11549 research outputs found
Sort by
Essential Oils Impact on the Resiliency of Ambulatory Clinic Staff
No full textThe author obtained permission and paid a $25 fee to utilize the Connor-Davidson Resilience Scale (10-item) (CD-RISC©-10) tool.Executive summary for completion of DNP programD.N.P
Executive Summary: Quality Improvement Project on Delirium Education and a Bedside Tool in the Cardiovascular Intensive Care Unit
No full textThis Executive Summary is a component of the DNP program.Sigma Theta Tau International Honors Society of Nursing, Beta Nu Chapter, Research GrantD.N.P
value based care
No full textAlthough this paper's primary audienceRegistered Dietitian Nutritionists (RDNs) working in ambulatory clinics , it highlights ways that RDNs can play a role in the transition from fee for service (FFS) to value- based care (VBC) payment models. RDNs should be identifying and promoting the services they can provide to ensure quality health care for patients. In this paper we describe VBC as it is presented in dietetics literature. We also describe how RDNs in our Family Medicine Practice demonstrate their value as a member of the expanded interprofessional ambulatory care team providing quality care, reducing costs, and providing an exceptional experience for the patient. We call on educators of dietetics students, interns, and professionals to teach the necessary interprofessional skills to be successful in VBC models of care.non
Neurosarcoidosis: Multifarious Clinical Presentations and Imaging Characteristics with Pathological Correlations
No full textInvesting in Organization: Tips, Tools, and Benefits
No full textOver the past year, East Carolina University’s University History and Records Department has been working smarter, not harder, through increased organization. On the whole, archives and records professionals are overworked, which can make even the task of staying organized overwhelming. This talk will share the ways our department has become better organized and the benefits that have yielded, including smoother transitions between projects, decreased stress in managing student workers, less confusion, and being able to meet more annual goals. I will discuss how we have used specific tools and modified procedures to become a more organized department. Attendees will leave the session energized with concrete ideas they could implement at their own institutions
Demographic, Disease, and Treatment Characteristics of Primary Tracheal Cancers
No full textBackground
Primary tracheal cancers (PTCs) are rare neoplasms underreported in the literature. No consensus guidelines exist for the treatment of these cancers and multimodal management of these cancers has not been adequately explored for cases diagnosed over the past 2 decades.
Methods
The Surveillance, Epidemiology, and End Results (SEER) database was queried to identify patients with PTC. Cox proportional hazards and log-rank testing was used to assess the association between demographic and treatment variables and 5-year cause-specific survival (CSS).
Results
Among the 689 identified patients, age < 65 years at diagnosis (hazard ratio [HR] 0.64, p < 0.001), non-squamous cell carcinoma (SCC) histology (HR 0.22, p < 0.001), and treatment with surgery (HR 0.43, p < 0.001) were all associated with increased 5-year CSS. Regarding disease histology, patients with adenoid cystic carcinomas (ACCs) had increased 5-year CSS compared with those with neither SCC nor ACC histology and those with SCC histology (83.4% [76.0%, 90.8%] versus 50.3% [42.5%, 58.1%] and 28.8% [23.2%, 34.4%]; p < 0.001) based on univariate analysis. Despite the improved CSS associated with surgery, 55% of the identified cohort did not undergo surgery, with only 5.5% of these patients having ACC compared with 58% having SCC (p < 0.001).
Conclusions
Age < 65 years, ACC histology, and treatment with surgery were associated with improved 5-year CSS among patients with PTC, although the significant proportion of this group not receiving surgery represents an opportunity for improved outcomes
Sex-Based Differences in Mortality and Metabolic Disease in Subadult Skeletal Assemblages of Tell Hisban
No full textHeterogeneity in morbidity and mortality risk results from various underlying host-level and societal factors. Identifying these risk factors in ancient communities is often hindered by the invisibility of some variables in the archaeological record and the methodological limitations of skeletal analysis. These both have impacted the complete understanding of the causes of infant mortality in the 19th century AD at the site of Hisban, Jordan, particularly the effects of sex on the risk of dying with active metabolic disease. This project uses dental proteomics to estimate the sex of 16 infants (up to 3 years of age) dying with (n=10) and without (n=6) skeletal lesions indicative of vitamin C deficiency, in addition to 8 modern control samples of known sex. Identification of sexually dimorphic amelogenin proteins (AMELY and AMLEX) can indicate the biological sex of the infant, which, in this cultural and temporal context, may align with their gender identity. With this information, we have been able to determine that more males than females (2:1) were found to have died overall, regardless of whether they showed signs of active scurvy or not, indicating there is no evidence of a sex-based mortality risk for those with indicators of active scurvy at the time of death. However, male infants, in general, had a higher mortality risk than female infants. These results inform future analysis of these infants' diet and weaning patterns using incremental [delta]13C and [delta]15N analysis of dentin. Since metabolic diseases are closely tied to diet and socio-cultural practices, this project was an excellent opportunity to understand this community's biological and social determinants of infant morbidity and mortality
Maritime Iconography at Punic Votive Sites at Carthage and Cirta: An Analysis of Watercraft Imagery from the 4th-1st c. BCE
No full textThis thesis compiles and analyzes 72 Punic stelae featuring maritime iconography, dated to the 4th - 1st c. BCE, from the so called 'tophet' sites in Carthage, in modern-day Tunis, Tunisia, as well as in Cirta (or El Hofra, today Constantine), Algeria. The Punic 'tophet' sites (more than 100 of which have been found across North Africa, Malta, Sardinia, and Sicily) are debated as possible sites of child sacrifice or other mortuary rituals. I propose the term 'Cinerary Votive Site' to more accurately describe these archaeological sites and the evidence of ritual practice that are agreed upon (the burial of cremated human and animal remains and the inscriptions that confirm the votive nature of the deposits). The complied corpus of stelae for this study feature depictions of three categories of iconography: ships (or partial ships), rudders, and anchors. These iconographical elements vary across the corpus, for example, the first category includes images of bows, sterns, or full ships. This study analyzes the maritime symbols, but also examines the stelae according to what other prominent imagery is included, like the 'Sign of Tanit' or the raised hand. It lays out the maritime context of the Carthaginian cinerary votive site (very close to the circular military port and rectangular commercial ports of Carthage) and assembles evidence for other contemporaneous ports around the Mediterranean basin. To provide context for the maritime iconography on the stelae, ship graffiti, model boats, and other images of ships from the 4th - 1st c. BCE Mediterranean world are also discussed. Previous interpretations of the maritime iconography (though rare) have hypothesized that these symbols may indicate that the families who dedicated the stelae were seafarers, which is possible. This study will reexamine this hypothesis alongside other possible interpretations: that the symbols should be read as representations of Tanit (much like the 'sign of Tanit' has been); or that they may indicate the agency of ships and other maritime elements, or an understanding of these features as having their own personhood. Lastly, and most plausibly, I will propose that the symbols are connected to a Punic afterlife myth or set of beliefs that are now lost
Exploring the Moderating Role of Health Promoting Leadership on Burnout and Willingness to Take Leave
No full textEmployees and organizations are consistently being studied for the wellness of employees. There have been gaps in viewing workers as individuals and in catering to their specific needs. In more recent years, researchers have seen emerging impacts of organizational and employee wellness as employees desire more benefits within work. As an increasing issue, employee wellness poses challenges to both employees and their employers. This has led to topics such as burnout, willingness to take leave (WTTL) and health promoting leadership (HPL) to be explored. Burnout is a psychological and physical state of chronic emotional and physical exhaustion, often accompanied by a sense of reduced personal accomplishment and a feeling of cynicism or detachment from work. Willingness to take leave is an employee's readiness or eagerness to request and use time off from work. Additionally, health promoting leadership is defined as an approach to leadership within organizations that prioritizes the physical, mental, and emotional well-being of employees
Pouring Over the Past: Interpreting Life at an 18th Century Tavern in Brunswick Town, North Carolina
No full textIn 2019, the East Carolina University archaeology field school partially excavated a structure in the historical Colonial port of Brunswick Town. Through comparative research, this structure was determined to be a tavern from the mid-18th century. Although the purpose of the building had been identified, daily life at the tavern is still poorly understood. Studying the architecture and artifact assemblage using a combination of traditional and neoteric methods has illuminated new interpretations of the structure. Examination of architectural features has revealed the structure likely belonged to a Caribbean Georgian-influenced Southern Vernacular style popular at Brunswick Town. Evaluation and cross-comparison of the artifact assemblage with other Colonial tavern sites suggest the tavern represents an intermediate stage between rural and urban environments. Further analysis of the provenience may imply the tavern burned before this urbanization process could have completed due to a fire stemming from the fireplace