Digital Commons Network^™

Trimming To Thrive, Sarah Moss

The Voice

No abstract provided.

Pondering Sin, Erik Hoekstra

The Voice

No abstract provided.

Everyday Ethics And Equity At The Bedside, Shika Kalevor, Angie Knackstedt

Research Days

Background: Traditional bioethics training, although important, may not be completely suited to the nursing role. In contrast to traditional clinical ethics, which focuses on healthcare dilemmas, everyday ethics focuses on routine clinical encounters between clinicians, patients, and families and may be better suited to help nurses address issues such as bias and racism at the bedside.

Objectives/Goal: This study aims to provide a data-backed approach to ethics education for nurses as it pertains to improvements in the understanding of Diversity, Equity, & Inclusion (DEI) efforts in healthcare. This study also provides an opportunity for the field of bioethics to provide …

Barriers And Facilitators To Precision Medicine For Black Children With Autism Spectrum Disorder, Rachel Goodson

Research Days

Background: The field of pharmacogenomics (identification of biomarkers regarding drug metabolism and activity to inform precision prescribing) is rapidly advancing for individuals on the autism spectrum, but these advancements are not equitably benefiting all communities. Specifically, utilization data suggests that Black families may be less likely to have access to clinical precision medicine supports. Moreover, historic underrepresentation of African-descended populations in genetic reference samples means that emerging research on precision medicine will retain these biases and perpetuate disparities in downstream clinical benefit. These issues are especially relevant to the autism community, who are more likely to receive psychotropic medications that …

Likelihood Ratios For Reactions To Egg Based On Specific Ige And Oral Challenges, Melissa Anderson

Research Days

Background: Specific IgE (sIgE) to foods has been used to predict the risk of a systemic reaction (SR) when the food is ingested. An arbitrary cutoff of 0.35 is often used to separate a positive likelihood ratio (LR+) from a negative one (LR-), yet there is little evidence supporting the use of this value.

Objectives/Goal: The objective of this project was to establish a more accurate method for estimating the probability of food allergy to egg.

Methods/Design: Egg-sIgEs were measured and open oral egg challenges were performed on 155 children with a clinical history of egg allergy. Logistic regression (LR) …

Timing Of Testing For Ige-Mediated Food Allergy After Systemic Reaction, Jordan Pitt

Research Days

Background: A refractory period of falsely negative testing can occur following a systemic allergic reaction to Hymenoptera sting. As a result, blood specific IgE and/or skin prick tests (SPT) for other allergens are often delayed.

Objectives/Goal: This study aims to identify the proportion of patients with falsely negative test results in the 6 weeks following an allergic reaction to food, and factors that may affect it.

Methods/Design: This is a retrospective chart review study. One hundred fourteen pediatric subjects met inclusion criteria. Each had a convincing history of food allergy with a systemic allergic reaction and was tested to the …

Improving Advanced Therapeutic Endoscopy Performance At An Academic Children's Hospital, Julia Snodgrass, Thomas M. Attard, Donna Ditsch, John Colgan, Amanda Weston, Jessica Koch, Nadia Ibrahimi, Pang Krasaelap, Voytek Slowick, Laura Shroyer

Research Days

Problem Statement/Question: Advanced therapeutic endoscopy is infrequently needed but critical in the management of children with complex gastroenterology disorders. Hands-on experience in specific advanced techniques, set up of endoscopy equipment and familiarity with new ancillary equipment for use during endoscopy have been intra-departmentally identified as potential areas for improvement.

Background/Project Intent: Our aim is to improve provider scoring on an endoscopy practice test based on technical aspects of therapeutic techniques, indications and set up of standard and new endoscopic equipment by 20% over pre-practice session testing.

Methods: The Model for Improvement framework was utilized. A multidisciplinary team was created including …

Who Is My Child’S Main Doctor? Assessing Caregiver Perceptions Of Teaching Teams At A Pediatric Tertiary Care Center., Jonathan Ermer

Research Days

Background: The size and structure of large academic teaching teams can create a barrier to communication and relationship-building with caregivers. Studies have shown that from a patient perspective, being able to name their doctor and identify their role is important. Benefits include increased patient satisfaction, improved relationships in line with the family-centered care movement, and improved patient safety. Although important, studies in both adults and pediatrics have shown that patients and caregivers do not know who their doctors are. Acknowledging the hierarchy present on family-centered rounds is not only burdensome and confusing to patients and caregivers, but it can also …

A Case Of An Elevated Tryptase, Sonya Parashar

Research Days

Introduction: Hereditary Alpha Tryptasemia (HαT) is an autosomal dominant disorder characterized by an elevated baseline tryptase that occurs up to 3% of the population and clinically resembles mast cell activation syndrome.

Case description: A full-term, 13-month-old female patient presented to Allergy and Immunology clinic for persistently elevated tryptase. Her initial symptom was non-bloody loose stools, but she later developed recurrent flushing, joint pain, constipation, and frequent nighttime awakenings. Her past medical history included gastroesophageal reflux disease. Family history was significant for an older sibling with history of flushing. At all visits, physical examination was normal. Tryptase ranged between 11.7 - …

Evaluating Caretaker Satisfaction With Same-Day Discharge After Gastrostomy Tube Placement, James A. Fraser Md, Shai Stewart Md, Kayla B. Briggs Md, Shawn D. St. Peter Md, Tolulope A. Oyetunji Md Mph

Research Days

Background: Same-day discharge (SDD) after outpatient laparoscopic gastrostomy tube (G-tube) placement has been our standard institutional practice since 2017, following written and video-based preoperative education regarding G-tube use, maintenance, and exchange at the time of consultation.

Objectives/Goal: We aim to evaluate caretaker satisfaction with our same day discharge protocol following laparoscopic gastrostomy tube placement.

Methods/Design: Following IRB approval, all patients planned for SDD after G-tube placement from FebruarySeptember 2021 at a tertiary care academic center were identified. Retrospective chart review was performed to identify demographic information, successful same-day discharge or reason for postoperative admission, time to first postoperative feed, length …

Ultrasound Guided Peripheral Iv Access Curriculum For The Pediatric Emergency Department: A Pilot Study., Samuel Dillman

Research Days

Background: Up to 50% of children have difficult venous access. Studies in the Pediatric Emergency department (PED) have shown that ultrasound guided peripheral IV (USGPIV) access has decreased IV access time and ED length of stay.  Barriers for use include lack of training and comfort with the procedure.

Objectives/Goal: Our objectives are to pilot and evaluate USGPIV training for Pediatric Emergency Medicine (PEM) physicians and nurses.

Methods/Design: The course included a 4-hour, hands-on session with US IV training using a blue phantom task trainer in conjunction with the Vascular Access Team (VAT) for PEM physicians and nurses.  Participants’ skills were …

Recurrent Primary Spontaneous Pneumothorax Masquerading As A Congenital Pulmonary Airway Malformation In A Young Female, Chandra Swanson

Research Days

Background: Spontaneous pneumothoraxes in children are uncommon, may be idiopathic or associated with underlying pulmonary disease, and can present management challenges.

Objectives/Goal: We present a 12-year-old female with recurrent right sided spontaneous pneumothorax in the setting of an asymptomatic SARS-Co-V2 (COVID) infection and imaging concerning for congenital lobar overinflation (CLO) versus congenital pulmonary airway malformation (CPAM), prompting surgical intervention.

Methods/Design: A literature review and chart review were completed for this case report.

Results: A 12-year-old pre-menstrual female with remote history of eczema, asthma, and environmental allergies presented from an outside facility with four-days of progressive chest pain and dyspnea on …

Factors Leading To Reduced Unscheduled Pediatric Asthma Visits During Covid-19, Sean Stout

Research Days

Background: Emergency Department (ED) and inpatient (IP) asthma visits were reduced during 2020 at a tertiary pediatric hospital. This was likely due to measures used to avoid exposure to the SARS-CoV2 virus which led to fewer viral upper respiratory infections (URIs). Other known asthma triggers include allergens, air pollution, and weather changes.

Objectives/Goal: To determine whether other factors could explain this reduction, we looked for changes in other asthma triggers such as pollen, air pollution, and weather.

Methods/Design: Monthly ED and IP asthma visits from 2010 to 2019 were compared to 2020 by time series analysis (TSA), controlling for total …

Social Democracy All The Way Down: The Swedish Model Of Government, Shanan Riley '23

Zeitgeist: A Journal of Politics, History, and Philosphy

The welfare state in Sweden was established more than a century ago by the Social Democratic Party of Sweden, which held power for close to eight decades. The welfare state can loosely be defined through strong social programs meant to uplift the livelihoods of the Swedish people funded through a heavy tax burden. The early democratic socialists established the welfare state with the goal of creating a “folkhem”, or people’s home, in Sweden, where all people could be supported throughout their lives by government welfare programs. (1) Who the “people” of Sweden are has changed over the last century, but …

The Steady-State: It’S Time To Rustle Some Jimmies, Sofia Zasiebida '23

Zeitgeist: A Journal of Politics, History, and Philosphy

The steady-state is a political and economic theory that recognizes many of the detrimental problems caused by capitalism, while not accepting socialism as the solution. The steady-state paves its own way as a political theory with the main goal of consuming resources sustainably to save the planet and improve the lives of the public. The stationary state, as he named it, was first written about by John Stuart Mill in the early nineteenth century and was
expanded upon to include action policies by Herman Daly in the late twentieth century. In a steady state, resource use stays constant so that …

Conflicting Visions Of Socialism: Tito-Stalin Split, Franklin Rangel '23

Zeitgeist: A Journal of Politics, History, and Philosphy

The USSR being the first and most dominant socialist force in the world immediately led to all other leftist movements being cast under its shadow, especially during the Cold War. One of these client states was Yugoslavia, located in a premium strategic point and led by a popular socialist veteran, Josip Broz Tito. Stalin and Tito’s ideological differences and Yugoslavia’s unique position in terms of foreign policy led to a public split between the two countries. Tito’s critique of classical liberalism, and the disagreements that he had with Stalinism, led the USSR and Yugoslavia down different paths both ideologically and …

Critical Race Theory And It's Implications For The United States Criminal Justice System, Shiona Arthur

Liberty University Research Week

Undergraduate

Textual or Investigative

Fluorinated Molecularly Imprinted Polymer - Monomer And Polymer Synthesis For Pfoa Sorption, Sean Durbin

Liberty University Research Week

Undergraduate

Basic

Despair, Amanda Solomon

Liberty University Research Week

Undergraduate

3-D

End Notes, Florida Historical Society

Florida Historical Quarterly

The Florida Historical Society Archaelogical Institute (FHSAI); Florida Frontiers: The Weekly Radio Magazine of the Florida Historical Society; "The Florida Historical Society Presents: Florida Frontiers": The Television Series; The First Annual Florida Frontiers Festival; The Florida Historical Society 2017 Annual Meeting and Symposium; FHQ Website, Florida Historical Quarterly Podcasts, Florida Historical Quarterly Available on JSTOR, Florida Historical Quarterly on Facebook; Guidelines for Submissions to the Florida Historical Quarterly; Guidelines for e-FHQ Publication; News from Other Societies: Gulf South History and Humanities Conference; Lawton M. Chiles Center for Florida History Presents the 2016-2017 Florida Lecture Series; Zora Neale Hurston TM Festival …

Book Reviews, Florida Historical Society

Florida Historical Quarterly

Randall, Constructing Histories: Archaic Freshwater Shell Mounds and Social Landscapes of the St. Johns River, Florida. by Ryan J. Wheeler; Dilley, Thatched Roofs and Open Sides: The Architecture of Chickees and Their Changing Role in Seminole Society. by Jessica R. Cattelino; Smith, Lincoln and the U.S. Colored Troops. by William A. Dobak; Rodrigue, Lincoln and Reconstruction. by Paul D. Escott; Smith, A Cultural History of the First Jazz and Blues Communities in Jacksonville, Florida, 1896-1916: A Contribution of African Americans to American Theater. by Abel A. Bartley; Turner, The Florida Land Boom of the 1920s. by Raymond B. Vickers; Hobbs, …

The Gulf Coast Fish Cheer: Radicalism And The Underground Press In Pensacola, Florida, 1970-1971, Christopher Satterwhite

Florida Historical Quarterly

By the end of the 1960s the underground press in the United States had grown exponentially from five publications in 1965 to hundreds by the end of the decade with a "combined readership that stretched into the millions."1 As the underground press movement flourished throughout the counterculture, this new radical media spread from college campuses to military towns across the country. By 1971, Pensacola, Florida, had joined a growing number of American cities with an underground newspaper. That paper was the Gulf Coast Fish Cheer.

To Conquer The Coast: Pensacola, The Gulf Of Mexico, And The Construction Of American Imperialism, 1820-1848, Maria Angela Diaz

Florida Historical Quarterly

Americans' dreams of empire appeared to become reality when the United States gained control over Florida in 1821. Yet although the U.S. controlled a significant portion of the Gulf Coast, the nation remained one among many foreign powers vying for dominance in the region, a fact that raised concerns about future expansion in the minds of many. As of 1821 the U.S. shared the coastline with a newly independent Mexico. At the same time, France, Britain, and Spain remained active in both the Gulf and the Caribbean.1 The combination of new republics and old colonial powers shaped the nature of …

Losing Lincoln: Black Educators, Historical Memory, And The Desegregation Of Lincoln High School In Gainesville, Florida, Kathryn Palmer

Florida Historical Quarterly

In 1979 Nat Tillman, a Lincoln High School (LHS) alumnus and one of the Gainesville Sun's first African-American columnists, penned an article advocating for the preservation of Lincoln's history as a "pioneer of black education in Florida." Tillman interviewed Eric Roberts, a member of Lincoln's first graduating class of 1925 about why Lincoln's history as a historically black high school "deserved to be preserved." Like many of Florida's black high schools closed during school integration efforts of the late 1960s and early 70s, Lincoln's roots stretch back to Reconstruction. However, as Florida's second accredited black high school, Roberts praised the …

Title Page, Florida Historical Society

Florida Historical Quarterly

Title page for Volume 95, Number 1. Includes the Table of Contents

Iauv'ald'zhath - Concept Art, Ryan Thompson Harmon

Liberty University Research Week

Undergraduate

2-D

Mother Nature's Wand, Sarah Hedrick

Liberty University Research Week

Undergraduate

3-D

Aluminum Wildflowers, Sydney Erickson

Liberty University Research Week

Undergraduate

3-D

Care Cups Cafe Branding, Joy Nicholson

Liberty University Research Week

Undergraduate

Graphic Design

Surviving Senior Year, Rachel Hughes

Liberty University Research Week

Undergraduate

2-D