Digital Commons Network^™

A Quality Improvement Project: Impacting Communication Perceptions Among Nursing Staff And Providers Regarding Perioperative Medication Management Impacting Anesthesia Care, Demetria Jefferson

Doctor of Nursing Practice Projects

Medication-related surgical cancellations disrupt patient care, increase healthcare costs, and contribute to inefficient use of perioperative resources. Evidence supports standardized education and communication to improve perioperative medication safety. This quality improvement project aimed to improve staff self-efficacy in communicating medication instructions and reduce surgical cancellations associated with sodium-glucose cotransporter-2 (SGLT2) inhibitors, glucagon-like peptide-1 (GLP-1) receptor agonists, and phentermine. Bandura’s Social Cognitive Theory and Lewin’s Change Model guided the project. A quasi-experimental one-group pretest-posttest design included perioperative staff who provided medication instructions across two settings within an academic health sciences center. Using the Plan-Do-Study-Act framework, interventions included standardized staff education, patient …

Training Faculty For Skills Evaluation: A Quality Improvement Project, Shelley Leezer

Doctor of Nursing Practice Projects

There is an identified gap between nursing knowledge learned in academic settings and application of clinical skills in practice settings. Literature contributes this gap to poor knowledge retention, lack of constructive feedback, and inability to apply knowledge to clinical practice. The purpose of this project was to address skill mastery and retention in nursing students within a university. The project aim was to improve faculty feedback and evaluation to best support skill mastery in the skills laboratory. Lewin’s Change Management Model and Dr. Patricia Benner’s Novice-to-Expert Theory guided project design and progress. This pre- and post-intervention study followed a PDSA …

Sex-Based Differences In Gastroduodenal Artery Morphometry, Morgan W. Stewart, Jenna M. Watts, Vincent J. Schmidt, Simran Aulakh, Cameron T. Smith, Forrest Dunivin, Julia Kirkland, Melissa Zolnierz

Student Publications

Introduction: The gastroduodenal artery (GDA) supplies the upper gastrointestinal tract, and variation in its geometry may influence endovascular access and hepatobiliary interventions. This study evaluated sex-based differences in the GDA branching angle and diameter using standardized morphometric analysis.

Methods: This retrospective cadaveric morphometric study included 28 formalin-embalmed donors (12 males and 16 females) examined between 2024 and 2025. Inclusion criteria required an intact GDA and common hepatic artery suitable for analysis. Following targeted vessel dissection, perpendicular images were obtained with in-plane calibration and analyzed using ImageJ (National Institutes of Health, Bethesda, MD, USA). Branching angle and mid-segment diameter were measured …

Participant Recruitment And Retention In Studies Investigating Pregnancy-Related Pelvic Girdle Pain: A Methodological Systematic Review, Jasmine Darley, Bradley Halliday, Jill Shawe, Joanne Hosking, Zoe Hoare, Jennifer Freeman

School of Nursing and Midwifery

BackgroundRecruiting and retaining participants for clinical trials is a common and well-documented challenge, with particular complexity in perinatal populations which are historically underrepresented in health research. Recruitment and retention are known to be shaped by context-specific factors, yet no systematic review has examined these processes within the clinical domain of pregnancy-related pelvic girdle pain (PPGP), a common and potentially debilitating condition affecting around one in five women in the UK.ObjectiveThis methodological systematic review aimed to summarise participant recruitment and retention in clinical trials investigating PPGP across four objectives: (1) to identify methods of recruitment and retention; (2) to assess the …

Hybrid Transformer-Bilstm Model For Early Fault Detection And Multiclass Classification Of Wind Turbine Faults Using Scada Data, Hassan Y. Mkindu

Tanzania Journal of Engineering and Technology (TJET)

Early and accurate fault detection in wind turbines is essential for improving operational reliability, reducing maintenance costs, and minimizing unplanned downtime. This study proposes a Hybrid Transformer-BiLSTM deep learning model for early fault detection and multiclass fault classification using Supervisory Control and Data Acquisition (SCADA) data. The proposed architecture combines the Transformer's self-attention mechanism to capture global temporal dependencies with the Bidirectional Long Short-Term Memory (BiLSTM) network's ability to model sequential fault evolution, enabling effective learning of multivariate time-series data. The model was developed and evaluated using the recently introduced CARE SCADA dataset, classifying five operating states: No Fault, Transformer …

Shu World Review- September 20th 2026, Diplolab, Seton Hall University

SHU World Review

No abstract provided.

Erratum To: Wavelet-Based Multiscale Analysis Of Cave Co2 Concentration In Response To Short-Term High-Intensity Tourism Activities: Spatiotemporal Heterogeneity And Lag Characteristics, Editors Ijs

International Journal of Speleology

N/A

Designing A Technology-Enhanced Curriculum For Preservice Mathematics Teachers: A Practice-Based Reflection, Alaa Karem Abd-El-Hafez

International Journal of Transformative Teaching and Learning in Higher Education

Preparing preservice secondary mathematics teachers in a post-pandemic, AI-driven digital landscape presents unique pedagogical challenges. As a teacher educator and former secondary mathematics teacher, I aim for preservice candidates to harness technology as a vehicle for high-leverage, evidence-based teaching strategies while prioritizing software accessibility and affordability. This practice-based article details the comprehensive redesign of a technology in mathematics education course structured around five modular units and three project-based assessments. Guided by the Technological Pedagogical Content Knowledge (TPACK) framework, I articulate the rationale for tool selection, instructional design decisions, and assessment strategies. Ultimately, this course model offers higher education programs an …

Use Of Generative Ai Tools In An Undergraduate Engineering Design Course, Wei Yin, Esther Ocharo, Lillian Best, Harrison Martin

International Journal of Transformative Teaching and Learning in Higher Education

Generative AI tools are widely used by college students. This study aimed to investigate the best ways to teach students the limits of AI, especially in hands-on engineering classes. A class project in a sophomore biomedical engineering class was used to test the effectiveness of generative AI tools in supporting engineering CAD design and 3D modeling. Students were tasked with designing a finger basketball toy, creating 2D engineering drawings, and creating a physical prototype using 3D modeling and printing. Students used ChatGPT, Copilot, and Gemini to support the completion of the design project. Students’ manual work demonstrated satisfactory skills in …

Veterans' Benefits Exceptionalism After Axon: Johnson V. U.S. Congress And The Future Of Structural Constitutional Review In Va., Robert Molina

ConLawNOW

This Essay addresses the pending case before the U.S. Supreme Court, Johnson v. U.S. Congress, and argues that the Court should resolve the tension between regular federal jurisdiction and specialized administrative court jurisdiction for veterans’ benefits claims. Veterans’ benefits exceptionalism, it asserts, should not overcome the usual federal court process. Ordinary benefits-entitlement claims, and some statutory-validity claims, may properly remain in the specialized pipeline established by the Veterans’ Judicial Review Act. But structural constitutional challenges to the Veterans Administration adjudicatory apparatus should receive immediate district court review when they satisfy the three-factor test the Court applies to determine whether …

Multi-Source Artifact Enrichment And Validation For Automated Defect-Signature Detection, Ramesh Babu Radhakrishnan, Amrit Tickoo, Praveen Kumar Tarikere Nagaraj, Mohan Sai Vara Prasad Pedavala, Venkat Krishnamurthy

Defensive Publications Series

A system is proposed herein for converting an unstructured software defect record into a standalone executable detection program that can determine, through read-only operation, whether a live deployment is exposed to the defect. The system performs a staged transformation that derives root-cause and exposure criteria, assesses the availability of required telemetry, enriches missing artifacts from trusted sources, generates detection logic under schema constraints, and validates and repairs the resulting program. A large language model (LLM) assists selected stages, while source grounding, reusable helper routines, multi-stage review, and bounded execution costs produce a reliable operational result. The program can then execute …

Multi-Agent Orchestration Engine For Synchronized Generative Dialogue And Kinematics, Allison Garcia, Corbin Cunningham, Mike Dory

Defensive Publications Series

Creating coordinated interactions for multi-agent systems, such as physical robots or virtual characters, can present challenges in synchronizing expressive dialogue with coherent physical actions and adapting to unscripted events. The disclosed technology describes a multi-agent orchestration engine with a decoupled architecture that can employ a tiered timeline system to manage a global narrative and individual agent states. A dynamic interruption handler can leverage a large language model to reason about real-time inputs and determine if an agent should deviate from a scripted path. The engine can then generate synchronized dialogue and high level behavioral tokens, which may be subsequently translated …

Celebrity Of Springfield Llc V. Sba

2026 Decisions

USDC for the District of New Jersey

Usman Roshan V. New Jersey Institute Of Technology

2026 Decisions

USDC for the District of New Jersey

Ahmed Jalees V. Attorney General United States Of America

2026 Decisions

Agency

Open Access Publishing, Kathleen A. Siry

AFIT Library Knowledge Base

No abstract provided.

Optimization Of Methane Production From Poultry Slaughterhouse Wastewater With Hydraulic Retention Time And Biochar Addition Using Response Surface Methodology, Juniarti Manova Hasibuan, Rita Purwasih, Bambang Haryanto, Dessy Ariyanti, Alfian Destomo, Agung Purnomoadi, Sutaryo Sutaryo

Baghdad Science Journal

Processing poultry slaughterhouse wastewater as a biogas substrate is a sustainable solution. The current study aimed to optimize methane production from poultry slaughterhouse wastewater at various hydraulic retention times, biochar addition levels, and biochar addition types. Optimization of the anaerobic digestion process was determined through response surface methodology with central composite design. The input variables were hydraulic retention times (10, 20, and 30 days), biochar levels (5, 10, and 15 g/L), and biochar types (chicken litter and rice straw). Meanwhile, the response variable was methane production. The results revealed that the resulting central composite design model was significant (p < 0.05) with an R-squared of 0.94, indicating a high model suitability. The analysis of variance showed that hydraulic retention times, biochar levels, and biochar types significantly affected methane production (p < 0.05). Based on optimization, the highest methane production was achieved at a 30-day hydraulic retention times, a biochar level of 15 g/L, and a biochar type of rice straw, which was 473.00 mL/g volatile solid. These results emphasize the importance of determining the correct hydraulic retention times and biochar addition (level and type) to optimize methane production.

Comparison Of Preenrichment And Screening Methods For The Detection Of Salmonella Enterica Serovar Agona In Meat Analog Products, Kylie Sacapano, Amanda Tabb, Biola Fatusin, Samantha M. Covaia, Isha Shingre, Lieuchi Phan, Kyson Chou, Jamie Du, Beilei Ge, Donna Williams-Hill, Rosalee S. Hellberg

Food Science Faculty Articles and Research

With the growing demand and variety of meat analogs on the commercial market, there is a need to revisit testing methods for foodborne pathogens in these products. The U.S. Food and Drug Administration (FDA) regulatory methods for Salmonella enterica detection in meat analogs follow the Bacteriological Analytical Manual and are relatively time-consuming. Therefore, this study aimed to compare preenrichment and screening methods for the detection of Salmonella in meat analogs by evaluating current FDA reference methods alongside alternative preenrichment broths and rapid molecular screening techniques. Meat analog samples were inoculated with S. enterica serovar Agona at three levels: (1) uninoculated …

Impact Of Sexual Orientation On Syphilis Diagnosis Among African American Men In Colorado, Emmanuel Bhatti

Walden Dissertations and Doctoral Studies

Syphilis remains an ongoing public health concern among African American men. Elevated rates during the COVID-19 pandemic further underscored the need for focused attention on this population. The risk factors driving syphilis diagnosis among African American men during a pandemic like COVID-19 remain poorly understood. The purpose of this quantitative cross-sectional study was to examine the association between sexual orientation and syphilis diagnosis among African American men in Colorado. Social cognitive theory was applied to understand the interaction among sexual orientation, HIV status, age, and syphilis diagnosis. Sexual orientation categories include men who have sex with men (MSM), men who …

"Nature's Masterpiece Of Power: A Historical Synopsis Of Muscle Shoals, Alabama In The Tennessee Valley", William Lindsey Mcdonald

Research Articles

The article presents a brief history of the establishment of the city of Muscle Shoals, Alabama in the Tennessee River Valley. The text is organized by headings as follows:

• The Indians, pg. 1
• Keeping the Settlers Out, pg. 2
• The First Whites, pg. 2
• Trails That Blazed the Wilderness, pg. 3
• Giants in the Valley, pg. 4
• Organization and Development, pg. 6
• The Green Decades, pg. 7
• The Turning Wheels, pg. 8
• The War, pg. 8
• Cutthroats, pg. 9
• Hard Years, pg. 10
• Excitement and Prosperity, pg. 11
• On the Way to Tatham's Declaration, pg. 12
• Fulfilled at Last, pg. …

Skeletal Abnormalities In Two Freshwater Fishes From Iraq, Fatema Ali Al Fatle, Sura Abdul Munaff Abdul Wahab, Hind Dyia Hadi, Laith A. Jawad

Baghdad Science Journal

This research addresses skeletal deformities in two freshwater fish species, namely the common carp, Cyprinus carpio, and Leuciscus vorax (also known as the Tigris asp), sampled from two Iraqi sites: The Euphrates River, Lake Al-Tharthar, and the Tigris River near Al-Zubaydiyah City. High-resolution digital radiography was used to detect skeletal deformities in 40 specimens (20 specimens per species). Five different types of deformities were observed in C. carpio: abdominal rib deformity (13.6% of the deformed specimens), ankylosis (18.8%), caudal fin ray deformity (4.6%), kyphosis (4.6%), and vertebral deformity (4.6%). In L. vorax, three categories were observed: caudal …

Buddy Properties Llc V. Radomski

All Decisions

Nuisance holdover dismissed without prejudice. Paragraph 17(a) of the parties' lease gives the owner the option to terminate after a cure period but does not state the lease shall automatically expire on a date fixed in the notice—no conditional limitation clause. Under binding Second Department precedent, a conditional limitation is a prerequisite for a summary holdover proceeding. Judge Bacdayan notes the rationale is increasingly difficult to justify given RPAPL §753(4)'s statewide extension and effective unenforceability of such clauses against rent-stabilized tenants, but declines to depart from controlling authority absent appellate guidance.

Early-Onset Progressive Encephalopathy With Brain Oedema And/Or Leukoencephalopathy 1: Report Of Three Siblings, Fatema Al-Amrani, Fathiya Al-Murshedi, Khalid Al-Thihli, Eiman Al-Ajmi, Buthaina Al-Musalhi, Asmaa Al Shehhi, Amna Al Futaisi

Sultan Qaboos University Medical Journal

NAXE encephalopathy, also known as early-onset progressive encephalopathy with brain oedema and/or leukoencephalopathy-1 (PEBEL-1), is a rare and often lethal autosomal recessive mitochondrial disorder. Typical presentation includes psychomotor regression, ataxia, respiratory insufficiency and seizures triggered by febrile illness. This report describes three siblings from a consanguineous family who presented to a tertiary care hospital in Muscat, Oman, in 2022 and were found to have a homozygous pathogenic variant in the NAXE: NM_144772.2:c.827del, p.(Pro276Hisfs*43). Beyond the classic neuroradiological and clinical features of PEBEL-1, these patients exhibited novel phenotypic manifestations, including axonal polyneuropathy, Bull's eye maculopathy and a late-onset presentation of …

Prenatal Cannabis Exposure Is Associated With Occipitotemporal Brain Surface Area In Neonates, Alexander J. Dufford, Sun Hyung Kim, Martin Styner, Xinyi Shen, Erika Iisa, Marilyn A. Huestis, Peter Fried, Christine Conageski, Jocelyn E. Phipers, Cristina Sempio, Jost Klawitter, Pilyoung Kim, Tessa L. Crume

Institute of Emerging Health Professions Faculty Papers

IMPORTANCE: Prenatal cannabis use has been associated with neurodevelopmental consequences for the offspring beginning in childhood; however, it is unclear if neonatal brain structural morphometry is impacted shortly after birth.

OBJECTIVE: We examined differences in regional surface morphometry among neonates exposed to chronic in utero cannabis compared to unexposed neonates.

DESIGN: The Moms Helping Moms study is a prospective pre-birth cohort selected based on chronic prenatal cannabis use and an unexposed control group. Exclusion criteria included alcohol, tobacco, or other substance use. Participants included in this analysis included 18 mother-neonate pairs with prenatal cannabis exposure and 21 unexposed pairs. Chronic …

Between Extinction And Hubris: A Dialectical Approach To Ai Risk, Control, And Governance, Elise Annett, James Giordano

Strategic Insights

This Strategic Insights article looks at risks associated with autonomous artificial intelligence systems and the challenges they pose for human control and institutional governance. Dr. Annett and Dr. Giordano argue that near-term risks stem not only from advancing AI capabilities but also from the progressive transfer of human decision-making and agency to AI systems, particularly in military and intelligence contexts. They propose an adaptive governance framework emphasizing continuous testing and evaluation, meaningful human control, clear accountability, graduated autonomy thresholds, independent oversight, and international norms for high-risk AI applications.

Statistical Triangulation: Weighing Multiple Statistical Tools In Macro-Level Housing Research, Julio Montanez, Amy Donley, Jacquelyn Reiss

Journal of Applied Disciplines

Homelessness and housing research has a detection problem, in which understanding housing issues (e.g., substandard housing) is plagued by problems like undercounting and incomplete data. To partially compensate for these pitfalls, the current research engages in an exercise aiming to sharpen the statistical approach to homelessness and housing research. The macro-level sample included Florida’s 27 Continuums of Care geographies (composed of one or more Florida counties). The dependent variables were sheltered homelessness, energy-based substandard housing, and plumbing-based substandard housing. The independent variables were misdemeanor partner violence rates, felony partner violence rates, high school non-completion rates, urbanicity, and population burdens of …

Lines And Curves, Katelyn Drew

Fresh Voices: Composition at Cal Poly

No abstract provided.

L’Chaim!, Jena Weitzman

Fresh Voices: Composition at Cal Poly

No abstract provided.

The Fossil Pearls Of The Million-Pearls Flowstone, Fairgrounds Room, Fort Stanton Cave, New Mexico Usa, Victor J. Polyak, Paula P. Provencio, Yemane Asmerom

International Journal of Speleology

‘Fossil’ cave pearls in the Fairgrounds Room of Fort Stanton Cave form two distinct layers in a flowstone sample, FS-14-2. The flowstone in the Fairgrounds Room covers a mud-silt bank and the extinct streambed that extends across the room. Uranium-series dates of two pieces of flowstone from this room, one piece from the higher end of the flowstone (FS-14-1, devoid of pearls), and another piece from the lower end of the flowstone (FS-14-2, rich in pearls), show that the flowstone was deposited during the Last Glacial period (60,000 to 11,000 yr BP).  The two cave-pearl layers in FS-14-2 yielded U-series …

Insertion Of Operations, Administration, And Maintenance (Oam) Overhead Bytes Over A 1 Gigabit Ethernet Link To Extend Optical Service Channel Range For Next-Generation Optical Line Systems, Gilberto Loprieno, Alessandro Putortì, Kannan Kapistalam Kasturirangan, Sara Corti

Defensive Publications Series

A technique is proposed herein for transporting Operations, Administration, and Maintenance (OAM) overhead over a 1 Gigabit Ethernet (1GbE) Optical Service Channel (OSC) by replacing available inter-packet-gap (IPG) idle capacity with OAM Sequence Ordered Sets. A hardware data path between a 1000Base-X Physical Coding Sublayer (PCS) and a 25 Gigabit Ethernet (25GbE) PCS performs rate adaptation, 64b/66b mapping, 256b/257b transcoding, and forward error correction (FEC), while preserving a 1.25-Gbit/s line rate. The OAM Ordered Set may use a /9C/AA/BB/CC structure in which AA and BB carry optical status information and CC carries control information including multiframe, fault-management, and Trail Trace …