University of New England

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    Perceptions Of Secondary Teachers And Post-Secondary Faculty On The Influence Of Dual Enrollment Participation And College Readiness: A Qualitative Single Case Study

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    Dual enrollment (DE) is the opportunity for high school students to participate in college coursework while high school. DE includes two overarching characteristics, student access and course integrity. Literature boasts of the benefits related to participation such as career exploration and college transition. Roadblocks may include cost, course eligibility, and lack of qualified teachers. Proponents of DE claim that a benefit of DE participation is increased student college readiness. State regulations are inconsistent regarding, development, implementation, and delivery of DE programming resulting in inconsistencies of student access and course integrity. ACT released a report in 2018 that states 38% of students who participated in their exam demonstrated college readiness. The purpose of this case study was to explore the perceptions of secondary teachers and post-secondary faculty members on the influence of secondary student participation in DE on college readiness. This included six secondary teachers and five post-secondary faculty. Three themes and eight subthemes were identified. The first theme, student access also included student qualification, and course timing and access to technology. The second theme, course efficacy included course expectations, teacher training, and resources, course alignment and student outcomes, and teacher and faculty engagement. The final theme, college preparation, included academic readiness, perceived benefits, and nature versus nurture. Recommendations for further study include a pre and post DE participation comparison of both students and teachers to measure differences in perception of college readiness. The second is a quantitative study to measure improvements in required college remedial coursework, improved college retention and completion rates of students who participated in DE versus those who did not

    Postcard, Dr. George Still Conducting a Surgical Clinic at the A.S.O. Hospital, Kirksville, MO

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    Image of the operating theater at A.S.O. hospital of Dr. George Still performing surgery

    Postcard, Residence of J.B. Caldwell, Kirksville, MO

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    Black and white image of residence of J.B. Caldwell, Kirksville, MO

    Telehealth Strategies for a Long COVID Patient

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    The implementation of telemedicine has risen greatly since the start of the Covid-19 pandemic and has prompted healthcare professionals to learn to adapt to this new environment, all while treating a new illness. As the pandemic progressed, practitioners began to treat patients with “long haul” COVID, or those who have experienced COVID symptoms for more than 4 weeks.https://dune.une.edu/cecespring2022/1018/thumbnail.jp

    Do The Benefits Of Sugammadex Outweigh Its Higher Cost Compared To Neostigmine?

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    Neuromuscular blocking agents (NMBAs) are frequently utilized in anesthetic practice to relax the vocal cords in preparation for endotracheal intubation and to facilitate optimal operating conditions for various surgical procedures. Residual muscle paralysis in the postoperative period is a serious consequence of NMBAs that can lead to severe consequences including airway obstruction, hypoxia, reintubation, aspiration, and pneumonia. Neuromuscular blockade (NMB) is overcome either by spontaneous recovery or, in most cases, with the use of a reversal agent. Two of the most common reversal agents are neostigmine, a cholinesterase inhibitor, and sugammadex, a modified gamma-cyclodextrin. Of the two medications, sugammadex is a significantly more expensive option per dose, which creates budgetary concerns and leads to restrictions on its usage. However, sugammadex provides a markedly faster, more reliable, and more effective reversal of neuromuscular blockade compared to neostigmine with fewer side effects. By accelerating recovery from NMB with fewer adverse effects, patients spend less time in the operating room (OR) and post-anesthesia care unit (PACU) with fewer respiratory complications. Taking these factors into consideration, the higher medication cost of sugammadex can potentially be justified and/or offset by its superior safety profile and savings in OR and PACU time

    PHIT Framework Team 3

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    A PHIT approach to financial toxicity following a cancer diagnosis. An inter professional collaboration utilizing the public health problem solving paradigm to conduct a root-cause analysis of a patient and his family suffering from financial toxicity following his cancer diagnosis and treatment

    Managing Long-COVID through Telemedicine: An Interprofessional Approach

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    Our team worked interprofessionally to manage a case of long-covid via a telemedicine approach. This presentation highlights our experiences working as a team via zoom to manage our patients migraines and access to care concerns. Overall, we each learned a lot about what each of our professions could bring to the table, and worked as a team to find the best approach for our patient.https://dune.une.edu/cecefall2022/1003/thumbnail.jp

    Soft Tissue Techniques For Upper Quadrant Range Of Motion And Pain In A Breast Cancer Survivor Following Mastectomy: A Case Report

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    Background and Purpose: Breast cancer treatments may cause late effects of pain, range of motion loss, and activity limitation in the upper extremity (UE). The purpose of this case report was to describe the utilization of soft tissue techniques with instrument assisted soft tissue mobilization (IASTM) in outpatient physical therapy to address decreased UE function and pain for a patient post-surgery, chemotherapy, endocrine therapy and radiation. Case Description: The patient was a 61-year-old female referred to physical therapy (PT) for restricted mobility and pain in her right UE post-oncologic treatments preventing her from vocation and participating in daily activities. The initial evaluation demonstrated right UE weakness of 4/5 (withstand light resistance), painful right active end-range of motion pulling into the hip and trunk with corresponding right-sided tissue puckering and mottling. The patient received 26 visits over 23 weeks combining manual therapy techniques, IASTM, yoga, a foam rolling program, and therapeutic exercises.Outcomes: At the recertification at week 23, she demonstrated outcome measure improvements in right UE strength 4/5 to 4+5 (withstand moderate resistance); increased tolerance of UE end-range AROM with decreased reported pain sensation; Quick Disability of the Shoulder Arm and Hand score decrease (27.27/100 to 11.36/100); Numeric Pain Rating Scale decrease (2/10 to 1/10); and Pain Disability Index decrease (2/10 to 1/10).Discussion: The prescribed treatment plan appeared to be beneficial for this patient. Orthopedic outpatient PT rehabilitation for UE conditions in breast cancer survivors should have consideration to effects of surgical, medical and radiation treatments both locally and systemically. The pursuit of therapists’ continuing education for future treatment considerations of breast cancer survivors post-surgery combined with endocrine, chemotherapy and radiation may enhance efficacy of soft tissue mobilization and therapeutic exercises

    Women C-Suite Executives In Cybersecurity: Transformational Experiences And Gender Barriers On Their Leadership Journeys

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    Cybersecurity is one of the fastest growing industries with a critical role in protecting businesses and people from attacks that continue to grow and affect our nation. There is an increasing gap between the demand to fill jobs in the field and the skilled professionals available. Women currently fill less than 17% of those skilled positions. Understanding the paths of success and the barriers experienced by women cybersecurity leaders is key to determining how to fill the skill gap in the industry. This study uses a qualitative methodology with a descriptive phenomenological design to answer the research questions from the perspective of sixteen women C-Suite executives in the cybersecurity industry. The study focused on the human experience and behavior through descriptions of transformational experiences on a journey toward leadership. Exploring the concepts of mentorship, sponsorship, and trusted advisor in relation to the experiences of these women executives in cybersecurity provides insight into how organizations can replicate similar situations to overcome gender bias and encourage career growth for women in the industry. Participants described organic and informal instances of mentorship and other significant relationships as crucial to their success. Sponsorship was described as the most influential contribution to pivotal moments in their careers. The barriers the participants described were a variety of instances related to gender bias and discrimination with clear examples of both the glass ceiling and the glass cliff. Findings from this study provide organizations a framework by which to shift the organizational mindset away from marginalizing women and toward attracting and retaining them through support, sponsorship, and continued career and leadership development. Some recommendations from the study are: 1. Make it an organizational strategy to define, recognize, and deconstruct microaggressions in practices and processes that perpetuate unconscious bias. 2. Develop sponsorship for women at all levels of the organization. 3. Develop job descriptions in cybersecurity that create pathways for women. 4. Educate women to navigate various aspects of an organization and how to develop relationships that can support their growth

    Case Study: Member Perception Of A Federal Organization’s Employee Recognition Program

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    The purpose of this qualitative instrumental study was to clarify the purpose of Agency ABC’s Recognition Council, while identifying opportunities for staff recognition and appreciation to be optimized within Agency ABC to assist in creating and sustaining employee engagement. This purpose is in direct correlation to the study’s problem, to fill in research gaps due to a lack of existing documentation, best practices and research regarding federal recognition programs. Herzberg’s Two-Factor Theory was the conceptual framework that the researcher applied to this study. The researcher performed semi-structured, one-on-one interviews with five former members of Agency ABC’s Recognition Council members. Interview questions were asked to investigate member perception regarding role, experiences and expectation in creating and sustaining employee engagement, as well as how may staff recognition be optimized to sustain employee engagement. Seven themes and 22 subthemes emerged from the subsequent analysis, providing insight into the study’s research questions. The study’s results indicated that participants felt that greater executive leadership collaboration with the council was necessary to enhance the purpose and operations of the council, while improved timeliness and agreement upon defining key terms and their application concerning the awards process would improve the council’s authenticity. Findings from this study may be useful for senior executives within federal organizations, private sector organizations and federal employees

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