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Articles 5131 - 5160 of 700541
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Evaluation Of Two Bioaerosol Sampling And Analysis Methods For The Collection Of Airborne Bacteria And Viruses, Elizabeth Detrick
Evaluation Of Two Bioaerosol Sampling And Analysis Methods For The Collection Of Airborne Bacteria And Viruses, Elizabeth Detrick
UNLV Theses, Dissertations, Professional Papers, and Capstones
Bioaerosols, defined as airborne particles of biological origin, include bacteria, fungi, viruses, and their byproducts. They are ubiquitous in both indoor and outdoor environments and can cause respiratory infections, allergic reactions, and toxin-mediated illnesses. Air sampling plays a vital role in bioaerosol monitoring by enabling the collection and analysis of airborne microorganisms to assess exposure risk and inform mitigation strategies. The objective of this study was to determine the relative collection efficiency of two air samplers, the MD8 Airscan, a filtration sampling method, and the SKC BioSampler, an impingement sampling method. Aerosolization tests were conducted in a controlled test chamber …
Cortical Bone Density And Thickness Assessment Of Intraradicular Sites In Adolescent Patients Using Cbct Imaging, Sara Endo
UNLV Theses, Dissertations, Professional Papers, and Capstones
Background: The indications for the use of cone beam computed tomography (CBCT) in orthodontics has grown since it was first introduced and dentists are discovering new ways that 3D images enhance diagnosis and treatment planning. Evaluating bone quality and quantity can be measured as bone density and thickness in CBCT imaging and is helpful for temporary anchorage device (TAD) placement in orthodontic treatment. TADs rely on primary stability and are commonly used in orthodontic treatment to increase anchorage and expand the limit that nonsurgical orthodontics can provide.
Objectives: This study aims to assess the bone thickness and density at different …
Correlation Between Maxillary Transverse Width, Alveolar Housing Width And Palatal Bone Thickness: A Cbct Retrospective Study, Eric G. Hollensbe
Correlation Between Maxillary Transverse Width, Alveolar Housing Width And Palatal Bone Thickness: A Cbct Retrospective Study, Eric G. Hollensbe
UNLV Theses, Dissertations, Professional Papers, and Capstones
Background:
Accurate assessment of transverse maxillary dimensions and surrounding bone morphology is critical for safe orthodontic treatment planning. Orthodontic expansion should remain within the biological limits of the alveolar housing and palatal bone to prevent adverse periodontal outcomes, including dehiscence, fenestration, and gingival recession. Standard diagnostic methods, such as dental casts and two-dimensional radiographs, offer limited information about the three-dimensional anatomy that restricts orthodontic tooth movement. Cone-beam computed tomography (CBCT) provides detailed evaluation of skeletal dimensions and cortical bone boundaries. This study aimed to examine the relationships among maxillary transverse width, alveolar housing thickness, and palatal thickness using CBCT imaging. …
The Impact Of Youth Sport On Occupational Balance: A Survey Study, Sean Jones
The Impact Of Youth Sport On Occupational Balance: A Survey Study, Sean Jones
UNLV Theses, Dissertations, Professional Papers, and Capstones
Youth sport has been highly researched, exploring both positive and negative health impacts (Adetunji & Akendutire, 2017; Brengtsson et al., 2025; Conway, 2024; Hoffman et al., 2022). Despite the high prevalence of youth sport participation, and variability of health-related outcomes, there has been no research regarding the impact youth sport participation has on occupational balance, an occupational therapy concept that has been linked with overall health and well-being (Park et al., 2021). A mixed-methods, cross-sectional survey study was used to gain better insights into the impact youth sport participation may have on occupational balance. A sample size of 466 Nevada …
Harnessing Backcasting To Identify Drivers Of Critical Warming At Hoover Dam Using Hydrodynamic And Machine Learning Models, Eunice Ledres
Harnessing Backcasting To Identify Drivers Of Critical Warming At Hoover Dam Using Hydrodynamic And Machine Learning Models, Eunice Ledres
UNLV Theses, Dissertations, Professional Papers, and Capstones
Elevated water temperatures can pose a significant threat to dam infrastructure, potentially damaging turbines, overheating internal components, and forcing generator shutdowns. This study uses a backcasting framework to evaluate how future scenarios may result in elevated water temperatures. Backcasting defines undesirable outcomes and works backward to identify the conditions that lead to them. The developed backcasting framework integrates 3D physics-based simulations with a Long-Short Term Memory (LSTM)surrogate model and SHapely Additive exPlanations (SHAP) interpretation. The combination captures temporal water temperature dynamics and quantifies the contributions of different drivers to elevated water temperature releases. As proof of concept, these methods are …
Constructing A Laser Stabilization System For Frequency Metrology, Stephanie Letourneau
Constructing A Laser Stabilization System For Frequency Metrology, Stephanie Letourneau
UNLV Theses, Dissertations, Professional Papers, and Capstones
Frequency metrology and quantum control, which uses light as a tool for measurement and manipulation, relies on spectrally narrow, stable lasers. Often thought of as being perfectly monochromatic and coherent, in reality, the free-running instantaneous linewidth of lasers can be on the order of hundreds of kHz in the millisecond time-frame and drift on the order of tens of MHz over hours. To correct for these instabilities in real-time, a variety of laser stabilization methods have been implemented, including the Pound-Drever-Hall (PDH) method, saturation absorption spectroscopy (SAS), and dichroic atomic vapor laser locking (DAVLL). All of these methods rely on …
Vocational Training, Employment, And Recidivism: Examining Job Satisfaction As A Mediator, Gianni Brianna Lopez
Vocational Training, Employment, And Recidivism: Examining Job Satisfaction As A Mediator, Gianni Brianna Lopez
UNLV Theses, Dissertations, Professional Papers, and Capstones
The purpose of this study is to investigate the role of job satisfaction in mediating the relationship between employment, vocational training, and recidivism. Recidivism remains a major issue in the United States, with a substantial portion of formerly incarcerated individuals returning to criminal behavior and, in many cases, being reincarcerated. The relationship between work and crime has been well established, however not all jobs are equal, and the protective effects of employment can vary across jobs. Employment has been cited as one of the most important factors in reducing recidivism, yet many individuals face barriers to securing stable and quality …
Picture Of Health: Visual And Textual Gendered Ideals And Media Framing On Men’S Health And Women’S Health Magazine Covers, Gracie Marquez
Picture Of Health: Visual And Textual Gendered Ideals And Media Framing On Men’S Health And Women’S Health Magazine Covers, Gracie Marquez
UNLV Theses, Dissertations, Professional Papers, and Capstones
Magazines play an influential role in shaping cultural understandings of health, fitness, and gender, yet differences emerge in how health is framed across media outlets. This study examines how Men’s Health and Women’s Health magazine covers construct and communicate gendered ideals of health through visual and textual elements. Guided by gender role theory and framing theory, this research explores how these magazines frame health in ways that reinforce expectations of masculinity and femininity. Using directed qualitative content analysis, magazine covers published between 2014 and 2024 were coded across visual and textual categories, and chi-square tests of independence were conducted to …
Efficacy Of Dorsal Application Kinesio® Tex Tape On Esports Performance, Charlie Moua
Efficacy Of Dorsal Application Kinesio® Tex Tape On Esports Performance, Charlie Moua
UNLV Theses, Dissertations, Professional Papers, and Capstones
This mixed-methods pilot study examined dorsal Kinesio® Tex Tape as a nonrestrictive occupational therapy intervention for adult PC gamers with carpal tunnel–type symptoms. As gaming participation increases, players may experience repetitive wrist and hand movements, prolonged postures, and high performance demands that contribute to discomfort, overuse symptoms, and reduced participation in meaningful gaming occupations. Four adult PC gamers completed five in-person sessions and were assigned to either dorsal wrist taping or sham scapular taping. Quantitative outcomes included the Boston Carpal Tunnel Questionnaire– Symptom Severity Scale, visual analog pain ratings, and Kovaak’s Aim Trainer performance scores and accuracy. Qualitative data were …
Event Day, Crime Day? A Study Of Event-Driven Crime And Enforcement In Las Vegas, Anna Nakazawa
Event Day, Crime Day? A Study Of Event-Driven Crime And Enforcement In Las Vegas, Anna Nakazawa
UNLV Theses, Dissertations, Professional Papers, and Capstones
Las Vegas is an international tourist destination that welcomes millions of visitors each year. Allegiant Stadium, located in Las Vegas, is an NFL venue south of the Strip that hosts a wide variety of events. The aim of this study was to explore the impact of events on the environmental backcloth within a 10-minute walking distance from the stadium. Calls for service (CFS) and proactive police enforcement were measured and compared across event days and non-event days from 2022 to 2024. The findings from this study demonstrate that event days experience disproportionately more calls and enforcement than non-event days, with …
Thermal Physiological Ecology Of The Relict Leopard Frog At Hot And Cold Springs, Robert P. Pelletier Iii
Thermal Physiological Ecology Of The Relict Leopard Frog At Hot And Cold Springs, Robert P. Pelletier Iii
UNLV Theses, Dissertations, Professional Papers, and Capstones
The relict leopard frog (Rana onca) once ranged across drainages in southern Nevada, northwestern Arizona, and southwestern Utah. Following a decline, the species only persisted in a few geothermally influenced hot springs, which led to the perspective that hot springs were high-quality habitat. Rana onca has been under intensive, multiagency management and the species has been translocated to establish additional populations, including at cold-water sites. Three research studies are presented into the thermal physiological ecology of R. onca with the aim of informing conservation strategy. The research was focused at a thermally influenced hot spring and a cold-water spring to …
Exploring Lifestyle Habits Between Gamers And Non-Gamers: A Survey-Based Approach, Janavi Sathappan
Exploring Lifestyle Habits Between Gamers And Non-Gamers: A Survey-Based Approach, Janavi Sathappan
UNLV Theses, Dissertations, Professional Papers, and Capstones
Video gaming is a prevalent and meaningful occupation for a growing number of young adults, yet its relationship to health behaviors is inconsistent and unclear in literature. This cross-sectional survey-based study examined the differences in nutritional pattens, sleep hygiene, and physical activity between self-identified gamers and non-gamers in a sample of young adults aged 18-34. Recruitment occurred primarily through the University of Nevada, Las Vegas and associated networks. Participants were asked to complete the Mini Eating Assessment Tool, Sleep Hygiene Index, and the International Physical Activity- Short Form. Data was analyzed using Mann-Whitney U tests and Pearson’s chi-square tests, and …
Factors Influencing K-12 School Homicide Casualties, Melvin Alexander Vargas Melgar
Factors Influencing K-12 School Homicide Casualties, Melvin Alexander Vargas Melgar
UNLV Theses, Dissertations, Professional Papers, and Capstones
Kindergarten through 12th-grade (K-12) school homicides, defined as homicides that occurred on the property of a school serving kindergarten through 12th-grade students, account for about 2% of all youth homicides, but are still a serious problem in the United States. From 2000 to 2024, 372 K-12 school homicide incidents have occurred, in which 783 victims were killed and injured. However, prior research tends to either generally focus on youth homicides, school violence, or high-profile school shootings with multiple victims. This study aims to add to the literature by examining various incident-level factors of K-12 school homicide incidents that may influence …
Bodies Under Command: A Feminist-Foucauldian Narrative Analysis Of Institutional And Cultural Betrayal In Military Sexual Misconduct, Chelsea Wheeler
Bodies Under Command: A Feminist-Foucauldian Narrative Analysis Of Institutional And Cultural Betrayal In Military Sexual Misconduct, Chelsea Wheeler
UNLV Theses, Dissertations, Professional Papers, and Capstones
The military continues to experience alarming rates of sexual aggression, reaching epidemic levels. While all people can experience sexual aggression, women, compared to men, are more likely to experience this, despite women making up only 17 percent of the military. Throughout history, the military has demonstrated several instances of reactive attempts at combating the concerns of sexual aggression; however, these attempts have not been successful. From a feminist-Foucauldian lens, this dissertation research explores narratives of service members to gain a more in-depth understanding of the systemic dynamics that contribute to institutional and cultural betrayal in sexual victimization experiences. Additionally, this …
Multiple Interest Holder Perspectives Of The True Grit Sci Residential Program: A Mixed Methods Program Evaluation, Keara Mcnair
Multiple Interest Holder Perspectives Of The True Grit Sci Residential Program: A Mixed Methods Program Evaluation, Keara Mcnair
Seton Hall University Dissertations and Theses (ETDs)
Young adults with spinal cord injury (SCI) face significant challenges during the transition to adulthood, including barriers to independence, community participation, and psychosocial adjustment (Ingimarsdóttir et al., 2023; Zebracki et al., 2010). Current rehabilitation models in the United States prioritize short-term physical recovery and offer limited support for the developmental and contextual needs that shape long-term outcomes after SCI, particularly during transitions from inpatient rehabilitation to the community (Anderson et al., 2024; Bryden & Gran, 2024). Community-based programs may help address these gaps, though few have been rigorously evaluated using implementation science frameworks that attend to health equity, contextual influences, …
The Moderating Role Of Psychological Power Distance On The Relationship Between Moral Disengagement And Submissiveness To Authority In Senior Healthcare Executives, Carl Kirton
Seton Hall University Dissertations and Theses (ETDs)
Background: Understanding how senior healthcare executives respond to authority is critical in complex health systems where ethical decision-making, hierarchy, and organizational culture intersect. This study explored the relationships among moral disengagement, submissiveness to authority, and psychological power distance (PPD) in U.S. healthcare executives, as well as the influence of selected demographic and professional covariates.
Methods: A descriptive correlational design was used with a non-probability sample of senior healthcare executives (N = 98). Participants completed a demographic questionnaire and three validated instruments: the Submissiveness to Authority Scale (SOAS), the Moral Disengagement through Displacement of Responsibility Questionnaire (MDDR), and the Psychological Power …
Understanding How Teachers Define And Employ Civics Education In Non-Elective Social Studies Classrooms, Joseph Kyle
Understanding How Teachers Define And Employ Civics Education In Non-Elective Social Studies Classrooms, Joseph Kyle
Seton Hall University Dissertations and Theses (ETDs)
This study explored the perceptions of civics and civic education held by secondary school teachers of non-elective social studies classes in four schools within the same school district. Using a qualitative approach, this study examined how veteran teachers understood and defined civics, the ways in which they employed civics education in their teaching methodology and daily lessons, and the challenges or obstacles they perceived, if any, incorporating lessons reflecting a progressive experimentalist methodology. The study was undertaken in response to popular and governmental rhetoric reflecting a lack of civil discourse and alleging a lack of civics in public education, as …
Transitioning To The American School System: Insights From Immigrant English Language Learners And Factors Influencing Their Success, Yolanda Gomez
Transitioning To The American School System: Insights From Immigrant English Language Learners And Factors Influencing Their Success, Yolanda Gomez
Seton Hall University Dissertations and Theses (ETDs)
This qualitative study examined the factors influencing the post–high school experiences of immigrant English Language Learners (ELLs) in the United States. Fourteen recent high school graduates from the Dominican Republic, Honduras, Ecuador, and Peru participated in semi-structured interviews. Data was analyzed using grounded thematic coding within a social-ecological framework. Four interconnected themes emerged: (1) Language Acquisition, including challenges and empowerment through developing English proficiency; (2) Support Systems, such as family, teachers, peers, and community mentors; (3) Social and Cultural Integration, facilitated by extracurricular involvement and adaptation to new norms; and (4) Resilience and Personal Growth, reflected in persistence, self-efficacy, and …
Wrap-Around Support Services For The Spanish-Speaking Immigrant Student And School Belonging, Genesi Miles
Wrap-Around Support Services For The Spanish-Speaking Immigrant Student And School Belonging, Genesi Miles
Seton Hall University Dissertations and Theses (ETDs)
Wrap-Around Support Services for the Spanish-Speaking Immigrant Student and School Belonging
Genesi Miles, Ed. M
Immigrant students and families continue to navigate systemic barriers that limit equitable access to educational opportunities and meaningful school engagement. Language differences, racism, transportation challenges, childcare constraints, intimidation, and concerns related to legal status frequently hinder immigrant families’ participation in schools (Sibley & Brabek, 2017). In New Jersey, approximately one-third of immigrant parents live below 200 percent of the federal poverty line (Hofstetter & McHugh, 2021), further compounding these challenges. Despite these realities, many U.S. schools lack intentional planning to support immigrant populations, a gap …
Incivility In Nursing: The Experience Of Registered Nurses In The Emergency Department, Karen Voorhees
Incivility In Nursing: The Experience Of Registered Nurses In The Emergency Department, Karen Voorhees
Seton Hall University Dissertations and Theses (ETDs)
The American Association of Colleges of Nursing (AACN) predicts that due to the anticipated retirement of the “baby boomer” generation coupled with an expanded need for medical care across the United States, the need for nurses will expand 6% by 2032 (AACN, 2024). This need will be impeded by nurses leaving the profession due to feelings of a poor work environment, burnout and job dissatisfaction. Incivility in nursing has been shown to be a contributor to nurses leaving their current work environments or the profession of nursing entirely.
Incivility in nursing has roots in organizational psychology and has been shown …
Does Match Matter? Examining The Role Of Student–College Match And First-Year Stem Retention, Christopher J. Shemanski
Does Match Matter? Examining The Role Of Student–College Match And First-Year Stem Retention, Christopher J. Shemanski
Seton Hall University Dissertations and Theses (ETDs)
This quantitative study examines how student–college match relates to first-year STEM retention in a nationally representative cohort of four-year, STEM-intending students from the High School Longitudinal Study of 2009 (HSLS:09) linked with institutional data from the Integrated Postsecondary Education Data System (IPEDS). Building on probabilistic approaches to college match, the study first estimates each student’s predicted probability of admission to institutions in five selectivity tiers using high school GPA, standardized test scores, highest mathematics course completed, AP mathematics credits, gender, and socioeconomic status. It then compares the predicted tier with the selectivity of the institution actually attended to classify students …
Child Study Team Attitudes Toward Inclusion, Kathleen Derillo
Child Study Team Attitudes Toward Inclusion, Kathleen Derillo
Seton Hall University Dissertations and Theses (ETDs)
The inclusion of students with disabilities has been the focus of both quantitative and qualitative research for more than fifty years. Despite extensive evidence demonstrating positive outcomes for learners with and without disabilities, including improved academic achievement, social skills development, and improved school culture, inclusion rates in New Jersey have remained largely unchanged. Students with disabilities continue to be educated in segregated settings at disproportionate rates. The purpose of this quantitative study was to learn about the attitudes toward the inclusion of students with mild to moderate disabilities held by Child Study Team (CST) members. The CST is composed of …
Defying The Catholic Secondary School Enrollment Decline: A Case Study Exploring Strategic Enrollment Management Practices In An All-Boys Catholic High School, Traci A. Koval
Seton Hall University Dissertations and Theses (ETDs)
Catholic secondary schools in the United States continue to face persistent enrollment decline, closures, and consolidations, creating an urgent need for sustainable and mission-centered strategies. This qualitative case study examined Hillcrest Catholic High School, an all-boys Catholic secondary school in the Mideast region, as a best-practice model for enrollment resilience. Guided by Strategic Enrollment Management (SEM) Theory, the study explored how SEM principles were operationalized across eight pillars: mission and branding, institutional strategy, culture and belonging, programs and outcomes, family engagement and retention, tuition and financial strategy, marketing and recruitment, and selection and onboarding. Data were collected through interviews, focus …
Exploring Catholic School Teachers' Perceptions Of Factors That Support Longevity: A Qualitative Study, Kelly A. Koval
Exploring Catholic School Teachers' Perceptions Of Factors That Support Longevity: A Qualitative Study, Kelly A. Koval
Seton Hall University Dissertations and Theses (ETDs)
John Staud, the executive director of Alliance for Catholic Education (2022) stated, “The greatest crisis facing Catholic education, and education in general, is the recruitment and retention of talented and committed teachers and leaders for our schools.” Thus, the purpose of this qualitative study is to illuminate and explore the practical experiences of teachers who have longevity in Catholic schools with respect to their perceived needs, challenges and support in the mid-to-later years of their career path. Through the lens of self-determination theory, this study aims to describe the internal and external factors that teachers describe as “playing a role” …
Theosis And The Morality Of Happiness: Investigating The Implications Of The Deification Doctrine In Aquinas, Emma Newgarden
Theosis And The Morality Of Happiness: Investigating The Implications Of The Deification Doctrine In Aquinas, Emma Newgarden
Seton Hall University Dissertations and Theses (ETDs)
This thesis examines the implications of a connection between the doctrine of deification or theosis (often summarized by the patristic axiom that God became man so that man might become God) and a Christian morality of happiness, an understanding of the moral life as that which comprises our true human flourishing—a transformative growth in virtue by which we grow in our capacity to realize our final telos of union with God. Deification, traditionally more strongly associated with Eastern Christian theology, has not typically been discussed in relation to the morality of happiness, arising primarily within the discourse of the contemporary …
Potential Innate And Adaptive Roles Played By Γδ T Cells In A Bacterial Immunization Model, Lee Anne Talbot
Potential Innate And Adaptive Roles Played By Γδ T Cells In A Bacterial Immunization Model, Lee Anne Talbot
Seton Hall University Dissertations and Theses (ETDs)
Francisella tularensis is a highly infectious intracellular bacterium and the causative agent of tularemia, with pulmonary infection resulting in severe disease and high mortality if untreated. While protective immunity to F. tularensis has been largely attributed to CD4⁺ T cell–mediated IFN-γ responses, the contribution of γδ T cells to mucosal immunity and vaccine-induced protection remains poorly defined. The objective of this study was to characterize the role of γδ T cells during primary pulmonary infection with F. tularensis live vaccine strain (LVS) and following intranasal immunization with inactivated F. tularensis (iFt) prior to LVS challenge.
Using a murine intranasal infection …
Pain Management In Opioid Users, Dawn Starbinski
Pain Management In Opioid Users, Dawn Starbinski
Seton Hall University Dissertations and Theses (ETDs)
ABSTRACT
Chronic pain remains a significant public health concern in the United States, contributing to disability, reduced quality of life, and over-reliance on traditional opioids. Amid the opioid epidemic, healthcare systems are increasingly seeking safer alternatives to conventional opioid prescribing. (NIDA, 2023).This Doctor of Nursing Practice (DNP) project aimed to evaluate nursing knowledge on the implementation of buprenorphine/naloxone (Suboxone) as a pain management strategy in adult patients with chronic opioid use. The project was conducted in an inner-city Subacute Nursing facility with a population of adult patients experiencing long-term pain who were either opioid-tolerant or at high risk for opioid-related …
Exploring Health Insurance’S Role In Chronic Disease Management Among Hispanics, Romelyn Dones
Exploring Health Insurance’S Role In Chronic Disease Management Among Hispanics, Romelyn Dones
Seton Hall University Dissertations and Theses (ETDs)
This qualitative study examined how insured non-English- and English-speaking Hispanic adults perceive the role of health insurance in the management of chronic disease. Chronic conditions remain a leading cause of morbidity in the United States, and although prior research suggests that insurance coverage improves access to care, it does not always enhance how individuals understand or utilize support for chronic disease management. Limited research has explored how individuals with chronic conditions interpret the role of insurance in their daily self-management practices, particularly among Hispanic populations. Guided by Andersen’s Behavioral Model of Health Services Use, this study explored how contextual, enabling, …
Principals’ Perceptions On How Artificial Intelligence (Ai) Is Used In Schools By Administrators, Teachers, And Students: A Mixed Method Research Study, Dianna M. Sopala
Principals’ Perceptions On How Artificial Intelligence (Ai) Is Used In Schools By Administrators, Teachers, And Students: A Mixed Method Research Study, Dianna M. Sopala
Seton Hall University Dissertations and Theses (ETDs)
Abstract
In the same way electricity changed how people lived, artificial intelligence (AI) is being hailed as that next transformative technology that will change every aspect of daily living, including education. As AI is in its infancy and humans are just beginning to make sense of this new technology, educators are trying to integrate it into the educational landscape. While many technologies are often initiated at the district level, school principals are often charged with leading the adoption and implementation of new technologies within their school. Additionally, New Jersey has decided to invest $165 million dollars into being the artificial …
Quality Improvement (Qi) Project Aimed At Reducing Unnecessary Antibiotic Usage Among Older Adult Patients By Addressing Inappropriate Antibiotic Prescribing In Primary And Long-Term Care Settings, Pamela M. Thomas
Seton Hall University Dissertations and Theses (ETDs)
Antibiotic overuse among older adults remains a significant patient safety and public health concern. Recent national data indicate that approximately 30%–50% of outpatient antibiotic prescriptions may be unnecessary, particularly for viral or self-limiting conditions (Chua et al., 2021). Antimicrobial resistance has been associated with more than 1.27 million deaths globally (Murray et al., 2022). This quality improvement project evaluated a multifaceted antimicrobial stewardship intervention in primary and long-term care settings. Baseline review of 167 antibiotic cases revealed 37.1% were inappropriate or questionable, and 28.7% lacked adequate diagnostic documentation. The intervention incorporated provider education, electronic health record decision-support tools, audit and …