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Relationship between Age and Outcomes of Patients Receiving Manual versus Mechanical Chest Compressions
No full textCardiopulmonary resuscitation (CPR) is typically performed as treatment for patients presenting with cardiac arrest. Recent advances in medical technology have introduced the use of mechanical chest compression devices, such as the LUCAS 2, which may lead to improved quality of compressions in circumstances requiring prolonged CPR. The purpose of this quality improvement project was to examine the relationship between age and the outcomes of patients receiving manual versus mechanical chest compressions in the emergency department. Jean Watson’s Theory of Caring addresses problem solving and decision making as important components of caring for patients and was used to shape this study. A retrospective chart review of 62 patients who presented with cardiac arrest in the emergency department of a Magnet designated hospital in the Midwest compared patients receiving mechanical CPR (45.2%, n=28) to patients receiving manual CPR (54.8%, n=34). Binary logistic regression analyses were performed to predict outcomes (return of spontaneous circulation) based on age for patients who received mechanical or manual CPR using SPSS version 23. 25.0% (n=7) of patients receiving mechanical chest compressions achieved return of spontaneous circulation compared to 58.8% (n=20) of patients receiving manual chest compressions. Age contributed significantly to prediction of the outcome of patients who received mechanical chest compressions (p=.038), but not for patients who received manual chest compressions (p=.092). Because age is a significant predictor of the outcome of patients who receive mechanical chest compressions, it should be considered when deciding on device implementation. Limitations include a convenience sample from a single site and some incomplete data. In addition to the American Heart Association guidelines, with increased knowledge about the LUCAS 2 device and patient outcomes, nurses can advocate for appropriate use of the device to ensure that patients are receiving high quality care
Does Debt Discourage Marriage Early in Adulthood?
No full textAs the costs of higher education in the United States increase, young adults are entering the workforce with increasing levels of debt. According to the Pew Research Center, college graduates in 2008 borrowed 50 percent more to obtain a bachelor’s degree than graduates in 1996. Over the same time, marriage rates among young adults have decreased, with one in five adults age 25 or older in 2012 reporting having never been married (Pew Research Center) compared to one in ten in 1960. This research aims to determine whether increasing indebtedness due to student-loans is a causal factor in the increasing delay in marital formation among young adults. A large literature establishes a variety of benefits conferred by marriage including health and financial benefits to those directly involved and socially desirable outcomes for children born with and reared by two parents. Using data from the National Longitudinal Survey of Youth 1997 and a propensity score matching model, this research finds that debt does not have a negative relationship with marriage early in adulthood, but these findings are likely subject to positive omitted variable bias
Interest Groups Effect on CO2 Emissions/Environment
No full textThis investigation looks to observe how the growing number of environmental interest groups in the United States has impacted the average amount of CO2 produced in each state. This study aims to determine what factors render these groups either effective or ineffective at decreasing the amount of CO2 pollution. The investigation will rely on several sources including two data sets that measure these values over the past 10 years. The end goal is to discover if interest groups really do make a significant difference when it comes to protecting the environment from human pollution
The Role of Virtuous Acts on Meaning in Life
No full textResearch has focused on how creating and maintaining a sense of meaning in life is humankind’s primary motivation (Heine, Proulx, & Vohs, 2006). These desires for meaning are assumed to reduce the existential anxiety that is derived from one’s awareness of their own mortality (Greenberg, Koole, & Pyszczynski, 2004; Pyszczynski, Greenberg, Koole, & Solomon, 2010). Research suggests that mortality salience can elicit greater prosocial behaviors (Jonas, Schimel, Greenberg, & Pyszczynski, 2002). Similarly, other research has found that prosocial or virtuous behavior is associated with meaning in life (Van Tongeren et al., 2016). The purpose of this research is to examine the degree to which a virtue intervention may provide a sense of well-being, religiosity and meaning in life. In this two-week longitudinal virtue intervention (instructing participants to commit to acting virtuously for the next two weeks), undergraduate participants completed measures of meaning in life, well-being, and religiosity. Participants were then randomly assigned to one of two conditions: (1) participants were asked to commit to acting as virtuously as possible in all of their daily interactions for the following two weeks (virtuous condition; VC), or (2) participants were asked to commit to being fully present in all of their daily interactions (present condition; PC). Data were collected at baseline (T1), one week later (T2= 7 days after T1), and two weeks later (T3= 14 days after T1). Accordingly, participants completed these follow up surveys by indicating how virtuously (VC) or fully present (PC) they acted during the week. Participants then completed the same prior measures on meaning in life, well-being, and religiosity. We predict that those assigned to the virtue intervention—being instructed to act more virtuously—will report greater meaning in life after T3 than at T1 and in comparison to those who acted fully present. Data collection is ongoing (N~80; target N=100) and we plan to use multilevel modeling in our analysis of the data. This research will help us better understand the ways in which virtuous behaviors affect well-being, as well as identify potential experimental and clinical interventions to increase virtue, and, in turn, enhance meaning in life
Carbon-Carbon Single Bond Activation Used for Coupling with Michael Acceptors
Get PDFCarbon-carbon single bond activation and functionalization occurs in a quinolinyl ketone structure through rhodium catalyzed bond activation and subsequent insertion of a Michael acceptor, primarily methyl acrylate and N,N-dimethylacrylamide. A variety of quinolinyl ketones and Michael acceptors are observed to react catalytically, forming a disubstituted alkene coupling product. A broad scope of quinolinyl ketones and Michael acceptors have been used to investigate the mechanism for the reaction
The Impact of Diversity on Dropout Rates at the School District Level
Get PDFThe 1954 Brown v. Board of Education ruling determined that the notion of “separate but equal” schools for blacks and whites was unconstitutional, and desegregation plans were put in place soon thereafter. Current desegregation programs are designed to send students, generally underrepresented minorities, to schools in districts with a large population of non-minority students. Angrist and Lang (2004) find for one suburban, majority white district that test scores were unaffected by the presence of additional underrepresented minorities. However, the effect of desegregation on dropout rates at the district level is less clear. Using school district-level data from the U.S. Department of Education’s Common Core of Data (CCD), an annual survey of approximately 18,000 public schools districts nationwide, this research aims to determine the relationship between the diversity of a district and its dropout rate
News from Hope College, Volume 49.1: Summer, 2017
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Body Esteem and Appearance-Based Self-Worth: A Test of Religious Moderators in Men and Women
Get PDFBasing self-worth on appearance is inversely related to women’s body esteem, but studies have not examined whether religious factors moderate this relationship in women or men—controlling for positive and negative affect. We tested two possible moderators: basing self-worth on when one has God’s (conditional) love or having positive attitudes toward God (trusting and feeling loved and supported by an all-knowing and all-powerful God). In women (N=287) and men (N=124), correlations showed that basing self-worth on appearance was negatively related to body esteem, whereas positive attitudes toward God were positively related to body esteem. In women, basing self-worth on perceptions of having God’s love was positively related to body esteem. Moderator analyses showed that in men only, positive attitudes toward God moderated (weakened) the inverse relationship between basing self-worth on appearance and body esteem. Basing self-worth on when one has God’s love did not attenuate the relationship in women or men
The Anchor, Volume 131.03: September 20, 2017
Get PDFThe Anchor began in 1887 and was first issued weekly in 1914. Covering national and campus news alike, Hope College’s student-run newspaper has grown over the years to encompass over two-dozen editors, reporters, and staff. For much of The Anchor\u27s history, the latest issue was distributed across campus each Wednesday throughout the academic school year (with few exceptions). In recent years The Anchor moved to monthly print issues and a more frequently updated website. The Anchor is now published in print twice per academic semester. Occasionally, the volume and/or issue numbering is irregular
The Anchor, Volume 130.24: April 26, 2017
Get PDFThe Anchor began in 1887 and was first issued weekly in 1914. Covering national and campus news alike, Hope College’s student-run newspaper has grown over the years to encompass over two-dozen editors, reporters, and staff. For much of The Anchor\u27s history, the latest issue was distributed across campus each Wednesday throughout the academic school year (with few exceptions). In recent years The Anchor moved to monthly print issues and a more frequently updated website. The Anchor is now published in print twice per academic semester. Occasionally, the volume and/or issue numbering is irregular