Ultrasound-guided Interscalene Block for Dislocated Shoulder

Ultrasound-guided Interscalene Block for Dislocated Shoulder Preliminary results of ultrasound-guided interscalene block for dislocated shoulder: Abstract Background Traditionally, patients with a dislocated shoulder joint will be subjected to general anesthesia for closed reduction, if this procedure cannot be managed with light intravenous sedation and opioid analgesia. Successful interscalene blockade of the brachial plexus allows painfree reduction of the dislocated shoulder. However, the interscalene blockade for a dislocated shoulder is usually performed in the emergency room and to optimize patient safety it is desirable to minimize the dose of local anesthetic using ultrasound-guidance. The objective of this cohort study was to determine the clinical feasibility of ultrasound-guided interscalene brachial plexus blockade using a safe dose of just 10 mL of lidocaine 1% in producing sufficient and effective muscle relaxation, allowing painfree reduction of a dislocated glenohumeral joint. Methods We performed ultrasound-guided interscalene brachial plexus blockade with 10 mL of lidocaine 1% in a cohort of 10 patients with dislocated glenohumeral joints presenting in the emergency room, where the shoulder could not be reduced following intravenous sedation and analgesia. Results The success rate of closed reduction of the dislocated shoulders was 100% with complete pain control and muscle relaxation during the reducting procedure. Median patient satisfaction (VAS, Visual Analogue Scale 0-10) after completion of the procedure was 10 (range 8-10). Conclusion Ultrasound-guided interscalene brachial plexus blockade using merely 10 mL of lidocaine 1% effectively produces muscle relaxation allowing pain free reduction of the dislocated glenohumeral joint with a success rate of 100% and high patient satisfaction. Keywords dislocation, shoulder, glenohumeral joint, ultrasound Introduction Dislocation of the gleno-humeral joint is associated with severe pain and is frequently presented in the emergency room (ER). Reduction of a shoulderdislocationrequiresalleviation of the pain and musclerelaxation. Traditionally, this is obtained using general anesthesia (GA) with rapid sequence induction, when initial attempts of reduction using light oral and/or intravenous sedation and opioid analgesia are not successful. However, GA is associated with the risk of aspiration and requires an anesthetist, access to the operating theatre and postoperative observation in the Post Anesthesia Care Unit (PACU). Interscalene blockade (ISB) of the brachial plexus (BP) will achieve the desired effect of muscle relaxation and pain alleviation and eliminates the risks of GA cost-effectively. ISB of the BP usingelicitation of paresthesia to locate the target nerves wasemployedalready in 1973 to obtainanalgesia and musclerelaxationallowingreduction of a dislocatedshoulder joint 1. ISB of the BP using electrical nerve stimulation to allow reduction of a dislocated shoulder joint was later reported 2, 3. However, the motor response due to the electrical stimulation can be very painful in patients with dislocated shoulder joints. Some authors have reported location of the BP using ultrasound-guided regional anesthesia instead of electrical nerve stimulation 4, 5. Blaivas and Lyon (2006) used in-plane (IP) approach and 30 mL of either lidocaine 1% or bupivacaine 0.25%. The success rate of pain free joint reduction was 100% in four patients. Bhoi et al. (2010) used out-of-plane approach and 6-15 mLlidocaine 2% and had a success rate of a 100% in three patients. The current report describes an ultrasound-guided approach to ISB of the BP using IP approach and 10 mL of lidocaine 1% for reduction of the gleno-humeral joint in a preliminary cohort of patients with dislocated shoulder where reduction in the ER had been attempted with light sedation and analgesia without success. Methods The requirement for approval of the protocol and for written informed consent, was waived by the Central Denmark Regional Committees on Biomedical Research Ethics,due to the fact that the ultrasound-guided ISB of the BP for reduction of dislocated shoulders is an established method in our departments. Following informed consent 10 consecutive patients scheduled for reduction of dislocated gleno-humeral joint were included in the study (Table 1). We have only included patients with dislocation of the gleno-humeral joint where reduction has been attempted in the ER without success. Following establishment of venous access, the patient was placed in the supine position with the head turned contralateral to the side to be blocked. Vital signs monitoring was opted out during the procedure in the ER provided that all of the following criteria were fulfilled: (1) the block was performed by a consultant anesthetist who performs ultrasound guided peripheral nerve blocks on a daily basis and ( 2) the block was performed with uninterrupted, direct real time visualization of the needle tip during the entire procedure and (3) using parasagittal from-posterior-to-anterior IP approach and (4) with visualization of the spread of a 1 mL test dose of saline alongside the nerve roots of C5-C6 prior to injection of lidocaine and (5) real time visualization of the spread of lidocaine during the entire injection and (6) no supplementary lidocaine in addition to 100 mg was injected (7) in a fully awake and alert patient. If the above criteria 1-7 were not fulfilled, then the procedure was aborted immediately and not resumed until full vital signs monitorering had been applied. . Needle path and injection of local anesthetics Using an aseptic technique the needle was inserted from the posterior end of the ultrasound transducer and thereafter advanced IP in an anterior direction until the needle tip was seen in close proximity to the C5 and C6 nerve roots (Fig. 1). Hydrolocation was per formed with 1 mL of saline confirming the appropriate location of the needle tip and the spread of the injectate prior to injection of local anesthetic (10 mL of lidocaine 1%). The endpoint of the injection manoeuvre was to observe that the local anesthetic spread alongside the C5 and C6 nerve roots as assessed by real-time ultrasound. The dose of lidocaine was injected incrementally with intermittent aspiration. If the spread of local anesthetic was deemed inadequate the needle tip was repositioned as necessary with direct real time visualization using solely ultrasonographic guidance. Equipment The ultrasound scanning was performed with an M-Turbo ultrasound machine (Sonosite, Bothell, WA) using a 6-13 MHz linear transducer (HFL38, Sonosite ®, Bothell, WA, USA) covered by a sterile sleeve. Definition of successful ISB Successful ISB was defined as reduction of the dislocated shoulder joint with no need for conversion to general anesthesia. Study design and data collection The study was planned as a prospective cohort study to determine the clinical feasibility of the low-dose IP ISB to allow reduction of a dislocated shoulder joint . Thus, no formal power analysis or statistical test analysis was performed. Results A total of 10 patients were enrolled. Nine patients had an anterior dislocation of the gleno-humeral joint and one had a posterior dislocation. Demographic data are presented in table 1. The success rate of reduction of the dislocated shoulders was 100% with complete pain control and muscle relaxation during the reducting procedure. Median patient satisfaction (VAS, Visual Analogue Scale 0-10) after completion of the procedure was 10 (range 8-10). Median time from completed block performance to shoulder reduction was five minutes (range 3-10 minutes). The median pain VAS score immediately prior to the performance of the interscalene block was 10 (range 7-10), and all patients were awake and fully alert during the procedure. All procedures were completed in accordance with the criteria 1-7 (see Methods). Outcome data are presented in table 2. Discussion Our preliminary data demonstrate that a dislocated shoulder can be reduced effectively without pain, and with good muscle relaxation using ultrasound-guided interscalene brachial plexus blockade with a small dose of lidocaine. By application of this technique, deep sedation and opioids and/or general anesthesia with fast track induction is avoided in a population of typically non-fasting patients. Ultrasound-guided ISB of the BP is applicable also in patients with severe cardiac co-morbidity, where GA would not be attractive. Ultrasound-guided ISB of the BP is also a simple and low-cost technique compared to general anesthesia and does not occupy the capacity of the surgical ward or the PACU. Application of a safe and innocuous dose of a local anesthetic with a broad therapeutic range is critically important, when peripheral nerve blocks are performed in the ER outside the primary venue of anesthesia. The standard dose of 100 mg lidocaine optimizes patient safety, as accidental intra venous injection of this magnitude of lidocaine would be virtually harmless. However, intravenous injection using ultrasound-guidance is practically impossible when appropriately performed in accordance with the criteria listed in the Methods section. The theoretical risk of an accidental intraarterial or intraspinal injection is considered non-existent obeying the above mentioned criteria 1-7. Resuscitation equipment is readily accessible in the settings of the ER. However, any dose of any local anesthetic employed for peripheral nerve blocks without full vital signs monitoring remains a controversial issue. If the reader cannot honour all the criteria 1-7, the advice of the authors is to apply full vital signs monitoring during and after the performance of the nerve block even when using a small dose of a local anesthetic with a broad therapeutic range. Our preliminary data suggest that the patients experience maximum satisfaction with this technique (median VAS score 10). We hav e no data to compare patient satisfaction to nerve stimulation guidance for interscalene blockade or general anesthesia. There are some important limitations to our study. First, the study is non-randomized, un-blinded and it does not include a control group. Second, the sensory and motor quality of the interscalene blocks was not tested and the effect was just documented by clinical success. Third, lidocaine pharmacokinetics was not calculated and serum-lidocaine was not measured. Fourth, the choice of dose of local anesthetic was arbitrary and not based on titration. Fifth, the study included only a small sample of patients. However, the clinical success rate of reduction was 100% and the patient satisfaction very high despite the fact that our data were sampled in a population of patients where the primary attempt for a closed reduction of the dislocated shoulder supported by sedatives and opioids failed. This strongly indicates the feasibility of the described technique and reduced dosing of local anesthetic. Future randomized controlled trials have to clarify the usefulness of a broader indication for ultrasound guided interscalene nerve blockade for patients with dislocated shoulders. Conclusion This preliminary cohort study demonstrates that ultrasound guided interscalene BP blockade using merely 10 mL of lidocaine 1% effectively produces muscle relaxation allowing pain free reduction of the dislocated glenohumeral joint with a success rate of 100% and maximum patient satisfaction.

Ethical Business Scenario Essay

Chief Executive Officers (CEOs) in the U. S earn a hefty salary compared to CEO’s in Europe. They earn on a daily basis what an average worker would earn in a whole year. To some this is justified by the fact that they are talented and that the forces of demand and supply dictate they earn more. To others this is unfair as the employees who also contributed massively to the success of the company get very little in return. Again, European CEO’s earn three times lesser what the CEO’s in U. S earn despite their having similar qualification. According to pay analysts the high salaries could have rose due imperfections in the market place. CEO salaries are determined by Board Committees, which fail to link performance with the salary awarded. This allows for great variance in the salary scales of workers. Consultancy firms that advice such committees on how much to pay the CEO are also a factor contributing to hefty CEO salaries. Hefty CEO salaries do not translate to better performance. The company shares could be declining due to customer dissatisfaction despite them spending so much money on CEO’s pay. Workers pay remain very low even after the federal increment of the minimum wage however this is like a drop in the sea as when adjusted for inflation it is still 7% below where it was 10 years ago. On the contrary CEO’s pay has rose by 45% after being adjusted for inflation. The CEO’s also gain from many benefits from the companies they work for. Different philosophers have different views on ethical and justice issues. Aristotle was dissatisfied with unjust gain. He insisted on the importance of ethical behavior and shows that people with virtues have performance in whatever they partake. Happiness is the spice of life and all human beings work to attain it. All actions are for a purpose or an end and people enhance tools needed to attain the goals they want in life. For instance a knife’s work is to cut and to cut better knives should be sharp. Peoples action should aim at making them better people and building their character. The essence of being human is the ability to reason. Virtues are classified into moral and intellectual moral virtues entail gentleness, liberty, truthfulness, wit and pride. To him, a mean is appropriate, too much or a deficient should be discouraged. Barnes, 500) Justice is an important virtue to him and he classifies it into two; particular and general. Particular justice complements the general justice by not earning unjust gains from an act while general justice is being observant to virtues relating to people. Intellectual virtues include knowledge, wisdom, prudence and art and they distinguish people’s capabilities as people behave according to them. Gaining at the expense of others is unjust. Injustice is said to occur when someone gets too little of a good thing or too much of a bad thing. (Michael, 59) Kant’s moral theory entails the ‘supreme principle of categorical imperative’ that entails the formula of universal law and of the end in itself. He says that man should â€Å"act in such a way that you always treat humanity in your own person or in the person of any other never simply as a means but always at †¦. the same time as an end†. All people act for a reason, which he calls ‘maxim’. (Alan, 66) To him maxims are more important and they should be pursued despite the harm or misery they cause on the process. People should just be cautious not to use others as mere means to an end but as ends in themselves. Using someone as a mere means implies that the person’s consent is not sought. (Onora, 219) People can be used as mere means by deceiving them; using false pretenses or giving misleading account at their expense. Coercion can also be used in using people as means to an end. Justice, to Kant entails not acting on maxims that use others as mere means to an end. Duties performed should be beneficial even to the people used in attaining the goals. Kantian approach does not focus a lot on the outcomes of an act but on the intentions. Sometimes good intentions could result to bad results. Human beings are rational beings with the ability to choose and plan and consequently should not be used as mere means in attaining happiness or goals in life. Kant emphasizes on cosmopolitan justice where justice is felt at a global level. His approach allows respect for human rights and also encourages cultural diversity. (Onora, 218) Sartre explains how we live in a society full of oppression and exploitation. He tries to create a responsible nation. People have different egos and should be controlled by their consciousness in doing their actions Sartre was an atheist who believed that God doesn’t exist. He devotes concerns to emotion as a spontaneous activity of consciousness that is projected onto the real world. To him people use their free will in partaking their actions and this poses the danger of people not being ready to take responsibility for their deeds. Freedom should entail responsibility as only then can people’s living conditions be improved. Human dignity would be retained freedom. Freedom is therefore corporate social responsibility. The society is full of hostility of man towards his fellow men. Sartre coins Marxist theory and states that ‘man is nothing else but that which he makes of himself’. The ultimate responsibilities of man are to first form himself then have social responsibility to help society. â€Å"Man can will nothing unless he has first understood that he must count no one but himself; that he is alone, abandoned on earth in the midst of his infinite responsibilities, without help, with no other aim than the one he sets himself, with no other destiny than the one he forges for himself on this earth† (Being Nothing 1943). Aristotle would see the high salaries of CEO as justified. This is because the CEO’s have established what they want in life and have worked hard to achieve it. They may have acquired appropriate education and professional skills that is required in the demanding CEO Job. This can be seen as the sharpening of a knife used for cutting objects. The good pay rewards their hard work and they attain happiness, which is very vital in human beings life. CEO’s have moral virtues as they find pride in what they do using the liberal means. They do not unjustly gain as they have what it takes to be in the CEO’s position. Just like other human beings, the CEO’s can reason but can do it better no wonder they get such positions. The workers should be challenged to improve on their skills to enable them become better people in society. However, Aristotle would consider CEO’s who earn hefty pay but fail to perform as being unjust. This could be attributed to the fact that the equilibrium or balance required between the good is not attained. Giving too much to the CEO’s and very little to the workers despite their hard work in itself a form of injustice. However, CEO’s can be justified with their hefty salaries because they have the appropriate knowledge and wisdom to lead companies to great heights in society. To him virtue is about proper functioning of something and consequently things should work properly for that which they are meant to do. CEO’s should earn enough salary to justify what they are worth. To Kant, hefty salaries for CEO’s would be a normal scenario in the society. This is because in society people have different ‘maxims’ or purposes for which they intend to satisfy. The only point of concern to consider when satisfying this maxim is to make sure one does not use others as mere means to an end. Although CEO’s have hefty wages they strive to attain what it takes to be in such positions. Again they do not use workers as mere means to an end but as ends to themselves. This is attributed to the fact that the workers gain in this arrangement. The CEO’s ensure good management of the organization or company, which translates to increased profits, and survival of the firm. Without these the companies would close down and the employees or workers too, would lose their jobs. Since the workers are aware of the situation then it is all right. (Lewis et al, 40) In most cases, the CEO’s do not use false pretenses of what they are doing. They provide clear guidelines of the company’s or firms. Again they do not use any form of coercion or use misleading accounts at the expense of the workers. Their wages are therefore justified as the good intentions, which are of much importance that lead to bad results. Workers work harder at the ground but the pay does not match the hard work. To Kant, human beings are rational and have the free will to plan not be exploited by being used as mere means to an end. Workers can choose and plan to develop their skills, which would see them in higher positions in society. Higher positions translate to better pay and a good life in general. Hefty salaries for CEO’s according to Sartre would be another form of exploitation, which is common in society. The society is full of individuals who are out to take advantage of their fellow individuals. CEO’s have an ego that shows they are very prominent and important in the society as well as in the companies they work for. Consultation firms that work to ensure the salaries are high also share that feeling. This feeling that CEO’s deserve hefty pays ensures that the salaries remain high at the expense of the workers who work more. Sartre would see the lack of corporate social responsibility on CEO’s to their workers. Human beings are what they choose to be and they have the freedom at their disposal. CEO’s choose such positions and pursue all that entails being there but they should show some responsibility to society by ensuring that the workers salaries are increased. Earning what someone else in the same company or firm would earn in a whole year is a high degree of oppression. On the contrary workers contribute to their oppression by not airing their grievances like demonstrating against the hefty CEO’s wages. Man is nothing without mutual responsibility and consequently responsibility should be instilled in the CEO’s minds. They can reduce their salaries and work to improve the workers welfare by increasing their salaries. Sartre is close in explaining my view that CEO’s should not be earning in a day what a worker earns in a whole year. Workers perform most of the work and rewarding their efforts will be appropriate. It will act as an incentive to work. Motivated workers produce quality work, which would lead to increased profits. CEO’s should not be too selfish in feasting on the largest piece of cake. They should show some responsibility which is part of what makes a human being by ensuring reduced salaries on their part while increasing the workers pay (Thomas, 150) The role of the workers in an organization cannot be underestimated. Despite good management from the CEO the workers should work under conducive environment. For firms to thrive, workers are involved at the grass root level in implementing of policies. Mere formulation without implementation is useless. Equality can be maintained by following the pay on performance approach where both CEO’s and workers are encouraged to work for the benefit of the whole firm or organization. Workers should unite in fighting for fair or justice in pay. CEO should not be paid hefty pay at the expense of workers. Appropriate measures should be taken to ensure that workers are not exploited. Closing loopholes on taxes that allow companies to deduct, as much money as they please should be observed. Compensation should be done with relation to performance and increment in pay should be justified. Introducing progressive taxes can work to reduce the amount of money CEO’s take home as salaries. Limit should be made on the amount of money CEO’s can take as their retirement plans. This will reduce the hefty amount of money CEO’s take home on retirement.

Anthropology vs. Sociology Whats the Difference

Anthropology is the study of humans and the ways they live. Sociology studies the ways groups of people interact with each other and how their behavior is influenced by social structures, categories (rage, gender, sexuality), and institutions. While both fields study human behavior, the debate between anthropology vs. sociology is a matter of perspectives. Anthropology examines culture more at the micro-level of the individual, which the anthropologist generally takes as an example of the larger culture. In addition, anthropology hones in on the cultural specificities of a given group or community. Sociology, on the other hand, tends to look at the bigger picture, often studying institutions (educational, political, religious), organizations, political movements, and the power relations of different groups with each other. Key Takeaways: Anthropology vs. Sociology Anthropology studies human behavior more at the individual level, while sociology focuses more on group behavior and relations with social structures and institutions.Anthropologists conduct research using ethnography (a qualitative research method), while sociologists use both qualitative and quantitative methods.The primary goal of anthropology is to understand human diversity and cultural difference, while sociology is more solution-oriented with the goal of fixing social problems through policy. Definition of Anthropology   Anthropology studies human diversity. There are four primary sub-fields: archaeology, biological anthropology, cultural anthropology, and linguistic anthropology. Archaeology focuses on the objects humans have made (often thousands of years ago). Biological anthropology examines the ways humans adapt to different environments. Cultural anthropologists are interested in how humans live and make sense of their surroundings, studying their folklore, cuisine, arts, and social norms. Finally, linguistic anthropologists study the ways different cultures communicate. The primary method of research anthropologists utilize is called ethnography or participant observation, which involves in-depth, repeated interactions with people. A defining feature of anthropology that makes it unlike many other fields is that many researchers study cultures that are not their own. Thus, people pursuing PhDs in anthropology are required to spend a lengthy period of time (often a year) in a foreign country, in order to immerse themselves in a culture to become knowledgeable enough to write about and analyze it. Early in the fields history (the late 19th/early 20th centuries), anthropologists were almost all Europeans or Americans who conducted research in what they considered to be primitive societies that they believed were untouched by western influence. Because of this mindset, the field has long been critiqued for its colonialist, condescending attitude toward non-western people and its inaccurate representations of their cultures; for example, early anthropologists often wrote about African cultures as static and unchanging, which suggested that Africans could never be modern and that their culture did not undergo change, as western cultures do. In the late 20th century, anthropologists like James Clifford and George Marcus addressed these misrepresentations, suggesting that ethnographers be more aware of and upfront about the unequal power relations between themselves and their research subjects. Definition of Sociology   Sociology has several principal tenets: individuals belong to groups, which influence their behavior; groups have characteristics independent of their members (i.e., the whole is larger than the sum of its parts); and sociology focuses on patterns of behavior among groups (as defined by gender, race, class, sexual orientation, etc.). Sociological research falls into several large areas, including globalization, race and ethnicity, consumption, family, social inequality, demography, health, work, education, and religion. While ethnography was initially associated with anthropology, many sociologists also do ethnography, which is a qualitative research method. However, sociologists tend to do more quantitative research—studying large data sets, like surveys—than anthropologists. In addition, sociology is more concerned with hierarchical or unequal power relations between groups of people and/or institutions. Sociologists still tend to study their own societies—i.e., the U.S. and Europe—more than those of non-western countries, although contemporary sociologists conduct research all over the world. Finally, an important distinction between anthropology and sociology is that the formers goal is to understand human diversity and cultural differences, while the latter is more solution-oriented with the goal of fixing social problems through policy. Careers   Anthropology majors pursue a wide variety of careers, as do sociology students. Either of these degrees can lead to a career as a teacher, public sector employee, or academic. Students who major in sociology often go on to work at non-profit or governmental organizations and the degree can be a stepping stone to a career in politics, public administration, or law. While the corporate sector is less common for sociology majors, some anthropology students find work conducting market research. Graduate school is also a common trajectory for both anthropology and sociology majors. Those who complete a PhD often have the goal of becoming professors and teaching at the college level. However, jobs in academia are scarce, and over half of people with a PhD in anthropology work outside of academia. Non-academic careers for anthropologists include public sector research at large, global organizations like the World Bank or UNESCO, at cultural institutions like the Smithsonian, or working as freelance research consultants. Sociologists who have a PhD can work as analysts in any number of public policy organizations, or as demographers, non-profit administrators, or research consultants.

Anderson University Admissions SAT Scores, Costs...

Anderson University has moderately selective admissions, and in 2016, the acceptance rate was 66 percent. Students with solid grades and standardized test scores have a good chance of being admitted. The school has rolling admissions and generally responds to the application within a few weeks. Applicants must submit an application including SAT or ACT scores and a high school transcript. Students have the option to submit an essay, with possible topics including the applicants faith experience, educational goals, and his/her reasons for applying to Anderson.   Admissions Data (2016): Percent of Applicants Admitted: 66 percentTest Scores -- 25th / 75th PercentileSAT Critical Reading: 450 / 550SAT Math: 476 / 560What these SAT numbers meanACT Composite: 19 / 25ACT English: 17 / 25ACT Math: 19  / 25What these ACT numbers mean About Anderson University: Anderson University is a small, private university located in Anderson, Indiana, about an hour northeast of Indianapolis. The university is affiliated with the Church of God, and Christian discovery remains part of the schools mission. The college frequently ranks highly for the Midwest region. Professional fields such as business and education are extremely popular among undergraduates, but fine arts and the arts and sciences are also healthy at Anderson University. The University has a 11  to 1  student / faculty ratio. Nearly all Anderson students receive significant financial aid. In athletics, the Anderson University Ravens compete in the NCAA Division III Heartland Collegiate Athletic Conference. Popular sports include football, basketball, soccer, softball, and track and field. Enrollment (2016): Total Enrollment: 2,232  (1,883 undergraduates)Gender Breakdown: 40  percent male / 60 percent female84 percent full-time Costs (2016 - 17): Tuition and Fees: $28,650Books: $1,200 (why so much?)Room and Board: $9,550Other Expenses: $2,800Total Cost: $42,200 Anderson University Financial Aid (2015  - 16): Percentage of New Students Receiving Aid: 100 percentPercentage of New Students Receiving Types of AidGrants: 100 percentLoans: 78 percentAverage Amount of AidGrants: $16,891Loans: $6,935 Academic Programs: Most Popular Majors:  Business Administration, Communication Arts, Elementary Education, Nursing, Psychology Graduation and Retention Rates: First Year Student Retention (full-time students): 77 percent4-Year Graduation Rate: 49 percent6-Year Graduation Rate: 58 percent Intercollegiate Athletic Programs: Mens Sports:  Basketball, Golf, Football, Baseball, Track and Field, Soccer, Tennis, Cross CountryWomens Sports:  Soccer, Tennis, Basketball, Cross Country, Track and Field, Volleyball, Softball, Golf Data Source: National Center for Educational Statistics If You Like Anderson University, You May Also Like These Schools: Applicants interested in a mid-size college or university in Indiana should also check out DePauw University, Butler University, Hanover College, and the University of Evansville. For those looking for another college affiliated with the Church of God, the University of Findlay, Lee University, Warner Pacific College, and Mid-America Christian  University offer a range of sizes and locations around the country.