Medicine and Health Sciences Commons^™

The Impact Of Scheduled Meal Breaks On Icu Nurses, Ericka L. Privitt

Doctor of Nursing Practice (DNP) Practice Innovation Projects

The goal of this practice improvement project was to evaluate the impact of scheduling meal breaks for intensive care unit nurses at a Midwestern hospital. A literature review identified stress a main source for burnout and the nursing shortage. Recommendations for the creation of a healthy work environment were found and a program to schedule meal breaks was implemented over a nine week period. The Meal Break Impact Survey was utilized to gather pre and post-survey data. The following data was collected on the Meal Break Impact Survey: (a) demographics; (b) questions in Likert scale response on availability, access, beliefs, …

Nutritional Assessment Of Preschool Children In An Urban Ecuadorian Community, Elizabeth A. Bronner

Theses and Dissertations--Nutrition and Food Systems

Objectives: The goal of this project was to determine the nutritional needs of preschool age children to help guide intervention development. The research aims were 1) to examine and describe young child (ages one to five) nutritional status as it relates to key nutrients associated with stunting and wasting; 2) to determine what key macro- and micro-nutrient deficiencies (primarily iron and zinc) are associated with wasting and stunting.

Methodology:

Study sample: Sixty-seven families with children ages one to five who participating in routine health care clinic visits during the UK Shoulder to Shoulder Global health brigade visits.

Study …

Millennial Consumer Preference: Waffle Fries Vs. Potato Wedges, Emily Rogers

Lewis Honors College Capstone Collection

For this experiment, two groups of paid volunteers, aged 18-34, provided written quantitative and qualitative data on preferences between waffle fries (test) and potato wedges (control). Each participant provided demographic information and then answered a series of questions, using a hedonic rating scale or by composing a written response. Participants also provided qualitative data about what influenced their preference between the test and control. The experiment confirmed the hypothesis was correct: Millennials prefer waffle fries over potato wedges. It also confirms that Millennials prefer a unique, crunchy, crispy, and decreased potato filled product. Millennial consumers reported significant preference of the …

Physical Activity And African American Women At High Risk For Coronary Heart Disease: A Worksite Wellness Program Perspective, John Cenarosa Paguntalan

MUSC Theses and Dissertations

Physical activity (PA) is a major indicator of health and a strong predictor of risk for coronary heart disease (CHD). The high mortality and morbidity from CHD is associated with high prevalence of risk factors including sedentary lifestyle. As one of the most sedentary among ethnic groups, African American (AA) women are at high risk for CHD and interventions to improve health outcomes need to be identified. A crucial gap exists in understanding the impact of PA as it pertains to the experience of AA women in identifying the most effective interventions to address specific needs of this high-risk population. …

The Male Army Nurse Corps Officer Experience In The Vietnam Conflict, John P. Pelletier

MUSC Theses and Dissertations

Background: A considerable amount of research has been conducted on the wartime experiences of female nurses who served in the Vietnam conflict and as a result, much is known about their experiences and the impact that their service had on their personal and professional lives. The same, however, is not true for male nurses. Anecdotal evidence suggests that the experiences of male Army Nurse Corps (ANC) Officers may have been substantially different from that of their female colleagues, thus making the impact of the experience on them potentially different. Overall Objective: This study explores and interprets the lived experiences of …

Clinical Utility Of Pharmacogenomic Testing To Support Prescriptive Decision Making Among Anesthesia Providers: A Mixed-Method Study, Jonathan Dru Riddle

MUSC Theses and Dissertations

Anesthesia care is delivered world wide on a daily basis. Provision of anesthesia cares for surgical, obstetrical, or pain management procedures mandate a thorough understanding of physiology, pathophysiology, and pharmacology. Nearly 4 million anesthetics are delivered in the United States each year and the impact of genetics on anesthesia care is becoming greater. Anesthesia providers make prescriptive decisions based on an individual patient's disease processes, proposed surgical or therapeutic procedure, and a thorough clinical history. The age of personalized medicine is upon us and the ability to use genetic testing to help predict how a patient will respond to various …

The Effect Of Inpatient Palliative Care Consultations On Hospital Readmission Rates For Those With Alzheimer's Disease, Cynthia Lynn Smoak

MUSC Theses and Dissertations

Background: Evidence suggests that inpatient palliative care consultation (IPC) services improve the likelihood of fewer hospital readmissions for those with Alzheimer's disease and dementia. Objective: This study examines the difference in readmission rates for Alzheimer's patients with and without inpatient palliative care consultations. Design: This is a retrospective data analysis using an inception cohort derived from HCUP archival data from the state of Florida for the year 2012: Only acute care patients with a diagnosis of Alzheimer's disease or dementia who were hospitalized for either the dementia condition or because of acute urinary tract infection (UTI), pneumonia, congestive heart failure …

Satisfaction Data Collected By Email And Smartphone For Emergency Department (Ed) Patients: How Do Responders Compare To Non-Responders?, Jeffrey Charles Strickler

MUSC Theses and Dissertations

The University of North Carolina ED developed an electronic survey method (Bivarus) which sends a web-link by email or text to patients. This study evaluated this method by considering differences between the key characteristics (age, gender, disposition, race, ethnicity, and payor classification) of the responders and non-responders to this survey from July to December 2013 (22,750 records). An evaluation of the key characteristics showed no difference related to age and disposition, but differences related to sex, race, ethnicity, and payor classes. This difference could therefore lead to under representation of the patient experience from those populations.

Effects Of Cobalt On Dna Double Strand Break Repair-Deficient Cells, Sean Raph Ms

All Student Scholarship

Epidemiology studies of human workers exposed to particulate cobalt have found increased incidence of lung cancer. A hallmark of lung cancer, chromosome instability(CIN) manifests as either numerical or structural abnormalities, which are thought to result from unrepaired or miss-repaired DNA double strand breaks, homologous recombination (HR) and non homologous end joining (NHEJ). Previous studies have shown that HR protects cells against metal induced CIN while NHEJ does not. We investigated whether this outcome occurs for cobalt.

Mineral Composition Of Beef Cattle Carcasses, Andrea K. Watson, Jana L. Harding, Matt P. Mccurdy Curdy, Matt J. Hersom, Kristin E. Hales, Clint R. Krehbiel, Galen E. Erickson

Nebraska Beef Cattle Reports

Mineral retention was measured in 76 beef steers. Cattle were grown at different rates of gain and then finished on a common diet. Calcium and P retention were not affected by treatment and were similar between the growing and finishing periods averaging 4.2 g P and 10.8 g Ca /100 g protein gain across both experiments. As ADG during the growing period was decreased, K, Mg, and S mineral retention during the finishing period were increased. Expressing mineral retention as g/100 g protein gain reducedvariation due to animal size and ADG and suggests that current NRC predictions are accurate.

Anaerobic Digestion Of Feedlot Manure, Andrea K. Watson, Adam L. Shreck, Amy M. Schmidt Schmidt, Terry J. Klopfenstein, Galen E. Erickson

Nebraska Beef Cattle Reports

Cattle diet can impact manure quality and quantity but has minimal impacts on methane production from anaerobic digestion of manure. Quality of manure, measured as OM, does affectmethane production and is largely impacted by the environment cattle are housed in and methods used to collect manure. As the amount of ash contamination of manure was increased, or OM content of the manure was decreased, organic matter degradation and methaneproduction were decreased. With adequate daily cleanout of ash from digesters, open-lot beef cattle manurecan be used for anaerobic digestion.

Mineral Composition Of Serial Slaughter Holstein Carcasses, Andrea K. Watson, Trent J. Mcevers, Lee-Anne J. Walter Walter, Nathan D. May, Jacob A. Reed, N. Andy Cole, Ty E. Lawrence, James C. Macdonald, Galen E. Erickson

Nebraska Beef Cattle Reports

Carcasses of 115 Holstein steers were divided into lean, bone, internal cavity, hide, and fat tissues for analysis of P, Ca, K, Mg, and S retention. Every 28 days, five steers from each of two treatments, fed Zilmax for 20 days prior to harvest or not fed Zilmax, were harvested. There were no differences due to treatment or days on feed when mineral retention was expressed as g/100 g of protein gain. Expressing mineral retention relative to protein gain reduced variation due to rate of gain and animal size.

An Economic Analysis Of Conventional And Alternative Cow-Calf Production Systems, Jason M. Warner, Andrea K. Watson, K. H. Jenkins Jenkins, Rick J. Rasby, Kate Brooks, Terry J. Klopfenstein

Nebraska Beef Cattle Reports

Profitability through weaning was predicted for conventional and alternative cow-calf production systems using various input price scenarios. At base input price levels, conventional systems were more economical than alternative systems. As pasture price increased, alternativesystems became cost effective. Feeding cows year-round in a confinement setting appeared the least economical; however, an alternative system combining summer drylot feeding with cornstalk grazing is projected to be economically competitive given an increasing abundance of corn residue.

Effects Of Calf Age At Weaning On Cow And Calf Performance And Feed Utilization In An Intensive Production System, Jason M. Warner, Curtis J. Bittner, Karla H. Jenkins Jenkins, Rick J. Rasby, Matt K. Luebbe, Galen E. Erickson, Terry J. Klopfenstein

Nebraska Beef Cattle Reports

The effects of calf weaning age on cow and calf performance, reproduction, and feed utilization were investigated in a two-year study. Early weaning increasedcow BW in January. Pregnancy rates were not impacted by calf age at weaning. Dry matter intake (DMI) was similar between normal-weaned cow-calf pairs and early-weaned cows and calves. Feed requirements and utilization were comparable between early- and normal-weaned pairs when fed high energy diets, implying weaning decisions should be made on the basis of management rather than feed efficiency.

Evaluation Of The Impact Of An Alternative Corn Residue Harvest Method On Performance And Methane Emissions From Growing Cattle, Janessa J. Updike, Anna C. Pesta, Robert G. Bondurant Bondurant, James C. Macdonald, Samodha Fernando, Galen E. Erickson, Terry J. Klopfenstein

Nebraska Beef Cattle Reports

A growing study was conducted to evaluate the impact of alternative corn residue harvesting methods and inclusion of Rumensin® on performance and methane to carbon dioxide ratio (CH₄:CO₂) of steers. Use of the alternative harvesting method resulted in greater ADG and improved F:G ratio than traditionally harvested cornstalks. Rumensin increased ADG and improved DMI; however, it did not have an impacton F:G ratio. Altering the composition of baled corn residue did affect CH₄:CO₂, while inclusion of Rumensin, whether included in the diet on a constant or rotational basis, had no impact.

Effect Of Corn Plant Maturity On Yield And Nutrient Quality Of Corn Plants, Cassandra A. Row, Adam L. Shreck, Robert G. Bondurant Bondurant, Curtis J. Bittner, Jana L. Harding, James C. Macdonald, Terry J. Klopfenstein, Galen E. Erickson

Nebraska Beef Cattle Reports

Two corn plots (short season, 102-day, and normal season, 111-day corn) were serially harvested to evaluate nutrient, digestibility, and yield change over the duration from half-milk line through black layer. Digestibility of the corn plant decreased as corn plant maturity and NDF content increased. The lower leaf in the normal season plot decreased in digestibility, but did not change in the short season plot. Little change was observed in the digestibility of the internodes across time. The NDF content of the upper plant increased in both plots. The internodes increased in NDF content across time in both plots. The results …

Digestibility Of Calcium Oxide Treated Corn Residue With De-Oiled Distillers Grains, Sarah J. Peterson, Meredith L. Bremer, Adam L. Shreck Shreck, James C. Macdonald, Galen E. Erickson

Nebraska Beef Cattle Reports

A digestion study was conducted to evaluate diets containing calcium oxide treated corn residue in combination with de-oiled distillers grains in forage based growing diets. Chemical treatment did not affect digestibility of DM, OM, or NDF. However, concentration of distillers grains did improve DM and OM digestibility. The use of chemically treated residue in combination with distillers grains in growing diets may not impact diet digestibility.

Effects Of Dietary Fat Source And Monensin On Methane Emissions, Vfa Profile, And Performance Of Finishing Steers, Anna C. Pesta, Andrea K. Watson, Robert G. Bondurant Bondurant, Samodha C. Fernando, Galen E. Erickson

Nebraska Beef Cattle Reports

A finishing study was conducted to evaluate the effects of dietary fat source and presence or absence of monensin on performance, methane (CH4) emissions, and ruminal VFA profile of cattle. No effects on performance or VFA profile were observed. Inclusion of modified distillers grain plus solubles (MDGS) in the diet tended to increase measures of CH4 production when compared to other fat sources (corn oil or tallow), while inclusion of monensin in the finishing diet was not significant for CH4 production.

Impact Of Heifer Development System On Subsequent Gain And Reproduction, Hazy R. Nielson, John D. Harms, Adam F. Summers Summers, Rebecca A. Vraspir, Rick N. Funston

Nebraska Beef Cattle Reports

Replacement heifers from 2 different calving herds (March and May) were fed ad libitum hay and 4 lb of supplement/day, or were allowed to graze meadow and received 1 lb of supplement/day from mid-January to mid-April prior to both breeding seasons. Heifers from both calving herds that received hay had a greater average daily gain during the treatment period compared with meadow grazing heifers. However, heifers grazing meadow experiencedcompensatory gain during their respective breeding season, resulting in similar body weights at pregnancy diagnosis for March-calving heifers. The proportion of heifers that attained pubertybefore breeding and became pregnant was similar between …

A Comparison Of Two Implant Protocols: Synovex-Choice/Synovex-Plus Vs. Synovex-S/Revalor-S On Steer Feedlot Performance And Carcass Characteristics, Hazy R. Nielson, Adam F. Summers, Rick N. Funston Funston

Nebraska Beef Cattle Reports

In a 2 year study, implant strategies were compared utilizing Synovex® Choice followed by Synovex Plus® or Synovex® S followed by Revalor® S. Spring-born crossbred steers were blocked by BW and randomly assignedto receive either Synovex Choice or Synovex S as the initial implant. Approximately100 days later, steers were reimplanted with Synovex Plus or Revalor S. Steers were slaughtered after 205 days on feed. There was no difference in average daily gain or hot carcass weight between treatment groups. Furthermore, there were no differences in yield grade, marbling score, or proportion of steers grading USDA Choice. Both implant regimens resulted …

Effects Of Ingestion And Collection Bag Type On Nutrient Composition Of Forage Samples From Esophageally Fistulated Cattle, Jacqueline A. Musgrave, Jared Judy, Aaron Stalker Stalker, Terry Klopfenstein, Karla Jenkins

Nebraska Beef Cattle Reports

Ingestion and mastication of forage samples adds ash. Generally, levels of CP were lower and NDF and IVOMD were similar for post-ingested versus pre-ingestedforage. Bag type (screen vs. solid) generally did not affect ash, NDF, or IVOMD. Bag did not affect CP of alfalfabut CP of grass samples from screen bags was lower than solid bags. More fresh than dry forage was recovered through the esophageal opening.

Effect Of Diet On The Rumen Microbial Community Composition Of Growing Cattle And The Role It Plays In Methane Emissions, Allison L. Knoell, Christopher L. Anderson, Anna C. Pesta Pesta, Galen E. Erickson, Terry J. Klopfenstein, Samodha C. Fernando

Nebraska Beef Cattle Reports

To understand the relationship betweenmicrobial community and methane, the microbial community of the rumen was examined by esophageally tubing cattle on a common diet and on 10 treatment diets. Microbial community analysis via 16S taq sequencing displayed structuring of microbial communities (Bacteria and Archaea) by diet. This study demonstrates that diet influences microbial community composition within the rumen, and the potential capacity to develop dietary interventionstrategies for methane mitigation and animal performance.

Effects Of Grazing On Nebraska Sandhills Meadow Forage Nutrient Content, Jared V. Judy, Jacki A. Musgrave, L. Aaron Stalker Stalker, Karla H. Jenkins, Terry J. Klopfenstein

Nebraska Beef Cattle Reports

Nebraska Sandhills subirrigated meadow pastures were used to measure the effects of grazing on forage nutrient content in summer pastures. Non-grazed pastures had greater diet CP content than grazed pastures early in the grazing season. By late July, grazed vs. non-grazed pastures did not differ in diet CP content. Non-grazed pastures had greater in vitro organic matter disappearance compared with grazed pastures from late July through September; however, early summer pastures were not affected. Observed results indicate the greatest differences in nutrient content between grazed and non-grazed meadow pastures occur early and late in the grazing season when the majority …

Dried Distillers Grains Supplementation Of Calves Grazing Irrigated Corn Residue, Mandi Jones, James C. Macdonald, Galen E. Erickson Erickson, Terry J. Klopfenstein, Robby Bondurant

Nebraska Beef Cattle Reports

Steer calves grazing irrigated corn residue received supplementation of dried distillers grains plus solubles (DGS) at 0.3, 0.5, 0.7, 0.9, or 1.1% of body weight. Steers were individually supplemented daily through Calan gates. Daily gain improved linearly (0.77 lb/head/day to 2.21 lb/head/day) with increasing supplementation (1.5 lb/day to 7 lb/day). Supplementing DGS to calves grazing corn residue increased gain during the winter period.

Evaluation Of Changes In Nutritional Quality Of Corn Residue Over Time, Mandi Jones, James C. Macdonald, Terry J. Klopfenstein Klopfenstein, Galen E. Erickson, Keith Glewen, Andrea K. Watson

Nebraska Beef Cattle Reports

Irrigated corn residue was sampled across time in order to determine changes in quality and proportion of corn residue as the plant dried and was exposed to effects of weathering. Corn plants from two hybrids were planted on two different planting dates and harvested at periodic intervals from August 2012 to December 2012. Proportions of stem, blade/sheath, husk/shank, and cob made up smaller components of total plant DM as it matured, with the largest relative reduction occurring in the blade/sheath or stem. Hybrid impacted TDN values primarily because the 119 day hybrid was less mature at the early sampling dates.

Efficacy Of Bovatec 2.2 Mineral Blocks For Cattle Grazing Crested Wheatgrass Pastures, Karla H. Jenkins, Jacob A. Hansen, Matt K. Luebbe Luebbe

Nebraska Beef Cattle Reports

A grazing study was conducted to determine if providing Bovatec® in a trace mineralized salt block would improve cattle performance over cattle provided a trace mineralized salt block without an ionophore while maintaining block consumption below 2 oz/head/day. Average daily block intake was 1.40 and 1.25 oz/day for the Bovatec and control cattle, respectively. Lasalocid consumption was 193 mg/head/day. Although cattle consuming the Bovatec block gained 5% more than the control cattle, this was not significant (1.75 vs 1.67 lb/day, respectively). Supplying an ionophore through a self-feeding block may not improve gain compared to supplying mineral alone in a self-feeding …

Using Enspira To Improve Fiber Digestion, Jana L. Harding, Adam L. Shreck, Melissa L. Jolly-Breithaupt Breithaupt, Galen E. Erickson, James C. Macdonald

Nebraska Beef Cattle Reports

A metabolism study was conducted to evaluate the effects of supplementing a fibrolytic enzyme (Enspira™) on total tract digestion of a finishing diet. In situ NDF digestibilities of the corn bran, HMC, corn residue, and corn silage were not different between the treatments. Rate of digestion of the corn residue and corn silage was lower for the enzyme treatment compared to the control. Averageruminal pH was not significantly different between the two treatments. Correspondingly, there was no difference in VFA profile. There were no differences in DM, OM, NDF, ADF, or hemicellulose digestibilities between the control and enzyme treatment.

Effects Of Replacing Corn With A Pelleted Treated Corn Stover And Distillers Grains On Performance Of Finishing Cattle, Jana L. Harding, Curtis J. Bittner, Dirk B. Burken Burken, Galen E. Erickson, James C. Macdonald

Nebraska Beef Cattle Reports

A finishing study evaluated the effectsof replacing 10, 20, or 30% corn (DM basis) with pelleted treated corn stover and distillers grains in a diet containing either 20 or 40% modified distillers grains plus solubles (MDGS) on finishing cattle performance. Steers consuming 10, 20, or 30% of the pelleted feed with 40% MDGS had equal or similar performance to the control diet with 40% MDGS. Cattle consuming 10% pelleted feed with 20% MDGS had similar efficiencies as the control diet; however, feeding the pellet at 20 or 30% of the diet DM with 20% MDGS decreased feed efficiency.

Effect Of Corn Residue Removal On Subsequent Crop Yields, Mary E. Drewnoski, L. Aaron Stalker, James C. Macdonald Donald, Galen E. Erickson, Kathy J. Hanford, Terry J. Klopfenstein

Nebraska Beef Cattle Reports

Two studies were conducted to evaluate the effects of corn residue harvest on subsequent crop yields. In a long-term study (16 years), cattle grazing corn residue in the spring (February to the middle of April) or the fall (November through January) slightly improved subsequent soybean yields and had no effect on corn yields in an irrigated field maintained in an annual corn-soybean rotation at Mead, Neb. In a five-year study, fall grazing (December through January) or baling of corn residue had no effect on subsequent corn grain yields in a field maintained in continuous corn production at Brule, Neb. These …

Effect Of Feeding Distillers Grains In Different Phases Of Production On The Fatty Acid Profile And Oxidation Of Frozen, Cooked Beef Links, Brandy D. Cleveland, Amy L. Redfield, James C. Macdonald Donald, Tommi F. Jones, Gary A. Sullivan

Nebraska Beef Cattle Reports

Lipid oxidation of cooked ground beef links made from cattle fed different diets and with different concentrations of added natural antioxidants was compared to evaluate product shelf life. Fatty acid composition was analyzed on raw lean, composite, and fat portions from each shoulder clod. Samples without antioxidants were the most oxidized, with no differences between other antioxidant concentrations throughout frozen storage. An increase in polyunsaturated fatty acids was found in beef when finished on modified distillers grains but did not result in increased oxidation. Therefore, the addition of natural antioxidants was effective at reducing oxidative rancidity regardless of animal diet.