Digital Commons Network^™

La Falta De Los Supermercados En El Oeste De Dayton: Cómo Obtienen Los Estudiantes Comida Fresca En Los Desiertos Alimentarios (Un Ensayo Expositivo-Argumentativo, Catherine Iacobacci

Best Integrated Writing

After having learned about how poverty can affect children’s educational outcomes in one of her classes, Iacobacci wanted to learn more about how the issue affected the area where she lived and went to school. What she found out was incredibly shocking, and only furthered the idea that students are struggling with opportunity gaps, not achievement ones. Unfortunately, due to discriminatory loan practices from long ago, children from the 21st century are suffering physically, emotionally, and academically.

The Journey Within: My Travel Journel, Devonique Jones

Best Integrated Writing

This project is a multigenre research exploration that delves into Jones's personal journey of self discovery and growth during her first solo trip.

Investigation Of Ndv In Southern African Waterfowl Reveal Insightful Geographic And Biodiversity Trends To Help Contain The Virus, Lauren Goodwill

Best Integrated Writing

This study assesses the infection rates and trends of Newcastle disease in southern African waterfowl, a project carried out by Emily Murphy in Dr. Jeffrey Peters’ laboratory

Analysis Of The Integration Of Race And Cultural Concordant Doulas Into The Birth Experience Of African American Women, Cherissa Garcia

Best Integrated Writing

Garcia's study looks at how integrating race and cultural-concordant doulas into the birth experience of African American women would impact outcomes. She found similar studies that provided strong evidence to support doula integration. However, most did not select study populations that appropriately reflected the African American women at increased risk of poor outcomes. As a result, Garcia designed a study that looked at race and cultural concordance between doulas and patients from a wide range of SES backgrounds and varying degrees of pregnancy risk.

The Foreigner In Our Midst: Jewish Rights Debates In Revolutionary France, William Evans

Best Integrated Writing

The debates surrounding Jewish rights during the French Revolution concerned many of the same subjects that divide the Western world today. The fear of the other, immigration as a political tool, and the disagreements over assimilation are all subjects which feature prominently today. In this essay Evans sets out to explore these debates while fairly assessing the historical informants.

Junebug In January: A Novel Excerpt, Hannah Carson

Best Integrated Writing

This section of Junebug in January is the beginning of a much longer story that follows eighteen-year-old June and her small family as she attempts to survive the harsh reality of living in the era of the Great Depression and her attempts to survive her Papa’s tasks for her. This story challenges the boundaries of family loyalty, investigates the concept of “saving yourself,” and explores the limits of redemption.

Best Integrated Writing Fall 2024 - Complete Edition, Wright State University School Of Humanities And Cultural Studies, Kristie Mckiernan, Tracy Smith

Best Integrated Writing

Best Integrated Writing includes excellent student writing from Integrated Writing courses taught at Wright State University.

Nourishing Skin Health: The Impact Of A Balanced Diet On Chronic Inflammatory Skin Conditions, Archana Banda

HCA-NSU MD Research Day

Objective: This study was conducted to determine the influence a balanced diet has on the outcome of specific dermatologic conditions notably psoriasis, atopic dermatitis, and rosacea. Background: Nutritional status is pivotal in shaping holistic wellness, which extends to skin health. Adequate nutrition can prevent the worsening of inflammatory conditions. Methods: A literature review was conducted to analyze how specific dietary habits for selected chronic inflammatory cutaneous conditions influence the presentation and overall clinical outcome. Results: The analysis indicates a higher incidence of flare-ups with diets heavily consisting of carbohydrates, red meat, alcohol, and fats. Specific diets, such as the Western …

Adverse And Positive Childhood Experiences And General Health Among Asian American Emerging Adults, Wenyi Chen

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study was to (1) investigate whether disparities in ACE and PCE exposures exist in a diverse Asian American population of emerging adults (i.e., Asian Indian, Chinese, Hmong American) differing in their US immigration histories, cultures, language, and countries of origin and (2) describe the relationships among ACEs, PCEs, and self-reported general health among Asian American emerging adults.

Effect Of Activities, Social Environment, And Psychotropic Medication Use On Behavioral Symptoms Of Persons With Dementia In Nursing Homes, Ben R. Inventor

Dissertations

A secondary data analysis was conducted using existing clinical and observational data of a 3-year longitudinal study to describe associations of time-varying background factors (cognitive function, physical function, psychotropic medication use), and proximal factors (activities, social environment) with positive and negative behaviors of persons with dementia at 24 months. Participants included residents with Alzheimer's disease living in two nursing homes in Chicago. A Total 25,560 observation sessions, collected for all participants at baseline, 12-months and 24-months were used in analyses. Results showing that: 1) higher cognitive and physical functions, and being located in own bedroom and shower/tub/bathroom had the most …

The Lived Experiences Of Nurses Caring For Dying Pediatric Patients, Danna L. Curcio

Dissertations

The purpose of this research study was to explore the lived experiences of nurses caring for dying pediatric patients. Nurses and health care professionals may at times have difficulty adjusting and processing when life ends and this may have the potential to interfere with patient care. Reflection on past events and actions enable critical discovery of strategies to benefit both nurses and patients. The method for conducting this research study was from a qualitative phenomenological perspective exploring the lived experiences of nurses caring for dying pediatric patients. The philosophical underpinning of Merleau-Ponty (2008), in combination with the research method of …

The Relationship Between The Perception Of Nurse Caring, And The Phase Ii Cardiac Rehabilitation Patients' Depression, Anxiety, And Adherence, Jo Ann Kim

Dissertations

The purpose of this study was to determine if there was a relationship between perception of nurse caring and Phase II cardiac rehabilitation (CR) participant's depression, anxiety, and adherence. Duffy and Hoskins (2003) Quality-caring model © was used as a theoretical framework to guide the descriptive correlational study. A convenience sample of 109 outpatients lived in the mid-Atlantic portion of the United States. The four data collection instruments included the Center for Epidemiological Studies-Depression Scale (CES-D), State-Trait Anxiety Inventory- Y-1 (STAI-Y-1), Caring Assessment Tool-IV (CAT-IV), and a Phase II CR Patient's Program Data Sheet. Pearson's product-moment correlational analysis was used …

Development And Evaluation Of A Nurse Leader-Led Acuity-Based Nursing Assignment Program And Its Outcome On Peripheral Intravenous Infiltrations And Extravasations In Pediatric Patients, Cassandra D. Dike

Dissertations

In this evidence-based project, the team developed a model of patient assignments for nurses in a pediatric acute care setting based on workload and acuity as opposed to hours per patient day (HPPD). The team used a plan-do-study-act, or PDSA, cycle of quality improvement methodology to demonstrate that assignments based on acuity as opposed to ratios would improve patient outcomes. The outcome measure was peripheral intravenous infiltrations and extravasations (PIVIEs). In the 6-week time frame only two PIVIEs were identified, and they occurred on shifts in which the ideal acuity score was not met for the nursing assignments due to …

A Focused Ethnography Of Healthcare Transition Among Persistent Asthmatic/Chronic Obstructive Pulmonary Disease (Copd) Adult Pennsylvania Medicaid Beneficiaries, Agnes Marie M. Cummings

Dissertations

The Affordable Care Act (ACA) (2010) provided for the largest reform of Medicaid since its 1965 Centers for Medicare and Medicaid implementation, providing funding for both low-income and disabled citizens. The additional amount of Medicaid beneficiaries increased the complexity and effectiveness of an already struggling, massive and bureaucratic government program. From a beneficiary perspective (emic perspective), Medicaid as a federal agency, is far from "user-friendly." This problematic complexity remains despite ACA-induced Medicaid reform. Thus despite new eligibility for Medicaid services, a client may still face unresolved health concerns due to system-based or client-based obstacles to effective Medicaid utilization. Failure to …

A Qualitative Exploration Of Associate Degree Nurse Educators' Teaching Experiences Regarding Health Literacy, Connie Marshall

Dissertations

Worldwide health literacy levels are low. Nurses should be able to lead the improvement of the health literacy of the populations they serve. During a comprehensive review of the literature, it became apparent that previous research regarding the provision of health literacy education within Associate Degree Nursing programs was not available. The Associate Degree is the initial degree that allows the graduate to take the NCLEX-RN board exam, so it was interesting to determine how learners are prepared to discern the health literacy levels of the patient population. The research question, "How do nurse educators describe their experiences with health …

Impact Of Multidisciplinary Rounds On Adult Inpatient Length Of Stay A Quality Improvement Initiative, Aurora Smith Msn, Rn, Kristie Geil Dnp, Rn, Cenp, Kathryn Johnson Msn, Rn, Cen

Nursing Research & Professional Development Conference

Background and/or Rationale: Multiple factors influence patient’s length of a stay (LOS). Studies examining patient demographics, hospital characteristics, and diagnoses indicate that older age, certain diagnoses, and admission to critical care units are associated with longer LOS.

Local Problem: At a non-profit hospital in the Midwest, nurses identified challenges in achieving reductions in the budgeted LOS for adults admitted to inpatient units.

Method: To reduce budgeted LOS, multidisciplinary rounds (MDRs) were optimized through a methodical approach involving direct observation, process mapping, and root cause analysis. A Length of Stay Committee was established, standardizing MDR practices and integrating these into workflows. …

Beyond The Surface: Nursing Strategies For Hospital Acquired Pressure Injury Reduction And Protocol Standardization, Mackenzie Kohlbrand Bsn, Bs, Rn, Cmsrn, Timothy S. Scholz Bba, Clssbb, Latasia Belin Dnp, Aprn, Agcns-Bc, Onc, Fcns, Jaime Moore Dnp, Rn, Cen, Tcrn, Ne-Bc

Nursing Research & Professional Development Conference

Background

Hospital-acquired pressure injuries (HAPIs) are a key nurse-sensitive indicator and a major component of the PSI-90 National Database of Nursing Quality Indicators (NDNQI) metrics. Preventing PIs are critical for enhancing patient care and reducing financial burdens, costing between $500 to $40,000 per patient.

Local Problem

Atrium Health (AH) Mercy experienced 56 HAPIs in 2022 and 67 in 2023, prompting the need for structured reduction initiatives. In 2023, the cost of treating Stages 3, 4, and Unstageable PIs averaged $14,500 each, totaling $536,500. Despite existing AH policies emphasizing prevention strategies and documentation protocols, an assessment revealed documentation gaps and inconsistent …

Editorial: Leveraging Multi-Omics Approaches To Understand And Manage Gastrointestinal And Hepatic Diseases, Isis Trujillo-Gonzalez, Paul G. Thomes, Isin Tuna Sakallioglu, Kusum K. Kharbanda

Department of Chemistry: Faculty Publications

The Research Topic “Leveraging multi-omics approaches to understand and manage gastrointestinal and hepatic diseases” proposed by the Frontiers in Pharmacology has attracted a total of four articles on preclinical studies that were covered in three original research manuscripts and one review article. Two research articles were on metabolic dysfunction-associated steatotic liver disease (MASLD), previously named non-alcoholic fatty liver disease (NAFLD), which is now recognized as a predominant cause of chronic liver disease worldwide, affecting over 30% of the adult population (Teng et al., 2023; Miao et al., 2024). Current pharmacological treatments for MASLD are limited and, until a recent FDA-approved …

November 13, 2024 (Vol. 109, No. 12), Daily Eastern News

Daily Eastern News: 2024-2025

No abstract provided.

Hfh Destination Grand Pfac Of Impact, Dana Murphy, Leah M. Copeland

2024 Patient Advisor Retreat

In our first year bringing PFAC back to HFH they were engaged with leaders from multidisciplinary departments that are working on process improvements, ranging from marketing and messaging materials, physical plant changes, hardwiring best practices in communication and patient safety.

Hfwh Pfac Of Influence, Julie Johns, John Chandler Ii, Marty Marcero

2024 Patient Advisor Retreat

Our group is engaged with leaders from multidisciplinary departments that are working on improvement projects, ranging from marketing and messaging materials, physical plant changes, hardwiring best practices in communication and patient engagement.

West Bloomfield Care Experience Patient And Family Advisory Council, Julie Johns, Hannah M. Leinonen

2024 Patient Advisor Retreat

To enable Henry Ford Health System to provide the highest standard of safe, comprehensive and compassionate healthcare while integrating the voice of the patients and families in all improvement efforts and key priorities across the campus.

Patient Involvement And Communication Council, Angela Murphy, Laura M. Gooseberry, Becca Austin, Lara Miskevich

2024 Patient Advisor Retreat

Patient-Centered Care (nothing about me without me) is the best approach to improve patient health outcomes and make sure every patient feels valued. The Patient Advisory Council members are involved in the following: Act as Champions of the ideal patient experience by bringing their ideas, thoughts, and opinions on various topics and processes. Provide direction to staff to ensure there is patient engagement in health care services. Provide opinion to fill in communication gaps between patients and providers. Revise and improve patient education materials to be understandable by patients and their caregivers.

Investigation On The Impact Of Loading Effect Of Fruit Juices On The Performance Of Pulsed Electric Field Generators, Devi S

Theses and Dissertations

Pulsed Electric Field (PEF) treatment is one of the efficient non-thermal food processing techniques which is being preferred as a replacement for thermal pasteurization methods. The effectiveness of PEF treatment was measured in terms of reduction in the microbial load in the food, extension of shelf life of the food and retention of nutritional properties of the food. The successful implementation of the PEF treatment depends upon various aspects such as design of pulse generator, parameters of pulse generator, shape and size of the treatment chamber and most importantly the characteristics of each food items. Design and fabrication of a …

Waiving Physical Presence Requirements During The Covid-19 Pandemic Increased Wic Caseloads, Colleen Heflin, William Clay Fannin, Leonard M. Lopoo, Camille Barbin

Center for Policy Research

Following the onset of the COVID-19 pandemic, the federal government relaxed the physical presence requirements for applicants of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) to reduce the associated health risks for pregnant women, new mothers, and young children. Experts consider in-person application requirements an administrative burden that can constrain access to social services, but the causality of specific burdens on WIC has not previously been shown. This brief summarizes findings from a study that compared WIC caseload data collected across 738 counties in 10 U.S. states between January 2019 and May 2021 to determine how …

Tackling Climate Change Through Global Food Systems At Cop29 In Baku, Andrew N. Rowan

WellBeing News

At COP29 in Baku, leaders spotlight food systems as a climate solution. With new insights from the World Bank, discussions focus on reducing emissions, conserving biodiversity, and driving sustainable agriculture.

Responses Of Salvia Nemorosa L. To Silver Nanoparticle And Methyl Jasmonate Stimuli Under Salt Stress, Bi̇lal Andi̇ç, Pinar Orcan

Turkish Journal of Botany

The present study evaluated the effects of methyl jasmonate (MeJA) and silver nanoparticles (AgNP) on Salvia nemorosa L. under NaCl stress. To this end, total soluble sugar, total phenolic and flavonoid contents, total antioxidant capacity, H2O2 content, photosynthetic pigment, MDA, and proline contents, and enzymatic antioxidant activities were assessed. When the results for photosynthetic pigment contents were evaluated, the highest levels of total carotenoid content, chlorophyll a, and chlorophyll b were obtained with NaCl + AgNP + MeJA treatment. Under NaCl stress, MDA and H2O2 levels increased, but they decreased when AgNP and MeJA were applied. All treatment groups had …

The Bg News November 13, 2024, Bowling Green State University

BG News (Student Newspaper)

The BGSU campus student newspaper. November 13, 2024. Volume 104-Issue 11.

Short-Term Effects Of Opioids During Therapeutic Hypothermia For Neonatal Encephalopathy, Tina Jumani, Priya Mishra, Tonya Robinson, Jeffrey Shenberger, Jonathan Davis, Benjamin Sweigart, Rodica Turcu

Department of Pediatrics Faculty Papers

OBJECTIVE: To examine the effects of opioids during therapeutic hypothermia (TH) on short-term outcomes in neonates with neonatal encephalopathy (NE).

METHODS: Multicenter retrospective study of neonates with moderate/severe NE from Jan. 2013-Feb 2021. Opioid exposure was classified as positive (>0.1 mg/kg) or negative (no exposure or ≤0.1 mg/kg) based on cumulative morphine milligram equivalents (MME). Negative binomial regression models were used to evaluate clinical outcomes.

RESULTS: One hundred and twenty neonates were included. Adjusted analyses indicated that opioid exposure was associated with an increase in (1) length of hospitalization, (2) hypotension/use of vasopressors, and (3) need for and longer …

Convergence Of Alcohol Consumption And Dietary Quality In Us Adults Who Currently Drink Alcohol: An Analysis Of Two Core Risk Factors Of Liver Disease, Peng-Sheng Ting, Wei-Ting Lin, Suthat Liangpunsakul, Madeline Novack, Chiung-Kuei Huang, Hui-Yi Lin, Tung-Sung Tseng, Po-Hung Chen

School of Public Health Faculty Publications

BACKGROUND/OBJECTIVES: Alcohol consumption and poor dietary habits are on the rise in the United States, posing significant challenges to public health due to their contribution to chronic diseases such as liver failure. While associations between alcohol consumption patterns and diet quality have been explored, the relationship between specific alcoholic beverage types and diet quality remains underexamined. This study aims to compare diet quality among consumers of different alcoholic beverage types. METHODS: We conducted a cross-sectional analysis of 1917 current alcohol drinkers from the National Health and Nutrition Examination Survey (NHANES) who completed a 24 h dietary recall survey. Diet quality …