Digital Commons Network^™

Variation In Laboratory & Radiographic Workup And Outcome In Children Hospitalized With Common Musculoskeletal Infections, Emily Bonanni

Research Days

Watch recording of live presentation.

Background: Common pediatric musculoskeletal infections (MSKIs) require prompt recognition & treatment to prevent significant morbidity and mortality. Variation in initial workup of these infections & associations with clinical outcomes is not well studied and could aid development of evidence-based guidelines to provide high-value care for all MSKIs.

Objectives/Goal: Examine variation in initial lab testing & imaging obtained in patients hospitalized for common MSKIs and explore association with clinical outcomes (length of stay (LOS), cost, 30-day readmission).

Methods/Design: We performed a retrospective, multicenter cohort study of hospitalized children aged 6 months to 18 years with a …

Financial Outcomes By Severity Across Children's Hospitals, Jonathan Hartley

Research Days

Watch recording of live presentation.

Background: Hospitalizations represent a significant driver of healthcare costs for children. Little is known about how payor type and the severity of children cared for on the pediatric medical inpatient floor impact a hospital’s financial outcomes.

Objectives/Goal: The primary objective of this study is to compare financial outcomes of pediatric hospitalizations to the medical inpatient floor across patient severity quartiles. Secondary objectives included financial outcomes stratified by payor type across severity quartiles.

Methods/Design: Retrospective cohort study included children aged 0-18 years discharged during calendar year 2019 from hospitals that reported clinical information to the Pediatric …

Growth And Salvation, Earl Clement Davis

Sermons, 1905-1919

Earl Davis approached this topic twice. While it is pretty clear that “Irrepressible Impulse to Growth” is the first attempt (it is short and does not really come to a conclusion), “Growth and Salvation” reads as a full completed sermon.

Here we provide both versions of the sermon. The primary downloadable document is for the combined text and translation of “Growth and Salvation". This is followed by the separate documents of the aforementioned, and then the corresponding three documents for “The Irrepressible Impulse to Growth.”

The primary downloadable document contains the original document followed by the transcription. The bottom of …

Spending On Public Benefit Programs And Exposure To Adverse Childhood Experiences, Megan Collins

Research Days

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Background: Adverse childhood experiences (ACEs) have been shown to be associated with poor health outcomes, and children living in poverty are more likely to experience ACEs. Our objective was to estimate the association between spending on benefit programs and cumulative exposure to ACEs among children.

Methods: This cross-sectional study examined state and federal spending, at the state-level, on 5 categories of public benefit programs: cash, housing, and in-kind assistance; housing infrastructure; childcare assistance; refundable Earned Income Tax Credit; and Medical Assistance Programs (e.g., Medicaid). The primary exposure was median annual spending per person living below …

Performative Activism Is Still Activism, Erin Yoo '22

Zeitgeist: A Journal of Politics, History, and Philosphy

With the rise of the Black Lives Matter movement and other social justice movements, the idea of “performative activism” has also become prominent. Performative activism is defined as “activism that is done to increase one’s social capital rather than because of one’s devotion to a cause” (1). It’s characterized as a substitute for “real” action and thus has a negative connotation. One example is Blackout Tuesday in 2020 where millions of Instagram users, from everyday teens to world-famous celebrities, posted a black square to “show solidarity” for the Black Lives Matter movement. Although this was popular in the moment, actions …

The World Is Grieving, Anon Ymous

Zeitgeist: A Journal of Politics, History, and Philosphy

No abstract provided.

Aborting Women’S Rights, Manya Davis '24

Zeitgeist: A Journal of Politics, History, and Philosphy

On Wednesday, September 1st, 2021, Texas government officials passed a law banning abortions after six weeks of pregnancy. Since then, a plethora of heated controversy regarding abortion rights has erupted throughout the United States. This controversy is being driven by two groups: pro-choice and pro-life. Pro-lifers argue that a fetus is a child the moment it is conceived, and a large part of their reasoning stands on the basis of religion. Therefore, many believe that abortion is considered murder. However, pro-choicers do not agree that it is morally correct to force one’s belief onto someone else. With the Christian demographic …

Titans’ Fall, Liam Indigo

Zeitgeist: A Journal of Politics, History, and Philosphy

No abstract provided.

A Reunion For Ernie Benally, James C. Schaap

The Voice

No abstract provided.

Getting Your Hands Dirty, James C. Schaap

The Voice

No abstract provided.

Gaming & Faith, Sarah Moss

The Voice

No abstract provided.

Humbly Serving In God's Kingdom, Alicia Bowar

The Voice

No abstract provided.

Domino Dominance, Sarah Moss

The Voice

No abstract provided.

Dordt's Local Impact, Sarah Moss

The Voice

No abstract provided.

The Importance Of Being Apprenticed, Lydia Marcus

The Voice

No abstract provided.

Collaborating Via Art, Sarah Moss

The Voice

No abstract provided.

Core Program Gets A Refresh, Sarah Moss

The Voice

No abstract provided.

2021 Dordt Grads Achieve 100 Percent Career Outcome, Bethany Van Voorst

The Voice

No abstract provided.

Emphasizing Entrepreneurship, Mike Byker

The Voice

No abstract provided.

Dordt Campaign Aim Is Planting For The Future, Bethany Van Voorst

The Voice

No abstract provided.

Full-Scale, On-Campus Events Welcomed Back By Students, Hannah Vanderhooft

The Voice

No abstract provided.

Lambs Provide Hands-On Experience In Ag Course, Lydia Marcus

The Voice

No abstract provided.

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 …