• Outcomes and Characteristics of Patients with Potentially Inappropriate Classification of Clostridium Difficile Infection at a Community Hospital

      Keum, Jinkyung; Jacob, Bobby; Peasah, Samuel; Shogbon, Angela; Bressler, Adam (2017)
      "The objective of this study was to evaluate the difference in clinical outcomes between patients with definite community onset CDI and those who may have been inappropriately classified as healthcare facility onset due to delayed stool sample collection or physician orders for Clostridium difficile testing at a community hospital."
    • The Prince Charming Effect: An Analysis of the Effect Unrealistic Portrayals of Men Have on Relationship Satisfaction within Romantic Relationships

      Render, Danielle (2017)
      From the problem statement: "In a culture that is filled with romantic imagery through multiple media outlets, it is no surprise that an identified potential reason for idealistic expectations is the media. According to Baran and Davis (2003), modeling from the media allows individuals to efficiently learn behaviors and solutions to problems quickly without sustaining harm. With the mass media being filled with idealistic representations of romantic relationships and partners, the viewing of this romantic media leads to an internalization of these unrealistic beliefs; especially towards one’s partner (Segrin & Nabi, 2002; Hefner & Wilson, 2013; Chernin & Fishbein, 2007; Galloway, Engstrom, & Emmers-Sommer, 2015; Shapiro & Kroeger, 2007). Thus when the research is connected, there are important implications to be studied regarding the media, the media’s effect on unrealistic romantic expectations, and how the media’s portrayal of romantic relationships and romantic partners may effect romantic relationships in reality."
    • Reflection Statement

      Nobles, Brittney (2013-04-23)
    • Reflection Statement

      Jin, Stacy; Kim, Hye Jin (2013-04-23)
    • Reflection Statement

      Dauer, Jeannette (2013-04-23)
    • Reflection Statement

      Wirtz, Mark A. (2013-04-23)
    • A Review of Withdraw Strategies for Discontinuing Antiepileptic Therapy in Epilepsy and Pain Management

      Williams, Jessica (2014-04-08)
      Purpose: Pain management is complicated by unacceptable levels of opioid abuse with few safe alternatives. The need exists for analgesic agents with limited abuse potential and recommendations for their safe use. Since the 1960’s, antiepileptic drugs have been used as adjunctively in pain management. By virtue of their pharmacokinetic and risk profiles, antiepileptic drugs require more prescriber surveillance compared to other medications. However, there is no standard approach for discontinuing these drugs. The objectives of this review were to summarize the risk profile of tapering antiepileptic drugs used for epilepsy vs. pain management and to identify best practices for safe tapering. Methods: A retrospective review was performed of literature addressing discontinuation of antiepileptic drugs. Articles were collected from PubMed and Ovid using keywords: anticonvulsant, antiepileptic, withholding treatment, taper and withdrawal. The limitations included English language only publications, regardless of country of origin, and publication between 1990 and 2013. Results: Findings revealed 25 published randomized controlled trials, reviews, case reports and editorials. While no taper guideline was found, many studies used a gradual taper protocol ranging from one month to more than four years for discontinuation. However no consistency was found between protocols. Risks for continuation and inappropriate discontinuation of antiepileptic therapy were aggregated from FDA labeled information and published case reports. This constituted the risk profile. Risks of acute discontinuation in epilepsy and pain management manifest differently. In epilepsy, documentation of acute discontinuation of AEDs results in recurrence of epileptic episode. Tapering therapy to discontinuation in epilepsy results in a higher risk of seizure recurrence in the first six months of withdrawal compared to patients continuing therapy. In pain management, acute discontinuation of AEDs results in a benzodiazepine-like withdrawal syndrome with symptoms such as diaphoresis, agitation and altered mental status. However unlike true benzodiazepine withdrawal, acute discontinuation of AEDs in pain management is unresolved by benzodiazepine administration. Conclusion: Tapering antiepileptic drugs when discontinuing therapy in epilepsy is common practice though there is no standard taper regimen documented consistently throughout the literature. Tapering strategies for discontinuing antiepileptic therapy when used in pain management are not well documented. This review identifies gaps in the literature concerning safe discontinuation of antiepileptic drugs used both for the primary indication as well as pain management. Clinical pharmacists would be greatly benefited by future research into appropriate regimens for tapering patients off of antiepileptic therapy with consideration of the effect removing antiepileptics from the body would have on other drug therapies the patient continues.
    • The Stilling of the Storm in Matthew 8:23-27

      Brown, Lauren (2014-04-08)
      The stilling of the storm is among the ranks of nature miracles found in the Synoptic gospels. The stilling of the storm in Matthew 8:23-27 is distinctive in the author’s choice of words: using the more dramatic language of σεισμός and ἐπιτιμάω. The narrative also reflects OT motifs where Jesus is depicted doing what God has previously done and holding the same power over the sea as a representative of primordial chaos.
    • Wrestling with Leviticus 18.22 and 20.13

      Wirtz, Mark A (2013-04-23)
      Many have used Lev 18.22 and 20.13 violently against homosexual people. Examples abound, but one illustrates this point all too well. Andy Gibson, a Southern Baptist minister and Mississippi Republican State Representative, commented on his Facebook page regarding President Barak Obama’s affirmative opinion on gay marriage. Gibson says, “The only opinion that counts is God’s: see Romans 1:26-28 and Leviticus 20:13. Anyway [SIC] you slice it, it is sin. Not to mention horrific social policy.” In a follow-up post he calls same-gender relationships “unnatural” and blames them for developing and spreading HIV/AIDS. Gibson goes on to say that such relationships are “harmful to children” and confuse the “important differences between men and women.” In response to public concerns about his citation of Lev 20.13, which calls for the death penalty, Gibson refused to apologize. “To be clear, I want the world to know that I do not, cannot, and will not apologize for the inspired truth of God’s Word. It is one thing that will never ‘change’,” wrote Gibson.