Digital Commons Network^™

Improving Compliance With Preoperative Antibiotic Protocols For Cardiac Implanted Electronic Devices: A Quality Improvement Project, James Kaup

DNP Projects

Abstract

Background

Cardiac implantable electronic device infections remain a serious complication of permanent pacemaker implantation despite evidence-based infection prevention guidelines.

Local Problem

An academic electrophysiology laboratory identified inconsistent guideline-concordant antibiotic selection despite consistently high compliance with recommended antibiotic timing.

Methods

A nurse-led, quasi-experimental pre-post quality improvement project evaluated implementation of a standardized preoperative antibiotic prophylaxis protocol. Data from 36 permanent pacemaker implantations (16 pre-intervention, 20 postintervention) were analyzed.

Interventions

The intervention included a standardized antibiotic protocol, multidisciplinary staff education, and performance feedback.

Results

Guideline-concordant antibiotic selection improved from 37.5% to 95.0% (χ² = 11.27, P = .001). Antibiotic timing remained …

Accessibility And Inclusion Within Girl Scouts, Morgan N. Minter

Occupational Therapy Doctorate Capstone Posters

My 14-week doctoral capstone and Applied Leadership Experience (ALE) was completed with the Girl Scouts of Kentucky’s Wilderness Road Council. Focusing on Program Development and Advocacy, the project aimed to increase accessibility and inclusion through occupational therapy-informed resources and leader education. A literature review and needs assessment identified a need for practical accessibility resources within Girl Scout programming. Drawing on my experience as both a former Girl Scout and occupational therapy student, I recognized opportunities to better support neurodivergent youth and youth with disabilities through evidence-based, inclusive practices. Using evidence review, program observation, and collaboration, I completed an accessibility assessment …

(Not So) Common Courtesy, Michael Saba

Journal of the Macomb Dental Society

This article features a monthly column from the Macomb Dental Society's editor, Dr. Michael Saba. This month Dr. Saba shares a story that reminds readers to both be courteous and to enforce it early with patients.

Examining Widely Held Propositions On Human Dietary Protein Needs And Benefits: A Critical Review Of The Science That Shapes Both The Data And Our Understanding Of An Essential Macronutrient, Mitchell M Kanter, Sally Aaron, Steven N Austad, Andrew W Brown, Nicholas A Burd, Wayne W Campbell, Mark Cope, Teresa A Davis, John W Erdman, Miguel Freitas, Kristen Hicks-Roof, Samuel Klein, Wantanee Kriengsinyos, Dudley W Lamming, Donald K Layman, Heather J Leidy, Kevin C Maki, Richard D Mattes, Shalene Mcneill, Daniel R Moore, Stefan M Pasiakos, Stuart M Phillips, David Raubenheimer, Wendy Reinhardt, Nancy R Rodriguez, Stephen Simpson, Hans H Stein, Luc J C Van Loon, Connie M Weaver, David B Allison

Children’s Nutrition Research Center Staff Publications

The essentiality of protein in the human diet is unequivocal. Yet researchers, clinicians, and lay people often believe numerous propositions about dietary protein despite insufficient supporting or refuting data in some instances. To address this disconnect, and to "pressure-test" current beliefs about dietary protein, the Indiana University School of Public Health-Bloomington convened a workshop in February 2025 titled "Human Dietary Protein Needs and Benefits: A Critical Assessment of Postulated Propositions." More than 20 international experts discussed (1) methodologic issues affecting data acquisition and interpretation; (2) "optimal" dietary protein intakes and effects on muscle protein synthesis rates, muscle protein accretion, …

Generational Differences In Dentistry And Dental Practice, Ellen Lee Dds, Brian Chin M.B.A., Hazel Hong, Daranthea Atmadja, Jong Soo Lim, Jamie Chen, Chloe Lin, Chloe Naeun Kim

The New York State Dental Journal

Society is composed of workers from different generations. These include the Silent Generation, or Traditionalists, Baby Boomer Generation, Generation X, Millennials and Generation Z. Generation Alpha will join the workforce in the next decade. The way each generation has approached dentistry depends on available materials and technology, as well as contemporary societal values. In addition, major historical events and the state of the economy may have been and are contributing factors in how each generation practiced or practices dentistry.

“If He Did It, I Can Do It, Too. I Can Change My Life Around”: The Social Model Of Recovery Within The Context Of Recovery Homes Accepting Residents Prescribed Medications For Opioid Use Disorder, Jodie M Dewey, Kathryn R Gallardo, Meenakshi S Subbaraman, Amy A Mericle

Faculty, Staff and Student Publications

Introduction: This paper provides an in-depth examination of examines four recovery residences, that serve individuals prescribed medications for opioid use disorder (MOUD). The study has two primary aims: first, to deepen understanding of how recovery residences adopt and operationalize Social Model of Recovery principles; and second, to identify gaps in staff integration of residents receiving MOUD-gaps that may either support or undermine the integrity of the social model within these settings.

Methods: We conducted semi-structured interviews with 17 residents receiving MOUD living in four participating recovery homes. The interviews were conducted between August 2022 and January 2024 using a semi-structured …

A Qualitative Examination Of Human Papillomavirus Vaccine Access, Beliefs, And Behaviors Among Adult Males Aged 18–35: Applying The Health Stigma And Discrimination Framework, Jacquelin I Cordero, Louis D Brown, Jesús M Alemán, María E Fernández, Serena A Rodríguez, Eva M Moya

Faculty, Staff and Student Publications

Background: Males, who disproportionately account for 83% of oropharyngeal cancer cases, are underrepresented in health promotion research, including human papillomavirus (HPV) vaccination studies. The initial exclusion of males in HPV vaccine research, policies, and interventions has negatively affected male vaccine uptake. Furthermore, stigma, a well-documented barrier to healthcare engagement, has been overlooked in HPV vaccination behaviors. This study aimed to provide a more contextualized understanding of HPV vaccine disparities among adult males by applying the Health Stigma and Discrimination Framework (HSDF) to examine how stigma is produced, enacted, and sustained across social systems, which may impact male vaccine uptake.

Methods: …

Nanosecond Pulsed Electric Fields For Extracellular Vesicle Engineering: From Electro-Exocytosis To Cargo Modulation, Art Neal, Teresa Graham, Mohamadmahdi Samandari, Arash Ghorbannia, Anca Dobrian, Stephen J. Beebe, Ruben M. L. Colunga-Biancatelli

Bioelectrics Publications

Extracellular vesicles (EVs), including small extracellular vesicles (sEVs) and medium/large extracellular vesicles (MVs), have emerged as promising therapeutic vectors and diagnostic biomarkers across various branches of biomedicine. However, the clinical translation of EV-based technologies remains constrained by persistent challenges in manufacturing: insufficient yield from primary cell sources, limited control over cargo composition, and the absence of scalable, standardized production platforms. Nanosecond pulsed electric fields (nsPEF) represent an emerging biophysical approach that can address several of these limitations. Unlike conventional electroporation, which targets the plasma membrane using microsecond-to-millisecond pulses, nsPEF delivers ultrashort (1–300 ns), high-amplitude (10–300 kV/cm) pulses that penetrate intracellularly …

Spontaneous Vs. Secondary Cerebrospinal Fluid Leaks: A Single-Center Retrospective Analysis, Charis C. Hodges, Erika M. Walsh

UAB Huntsville Research Day - All Presentations

2026 research poster

Medical Student Perceptions Of Dermatology On Social Media: Implications For Specialty Interest And Representation, Laci Turner, Charlotte Mcrae, Michael Anderson, Courtney Swain, Lauren Kole

UAB Huntsville Research Day - All Presentations

2026 research poster

Exploring Associations Between Mental Disorder And Creativity, David A. Romero Mora

Honors Undergraduate Theses

Mental disorder has been misunderstood and misrepresented throughout history, leading mental health research to be severely behind where it needs to be. Years of misinformation, over-medicalization, negative rhetoric, and stigmatization at the hands of the very same institutions that were believed to care for mental disorder have kept this misunderstanding alive. Further, studies throughout history have failed to look at the nuances of mental health, prioritizing generalizability. This thesis explores the relationship between mental disorder and creative expression, how other factors like cultural discourse and cognitive processes inform this relationship, as well as how analyzing this relationship can provide a …

A Chicken Model For Non-Invasive Diagnosis Of Infant Developmental Dysplasia Of The Hip (Ddh) Using Acoustic Transmission Measurements, Aliza Shah

Honors Undergraduate Theses

Developmental dysplasia of the hip (DDH) is a condition characterized by abnormal development and stability of the hip joint. In a healthy infant, the femoral head (ball) fits securely within the acetabulum (socket of the pelvis), allowing for proper joint function. In DDH, the relationship is disrupted, ranging from mild acetabular dysplasia to partial (subluxation) or complete dislocation of the femoral head. This condition represents a range of structural abnormalities that develop during early growth. The integrity of the hip joint is essential for physical mobility, and disruption of this structure can lead to significant functional impairment. DDH may result …

Resolving Heterogeneity In Lymph Node Stromal Cells Using High-Dimensional Analysis Of Non-Optimized Flow Cytometry Data, Mikala E Heon, Eduardo Rosa-Molinar

2020-Current year OA Pubs

Lymph Node Stromal Cells (LNSCs) are a diverse population of cells responsible for maintaining the lymph node environment and regulating the immune response. Given these roles, they have the potential to help replicate lymph node functions

Optimized Nano-Bilosomes Loaded Ocular Insert As A Promising Approach For Boosting Voriconazole Ocular Bioavailability: In-Vitro, Microbiological, And In-Vivo Assessments, Eman Gomaa

Nanotechnology Research Centre

The eye possesses numerous physiological barriers that significantly limit the absorption of administered drugs, as only < 5 % get through. These barriers restrict drug bioavailability, often necessitating multiple dosing, which can lead to poor patient compliance. The study goal is to efficiently incorporate Voriconazole (VRC), a wide-spectrum antifungal candidate with a short half-life, into stable, biocompatible, non-irritating bile salt nanoparticles (Bilosomes, BLOs) to enhance its ocular delivery. Bilosomes were prepared by the ethanol injection method. Experimental (33) Box–Behnken Design (BBD) was employed; the amount of bile salt, cholesterol, and span-60 were chosen as independent variables, while entrapment efficiency (EE%), cumulative VRC release (Q8h), particle size (PS), zeta potential (ZP), and polydispersity index (PDI) were the dependent variables. The formula of optimization showed EE% (59.04 ± 1.88 %), cumulative release after 8 h (81.35 ± 0.69 %), PS (222.53 ± 2.04 nm), ZP (−72.53 ± 1.75 mV), and PDI (0.225 ± 0.03). It was chemically characterized using DSC and FTIR. Its spherical arrangement was confirmed using TEM. For ophthalmic application, the optimized formula was included in ocular inserts to extend ocular residence time while minimizing dosing frequency. The optimal VRC-loaded bilosomal ocular insert met the acceptable physicochemical criteria, was sterilized using UV radiation for conducting microbiological assay, in-vivo study, and pharmacokinetic analysis. For safety evaluation, an eye irritation study and histopathological examination were conducted. The results confirmed its effectiveness as evidenced by a significantly larger inhibition zone and 8.39-fold enhancement in VRC bioavailability compared to its suspension. These findings support the potential of bilosomes-loaded ocular insert as an effective ocular delivery of VRC.

Regulating For Birth Justice, Jamille Fields Allsbrook

Lewis & Clark Law Review

Impacted persons have shared accounts of traumatic birthing experiences, and advocates have raised the alarm on the urgent need to advance birth justice. Despite this raised awareness, women and birthing people are still dying and suffering unnecessarily. Even more, systems are still structured to impede birthing choices, particularly those from marginalized communities such as Black and Indigenous women. Notably, over 80% of U.S. maternal deaths are preventable, according to federal government data. Ironically, the same laws and systems that have created, perpetuated, and tolerated birth injustices can be leveraged to move the country towards birth justice. On the national level, …

Assessing Sustainable E-Cigarette Prevention Messaging In Public Health Communication, Addo Anim Adinkrah

Graduate Research Theses & Dissertations

This study examines the sustainability of e-cigarette or vaping prevention messaging on X (formerly Twitter) and the message-design strategies used by public health institutions to maintain message visibility over time. Using the McGuire Communication/Persuasion Model and Media Framing theoretical frameworks, the research employs a qualitative thematic analysis based on Braun and Clarke’s six-phase approach to analyze 506 tweets from official accounts affiliated with the Centers for Disease Control and Prevention (CDC) and the U.S. Food and Drug Administration (FDA). The findings reveal that prevention messages are sustained through repeated core warnings and reinforcement of institutional authority rooted in scientific and …

A Multi-Study Examination Of Student-Athlete Mental Health And Mental Health Service Delivery In Mid-Major College Athletic Programs, Grace Louis

Graduate Research Theses & Dissertations

Student-athlete mental health has become a central priority in intercollegiate athletics, with the NCAA emphasizing its Mental Health Best Practices (2016) and strengthening and expanding these standards through updated recommendations in 2024. These efforts reflect a broader cultural shift toward recognizing the unique psychological stressors faced by college athletes, including performance pressure, identity foreclosure, high time demands, and transitions both into and out of sport (Moreland et al., 2018; Hughes & Leavey, 2012). Additionally, student-athletes frequently delay or avoid help-seeking due to stigma, time constraints, identity-protective behaviors, cultural norms emphasizing toughness, and limited mental health literacy (Gulliver et al., 2012; …

Open Wide: Examining Dental Narratives In The Age Of Tiktok, Steve Jacob

Honors Theses - Providence Campus

Over the past few years, TikTok has emerged as a major conduit for health-related information through its wide array of short, emotionally charged videos that shape public perceptions. Within that broader category, this thesis evaluated dental-related content. Studies have investigated educational dental-related content on platforms such as YouTube and Facebook; however, no literature has explored how TikTok’s unique, narrative-driven content characterizes dentistry. For this study, primary research was conducted via content analysis of recently uploaded dental-related TikTok videos across 10 popular oral health-based hashtags. Results underline the dominance of patient voices, the use of personal experience as a messaging format, …

Aadej Comm 12 1 2026

AADEJ - The Communicator

The Communicator is the official publication of the American Association of Dental Editors & Journalists (AADEJ), promoting awareness of the association’s activities and offering valuable insights for dental editors and journalists to enhance their publications. It is published quarterly, distributed digitally via email to members, and posted on the Association’s website at aadej.org, with archives on ADA Commons. Regular contributions from the Editor-in-Chief, Executive Director, President, and Associate Editor cover various topics.

This issue provides practical strategies for journal growth, such as building sustainable author pipelines and using digital analytics to increase content reach. Features include articles addressing ethical, …

Eight Tips For Securing Authors And Articles That Will Enhance Your Dental Journal Quality And Reach, Lindsay A. Robinson Dds

AADEJ - The Communicator

This feature article offers eight practical tips to help dental editors attract high-quality manuscripts and a diverse range of authors. Key strategies include building pipelines with dental schools, mining material from professional meetings, and specifically encouraging the dental student voice. The author recommends using themed issues with guest editors and leveraging digital media like LinkedIn to discover new contributors. Additionally, the article emphasizes supporting authors through mentorship, utilizing website analytics to guide content selection, and maintaining ethical standards regarding the disclosure of Generative AI. These combined efforts aim to bridge research with practical clinical guidance.

A Style Unlike Any Other, Christopher J. Smiley Dds

AADEJ - The Communicator

Regular feature from the immediate past president of AADEJ, Dr. Christopher Smiley, with the key insights impacting the field.

Data Presentation For Dental Authors And Editors: The Convergence Of Message, Audience, Medium, Armamentarium, And Style, Benjamin Chaffee

AADEJ - The Communicator

Tables, figures, and other visuals convey information in ways that are not possible with words alone. When done well, these communication tools make data engaging, make complex ideas accessible, and make idea exchange efficient by sharing information in less printed space and requiring less reading time than standard written text. Poorly done, however, tables and figures can confuse and frustrate readers, distracting them from otherwise sound scholarship. Despite their impact on the reader experience, figures and tables are sometimes afterthoughts in the writing process, including in formal author guidelines and scientific writing courses. Authors and editors can elevate the effectiveness …

Evaluating Differences In Nonsyndromic Orofacial Clefts By Infant Sex: National Birth Defects Prevention Study, 1997-2011, Victoria A Salinas, Natalie P Archer, Layla R Lustri, Katherine L Ludorf, Timothy Ihongbe, Wei Yang, Eva M Williford, Marilyn L Browne, Adrian M Michalski, Lindsay A Williams, Wendy Nembhard, Eirini Nestoridi, Gary M Shaw, Andrew F Olshan, A J Agopian, National Birth Defects Prevention Study

Faculty, Staff and Student Publications

Objective: To investigate nongenetic factors that may contribute to observed differences in nonsyndromic orofacial clefts by infant sex.

Study design: Using data for 1997-2011 deliveries from the National Birth Defects Prevention Study, a case-control study, we separately examined associations between 23 maternal factors and cleft lip with or without cleft palate (CL/P) and cleft palate alone (CP) using multivariable logistic regression stratified by infant sex.

Results: We compared 2986 infants with CL/P and 1557 with CP to 11 271 control infants without birth defects. After adjusting for maternal age at conception and education, lower odds of nonsyndromic orofacial clefts were …

Determining Genes Involved In Recovery From Chemotherapy In 4t1, Emt6, And Eo771 Breast Cancer Cells, Akash Jagdeesh, Joseph Landry Ph.D.

UROP Posters

Breast cancer is one of the most common types of cancer, and often has poor prognosis. Traditional treatments for breast cancer include chemotherapy, which involves a chemical attack on all growing cells within the body. However, these treatments are not 100% effective, and patients might experience recurrence in their cancer months or years after achieving remission. Cancer cells can evade chemotherapy through five mechanisms: senescence, quiescence, cytoprotective autophagy, and apoptosis/necroptosis suppression. Prior studies have conducted CRISPR screens and experiments involving inhibition of epigenetic regulators, to alter the regulation of genes that can contribute to breast cancer chemotherapy resistance. This study …

The Limits Of Daca: Affordability- And Access-Related Barriers To Health Professions Education, Nicole Perez, Laura Hirshfield

Journal of College Access

The U.S. is currently facing a shortage of health professionals from underrepresented backgrounds. One potential pathway to decrease this shortage is through the Deferred Action for Childhood Arrivals (DACA) program, a policy that provides temporary relief from deportation for individuals who migrated to the U.S. before age 16. This study, using 15 life-history narrative interviews, investigates the experiences of Latinx young adults who were pursuing health professions education or working as health professionals. Nine of the participants were DACA recipients, while the remaining six were second-generation (i.e., children of immigrants). An iterative, inductive approach to data analysis was used to …

Growing South Dakota (Winter 2026), College Of Agriculture, Food And Environmental Sciences

Growing South Dakota (Publication of the College of Agriculture, Food and Environmental Sciences)

[Page] 2 International Year of Rangelands and Pastoralists: South Dakota rangelands take center stage
[Page] 4 The professor and the soil
[Page] 8 Range ready: Helping students bridge the gap between conservation and agriculture
[Page] 9 Resilient rangelands: Native Plant Initiative’s role in reviving South Dakota’s prairies
[Page] 10 Jackrabbits lead the charge in bison research and education
[Page] 12 Agricultural and biosystems engineering celebrates century of education
[Page] 16 SDSU Quarter Scale Tractor Club: An impact beyond awards
[Page] 18 Building a legacy of opportunity: Karen D. Stuck Endowment strengthens agricultural communication program at South Dakota State University
[Page] …

Role-Differentiated Ai Competencies And Curriculum Implications For Health Professions Education: Qualitative Study, Yuyi Park, Yejin Han, Hyeongjo Kim, Solmoe Ahn, Frederick William Kron, Jihyun Lee

Department of Family and Community Medicine Faculty Publications

Background: As AI fundamentally transforms the healthcare landscape, medical education curricula have struggled to keep pace with these technological shifts. While current research has established a foundation for general AI literacy, less attention has been given to the role-specific competencies required for the diverse functions that healthcare professionals perform in an AI-integrated environment. Although existing tiered and domain-based competency models have clarified general AI competency requirements, they offer limited guidance on how such competencies should be differentiated according to the roles healthcare professionals perform in practice.

Objective: This study aimed to explore how AI-driven changes in healthcare shape competency requirements …

The History We Didn't Hear: An M&M On Communication And Misinformation, Ansh Patel, Anjan Parghi

South Atlantic Division GME Research Days 2026

No abstract provided.

The Qualitative Investigation Of The Role Of Nicu-Based Slps, Netanya Tsang

Selected Full-Text Master Theses Collection 2018-

In 2004 that the American Speech Language Hearing Association (ASHA) released a position statement pertaining the roles of SLPs in swallowing and feeding disorders, specifically in the Neonatal Intensive Care Unit (NICU). In the NICU, one of the last criteria for discharge of the neonate is to demonstrate consistent and stable feeding. For NICU-based speech-language pathologists (SLP)s, a primary responsibility is treating the neonate’s ability to feed and swallow. Within this specialized setting over time, the role of the SLP has changed, but there is significant variation across locations and setting; with little formally documented regarding updated responsibilities. Therefore, this …

Standards For Leadership In Oral Health Care. A Project Of The Board Of Regents Of The American College Of Dentists, Robert A. Faiella Dmd, Mmsc., Mba, Teresa A. Dolan Dds, Mph, Facd, N. Karl Haden Phd, Facd, Sreenivas Koka Dds, Ms, Phd, Mba, Mas, Facd, Sir Nairn H.F. Wilson Cbe Dsc(H.C.) Ddent(H.C.) Phd Msc Bds Fcgdent Fds Rcs Edin, Eng(Hon) & Rcps Glasg(Hon) Ffd Rcsi(Hon) Fcdshk(Hon) Fracds(Hon) Drd Fhea Facd Ficd Fadm Fpfa Frsm Fkc

Journal of the American College of Dentists

This section of the Journal of the American College of Dentists presents professional conference proceedings and/or published guidelines relevant to dentistry, ethics, education, leadership, policy, or clinical care. Conference proceedings may also include documents from affiliate organizations in dentistry.