Lincoln, NE, United States
Lincoln, NE, United States

Midland University is a private liberal arts college with an approximate enrollment of 1,100 students. The 33-acre academic and residential campus is located in Fremont, Nebraska, 25 miles northwest of Omaha, Nebraska. The university offers over thirty undergraduate bachelor's degrees and three graduate master's degrees, including Master of Business Administration , Master of Education in Leadership, and Master in Professional Accounting.Fielding athletic teams known as the Midland University Warriors, the college is a member of the Great Plains Athletic Conference in the National Association of Intercollegiate Athletics . The university’s official colors are navy blue, orange, and white. The university offers several extracurricular activities, including 25 varsity athletic teams, leadership and service groups, clubs, and organizations, as well as fraternities and sororities.Known as Midland Lutheran College from 1962-2010, the university is affiliated with the Evangelical Lutheran Church in America.The university ranked 69 in the Regional Colleges Midwest Rankings of the 2015 U.S. News & World Report ranking of colleges. Wikipedia.

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Conway P.,United Medical Systems | MacHlin S.,Agency for Healthcare Research and Quality | Sasse B.,Midland University | Cohen J.,Agency for Healthcare Research and Quality
Health Services Research | Year: 2011

Objective. To categorize national medical expenditures into patient-centered categories. Data Sources. The 2007 Medical Expenditure Panel Survey (MEPS), a nationally representative annual survey of the civilian noninstitutionalized population. Study Design. Descriptive statistics categorizing expenditures into seven patient-centered care categories: chronic conditions, acute illness, trauma/injury or poisoning, dental, pregnancy/birth-related, routine preventative health care, and other. Data Collection Methods. MEPS cohort. Principal Findings. Nearly half of expenditures were for chronic conditions. The remaining expenditures were as follows: acute illness (25 percent), trauma/poisoning (8 percent), dental (7 percent), routine preventative health care (6 percent), pregnancy/birth-related (4 percent), and other (3 percent). Hospital-based expenditures accounted for the majority for acute illness, trauma/injury, and pregnancy/birth and over a third for chronic conditions. Conclusions. This patient-centered viewpoint may complement other methods to examine health care expenditures and may better represent how patients interact with the health care system and expend resources. © Health Research and Educational Trust.

Kollins S.H.,Duke University | Jain R.,R D Clinical Research Inc. | Jain R.,Midland University | Brams M.,Bayou City Research Ltd. | And 4 more authors.
Pediatrics | Year: 2011

OBJECTIVE: To assess the efficacy and safety of clonidine hydrochloride extended-release tablets (CLON-XR) combined with stimulants (ie, methylphenidate or amphetamine) for attention-deficit/hyperactivity disorder (ADHD). PATIENTS AND METHODS: In this phase 3, double-blind, placebo-controlled trial, children and adolescents with hyperactive- or combined-subtype ADHD who had an inadequate response to their stable stimulant regimen were randomized to receive CLON-XR or placebo in combination with their baseline stimulant medication. Predefined efficacy measures evaluated change from baseline to week 5. Safety was assessed by spontaneously reported adverse events, vital signs, electrocardiogram recordings, and clinical laboratory values. Improvement from baseline for all efficacy measures was evaluated using analysis of covariance. RESULTS: Of 198 patients randomized, 102 received CLON-XR plus stimulant and 96 received placebo plus stimulant. At week 5, greater improvement from baseline in ADHD Rating Scale IV (ADHD-RS-IV) total score (95% confidence interval: -7.83 to -1.13; P = .009), ADHD-RS-IV hyperactivity and inattention subscale scores (P = .014 and P = .017, respectively), Conners' Parent Rating Scale scores (P < .062), Clinical Global Impression of Severity (P = .021), Clinical Global Impression of Improvement (P = .006), and Parent Global Assessment (P = .001) was observed in the CLON-XR plus stimulant group versus the placebo plus stimulant group. Adverse events and changes in vital signs in the CLON-XR group were generally mild. CONCLUSIONS: The results of this study suggest that CLON-XR in combination with stimulants is useful in reducing ADHD in children and adolescents with partial response to stimulants. Copyright © 2011 by the American Academy of Pediatrics.

Dietz T.H.,Angelo State University | Scott C.B.,Angelo State University | Campbell E.J.,Texas AgriLife Research Center | Owens C.J.,Angelo State University | And 2 more authors.
Rangeland Ecology and Management | Year: 2010

Redberry (Juniperus pinchotii Sudw.) and ashe (Juniperus ashei Buchh.) juniper dominate rangelands throughout central Texas. Our objective was to attempt to improve the efficacy of goats as a biological control mechanism for juniper through behavioral training. Conditioning sheep and goats to increase the palatability of chemically defended plants can be a useful tool in brush control. Previous research illustrated that goats can be conditioned to consume more juniper while in individual pens when foraging choices are limited. To test whether this creates a longer-lasting increase in juniper preference, we determined if goats would continue to consume juniper on pasture for one year after being fed juniper in individual pens for 14 d. Female Boer-cross goats (n=40) were randomly divided into two treatments: conditioned and naive to juniper. At approximately 12 mo of age, conditioned goats were placed in individual pens and fed redberry juniper 1 h daily for 14 d, while naive goats received only alfalfa pellets to meet maintenance requirements. After the pen-feeding phase of the study, goats were placed in one of four pastures (10 goats·pasture-1) for 12 mo. Two pastures housed conditioned goats, and two pastures housed naive goats at a moderate stocking rate (1 animal unit · yr-1 · 8 ha-1). Bite count surveys were conducted twice per month, while herbaceous standing crop and monoterpene levels were measured once per month. Juniper preference varied monthly; however, conditioned goats consistently ate more (P<0.05) juniper than naive goats except for April, when the study began, and March, when the study ended. When selection of herbaceous forages decreased, conditioned goats increased selection of juniper, while naive goats increased selection of other palatable shrubs. Seasonal changes of monoterpene levels in juniper had no apparent effect on juniper preference. We contend that feeding juniper at weaning will increase use of the plant in grazing situations. © Society for Range Management.

PubMed | Staffordshire University, University of Bristol, Midland University and University of Birmingham
Type: | Journal: Health and quality of life outcomes | Year: 2016

The ICECAP measures potentially offer a broader assessment of quality of life and well-being, in comparison to measures routinely used in economic evaluation, such as the EQ-5D-3 L. This broader assessment may allow measurement of the full effects of an intervention or treatment. Previous research has indicated that the ICECAP-O (for older people) and EQ-5D-3 L measure provide complementary information. This paper aims to determine similar information for the ICECAP-A (for the entire adult population) in terms of whether the measure is a substitute or complement to the EQ-5D-3 L.Data from the BEEP trial - a multi-centre, pragmatic, randomised controlled trial - were used. Spearman rank correlations and exploratory factor analytic methods were used to assess whether ICECAP-A and EQ-5D-3 L are measuring the same, or different, constructs.A correlation of 0.49 (p < 0.01) was found between the ICECAP-A tariff score and the EQ-5D-3 L index. Using the pooled items of the EQ-5D-3 L and the ICECAP-A a two factor solution was optimal, with the majority of EQ-5D-3 L items loading onto one factor and the majority of ICECAP-A items onto another.The results presented in this paper indicate that ICECAP-A and EQ-5D-3 L are measuring two different constructs and provide largely different, complementary information. Results showed a similarity to results presented by Davis et al. using the ICECAP-O.ISRCTN 93634563.

PubMed | University of Washington, Midland University, Bristol Eye Hospital, Gloucestershire Hospitals NHS Foundation Trust and 2 more.
Type: Journal Article | Journal: Ophthalmology | Year: 2016

To investigate if previous intravitreal therapy is a predictor of posterior capsule rupture (PCR) during cataract surgery.Multicenter, national electronic medical record (EMR) database study with univariate and multivariate regression modeling.A total of 65 836 eyes of 44 635 patients undergoing cataract surgery.Anonymized data were extracted for eyes undergoing cataract surgery from 20 hospitals using the same EMR for cases performed between 2004 and 2014. Variables included as possible risk indicators for PCR were age, sex, number of previous intravitreal injections, indication for intravitreal therapy, grade of healthcare professional administering intravitreal therapy, advanced cataract, and cataract surgeon grade.Presence or absence of posterior capsular rupture during cataract surgery.Data were available on 65 836 cataract operations, of which 1935 had undergone previous intravitreal therapy (2.9%). In univariate regression analyses, patient age, advanced cataract, junior cataract surgeon grade, and number of previous intravitreal injections were significant predictors of PCR. By considering the number of previous intravitreal injections as a continuous variable, the odds ratio for PCR per intravitreal injection was 1.04 (P= 0.016) after adjusting for age, advanced cataract, and cataract surgeon grade. Repeat analysis considering intravitreal injections as a categoric variable showed 10 or more previous injections were associated with a 2.59 times higher likelihood of PCR (P= 0.003) after again adjusting for other significant independent predictors.Previous intravitreal therapy is associated with a higher likelihood of PCR during cataract surgery. This study provides data to help inform surgeons and patients about the risk of complications when undergoing cataract surgery after multiple prior intravitreal injections. Further investigation is required to determine the cause behind the increased PCR risk.

PubMed | Staffordshire University, Midland University and University of Birmingham
Type: Journal Article | Journal: Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation | Year: 2015

The ICECAP-A is a simple measure of capability well-being for use with the adult population. The descriptive system is made up of five key attributes: Stability, Attachment, Autonomy, Achievement and Enjoyment. Studies have begun to assess the psychometric properties of the measure, including the construct and content validity and feasibility for use. This is the first study to use longitudinal data to assess the responsiveness of the measure.This responsiveness study was completed alongside a randomised controlled trial comparing three physiotherapy-led exercise interventions for older adults with knee pain attributable to osteoarthritis. Anchor-based methodologies were used to explore the relationship between change over time in ICECAP-A score (the target measure) and change over time in another measure (the anchor). Analyses were completed using the non-value-weighted and value-weighted ICECAP-A scores. The EQ-5D-3L was used as a comparator measure to contextualise change in the ICECAP-A. Effect sizes, standardised response means and t tests were used to quantify responsiveness.Small changes in the ICECAP-A scores were seen in response to underlying changes in patients health-related quality of life, anxiety and depression. Non-weighted scores were slightly more responsive than value-weighted scores. ICECAP-A change was of comparable size to change in the EQ-5D-3L reference measure.This first analysis of the responsiveness using longitudinal data provides some positive evidence for the responsiveness of the ICECAP-A measure. There is a need for further research in those with low health and capability, and experiencing larger underlying changes in quality of life.

PubMed | Ninewells Hospital and Medical School, Midland University and University of Birmingham
Type: Journal Article | Journal: BMJ open | Year: 2015

To study the association between socioeconomic deprivation and prevalence of diabetic retinopathy (DR).Population-based, cross-sectional observational study and retrospective longitudinal analysis over 12years.Primary care, East of Scotland.Outcome data from DR screening examinations (digital retinal photography) were collected from the Scottish regional diabetes electronic record from inception of database to December 2012. The overall Scottish Index of Multiple Deprivation (SIMD) 2012 score for each patient was obtained using their residential postcode. Multiple binary logistic regression was used to analyse the relationship between overall SIMD score and prevalence of DR, adjusting for other variables: age, gender, glycated haemoglobin, cholesterol levels and duration of disease.Any retinopathy (R1 and above) in either eye.A total of 1861 patients with type 1 diabetes mellitus (DM) and 18,197 patients with type 2 DM were included in the study. Prevalence of DR in type 1 and type 2 DM were 56.3% and 25.5%, respectively. Increased prevalence of DR in type 1 DM was associated with higher overall SIMD score (p=0.002), with an OR for the most deprived relative to the least deprived of 2.40 (95% CI 1.36 to 4.27). In type 2 DM, the overall SIMD score was not significantly associated with increased prevalence of DR, with an OR for the most deprived relative to the least deprived of 0.85 (95% CI 0.71 to 1.02, p=0.07).Socioeconomic deprivation is associated with increased prevalence of DR in patients with type 1 DM and this occurs earlier. This highlights the need for targeted interventions to address inequalities in eye healthcare.

Knudtson C.A.,Midland University
Journal of Chemical Education | Year: 2015

Students in undergraduate organic chemistry courses are frequently overwhelmed by the volume and complexity of information they are expected to learn. To aid in students learning of organic functional groups, a novel card game "ChemKarta" is reported that can serve as a useful alternative to flashcards. This pedagogy is a simple matching game, in which students identify functional groups on molecules. ChemKarta has a large card set to immerse students in course material and to allow teachers to mine the game for class and exam questions. It is easily customized by the addition or removal of cards to adjust content to fit an individual course. Students found the game easy to learn and responded favorably to its use as an educational tool. © 2015 The American Chemical Society and Division of Chemical Education, Inc.

Choi H.-J.,Midland University | Lee H.-H.,Midland University
Transactions of the Korean Institute of Electrical Engineers | Year: 2013

There were telecommunication noise and malfunctions of the electronic devices occurred over a wide area due to the high harmonic voltage and/or current levels of the Back-to-back converter in the DFIG wind power system even though the magnitude of all harmonics is within the international standards. The triangular carrier signals of the PWM used in the power converter system is related to the telecommunication noise because they are in the range of audible frequencies and amplified by a variety of the standing waves that were excited by harmonic voltage sources in the weak grid system such as a long distance distribution transmission lines. This paper describes the characteristics of the harmonics in the wind turbine-generator, numerical analysis and simulation of the harmonics resonance phenomena in the distribution lines as well as measuring induced voltage of the telecommunication lines in parallel with power lines in order to verify the root cause of the telecommunication noise. These noise problems can occur in a wind turbine power system with a non-linear converter at any time, as well as photovoltaic power system. So, the preliminary review of suitable filter devices and switching frequencies of the PWM have to be required by considering the stability of the controller at the design stage but as part of the measures the effect of the telecommunication cable shields was analyzed by comparing the measured data between multi-conductor with/without shields so as to attenuate the sources of the harmonics voltage induced into the telecommunication lines and to apply the most cost-effective measures in the field.

PubMed | Midland University and Hereford County Hospital
Type: | Journal: BMC ophthalmology | Year: 2015

We report a case of a HLA-B27 negative patient presenting with severe, bilateral, idiopathic acute anterior uveitis with acute hypotony and hypotony maculopathy as their first uveitic episode.Within a week of onset of her first episode of acute anterior uveitis, a 45 year-old Caucasian lady developed profound ocular hypotony with unrecordable intraocular pressures, reduced vision and choroidal folds. All investigations were negative. Uveitic hypotony responded slowly to corticosteroids--intravenous, oral and topical--with normalization of intraocular pressure and resolution of choroidal folds after two months. Anterior uveitis and hypotony have not returned with six months of follow-up.Bilateral, profound hypotony maculopathy may present acutely in idiopathic acute anterior uveitis, may be slow to respond to treatment and should be considered as a cause of vision loss in patients with this condition.

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