Digital Commons Network^™

The Impact Of Customized Alarm Sounds On Reducing Alarm Fatigue In Icu Nurses, Abigail L. Kendrick, Elizabeth G. Dunkum, Carly F. Harris

Student Scholar Showcase

Within hospital care, particularly in intensive care units, alarm fatigue poses a major threat to patient safety. As a result of the constant sound of alarms, nurses become desensitized and overstimulated in the health care setting. Patient safety is threatened by an increased risk of errors in care, which may lead to complications and poor health outcomes. By systematically reviewing various research studies within the time span of 2020-2025 regarding interventions to decrease the relevance of alarm fatigue, research suggests that there are methods that can be applied via numerous approaches. By customizing alarm sounds by severity, it is believed …

Nitrous Oxide Use In Labor, Aimee Aberson, Janae Cam, Rylie Franken, Rachel Henriksen, Ben Robinson, Pam Hulstein

Celebration of Research

Effective pain management during labor is a critical part of maternal care. It influences the mother’s physical and emotional experiences of childbirth. Epidural anesthesia and intravenous opioids are commonly used as analgesia in laboring mothers, but nitrous oxide (N₂O) has proven to be a safe, noninvasive alternative. It allows mothers to maintain mobility and consciousness while still reducing some pain perception. The purpose of this evidence-based practice project is to evaluate the effectiveness, safety, and satisfaction associated with N₂O use during active maternal labor. It reviews current literature on N₂O use during labor, focusing on maternal and neonatal safety, effectiveness …

Role Of Dental Screening In Preventing Hip Prosthetic Joint Infections, Aidan Anderson, Cailee Dix, Emma Franken, Erin Keizer, Zavyr Metzger, Tyra Snyder, Pam Hulstein

Celebration of Research

Hip arthroplasty is a common procedure, but Periprosthetic joint infection (PJI) remains a serious postoperative complication associated with increased hospital stays, readmissions, and costs. Evidence suggests that poor oral health may contribute to PJIs through the spread of bacteria from the mouth to the surgical site. This project examined the relationship between preoperative dental health and postoperative outcomes in adults aged 50–90 undergoing hip replacement. A literature review using the Johns Hopkins Research Evidence Appraisal Tool evaluated 19 studies from databases such as PubMed and ScienceDirect. While no clear association was found between specific dental risk factors and PJIs, untreated …

Understanding The Role Of Lipid Metabolism On Pancreatic Cancer Metastasis, Luke Fischer, Kylie Foss, Jacob Lewis, Joshua Lewis, Emma Steinhardt, Megan Vangarven, Cody Rozeveld

Celebration of Research

Pancreatic cancer is one of the deadliest types of cancer due to late-stage detection and early metastasis. Other than smoking, one of the few known risk factors for pancreatic cancer is obesity (1). On the cellular level, excess fat can promote cell migration and invasion (2). However, the exact fat utilization pathway remains unknown. We propose that lysosomes may be exploited in pancreatic cancer to break down fat and provide energy for metastasis and invasion.

Quantifying And Validating The Decrease Of Ciliogenesis Genes In Mouse Models With Pcd, Mia X. Kellenberger, Casey Mckenzie, Lance Lee

Celebration of Research

Primary ciliary dyskinesia (PCD) is a rare genetic disease affecting one in 16,000 children and results from structural or functional defects of motile cilia1. Lack of functioning cilia may result in reduced respiratory function, subfertility or infertility, and hydrocephalus due to a reduced ability to clear fluids and particles. A cilium consists of nine microtubules centered around a central pair complex1. Mutations in genes Spef2 (bgh), Cfap221 (nm1054), or Cfap54(Cfap54gt/gt), which encode proteins located in the central pair complex, result in PCD2,3,4. We previously utilized single-cell RNA sequencing to identify differentially expressed genes (DEGs) in early and late deuterosomal cells, …

Inpatient Treatment Compared To Outpatient Treatment For Borderline Personality Disorder, Paige Auch, Jaylin Gaston, Jori Harskamp, Ella Peterson, Kenzie Vonrentzell, Pam Hulstein

Celebration of Research

Borderline personality disorder (BPD) is a complex mental illness characterized by emotional instability, impulsivity, and unstable relationships. Individuals with BPD often require frequent hospitalizations and experience significant functional impairment. With increasing BPD admissions, Spencer Hospital seeks evidence-based strategies to improve patient outcomes and reduce readmissions. A literature review of ten studies (2016-2025) was conducted using PubMed, CINAHL, and Science Direct, appraised with the Johns Hopkins Nursing Evidence-Based Practice Model to compare inpatient and outpatient treatments for adults with BPD, focusing on symptom manage and quality of life. Findings indicate inpatient care with specific programs such as dialectical behavior therapy (DBT), …

Gut Health Interventions On Major Depressive Disorder, Hannah Beckloff, Ellie Erickson, Olga Furmanova, Hailey Van Dyken, Ashtyn Wobig

Celebration of Research

This evidence-based project aims to evaluate the potential benefits of probiotics, stress management, and a healthy diet for adults diagnosed with major depressive disorder at Promise Community Health Center. Through a comprehensive review of the literature, the project examines how interventions related to gut health can help alleviate depressive symptoms and implements the necessary tools to support this population at Promise. Our research findings suggest that combining probiotics, stress relief, and diet changes, along with adjunctive treatment for major depressive disorder, may reduce depressive symptoms and encourage a more holistic lifestyle for these individuals.

Subarachnoid Hemorrhage In A 46-Year-Old Male Firefighter With Full Return To Duty: Level 4 Rare Events Clinical Case Report., Elizabeth A. Mohnkern, Thomas Bowman, John R. Wise, Wendy Wilcoxson

Student Scholar Showcase

A 46-year-old physically active male firefighter suffered a spontaneous subarachnoid hemorrhage (SAH) in February 2023. He had no pertinent predisposing past medical history; occupation was the only predisposing factor. The patient described having a splitting headache behind the right eye, nausea, vomiting, chest pain, paralysis of his left side, faded vision, and a lapse of memory during the incident. During his first screening, he had difficulty with concentration, immediate memory, delayed recall, reading aloud, following directions, and balance. Cranial nerve assessments were within normal limits. The upper quarter screen revealed deficits in motor function from C4 through T1 nerve roots, …

Outcome And Clinical Characteristics Of Diaphragm Dysfunction After Pediatric Cardiac Surgery: From Detection To Plication, Muhammad Shahzad, Muhammad Bokir, Haifa Almuhanna, Abdulaziz Alanazi, Zehra Alabbas, Reem Beheri, Yasser Abdulrhman Alheraish, Khaled Alarwan

Journal of the Saudi Heart Association

Background:

Diaphragm paralysis (DP) due to phrenic nerve injury is a rare but serious complication of pediatric cardiac surgery (0.3–5% of cases). It presents as an extubation failure or difficulty weaning from ventilation. Early recognition and management are essential.

Objectives:

This study aimed to evaluate the incidence, clinical characteristic and outcome of diaphragm paralysis after heart surgery in children.

Methods:

A retrospective single-center review (2019–2024) was conducted of ultrasound-confirmed DP case. Demographics, surgical details, ventilatory course, interventions, and outcomes were analyzed. Partial and complete DP were compared using multivariate logistic regression to identify predictors.

Results:

Out of 2,280 surgeries, 108 …

Understanding How Nurses Could Utilize Child Life Specialists, Paige Perkins

Honors Projects

Do pediatric nurses notice improvement in patient education levels when they use the resources of Child Life Specialists, understand their role, and utilize their resources to educate their patients, compared to hospitals without Child Life Specialists?

Highway To Help: Increasing Access To Mental Health Occupational Therapy, Abbigail Hill

OTD Capstone Projects

This doctoral capstone project was completed in collaboration with the Tennessee Occupational Therapy Association (TNOTA) specifically TNOTA’s mental health chair. TNOTA’s mission is to “advance Occupational Therapy in Tennessee through education, advocacy, communication, and legislative involvement to support the provision of high-quality occupational therapy services and promote the benefits of our profession to consumers, stakeholders, and legislators in Tennessee (TNOTA, 2026). The project focused on increasing awareness of the benefits of occupational therapists in mental health settings as well as providing education for occupational therapists to increase knowledge of how to treat clients experiencing mental health challenges. This was achieved …

Developing Pediatric Educational Resources For Occupational Therapy Fieldwork Students And New Employees, Alyssa Gottheiner

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

For occupational therapy students, the fieldwork education portion of their curriculum allows them to apply theory and principles learned in their academic program into practice with actual clients (Occupational therapy fieldwork education, 2022). Research indicates the benefit of access to resources and adapting to different learning styles in occupational therapy fieldwork education (Grenier, 2015). Research also indicates that training programs for new healthcare employees can positively impact knowledge, skills, and performance (Patel et al., 2023).  However, there is a lack of research on the availability and benefit of supplemental educational resources for students to access during fieldwork education in pediatric …

Communication Culture: Visual Supports And Staff Education In Therapeutic Riding, Isabel R. Miller

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Communication Culture: Visual Supports and Staff Education in Therapeutic Riding Equine-assisted therapy (EAS) has been shown to improve engagement, social interaction, and communication in individuals with autism and other developmental disabilities by creating natural, motivating opportunities for participation. A doctoral capstone project was completed in partnership with Charleston Area Therapeutic Riding (CATR) to utilize EAS alongside visual supports with the goal of increasing communication, engagement, sequencing and independence among student riders with diverse communication abilities. Deliverables included communication boards, PECS cards, visual schedules, and First-Then-Next boards to support task sequencing, communication and participation during therapeutic riding sessions. Staff education was …

Stronger Bodies, Sharper Minds: Promoting Wellness In Community-Dwelling Older Adults Through Exercise And Health Education, Michael Webb

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Due to the increasing population of older adults, the need for health promotion and wellness-based interventions that support effective participation in their respective occupations is essential. Literature supports that engaging in physical activity, health education, and social participation are critical factors in increasing the quality and longevity of life among community-dwelling older adults. A doctoral capstone project was conducted at a community-based day program for low-income older adults to promote wellness, engagement, and continued participation in meaningful occupations.

The purpose of this project was to design and implement group sessions consisting of therapeutic exercise and health education to integrate education, …

Quality Improvement Project Strengthening Faculty Competence: The Impact Of Structured Debriefing Education On Nursing Faculty Confidence And Competency Compared To Current Practice, Sudaneyse Emmanuel

Doctor of Nursing Practice Projects

Nursing education sometimes struggles to prepare faculty to lead effective simulation-based learning and debriefing. Inconsistent debriefing practices can reduce faculty confidence and competency, limiting student reflection and the development of clinical judgment. This quality improvement project examined whether a structured debriefing education program could enhance nursing faculty confidence and competency in simulation debriefing compared with current practice at a technical college. The project used the Jeffries Simulation Theory and Lewin’s Change Theory as guides. The project used a one-group pretest-posttest design by using the C-Scale to measure confidence and the Facilitator Competency Rubric to measure competency among nursing faculty who …

Perceived Stigmatization Of Mental Health Problems And Utilization Of Academic Accommodations Among College Students, Sabrina Williams, Robert E. Davis Ph.D., Kristin Bogda Ph.D.

2026 Honors Symposium

Background: Higher education is seeing an increase in students utilizing mental health services. Studies on students with disabilities suggest students often have reservations about accessing these accommodations due to anticipated social stigmatization. Purpose: This study aimed to assess relationships among stigmatization and indicators of psychological distress among a sample of students who qualify for accommodations. Methods: This was a cross-sectional survey of students at a large university in the central United States. Data collection measures included previously validated screening instruments for depression, anxiety, suicidal ideation, and adapted versions of the validated scales to assess specific aspects of stigma related to …

Brain Delivery Of Antibody-Derived Biologicals For Alzheimer’S Disease: An Updated Narrative Review, Rachita K. Sumbria, Ruben J. Boado

Pharmacy Faculty Articles and Research

Antibodies directed against β-amyloid (Aβ) have been developed for the treatment of Alzheimer’s disease (AD). However, the in vivo central efficacy is reduced by the poor penetration of antibodies across the blood–brain barrier (BBB). In addition, these antibodies have been associated with adverse effects like amyloid-related imaging abnormalities. Thus, the development of new antibody-based therapies for AD with improved transport across the BBB may improve efficacy and reduce adverse effects. Antibodies targeting the BBB transferrin receptor (TfR) are able to cross the BBB through receptor-mediated transcytosis, producing a global distribution throughout the brain. Along the same line, bispecific antibodies directed …

Moving With Purpose: Promoting Occupational Therapy Through Inclusive Dance, Kymberli Reynolds

OTD Capstone Projects

This capstone project explored the role of occupational therapy in promoting participation and inclusion through adaptive dance at MOVE Inclusive Dance. The project focused on developing and implementing the mOTivate Movement initiative, which emphasized community outreach, education, and advocacy for individuals with diverse abilities. Interventions included leading adaptive dance classes, creating educational materials, and conducting a pre- and post-survey to assess staff's understanding of dance as a therapeutic occupation. Results indicated increased awareness of the therapeutic benefits of dance and the role of occupational therapy in inclusive settings. This project highlights the value of creative, occupation-based interventions in fostering social …

It's Your Turn To Turn, Barbara Alvarez Adn, Rn, Jessica Murante Bsn, Rn, Lisandra Nunez Adn, Rn, Felix Reinoso, Mauricio Teles Corte Adn, Rn

Vizient/ AACN Nurse Residency Program™ EBP Projects

No abstract provided.

Proclamation By The Governor Of Alabama: Year Of The Nurse, Robert Bentley

Documents

In 2015, Alabama Governor Robert Bentley declared the "year of the nurse" in honor of the "100 years of regulatory excellence" since the establishment of the Alabama Board of Nursing in 1915.

Invitation To The Open House At The New Education-Nursing Building, University Of North Alabama

Documents

Invitation to the open house at the Education and Nursing Building on Circular Road, now known as Stevens Hall

Whitlock Retiring As Nursing Professor, Melissa Gray

Documents

Article depicting the career and retirement of University of North Alabama nursing professor, Annette Whitlock, in 1985.

Sedentary Behavior Modifies The Effect Of Balance Rehabilitation On Balance Discordance In Parkinson’S Disease, Franziska Albrecht, Sarah J. Conklin, Andrew Hooyman, Daniel S. Peterson, Jason K. Longhurst, Erika Franzén

Physical Therapy Faculty Articles and Research

Individuals with Parkinson’s disease (PD) often experience a misalignment between their perceived and actual balance ability, known as balance discordance, which has been associated with falls. We examined whether high-intensity balance and gait training (HiBalance) alters balance discordance in individuals with PD, and whether baseline sedentary behavior influences these changes. A secondary analysis examining pre- to post-intervention discordance changes of two HiBalance clinical trials (N = 97) using linear regression with interactions between sedentary behavior and pre-intervention discordance. The sample included two cohorts: one clinical and one research based. The model including sedentary behavior and its interaction with pre-intervention …

Psychometric Properties Of Ecological Momentary Assessment Of Psychosocial Functioning In Adults With Complications Related To Type 1 Diabetes, Hayley Centola, Melissa Plegue, Dana Albright, Kara Mizokami-Stout, Lynn Ang, Jennifer Iyengar, Emily Hirschfield, Anna Kratz, Evan L. Reynolds, Brian C. Callaghan, Rodica Pop-Busui, Joyce M. Lee

Health Services and Informatics Research

Objectives: Ecological Momentary Assessment (EMA) is a promising methodology for examining the contextual impact of psychosocial functioning on chronic disease management in individuals with type 1 diabetes (T1D). Little is known regarding psychometric properties of EMA of psychosocial functioning in adults with complications related to T1D. The aim of this study is to explore the feasibility, reliability, and validity of EMA psychosocial measures examining depression, anxiety, diabetes-related distress, and fear of hypoglycemia in a sample of adult individuals with complications related to T1D.

Methods: Fifty-one participants with T1D completed a 14-day EMA of symptoms of depression, anxiety, diabetes-related distress, and …

Quick! Which Scanner Should The Patient Go To?, Nicholas Johnson, Farnaz Norozian

School of Medicine Research Poster Showcase

Introduction Rarely does a pediatric patient have a stroke, but when they do what imaging modality is best suited? EMS tele comes in activating a stroke alert. An 11 year old otherwise healthy male presented with 10 hours of left sided sensation changes, waking up with dense left hemiparesis.14 days prior he had been on amusement park rides resulting in headache with vomiting since resolved. On arrival, slight hypertension for age otherwise hemodynamically stable, glucose normal, EKG demonstrated sinus rhythm. No history of genetic blood or clotting disorder. PICU and ER attendings discussion resulted in MRI as the initial imaging …

Effects Of Gnrh And Hcg Administration On Conception Rate And The Subsequent Estrous Cycle On Day 12 Following Artificial Insemination In Holstein Cows, Mustafa Hi̇lmi̇ Yaranoğlu, Hüseyi̇n Erdem

Turkish Journal of Veterinary & Animal Sciences

The present study investigates the effects of gonadotropin-releasing hormone (GnRH) and human chorionic gonadotropin administration on the conception rate of cows 12 days after artificial insemination (AI). Included in the study were 150 high milkyielding Holstein cows housed under the same husbandry and feeding conditions. All had calved at least once between the ages of 2.5 and 6 years, and were between 90 and 220 days in milk. In accordance with the farm’s reproductive management approach, a controlled internal drug release (CIDR) device was inserted into the vagina concurrent with a GnRH injection (day 0), and the device was removed …

Neuropathological Hallmarks During The Chronic Phase Of Ischemic Stroke In Mice And Humans, Romeesa Khan, Gary Guzman, Trang Do, Patrick Devlin, John Ahn, Chunfeng Tan, Venugopal Reddy Venna, Sean P Marrelli, Haniyeh Koochak, Claudia M Di Gesù, Anthony Flores, Louise D Mccullough, Rodney M Ritzel

Faculty, Staff and Student Publications

Background: Advances in acute stroke care, including endovascular thrombectomy and improved neurocritical management, have increased survival after ischemic stroke. However, stroke remains a leading cause of long-term disability, with many survivors experiencing persistent neurological and cognitive impairments. The chronic neurological consequences of stroke, particularly its potential to accelerate brain aging, remain poorly understood.

Methods: We examined chronic neurobehavioral changes at 2 and 6 months after middle cerebral artery occlusion in male C57Bl/6 mice. Behavioral assessments included the open field test (OFT), novel object recognition test (NORT), fear conditioning (FC), nesting activity, and tail suspension testing. Transcriptomic profiling was performed using …

Age-Related Estimates Of Genetic Parameters For Growth And Ultrasonic M. Longissimus Thoracis Et Lumborum Muscle Traits In Eşme Lambs, İbrahi̇m Cemal, Orhan Karaca, Onur Yilmaz, Nezi̇h Ata

Turkish Journal of Veterinary & Animal Sciences

The growth performance and ultrasonic M. longissimus thoracis et lumborum (LTL) muscle traits of 2397 Eşme lambs raised in the Eşme district of Uşak province, an important lamb production area in Western Anatolia, were evaluated at 3 months (n = 1690) and 5 months (n = 707) of age. The average age of the lambs at the time of the first measurement (at weaning) was 100.15 days, and 152.37 days at the second. At 3 months of age, the average live weight (LW) was 29.34 kg and the average daily gain (ADG) was 248.35 g/day. By month 5, the LW …

Morphology And Histology Of The Developing Ovary In Malaysian Village Chicken (Gallus Gallus Domesticus) Chicks, Nur Athirah Lope Abdul Rashid, Mazlina Mazlan, Intan Shameha Abdul Razak, Rozaini Mohd Zohdi, Awang Hazmi Awang Junaidi

Turkish Journal of Veterinary & Animal Sciences

The Malaysian village chicken (MVC; Gallus gallus domesticus) is an indigenous breed derived from the red junglefowl (Gallus gallus), exhibiting slower growth and reproductive rates. The MVC plays an important ecological role in local farming systems and represents a valuable genetic resource. However, detailed information on ovarian development in this breed remains limited. This study provides the first comprehensive morphological and histological characterization of the developing ovary in MVC chicks. A total of 20 chicks aged 1, 2, 4, and 8 weeks (n = 5 per age group) were examined. These MVC chicks possessed a single functional left ovary positioned …

Effects Of Preslaughter Fasting On Ph And Bacterial Contamination In Akkaraman And Anatolian Merino Sheep, Sai̇m Boztepe, Özcan Şahi̇n, Talha Demi̇rci̇, Gi̇zem Coşkun, İbrahi̇m Ayteki̇n, İsmai̇l Keski̇n

Turkish Journal of Veterinary & Animal Sciences

The present study investigates the effects of the preslaughter fasting on pH and bacterial contamination in Akkaraman and Anatolian Merino sheep. Included in the study were 10 Akkaraman and 10 Anatolian Merino sheep (n = 20) that were fasted for 24 h prior to slaughter, and a further 10 Akkaraman and 10 Anatolian Merino sheep (n = 20) that continued to be fed until slaughter as a control group. The total mesophilic aerobic bacteria (TMAB) measured at 0 and 24 h in the fasting Akkaraman and Anatolian Merino sheep were 4.87/4.79 and 4.75/5.57 log CFU/g, respectively, and the corresponding Enterobacteriaceae …