Digital Commons Network^™

Reversible Microvascular Ischemia With St-Segment Elevation: An Underrecognized Manifestation Of Antibody-Mediated Rejection In Cardiac Allograft Recipients, Jonathan Ahn, Justin Daneshrad, Liset Stoletniy, Dmitry Abramov

The VAD Journal

Electrocardiographic manifestations of cardiac allograft rejection are often subtle, and stress-induced ST-segment elevation associated with antibody-mediated rejection (AMR) is rarely reported. We describe a 34-year-old heart transplant recipient with progressive exertional angina, nonobstructive coronary disease on angiography, and exercise-induced ST-segment elevation in lead augmented vector right, high-lateral leads I, and augmented voltage left, along with diffuse ST-segment depressions, hypotension, and transient ventricular tachycardia. Concurrent emergence of complement-binding donor-specific antibodies with high mean fluorescence intensity raised concern for AMR, prompting treatment with corticosteroids, plasma exchange, and intravenous immunoglobulin despite the absence of biopsy confirmation. After therapy, symptoms, exercise-induced ischemic electrocardiographic abnormalities, …

Reducing Food Waste Through Education And Community Collaboration, Myeesha Lance, Sharneece Gary

EFNEP

This Land-Grant Press publication explores strategies to reduce food waste through education, innovation, and community engagement. It highlights consumer behaviors, date label confusion, and planning practices that drive waste, while offering practical solutions like meal planning, grocery management, and clearer food labeling. Key takeaways include the importance of behavior change, policy collaboration, and Extension-led outreach. Target audiences include educators, policymakers, community leaders, and households seeking to improve sustainability and food security

Overview Of Glp-1ra Medications, Thomas A.F. Cordaro Pharmd, Sumaiya A. Difaa Pharmd, Amel J. Basil Pharmd

Transformative Medicine

GLP-1 is an incretin hormone that is naturally produced in the body that regulates blood glucose and appetite. The first GLP-1RA that was FDA approved, exenatide, in 2005, originated from the Gila monster and beaded lizard, via the discovery of the exendin-4 peptide. GLP-1RAs function by mimicking endogenous GLP-1 incretin hormone, leading to an increase in glucose-dependent insulin release from beta-cells of the pancreas, decrease in glucagon release, delayed gastric emptying, and satiety. Due to the benefits seen from initiating GLP-1RAs in the market, it sparked interest in numerous studies which proved that certain GLP-1RAs can provide cardiorenal protection. The …

Wolff-Parkinson-White Pattern: Recognition Of Ventricular Pre-Excitation And Risk Stratification, Devi Parvathy Jyothi Ramachandran Nair, Badri Aryal

Transformative Medicine

Background: Wolff-Parkinson-White (WPW) pattern is characterized by ventricular pre-excitation through an accessory atrioventricular pathway. Although often asymptomatic, some pathways carry a risk of tachyarrhythmia and sudden cardiac death.

Case Description: A 45-year-old man with hypertension, polysubstance use, and bipolar disorder presented with altered mental status following suspected substance intoxication. His course was complicated by hypoxic respiratory failure requiring intubation and a large right basal ganglia hemorrhage requiring surgical evacuation. During hospitalization, an abnormal ECG prompted Cardiology consultation. The ECG demonstrated sinus rhythm with a short PR interval, delta wave, and widened QRS complex, consistent with ventricular pre-excitation. He had …

Hands Up! A Case Of Bilateral Luxatio Erecta, Madison Heck Do, Henry Kramarski Do, Adam Sigal Md

Transformative Medicine

Background:  An inferior shoulder dislocation, luxatio erecta, is a rare phenomenon that is seen in approximately 0.5% of shoulder dislocations; the incidence of bilateral luxatio erecta is even more uncommon. They can often be mistaken for anterior shoulder dislocations.

Case Description: This case report discusses the rare occurrence, identification and management of bilateral luxatio in a 48-year-old man after he dove 6 feet from a bridge and into a body of water.

Discussion: The pathognomonic presentation is a patient arriving with an arm hyper-abducted above the head with flexed elbows and pronated forearms. There are several concomitant injuries that can …

Elite Esports Players And Their Physical Health: A Systematic Review Of Injuries, Musculoskeletal Pain, And Fitness-Related Factors, Michal Steffl, Daniel Opelik, Vladimir Hlinka, Grzegorz Mikrut, Petra Hospodkova

Baltic Journal of Health and Physical Activity

Background: The rapid rise of competitive esports has sparked concerns over the physical health of elite players. Prolonged sedentary behaviour, repetitive movements, and poor ergonomic practices may predispose these athletes to injuries, musculoskeletal pain, and unfavourable body composition. Materials and methods: A systematic review following PRISMA guidelines was conducted by searching Pub-Med, Scopus, EBSCOhost, and Web of Science for cross-sectional studies on physical activity (PA), body composition, physical fitness, and musculoskeletal health in elite esports players. Data from 22 peer-reviewed studies involving 5,035 participants aged 16 to 35 were synthesized. Results: Findings consistently show that esports players engage in lower …

Unraveling The Connectedness Between Non-Fungible Tokens, Decentralized Finance, And Green Assets During Turbulent Times, Rija Anwar, Syed Ali Raza

Business Review

Green assets during the Bitcoin plummet-2018, COVID-2019, worldwide decline in oil demand-2020, and the Russia-Ukraine Conflict. The quantile connectedness approach, combined with the extreme tail of distribution technique (Ando et al., 2021), has been employed. According to static quantile connectedness, NFTs and DeFi assets perform the role of spillover transmitters; in contrast, green assets receive spillovers across three distinctive market settings. Additionally, the dynamic time-varying net directional connectedness estimates reveal that during normal market condition, the connectedness degree between NFTs, DeFi assets, and green assets remains low relative to extreme events at different point in time. Moreover, it provides valuable …

Orbital Infrastructure, Electromagnetic Launch And Interplanetary Ecosystem: 137 Innovations Released Into The Public Domain, Xavier Pillet

Defensive Publications Series

This document, produced with the assistance of ChatGPT o3, Claude Opus 5 and Gemini 3, is released under the Apache License 2.0. It is a voluntary defensive publication (prior art) and therefore enters the prior art upon release under the applicable patent statutes : EPC Art. 54(2) (European Patent Convention), French IPC Art. L 611-11 (French Intellectual Property Code), 35 U.S.C. §102(a) (United States Patent Act), Chinese Patent Law Art. 22(5) (両匡丢氡儡吡嘡丣刡氢), and Japanese Patent Act Art. 29(1) (闘旧避). It discloses 137 inventions arising from the Vision 2050 Plan. Each innovation is IPC- and CPC-classified and timestamped (RFC 3161 / …

Autonomous Dual-Anchor Articulated-Mast System For Precision Canopy Management In Vine-Like Crop Environments, Eric Zavesky

Defensive Publications Series

A system and method for precision crop trimming in vineyard and vine-like crop environments employs a dual-anchor articulated-mast architecture deployable in both spanning and lateral orientations. Two omnidirectional ground anchor robots, each incorporating a rotating central mast interface permitting independent yaw, support a telescoping gantry structure with an adjustable crossbar. At least one interchangeable cutting head is suspended from the gantry, traveling vertically along a carriage system and rotating about its longitudinal axis. A lateral tilt mechanism at each robot pivot tilts the gantry approximately 15 to 30 degrees from vertical, enabling variable approach angles in spanning configuration and lateral …

Dual-Currency Reciprocity Infrastructure: Money And Time As Complementary Scarcities — A Platform Integrating Peer-To-Peer Money Gifts With Expiring, Non-Transferable Time Pledges Under A Bounded Ai Recommender, Thon Ly

Defensive Publications Series

A two-currency reciprocity platform integrates peer-to-peer money gifts with non-transferable, expiring pledges of personal time, under one user identity, one bounded AI recommendation agent and one shared participation indicator. On the time side, the AI agent recommends a time amount for each thank within a governance-set low/middle/high band; small pledges accumulate until a threshold activates a single redeemable commitment; an activated commitment lapses one month after activation if unredeemed; the recipient chooses the activity, and the giver may decline a specific request. A two-axis participation record (time delivered, time received) is disclosed in its original public form and in its …

Beyond Electromyography: A Systematic Review And Meta-Analysis Of Ai Enabled Wearables For Neuromuscular Assessment In Sports Medicine And Rehabilitation, Dariusz T. Skalski, Michał Spieszny, Łukasz Jaworski, Marcin Żak, Artur Terbalyan, Marlena Stawiarska, Wirginia Likus, Adam Maszczyk

Baltic Journal of Health and Physical Activity

Background: Conventional laboratory based EMG systems constrain neuromuscular assessment to controlled environments, limiting ecological validity in sport and rehabilitation. While AI enabled wearable sensor systems, including surface EMG (sEMG), high density EMG (HD-EMG), inertial measurement units (IMUs), and multimodal configurations, have expanded ambulatory monitoring capabilities, no prior meta-analysis has quantitatively synthesized their agreement with laboratory grade comparators or examined the moderating roles of sensor class and task domain. Objective: To determine the overall agreement between AI enabled wearable neuromuscular systems and laboratory benchmarks; to examine sensor class and task domain as moderators of measurement fidelity; to evaluate multimodal gain over …

Evaluation Of Carcinogenic Contaminants (Nitrates, Ammonium, Bromates, And Chloroform) In Baghdad Drinking Water And Their Removal Using Orange Peel Powder As A Bio Sorbent, Estabraq Ali Hameed, Hiba N. Sami, Eman Waleed Hayder

Karbala International Journal of Modern Science

The present study was carried out for six months to detect the presence of some important chemical contaminants (bromate, nitrate, chloroform, and ammonium) in the drinking water of Baghdad at ten sampling sites. The study suggested the use of orange peel powder (OPP) as a cheap and eco-friendly biosorbent. X-ray diffraction (XRD) was used to confirm the amorphous nature, surface and structural characteristics of OPP. Further, SEM investigation also showed very microporous surface. FTIR (Fourier Transform Infra-Red Spectroscopy) analysis confirmed the presence of active carboxyl (-COOH) and hydroxyl (-OH) binding sites. Baseline studies show that the levels of nitrate and …

Effect Of A Plant-Based Sweet Potato And Almond Snack Bar, High Intensity Interval Training, And Mindfulness Therapy On Blood Glucose Control Among Patients With Type 2 Diabetes Mellitus In Medan Selayang District, Medan, Indonesia, Henny Arwina Bangun, Ermi Girsang, Santi Deasy Siregar, Rapael Ginting, Putranto Manalu, Yenni Gustiani Tarigan, Baxter Hepburn Kachingwe

Journal of Health Research

Background: Integrated lifestyle interventions combining nutritional, physical, and psychological strategies may improve glycemic control in individuals with type 2 diabetes mellitus (T2DM). However, evidence regarding the combined effects of high-fiber functional foods, high-intensity interval training (HIIT), and mindfulness therapy remains limited, particularly in low- and middle-income countries. This study evaluated the effects of a multimodal lifestyle intervention on glycemic responses among individuals with T2DM and non-diabetic adults.

Methods: A quasi-experimental pilot study was conducted among 30 female participants (15 with T2DM and 15 non-diabetic controls) in Medan, Indonesia. Fasting (pre-prandial) and post-prandial blood glucose concentrations were measured repeatedly throughout the …

Mental Health, Personality, Identity, And Adjusting To Life After Sports, Jovana Babic

Master's Theses

This study looked at how athletes adapt to life after competitive sports in relation to psychological issues. In publicly accessible podcast interviews, 95 former athletes, most competing at the collegiate or professional level, were examined using their own words. Claude and Gemini, two large multimodal models, independently coded each interview for four mental health outcomes: depression, anxiety, dependency, and identity confusion, as well as for a set of predictor variables, such as neuroticism, emotion regulation, athletic identity, identity foreclosure, intrinsic motivation, grit, social support, and retirement planning. A binary present or absence coding system was employed, and Gwet's AC1 was …

Enso-Induced Oceanographic Anomalies And Their Potential Impacts On Coral Species In The Phoenix Islands Protected Area, Jason T. Gonsalves

Master's Theses

The 2015/16 El Niño event is one of the strongest El Niño Southern Oscillation (ENSO) events on record. Coral reefs in the Phoenix Islands Protected Area (PIPA) were exposed to the effects of the 2015/16 El Niño event and experienced moderate to severe coral bleaching and mortality. This study examines the variability in three key oceanographic variables before, during, and after the 2015/16 El Niño event within PIPA: sea surface temperature (SST), sea surface salinity (SSS), and estimated chlorophyll-a (chl-a) as a proxy for regional productivity. I used remote sensing data for SST, SSS, and estimated chl-a coupled with in-situ …

Servingness In Solidarity: How Filipina/X/O American Student Organizations Cultivate Belonging, Clarissa Mae Lico Calimbas

Dissertations

Filipina/x/o American college students represent one of the largest Asian ethnic subgroups in the United States, yet their educational experiences remain underexamined within institutional research and higher education scholarship. Aggregated under the broader Asian American category, Filipina/x/o American students are rendered invisible by data practices that obscure the distinct colonial histories, socioeconomic realities, and identity negotiations. This qualitative study examined how Filipina/x/o American students at Pacific State University (PSU) describe their involvement in Filipina/x/o American Student Organizations (FASOs) and how that involvement shapes their sense of belonging, cultural identity development, and academic persistence. Guided by a critical race phenomenological framework …

Perspectives Of Trauma Among Licensed Trauma Therapists: A Concept Mapping Study, Sean W. Bullock

Master's Theses

To address gaps between research and psychotherapeutic intervention for trauma and trauma-related issues, the current study elicited and analyzed the perspectives of licensed trauma therapists via a concept mapping process. A literature review was conducted to explore the history and limitations of trauma’s current medical use as outlined by Criterion A of posttraumatic stress disorder in the DSM-5-TR. To answer the research question regarding how practitioners understand trauma, the researcher recruited licensed trauma therapists (n = 17) to participate in concept mapping. Participants generated 126 unique statements, which they then sorted based on similarity and rated individually on importance. Hierarchical …

Examining The Relationship Between Physical Activity And Job Satisfaction Among Administrators And Educators: A Correlational Study, Zachary Caudell

Doctorate in Kinesiology

This study was developed to examine if a significant relationship exists between leisure-time physical activity (LTPA) and the job satisfaction of educational staff, with further exploratory analysis examining self-efficacy as a mediator to the relationship. Employing a cross-sectional design, data from a sample of middle school educational staff was collected and analyzed (n=35). Job satisfaction, physical activity levels, and self-efficacy were measured using the Minnesota Satisfaction Questionnaire – Short Form (MSQ-SF), the International Physical Activity Questionnaire – Short Form (IPAQ-SF) and the General Self-Efficacy Questionnaire. Analyses were conducted using Jeffery’s Amazing Statistics Program (JASP). The results of the analyses revealed …

Serials Spoken Here, Michelle E. Colquitt, Robert Hilliker, Jordan Claire, Jeremy Whitt, Taylor Ralph, Elizabeth Rapp, Alice Pearman, Megan Horn, Zachariah Motts, Joni Addis

Publications

This edition of “Serials Spoken Here” contains a wide variety of session recaps. Conference sessions from both national/international conferences as well as state/local sessions. Recaps from the ALA Annual Convention & Exhibition, Electronic Resources & Libraries (ER&L), UKSG, the Acquisitions Institute at Timberline Lodge, the American Association of Law Libraries, NISO Plus, ExLibris Users of North America (ELUNA), and the Academic Libraries of Indiana (ALI) Resource Rendezvous. Topics are arranged under the broad headings of Collection Management, Contracts & Agreements, Legal & Government Serials, Scholarly Integrity, Workflows, Metrics, and Discovery. The editors hope you will take something away from this …

Advancing Clinical Practice Using Precision Infusion Delivery And Standardized Flushing Protocol, Sudha Saravanan

International Nursing Research Congress (INRC)

Ambulatory infusion centers are required to infuse complex therapies within scheduled chair times while sustaining excellent patient-centered care. This project evaluated how advanced clinical nursing practices can optimize routine infusion workflows by improving drug-volume accuracy and standardizing post-infusion flushing.

Infusion times go beyond expected time when nurses program pumps using manufacturer-stated volumes rather than actual bag volume, which often contains significant overfill [3]. In addition, variation in flushing practices creates inconsistent timed dose delivery and potential drug loss [2,4]. These deviations contribute to prolonged chair time and patient dissatisfaction.

Evidence supports weighed volume accuracy as an essential safeguard for time-dependent …

การกำหนดนับอายุความหมิ่นประมาทออนไลน์: ศึกษาหลัก Single Publication Rule (Limitation Periods For Online Defamation: A Study Of The Single Publication Rule), Warut Songsujaritkul

Chulalongkorn University Law Journal

การเผยแพร่ข้อมูลบนสื่อออนไลน์มีลักษณะคงอยู่อย่างถาวรและสามารถเข้าถึงได้ตลอดเวลา เมื่อข้อความอันอาจเป็นการหมิ่นประมาทถูกเผยแพร่ผ่านแพลตฟอร์มดิจิทัล ปัญหาทางกฎหมายจึงเกิดขึ้นว่าควรเริ่มนับอายุความเมื่อใด เนื่องจากภายใต้หลักการเผยแพร่หลายครั้ง (Multiple Publication Rule) การเข้าถึงเนื้อหาแต่ละครั้งอาจถูกตีความว่าเป็นการกระทำความผิดใหม่ ส่งผลให้อายุความถูกขยายออกไปอย่างไม่มีที่สิ้นสุด ทำให้ผู้เผยแพร่ต้องเผชิญความเสี่ยงทางกฎหมายอย่างไม่มีกำหนด อันก่อให้เกิดผลกระทบเชิงยับยั้ง (chilling effect) ต่อเสรีภาพในการแสดงความคิดเห็น และเกิดความไม่สมดุลระหว่างเสรีภาพในการแสดงความคิดเห็นกับสิทธิในชื่อเสียงของบุคคล บทความวิจัยนี้ศึกษาวิเคราะห์มิติปัญหาทางกฎหมายว่าด้วยการกำหนดจุดเริ่มต้นการนับอายุความของความผิดฐานหมิ่นประมาทที่กระทำผ่านสื่อออนไลน์ โดยมีขอบเขตการศึกษาครอบคลุมถึงแนวคิดว่าด้วยการสร้างดุลยภาพระหว่างเสรีภาพในการแสดงความคิดเห็นกับการคุ้มครองชื่อเสียง การตรวจสอบหลักเกณฑ์การนับอายุความตามประมวลกฎหมายอาญาและประมวลกฎหมายแพ่งและพาณิชย์ของไทย และการศึกษาเปรียบเทียบพัฒนาการ บรรทัดฐานคำพิพากษา และบทบัญญัติทางกฎหมายของประเทศอังกฤษและสหรัฐอเมริกาที่นำหลัก Single Publication Rule มาปรับใช้ ผลการศึกษาพบว่า การปรับใช้หลักการนับอายุความแบบเดิมที่ถือว่าการเผยแพร่ซ้ำแต่ละครั้งเป็นความผิดใหม่ไม่สอดคล้องกับลักษณะของสื่อออนไลน์ และก่อให้เกิดภาระเกินสมควรแก่ผู้เผยแพร่ จึงควรนำหลัก Single Publication Rule มาใช้ โดยถือว่าการเผยแพร่เนื้อหาที่มีสาระสำคัญเดียวกันเป็นการกระทำเพียงครั้งเดียวและเริ่มนับอายุความนับแต่วันที่เผยแพร่ครั้งแรก เว้นแต่การเผยแพร่ครั้งหลังจะมีความแตกต่างอย่างมีนัยสำคัญจึงจะถือเป็นการเผยแพร่ใหม่ อย่างไรก็ดี การนำหลักดังกล่าวมาใช้ควรกำหนดรายละเอียดและกลไกทางกฎหมายเพิ่มเติม อาทิ การให้ดุลพินิจแก่ศาลในการขยายอายุความ การกำหนดขอบเขตระยะเวลาและการนับอายุความจากวันที่เผยแพร่ครั้งแรกให้ชัดเจน ตลอดจนมาตรการที่ใช้บังคับกับคลังข้อมูล แพลตฟอร์ม และผู้เผยแพร่ เพื่อสร้างความสมดุลระหว่างเสรีภาพในการแสดงความคิดเห็นกับสิทธิในชื่อเสียง ให้สอดคล้องกับบริบทของสังคมดิจิทัล

แนวทางการคุ้มครองสิทธิอนามัยเจริญพันธุ์สตรีและผู้ที่มีความหลากหลายทางเพศในบริบทของประเทศไทย (The Protection Of Reproductive Health Rights Of Women And Lgbtqian+ Persons In The Context Of Thailand), Chattrika Napatanapong, Nichakorn Khonthong

Chulalongkorn University Law Journal

บทความนี้มุ่งศึกษาถึงการคุ้มครองสิทธิอนามัยเจริญพันธุ์ของสตรีและผู้มีความหลากหลายทางเพศในบริบทประเทศไทย ภายใต้พันธกรณีระหว่างประเทศด้านสิทธิมนุษยชน เช่น อนุสัญญาว่าด้วยการขจัดการเลือกปฏิบัติต่อสตรีในทุกรูปแบบ (CEDAW) หลักการยอกยาการ์ตา และเป้าหมายการพัฒนาที่ยั่งยืนข้อที่ 5 ซึ่งต่างยืนยันถึงสิทธิในการเข้าถึงสุขภาพทางเพศและอนามัยเจริญพันธุ์อย่างเสมอภาคและปราศจากการเลือกปฏิบัติ จากการศึกษาพบว่า แม้ประเทศไทยจะมีความก้าวหน้าในเชิงกฎหมายและนโยบาย แต่ยังคงเผชิญอุปสรรคสำคัญ อาทิ อคติจากผู้ให้บริการ ความเหลื่อมล้ำทางเศรษฐกิจและภูมิศาสตร์ ตลอดจนข้อจำกัดทางกฎหมายที่ยังไม่สอดคล้องกับมาตรฐานสิทธิมนุษยชนสากล การศึกษาวิจัยนี้จึงมุ่งศึกษาพัฒนาการและปัญหาทางกฎหมายและนโยบายของประเทศไทยที่เกี่ยวข้อง เช่น การยุติการตั้งครรภ์ การขยายสิทธิประโยชน์ด้านการคุมกำเนิด การบริการอนามัยเจริญพันธุ์ รวมถึงสิทธิในการเข้าถึงบริการยาฮอร์โมนและการยืนยันเพศสภาพ โดยศึกษาเปรียบเทียบกับการคุ้มครองสิทธิอนามัยเจริญพันธุ์ในสหราชอาณาจักร เยอรมนี และอินเดีย อันเป็นตัวอย่างการพัฒนากลไกกฎหมายและนโยบายที่ช่วยลดความเหลื่อมล้ำและสร้างระบบบริการที่เป็นมิตร เพื่อยกระดับกลไกทางกฎหมายและนโยบายสาธารณะของไทยให้สามารถส่งเสริมและสนับสนุนสิทธิอนามัยเจริญพันธุ์เกิดขึ้นจริง ภายใต้พันธกรณีระหว่างประเทศด้านสิทธิมนุษยชน และบรรลุเป้าหมายการพัฒนาอย่างยั่งยืนได้ต่อไป

The Echo: September 29, 2025, Taylor University

2025-2026 (Volume 113)

No abstract provided.

Strengthening Self-Efficacy To Reduce The Confidence–Performance Gap In Nursing Skill Execution, Efrat Danino

International Nursing Research Congress (INRC)

A persistent gap between nurses’ perceived confidence and their actual performance of clinical skills poses risks to patient safety, quality of care, and workforce preparedness. The purpose of this study was to examine how internal factors—particularly self-efficacy and perceived ability—and external factors, including departmental climate and gender, influence the execution of core nursing procedures.

Limited research has evaluated how self-efficacy and perceived ability translate into consistent performance across diverse clinical environments. Addressing this gap is essential for developing evidence-based strategies that enhance competence, promote safe practice, and strengthen the global nursing workforce.

A cross-sectional study was conducted using validated self-report …

Dysphagia Strain Sensor For Swallowing And Volume Status Assessment In Heart Failure, Juvel-Lou P. Velasco

International Nursing Research Congress (INRC)

Introduction: Dysphagia often appears days before conventional volume overload indicators, suggesting it may be an earlier marker for impending volume overload. The The Massey Bedside Swallow Screen and videofluoroscopic swallow studies are standard dysphagia diagnostic tools, but are limited by subjectivity and resource availability, respectively. The Dysphagia Strain Sensor (DSS) offers objective assessment and easier accessibility. This study assessed the feasibility of the DSS in detecting dysphagia and evaluating volume status in heart failure (HF) patients.

Methods: An exploratory feasibility enrolled 15 HF patients aged 18 years and older, classified as New York Heart Association Functional Class II to III, …

Leading The Charge In Advanced Competency: Through Muta/Guta Training In Graduate Nursing Education, Janice Ketcham Williams

International Nursing Research Congress (INRC)

Graduate nursing education is undergoing a significant transformation as academic institutions are required to prepare their learners to meet the evolving needs of a complex healthcare system. This requires them to be prepared to care for patients with diverse healthcare needs, while also meeting the expectations of nursing regulatory and accrediting organizations. One of these requirements is the transition toward competency-based education. This transition to competency-based education requires faculty to employ pedagogical approaches that demonstrate consistent, measurable development of clinical knowledge, skill acquisition, and professional attitudes. Research has validated the effectiveness of incorporating diverse simulation experiences throughout the curriculum as …

Implementing Loneliness Screening To Impact Referrals To A Community Health Liaison, Debra Garee

International Nursing Research Congress (INRC)

Loneliness can be a common and harmful problem many people of all ages face. At the practice site, there was no screen to identify lonely patients who would benefit from connection to community resources. The purpose of this quality improvement project was to determine if the translation of Mullen et al.’s research utilizing the University of California Los Angeles (UCLA) Three-Item Loneliness Scale would impact referrals to a community health liaison among adults. The project was piloted in a rural Ohio community health center over eight weeks. The project's theoretical foundations were Betty Neuman’s systems model and John Kotter’s change …

Adaptation Of A Culturally Sensitive Gbv Screening Tool For Pregnant Women In Ghana, Innes Agbenu

International Nursing Research Congress (INRC)

Background: Violence against women and girls is a crucial global health concern. Violence occurring during pregnancy is an alarming global health issue due to increased adverse outcomes on maternal and newborn health. A vital component in the management of gender-based violence (GBV) in pregnancy is the identification of victims. Routine screening during the antenatal period is the most effective approach to identify pregnant women and girls exposed to GBV. Despite this crucial need, evidence suggests that little is done to identify women exposed to violence during pregnancy in Ghana.

Aim: This study aimed to assess gender-based violence screening practices among …

Leveraging Conference Learning Through A Proposal-Driven Approach To Nursing Innovation, Ashley Perry

International Nursing Research Congress (INRC)

Frontline nurses often return from conferences with evidence-based ideas, yet translating these into sustained practice change is limited by factors including resource and process barriers.^1,2 Evidence shows that strategies such as implementation science and structured innovation support improve adoption.^2,3,4,5 In 2024, our hospital noted this gap after funding over 50 nurses to attend conferences where insights were shared but rarely transformed care delivery. To increase impact, we launched a proposal-based model that turns external learning into actionable improvements. Previously, conference attendees shared insights via presentations, a passive approach with few pathways for change.

Our purpose was to introduce …

Evaluation Of The Dhcr7/Nadsyn1 Rs4944946 Variant And Breast Cancer Susceptibility: A Case-Control Study In An Indonesian Cohort, Dian Tri Wahyudi, Rafika Indah Paramita, Sonar Soni Panigoro

Indonesian Journal of Medical Chemistry and Bioinformatics

Background: The rs4944946 variant, located in the 5’UTR of the DHCR7 gene and upstream of NADSYN1, is biologically implicated in vitamin D and cholesterol metabolism pathways closely linked to cancer pathogenesis. This study aimed to experimentally validate the association between the rs4944946 polymorphism and breast cancer susceptibility in an independent cohort of Indonesian women. Method: A case-control study was conducted involving 36 breast cancer patients and 39 healthy adult females. Genotyping of the rs4944946 variant was performed using Polymerase Chain Reaction-Restriction Fragment Length Polymorphism (PCR-RFLP). The genetic association was evaluated across codominant, dominant, and recessive models. Luminal B was the …