Lincoln Memorial University
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Belknap, William W .
No full textA carte-de-visite card of William Worth Belknap. Belknap was a lawyer, Union Army officer, and the 30th United States secretary of war, serving under President Ulysses S. Grant.
Belknap was impeached from his position during the trader post scandal.https://digitalcommons.lmunet.edu/allmcdv/1044/thumbnail.jp
Booth, John Wilkes 2
No full textA carte-de-visite card of John Wilkes Booth, an actor and the assassin who killed President Abraham Lincoln.https://digitalcommons.lmunet.edu/allmcdv/1062/thumbnail.jp
Identifying and Addressing Barriers to Long Term Follow Up Care of Patients with Hepatitis C in a Rural Southern Appalachian Clinic
No full textThis project addressed the issue of loss to follow-up (LTFU) among patients infected with hepatitis C virus (HCV), a significant barrier to achieving sustained virologic response (SVR) and improving outcomes. LTFU is particularly critical among marginalized and rural populations who face socioeconomic barriers, stigma, and other social determinants of health (SDOH) that affect treatment adherence. Grounded in the Social Ecological Model (SEM), this project examined systemic, community, interpersonal, and individual factors influencing LTFU (Ahmed et al., 2022; Al-Khazraji et al., 2019; Kilanowski, 2017).
This Doctor of Nursing Practice (DNP) quality improvement initiative sought to improve patient retention in HCV care by identifying barriers through a structured survey. A five-point Likert-scale survey was administered to adult patients presenting for HCV treatment, with domains reflecting SEM constructs, including individual-level factors (health literacy, personal responsibilities), interpersonal-level factors (social support, provider communication), community-level factors (transportation access, financial strain), and systemic-level factors (scheduling convenience, clinic environment).
Findings demonstrated strong interpersonal and systemic support, including trust in providers and positive perceptions of the clinic staff. However, financial concerns and competing personal responsibilities emerged as the most significant barriers, while transportation was not reported as a major challenge. Results were disseminated to clinic stakeholders, providing evidence-based recommendations to improve engagement, reduce LTFU, and promote health equity in underserved Appalachian populations
Pediatric Anesthesia and Virtual Reality: Managing Perioperative Pain and Anxiety– A Scoping Review
No full textPediatric surgery is common, but it often causes considerable anxiety and pain. A staggering percentage of children experience preoperative anxiety, which can heighten pain, delay recovery, and contribute to complications such as emergence delirium and longer-term behavioral issues (Fortier & Kain, 2015). Virtual reality (VR), which immerses users in computer-generated environments, has been proposed as a distraction technique to reduce these challenges. This Doctor of Nursing Practice (DNP) project conducted a scoping review to examine the effectiveness of VR in reducing perioperative pain and anxiety in pediatric patients. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) and the Joanna Briggs Institute (JBI) methodology. Across the included studies, VR generally reduced self-reported pain and anxiety compared with standard care or other distraction strategies. Meta-analyses reported moderate to large effect sizes for pain (standardized mean differences [SMDs] between −0.67 and −1.55) and for anxiety (SMDs between −0.74 and −1.32) (Eijlers et al., 2019; Niaz et al., 2023; Tas et al., 2022). Outcomes were commonly measured with validated tools such as the Faces Pain Scale–Revised, Wong- Baker FACES, Numerical Rating Scale, Children’s Fear Scale, and the modified Yale Preoperative Anxiety Scale. The findings were consistent with the Gate Control Theory of Pain, which describes how sensory and psychological factors influence pain perception (Katz & Rosenbloom, 2015). VR appears to be safe, feasible, and acceptable to children and families. However, variability in procedures, study designs, and outcome measures limits direct comparison, and more large-scale standardized trials are needed to clarify VR’s role in pediatric perioperative care
Age-related balance control changes in constrained-speed gait during a concurrent cognitive task
Get PDFBackground: During walking, the center of mass (CoM) oscillates up and down in the sagittal plane. In the late-stance phase, as the CoM descends, its vertical velocity decreases before foot contact, indicating active neural balance control, which we refer to as CoM braking. Young adults tend to increase braking while maintaining step length and speed when performing a cognitive task, such as subtracting numbers. In contrast, older adults maintain consistent braking by reducing step length and speed. This study examined the effects of walking at constant self-selected, slower, or faster speeds on CoM braking and cognitive performance. Methods: Healthy young and older adults walked on a level motorized treadmill at various imposed speeds, with and without engaging in a subtraction task. Previous research has shown that such cognitive tasks can interfere with balance control. Subjects received no instructions to prioritize either task. The order of conditions was randomized. A 3D motion analysis system captured walking performance at 120 Hz, with subtraction proficiency measured as responses per minute. Results: Both young and older adults maintained braking at preferred and slower speeds while subtracting. However, older adults showed decreased braking at faster speeds (p \u3c .05). Despite a significant reduction in the influence of speed on CoM braking during subtraction, the older group produced decreased subtraction proficiency across conditions (p \u3c .05). Although they made more subtraction errors while walking, they managed to maintain accuracy by slowing their subtraction speed. The braking index was more sensitive (-.8, Hotelling’s T-square) than step width (.71) and step length (.28) in differentiating the effects of dual-tasking between the groups, especially at faster walking speeds. Conclusion: These results suggest that balance control during walking is complex and affected by aging, speed constraints, and dual-tasking difficulty. The young group’s ability to maintain CoM braking during fast walking indicates improved attentional focus under dual-task conditions. Clinicians should consider these findings when working with clients on gait and dual-task training
Badeau, Adam
No full textA carte-de-visite card of Adam Badeau, 1831-1895. Badeau was an American author and Union Army Officer. He was a staff member of Ulysses S. Grant during the United States Civil War.https://digitalcommons.lmunet.edu/allmcdv/1027/thumbnail.jp
Baker, Mrs. A. F .
No full textA carte-de-visite card of Mrs. A. F. Baker.https://digitalcommons.lmunet.edu/allmcdv/1030/thumbnail.jp
Bancroft, George
No full textA carte-de-visite card of George Bancroft, 1800-1891. Bancroft was an American historian, statesman and politician.https://digitalcommons.lmunet.edu/allmcdv/1031/thumbnail.jp
Bellows, Henry Whitney
No full textA carte-de-visite card of Henry Whitney Bellows. Bellows was an an American clergyman, and the planner and president of the United States Sanitary Commission, during the United States Civil War.https://digitalcommons.lmunet.edu/allmcdv/1046/thumbnail.jp
Booth, John Wilkes 4
No full textA carte-de-visite card of John Wilkes Booth, an actor and the assassin who killed President Abraham Lincoln. In this particular image the devil is around Booth.https://digitalcommons.lmunet.edu/allmcdv/1064/thumbnail.jp