Marshall University

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    War and A Woman\u27s Spirit: An Analysis of Chinua Achebe\u27s Girls at War

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    Marshall University Newsletter, February 13, 2024

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    In Memoriam Richard F. Ayrey (1948 – 2024)

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    This is a memorial issue honoring Richard F. Ayrey (1948 – 2024), a US scorpiologist. A full list of his 26 works is appended, as well as a list of scorpion taxa described by Richard (two genera and 19 species of Vaejovidae), and a map of their type localities in the USA and Mexico

    Marshall University Newsletter, February 27, 2024

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    Marshall University Newsletter, March 6, 2024

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    John Brown

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    The impact of telestroke services on diagnosis, patient outcomes, and treatment

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    Introduction: In 2011, an estimated 20% of U.S. residents lacked timely access to stroke care. As of 2019, that number plummeted to 4% of patients. A reason for this improved access was the implementation of telestroke services. Telestroke services have utilized remote stroke specialists to help guide local emergency department physicians in reviewing imaging, diagnosing, treating, or transferring patients appropriately. Purpose: The purpose of this research was to analyze the impact of telestroke implementation in the hospital setting. The study hypothesized the implementation of telestroke services in the hospital setting maintained an accurate stroke diagnosis, decreased inappropriate hospital transfers, reduced time to mechanical or intravenous thrombolytic intervention, increased rates of thrombolysis, and decreased post-stroke patient mortality. Methodology: This study utilized a literature review of articles identified using PubMed. PRISMA was used and 13 articles were referenced in the results of this research. The results were supported by a semi-structured interview of a fellowship-trained stroke specialist. Results: The results showed that implementation of telestroke services in the hospital maintained an accurate stroke diagnosis, decreased inappropriate hospital transfers, reduced time to mechanical or intravenous thrombolytic intervention, increased rates of thrombolysis, and decreased post-stroke patient mortality. Discussion/Conclusion: The findings of this literature review and interview of a fellowship-trained stroke specialist supported the discussion that telestroke service implementation in the hospital setting improved the above listed patient outcomes by maintaining accurate stroke diagnosis rates, reducing inappropriate hospital transfers, decreasing the time to mechanical or intravenous thrombolytic therapy, increasing the rates of thrombolysis, and decreasing 90-day post-stroke mortality

    Promoting civil discourse in the honors forum through argument mapping and systematic empathy

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    This study investigated the impact that co-curricular programming delivered by the University Honors Program (UHP) at North Carolina State University through the Honors Forum course had on first-year students’ self-reported knowledge of civil discourse, their assessment of its importance and impact, and their evaluation of their commitment to the skills and values related to it. The Honors Forum is designed to help students develop a broad worldview by exposing them to lectures by scholars and public figures, panel discussions about contemporary societal debates, peer-facilitated discussions about books, films, and current events, and conversations with faculty and UHP graduates. This project randomly assigned incoming students to one of two groups. The control group experienced the Honors Forum as it has traditionally been offered. The treatment group completed a modified version of the course that included a program called How We Argue. The program taught argument mapping and systematic empathy to help students develop the skills to analyze arguments and discuss challenging issues constructively. Students in both sections of the course completed pretest and posttest surveys. The instruments included demographic questions and statements across five categories: Knowledge, Importance, Skills, Values, and Impact. The category scores were summed to produce a Total score. Statistical tests conducted at the end of the semester focused on assessing how participation in the Honors Forum affected student perceptions of civil discourse and determining if there were differences between the treatment and control groups. The analysis of the treatment group detected higher scores and statistically significant differences between the pretest and posttest scores for all categories and the Total score. For the control group, the posttest scores were higher for the Total score and all categories. In addition, statistically significant differences were detected for the Total score and all categories except the Impact category. Comparisons of the posttest scores for the treatment group and control group detected higher scores for the treatment group in all categories and for the Total score. Statistically significant differences were detected for the Total score, Knowledge category, and Impact category. Analysis of the mean difference scores detected higher scores for the treatment group for the Total score and in all categories except for the Importance category. Statistically significant differences were detected for the Total score, Knowledge category, and Skills category. The project results suggest that the standard version of the Honors Forum and the treatment version of the course positively affect student perceptions of civil discourse. The results also suggest that the treatment version of the course is more impactful than the standard version

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