37903 research outputs found
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TV newscaster Chet Huntley
No full textTV newscaster Chet Huntley, b&w.https://mds.marshall.edu/bliss_enslow_add/1192/thumbnail.jp
20210106: Registrar, 1920-2020
Get PDFThese items include materials from the Office of the Registrar. Items were received in 2021 and include notable materials from or about Commencement business, final graduation lists, and historic registration cards, sashes, and diploma holders. This is not an exhaustive list. Please download the finding aid for a full list of contents
20170107: President\u27s Papers; 1944, 1995
Get PDFThese items include materials from the Office of the University President. Items were received in 2017 and include notable materials from a self-study report (1995) and the Russel-Holy Report from 1944. This is not an exhaustive list. Please download the finding aid for a full list of contents
20210107: Library, 1946-2005
Get PDFThese items include materials from the University Libraries system from 1946-2005. Items were received in 2021 and include notable materials from or about the construction of the John Denver Drinko Library, the destruction of Northcott Hall, and Morrow Library feasibility studies. This is not an exhaustive list. Please download the finding aid for a full list of contents
The GFWC West Virginia Clubwoman, Spring 2021
Get PDFThe West Virginia Clubwoman is published in four volumes each year to highlight clubs and their services to the communities as well as provide information for club members.https://mds.marshall.edu/wv_clubwoman_2020-2029/1001/thumbnail.jp
Anti-N-Methyl-D-Aspartate Receptor Encephalitis: A diagnosis obscured by concomitant recreational drug use
Get PDFAnti-NMDA receptor encephalitis (aNMDAre) is a relatively newly discovered autoimmune and inflammatory disorder affecting the limbic system. It has a clinical course that includes Prodromal, Psychiatric, Unresponsive and Hyperkinetic stages. These stages are often confused with mental health issues in the medical literature, but they also share symptoms of various drug intoxication and withdrawal states. Implicit bias in physicians regarding substance use disorder and patient demographics can impair delivery of care and outcomes in patients with aNMDAre, especially in an environment of recreational drug use. When clinical presentation aligns, this diagnosis should be investigated as soon as possible, even in the case of atypical presentations or those with past or current substance use disorder. Early identification and treatment are essential to good outcomes and minimal sequalae at two years. Therefore, it is essential to consider aNMDAre with the symptom profile regardless of patient age, sex, race, or clinical disorder. Below is detailed the difficulty in diagnosing aNMDAre in a 32-year-old white male with a history of methamphetamine, opioid, benzodiazepine, and marijuana use
Physician burnout among West Virginia primary care providers
Get PDFIntroduction
Work related burnout is highly prevalent in US physicians and linked to adverse effects on patients, providers and organizations. This study measures burnout in West Virginia (WV) primary care providers, allowing for comparison of results to a similar, recent study of US physicians.
Methods
Anonymous survey through email that included Maslach Burnout Inventory, demographic, workload, and practice characteristics. Responses were analyzed using JMP Pro 13. Analysis used JMP Pro 13 for descriptive statistics, chi-square and regression modeling.
Results
Subjects = 110, female/male ratio 1.4, all primary care physicians (PCP), or advanced practice registered nurses or physician assistants (APRN/PA). PCP and APRN/PA differed on sex ratio (p /= 65 vs under 0.178 (p 0.032). Severe burnout in WV PCP was 57.6% and in all US physicians 43.9% (p 0.015). The OR for severe burnout in PCP versus APRN/PA was 2.89 (p 0.039). Burnout in PCP \u3e APRN in rural (p 0.046) but not urban. Private practice 17.6% in our population, 48% US physicians (p 0.0003). Burnout increased linearly with work hours (p 0.003). Self-estimate of burnout correlated with MBI results (p \u3c0.0001).
Conclusion
Severe burnout was highly prevalent in this high risk specialty serving a patient population at risk in regards to poverty, age and medical complexity. This community had a low rate of private practice, fewer providers over age 65, a higher rate of burnout in physicians compared to APRN/PA, and a linear association of burnout to work hours. There was also validation of a single question burnout screening tool. High risk community systems could be a reservoir for burnout research and improvement there could reduce costs and improve outcomes
Krauth User Guide
No full textThe User Guide for the Library of Appalachian Preaching is a Google Sheet that can be searched, sorted, and downloaded for offline use.
This part of the Guide provides information about Krauth\u27s sermons and other addresses. It includes the title, scripture text, date and place the discourse was delivered (if known), and so on. This information is available in the master list of sermons as well.https://mds.marshall.edu/krauth_charlesporterfield/1007/thumbnail.jp
Melear User Guide
No full textThe User Guide for the Library of Appalachian Preaching is a Google Sheet that can be searched, sorted, and downloaded for offline use.
This part of the Guide provides information about Melear\u27s sermons. It includes the title, scripture text, date and place the sermon was preached (if known), and so on. This information is available in the master list of sermons as well.https://mds.marshall.edu/melear_jamesmelville/1001/thumbnail.jp