRH provider to ensure that seamless and quality care is delivered. Visits were done …

Development And Implementation Of An Ambulatory Nursing Shared Governance Council, Patricia K. Fioravanti, Maria Larner

Nursing Research and EBP Day 2022

The purpose of this work was to research, develop, and implement an ambulatory nursing shared governance council (ANSGC) to support the pursuit of Magnet designation within the Primary Care and Specialty Institute (PCASI) ambulatory care nursing environment at Rochester Regional Health. PCASI is comprised of over 115 practices located throughout 8 counties. Literature supports shared governance as a mechanism to increase nurse engagement, nurse retention, improve patient outcomes and promotes partnership between front line nurses and administration. Nursing Shared Governance is a pillar of the American Nurses Credentialing Center (ANCC) Magnet culture and a critical component of Magnet designation.

PCASI …

Immune-Related Adverse Event Management For Oncology Patients, Mary Beth Casselbury, Lori Davis, Sharon Wilson

Nursing Research and EBP Day 2022

Rapid advances in cancer immunotherapy using Immune Checkpoint Inhibitors have led to significantly improved survival of patients. Immunotherapy is also associated with multiple immune-related adverse events (irAE’s). The purpose of this research is to determine if reinforced patient education regarding early recognition/management of side effects/adverse events decreases serious immune-related events. It is hypothesized that utilizing a patient education plan may determine if these interventions can manage immune-related adverse events and thereby decrease the severity of these events.

Our team reviewed literature addressing follow-up care for Oncology patients receiving Immunotherapy. To promote efficient management of immune-related adverse events several major oncology …

A Depression Screening Protocol For Acute Stoke Patients: A Quality Improvement Project, Celia Mcintosh

Nursing Research and EBP Day 2022

Background: Depression after stroke is common and is associated with poor functional recovery, suicidal ideation, decreased quality of life, and increased mortality. Despite this knowledge, poststroke depression (PSD) is often underdetected and thus undertreated. PSD is clinically important for the caregiver, the family, and the stroke survivor. Inconsistencies in screening and treatment practices may further contribute to these negative outcomes.

Purpose: The purposes of this evidence-based clinical scholarship project were to (1) determine the efficacy of an evidence-based depression screening protocol in improving early detection and treatment of PSD and (2) identify if there were any relationships between the protocol …

Nurse Driven Early Mobility In The Intensive Care Unit: Mobility Protocol And A Designated Mobility Champion, Intensive Care Unit, Newark-Wayne Community Hospital, Newark, Ny

Nursing Research and EBP Day 2022

Decreased mobility in hospitalized patients can lead to various health consequences, including increased morbidity and mortality. In the Intensive Care Unit (ICU), patients are not mobilized as frequently or as often as possible. Barriers to mobilization include limited resources such as time and staffing, perceived risk, and insufficient training in safe patient handling. This quality improvement initiative aimed to increase out-of-bed mobility in ICU patients, address activity orders at interdisciplinary rounds, and trial a designated mobility champion. The America Association of Critical-Care Nurses (AACN) Early Progressive Mobility (EPM) protocol and Bedside Mobility Assessment Tool (BMAT) were adopted and used to …

Experiences Of Nurses And Nurse Leaders During The First Year Of The Covid-19 Pandemic: An Integrative Review, Jessica Powell

Nursing Research and EBP Day 2022

This research aimed to examine the experiences of nurses and nursing leadership who worked through the COVID-19 pandemic. Understanding their experiences will help better support those suffering from burnout. An integrative review was done by searching three databases in February 2022. Search terms included: burnout, compassion fatigue, Nurs*, leadership, and COVID-19. A total of 288 studies were retrieved, with 11 eligible for review. Seven themes were identified: information, safety, psychological and physical impacts on nurses, patient needs vs. pandemic needs, acknowledgment, protective factors and positive things from their experience, and changes in responsibilities. Understanding the nurses’ and nurse leaders’ experiences …

Licensed Practical Nurses Working To Maximum Scope Of Practice, Lindsey Sippel, Lauren Sicker, Jessie Schiffhauer, Kristee Aliten

Nursing Research and EBP Day 2022

BACKGROUND: Nurses on 4800, a medical-surgical unit, were feeling overwhelmed by an increasing patient load due to Registered Nurse (RN) vacancies. No not only was staff morale at a low, but the staff was concerned about the impact on patient care. Nursing staff on 4800 consists of RNs as well as Licensed Practical Nurses (LPNs). As the team contemplated the high nurse:patient ratio, they identified that LPNs were not working to the full scope of their practice. The team began to wonder if ensuring that LPNs could work at the highest level of their scope of practice if this would …

The Safe Stay Program: For Care Of The Pediatric Patient Boarding In The Emergency Department, Kellie Rorke

Nursing Research and EBP Day 2022

The purpose of this evidence-based project was to explore alternative methods to address the process for admitted patients boarding in the pediatric emergency department. It was hypothesized that creating an intentional program of vigilance for safe care of the boarding pediatric patient via a pediatric admission care RN (PAC-RN), supported by interventions including on time medication administration, monitoring, and admission process education. Could reduce adverse events, total inpatient length of stay, morbidity and mortality and improve overall patient/family satisfaction.

A systematic literature search to review patient boarding in the emergency department was conducted. The literature reviewed supported the implementation of …

Development Of Share: Supportive Holistic Anxiety Reducing Experience In Critical Care, Benjamin Lindsay, Judith V. Treschuk

Nursing Research and EBP Day 2022

The purpose of this research/EBP was to develop an evidence-based Interdisciplinary Family-Centered Communication and Support Program in the Surgical/Neuro Intensive Care Unit intended to provide the support that family members and patients need when admitted to the Surgical/Neuro Intensive Care Unit.

It was hypothesized that there is a way to support patients and their family members during their admission to the RGH SICU/NCCU through evidence-based practice decreasing their anxiety and dissatisfaction with communication with the interdisciplinary team. To test the hypothesis, an electronic literature review was completed in March 2021 and May 2021 for the most current research on family-centered …

Early Mobilization For Critically Ill Adults: An Integrative Review, Jarvis Mcgrath

Nursing Research and EBP Day 2022

Objectives: Despite emerging evidence on the health benefits of early mobilization (EM) among critically ill patients, immobility and perceived barriers to EM persists. This integrative review aimed to summarize existing data on nurse-led EM, including how EM is defined, how EM protocols were developed, and key components of their protocol.

Methods: The protocol for this integrative review was developed in consultation with a trained librarian. A comprehensive search was conducted using the databases CINAHL, Embase, and ProQuest Nursing and Allied Health in April 2021. 6% of results were independently screened by 2 reviewers and the remaining were screened by a …

Evidence-Based Practice Liaisons: Supporting Ebp Across The Health System, Tami A. Hartzell, Susan Stell

Nursing Research and EBP Day 2022

No abstract provided.

Nicu Discharge Readiness, Sarah Kiley, Megan Adams, Jennifer Pacheco-Leyva, Paula Sedita, Brooke Swinton, Michele Wells

Nursing Research and EBP Day 2022

After days, weeks or months in the neonatal intensive care unit (NICU), families can be overwhelmed by the discharge preparation and the transition to home. Literature supports that inadequate preparation for discharge from the NICU increases family anxiety, risk for hospital readmission and emergency room visits, as well as infant care issues at home such as feeding difficulty. This quality improvement project was identified to improve and enhance discharge readiness in the NICU.

The project started with the development of a discharge readiness committee. After reviewing the literature, the committee met to identify areas in need of improvement which included …

A Review On Serum, Genetic And Mirna Associated Biomarkers For The Early Diagnosis Of Hepatocellular Carcinoma (Hcc)), Ambreen Kanwal, Asima Tayyeb

Journal of Bioresource Management

Hepatocellular carcinoma is the most devastating complication of liver cirrhosis and diagnosis in earlier stages could be useful in curative interventions. The main aim of this review was to analyze current diagnostic biomarkers which are available for the early diagnosis of hepatocellular carcinoma (HCC). For this purpose, we searched different web databases including Medline/Pubmed. We found multiple significant serum biomarkers for imperative diagnosis including α- Fetoprotein, Des- γ -carboxyprothrombin (DCP), Osteopontin (OPN), Glypican-3 (GPC3), Golgi protein-73 (GP73), Squamous cell carcinoma antigen (SCCA), Annexin A2 (ANXA2) and Heat shock protein 70 (HSP70) but all of these represent low sensitivity and low …

Lymph Node Dissections And Survival In Sublobar Resection Of Non-Small Cell Lung Cancer ≤ 20 Mm., Shinkichi Takamori, Takefumi Komiya Md, Mototsugu Shimokawa, Emily Powell Phd

PCI Publications and Projects

BACKGROUND: A randomized trial of lobectomy versus segmentectomy for small-sized (≤ 20 mm) non-small cell lung cancer (NSCLC) showed that patients who had undergone segmentectomy had a significantly longer overall survival (OS) than those who had lobectomy. More attention is needed regarding the required extent of thoracic lymphadenectomy in patients with small-sized NSCLC who undergo sublobar resection.

METHODS: The National Cancer Database was queried for patients with clinically node-negative NSCLC ≤ 20 mm who had undergone sublobar resection between 2004 and 2017. OS of NSCLC patients by the number of lymph node dissections (LNDs) was analyzed using log-rank tests and …

Comparing The Effects Of User Generated Video Reviews And Brand Generated Advertisements On Consumer Decisions On Youtube, Vaibhav Shwetangbhai Diwanji, Jaejin Lee

Journal of Applied Marketing Theory

This empirical study examines the effects of user generated vlogs (UGV) versus brand generated ads (BGA) on consumer decisions on YouTube. UGV refers to any type of review video content about brands or products, created and published by users on YouTube. BGA refers to brand generated advertisements on YouTube. Guided by the elaboration likelihood model of persuasion, this online experimental research involved a 2 (source: UGV versus BGA) X 2 (involvement: high versus low) X 2 (gender: male versus female) between-subjects research design. Results showed that UGV elicited significantly greater effects on consumer brand attitudes and purchase intentions than BGA, …

College Students’ Purchase Behaviors Of Single-Serve Premium Juices, Robin Hardin, Michelle L. Childs, Win G-Y Koo, Kwangho Park

Journal of Applied Marketing Theory

There has been a surge in demand for premium single-serve juices, and college students may be in the forefront of this growing trend because of the perceived social status accompanied by their consumption. External influence (i.e., peer influence and social status) emerged as a component of motivation for the use of premium juices. Findings contribute to Veblen’s theory of conspicuous consumption, demonstrating that consumer motivation for status-laden products occurs even for consumable products that are relatively low cost.

Defining Health Care Marketing: A Review Of Scholarly And Other Textual Sources, Gary Daniel Futrell

Journal of Applied Marketing Theory

A review of scholarly works and leading textbooks published for health care marketing courses shows that they do not adequately define the disciple. This paper promotes the use of the two-word form of health care and defines health care marketing as the activity, set of institutions, and processes for creating, communicating, delivering, & exchanging any good, service, or idea; performed to restore, maintain, or enhance the well-being of an individual or population. This paper fills a gap in the literature by providing linguistic and practical justification for using the two-word form of health care and connects the modern wellness paradigm …

Sga 54 Senate 2022-09-30 Minutes, Niu Student Government Association Senate

Student Government Association Archives

No abstract provided.

Biodiversity Of Culicidae (Insecta: Diptera) In The Region Of Khenchela (Northeast Algeria), Imane Halimi, Fatima Zohra Zohra Kara-Toumi, Salim Lebbal, Ruben Bueno Mari, Asma Ghorab, Fairouz Saidi

Journal of Bioresource Management

Mosquitoes are considered as vectors of serious human diseases. The prevention of parasitic and arboviral vector-borne diseases is based mostly on vector control strategies. This control cannot be effective unless a strong knowledge of mosquito biology and distribution in the working area. In this context, and in order to improve the knowledge on the specific diversity of the culicids fauna in the region of Khenchela (northeast of Algeria), an inventory of mosquitoes was carried out for the first time in this region. Larval collection was conducted in various types of habitats through continuous monitoring of seven sites from May 2020 …

Health Safety In Drinks: Evaluation Of Certain Food Additives In Algeria, Saoussene Chernine, Samira Djekoun Bensoltane

Journal of Bioresource Management

Consumption of drinks remains a controversial issue for public health. For more than 50 years, potential adverse reactions to additives have been suggested, but data to date are conflicting. The purpose of this article is to provide an approach to the health threat by inventorying the food additives used in 304 local and imported drinks sold in the Algerian market and classifying them according to their toxicity. In second time, survey population destinated to 1200 subjects to evaluate their drink consumption and health problems. The results show that the inventoried drinks contain many food additives, mostly consisting of dyes. Toxic …

Artist Talk & Reception With Sandra Hansen, Kruizenga Art Museum, Alexandra Lewis

Kruizenga Art Museum Posters

A poster for an artist talk and reception on September 30, 2022, related to the exhibition No Planet B. The exhibition was held September 2–December 10, 2022.

Kruizenga Art Museum Online Collection - Exhibition Gallery

Optimization Of Raw Mix Design Of Clinker Production: A Case Study In Cement Industry, Barath Ponnusamy, Hilmi Hussin, Ainul Akmar Mokhtar, Masdi Muhammad

Platform: A Journal of Engineering (PAJE)

Raw mix design refers to the raw materials' quantitative proportions to achieve clinker with the desired chemical and mineralogical composition. The existing method used to formulate the raw mix design is based on iterative laboratory trials, which is time-consuming and heavily relies on the chemist's experience. Considering the negative environmental impacts, optimizing the raw mix design has become one of the major concerns among the cement players. Thus, the objective of this research is to optimize raw mix design with minimum cost while satisfying the critical clinker quality control targets. This study explored the Linear Programming (LP) model to achieve …

The Distinctive Pathologies Of Free Speech Jurisprudence At The U.S. Supreme Court And European Court Of Human Rights, Thomas Keck

Political Science - All Scholarship

This paper explores the distinctive pathologies of free expression jurisprudence at the U.S. Supreme Court and European Court of Human Rights (ECtHR). On the U.S. side, modern First Amendment law has effectively guarded against state censorship, particularly content-based censorship, and has cleared space for a diverse array of private speech platforms to operate in the marketplace of ideas. But First Amendment law’s single-minded focus on state suppression leads it to over-police certain state actions whose threats to free expression values seem minimal and to under-police certain private actions whose threats to free expression values seem substantial. On the European side, …

Advanced Methods For Railroad Station Operation Decisions: Data Analytics, Optimization, Automation, Yuan Wang

USF Tampa Graduate Theses and Dissertations

The continued and substantial growth in railroad transportation in many countries inspires railroad operators to leverage advanced methods into better railroad operation decisions. Among all facilities, significant returns on investment can always be achieved by optimizing the operations of network nodes - junctions and stations, because stations usually form the capacity bottlenecks in the system.

There are thousands of decision-making problems in relation to the station operations and can be classified into different levels to achieve different goals. From top to bottom, high-level business strategies aim to make decisions to achieve long-term strategical benefits, such as optimizing local station functionalities …

2022-09-30 Minutes Of The Executive Committee Of The Academic Senate, University Of Dayton. Academic Senate. Executive Committee

ECAS Minutes

Approved minutes of a meeting of the Executive Committee of the Academic Senate of the University of Dayton.

The Role Of Institutions In Job Teleworkability Before And After The Covid-19 Pandemic, Peter Norlander, Chris Erickson

School of Business: Faculty Publications and Other Works

The teleworkability of jobs – whether they can and will be performed remotely – has been increasingly contested in the aftermath of the COVID-19 pandemic. To explain which jobs are teleworkable and why, we emphasize the institutional context of a job, including differences among firms, union representation, professional licensing requirements, sector, and employment models. Using a novel dataset of job characteristics extracted from the text of a large sample of online job advertisements from 2010-2021, we examine various explanations for change in the availability of remote job opportunities. Prior to the pandemic, private sector, non-union, and unlicensed jobs lagged federal …

The George-Anne Inkwell Edition, Georgia Southern University

The Inkwell

No abstract provided.

Economic Prospects Of Gilgit Baltistan - Part Ii, Ishrat Husain Dr.

Faculty Research - Newspaper and Magazine Articles

The community organizations have built bridges, irrigation channels and other small infrastructure projects at much lower costs as they participated in the supply of labour and land parcels for these projects . The incentive structure made them realize that this would lead to the doubling of their farm incomes The improved marketing of produce through better roads and bridges contributed to accretion in farm incomes and increased food security. These community organizations have also been able to improve social indicators such as school enrollment, student retention, nutrition, water supply and sanitation which look relatively better than other provinces in Pakistan …

Modeling Multivariate Age-Related Imaging Variables With Dependencies, Hwiyoung Lee, Chixiang Chen, Peter Kochunov, Liyi Elliot Hong, Shuo Chen

Faculty, Staff and Student Publications

Neuroimaging techniques have been increasingly used to understand the neural biology of aging brains. The neuroimaging variables from distinct brain locations and modalities can exhibit age-related patterns that reflect localized neural decline. However, it is a challenge to identify the impacts of risk factors (eg, mental disorders) on multivariate imaging variables while simultaneously accounting for the dependence structure and nonlinear age trajectories using existing tools. We propose a mixed-effects model to address this challenge by building random effects based on the latent brain aging status. We develop computationally efficient algorithms to estimate the parameters of new random effects. The simulations …