Digital Commons Network^™

Le Défi Mondial : Panorama Comparatif Des Soins Néonatals Au Maroc Et Aux États‑Unis, Manasi Joshi

NEXUS: The Liberty Journal of Interdisciplinary Studies

Cette étude comparative examine les soins néonatals au Maroc et aux États-Unis après un stage dans une clinique privée à Rabat. Bien que les pratiques médicales principales soient universelles, leur application varie dans différents pays selon les circonstances socio-économiques et culturelles. Basée sur des observations directes, des entretiens avec des professionnels de soins néonatals marocains et une analyse de la littérature sur ce sujet dans ces deux pays, cette recherche discute de quatre différences principales : la disponibilité des ressources, l’accès aux soins de qualité, l’influence culturelle et les obstacles financiers. Malgré la pénurie évidente de personnel dans les hôpitaux, …

Hierarchical Context Caching Using Data Segmentation And Predictive Aggregation, Sarita A. Joshi, Leo J. Gustas, Blane C. Clark

Defensive Publications Series

Standard context caching for large language models can be inefficient in workflows with large, multi-part contexts, such as clinical documentation, where streaming data can invalidate static records and individual records may not meet caching thresholds. A computer-implemented system and method for optimizing context caching are described. The system may utilize a hierarchical structure that segments input context into static, semi-static, and dynamic layers based on update frequency. The system may also proactively aggregate historical records from multiple patients into a single cache prefix to meet service provider token minimums. This approach of hierarchical segmentation and predictive aggregation can reduce cache …

Forecasting Demand At Physical Facilities Using Diverse Heterogeneous Real-World Data, Kapil Parakh, Daniel Klein

Defensive Publications Series

Unpredictable fluctuations in customer demand at physical facilities can have substantial operational impacts. Current demand forecasting approaches tend to be simplistic and reactive as they rely primarily on internal historical data, which provides inadequate accuracy to support future resource allocation. This disclosure describes techniques to provide accurate medium-term demand forecasts for physical operational facilities by synthesizing a diverse set of relevant real-world factors obtained from a fusion of numerous heterogeneous data sources related to human practices and needs. The factors can be continually aggregated and input to a suitably trained machine learning model trained to generate specific actionable output designed …

Cable Coiling Detection Using Coupling-Based Sensing, Hp Inc

Defensive Publications Series

A smart cable monitoring system detects cable coiling conditions before cable degradation occurs. The system utilizes dedicated sensing conductors integrated within the cable to monitor changes in coupling characteristics caused by cable geometry variations. By comparing the measured sensing signature against a baseline condition, the system can identify prolonged coiled states and provide user feedback or preventive actions. Thermal sensing may also be incorporated to improve detection robustness and support cable health assessment.

Cultivating Civility: A Multicomponent Approach To Reducing Workplace Incivility In An Assisted Living Facility, Sanam Bral, Kaylyn Chang, Catherine Dinh, Sanjil Kumar, Truc Mai Moon

Master's Projects and Capstones

Workplace incivility remains a common challenge in healthcare, negatively affecting communication, staff well-being, and the quality and safety of resident care. Baseline survey findings from a faith-based assisted living facility in Southern California identified concerns related to workplace incivility, psychological safety, and gaps in staff knowledge of available reporting resources. This project aimed to reduce workplace incivility by improving staff knowledge and recognition of uncivil behaviors, with a target of at least 90% staff training attendance among nursing, assistive nursing, and medical technicians, and 80% attendee-reported high confidence level (agree or strongly agree) in recognizing incivility and understanding reporting options. …

Fireready Oc: Developing A Public Health Protocol For Wildland-Urban Interface (Wui) Fire Events In Orange County, Christian Andre O. Gequillo, Allyson Hayakawa, Selin Erdogan, Natalie Albarran

Master's Projects and Capstones

Objective/Problem: Wildland-Urban Interface (WUI) fires expose communities to a greater number of hazardous pollutants than traditional wildfires and can pose significant health risks; however, Orange County does not have a standardized public health protocol to address WUI fires. A review of the literature identified the need for standardized WUI fire guidance that is focused on improved preparedness and response. Aim: The FireReady OC quality improvement project aimed to develop an evidence-based public health protocol to improve Orange County’s public health preparedness and response for WUI fire events from 0% to 10% during the 12-week period from May 27, 2026, to …

Improving Nursing Adherence To Chg Bathing And Pivc Maintenance Practices To Reduce Hospital-Onset Bacteremia In An Adult Medical-Surgical Unit, Mohabat Barikzai, Dinazar Altamirano, Edward Rivas, Sarah Trilles

Master's Projects and Capstones

Preventing hospital-onset bacteremia (HOB) is a healthcare priority given its association with increased morbidity, mortality, prolonged hospitalization, and healthcare costs. Literature identifies inconsistent adherence to evidence-based practices for chlorhexidine gluconate (CHG) bathing and peripheral intravenous catheter (PIVC) maintenance as a modifiable risk factor for HOB. This quality improvement (QI) project evaluated whether implementing standardized nurse education, routine compliance audits, and performance feedback would improve adherence to evidence-based CHG bathing and PIVC maintenance practices. The project aimed to achieve at least 90% nursing compliance with HOB prevention practices over an intended 8-week implementation period. A pre-post quality improvement design was implemented …

Food For Thought: Building Confidence In Healthy Food Choices Among Seniors In A Residential Facility Through Nutrition Education, Amy Rodríguez

Master's Projects and Capstones

This quality improvement project evaluated the effectiveness of a 10-week nutrition education program designed to improve nutrition knowledge and confidence among independently living older adults residing in a low-income senior housing community. Aim By August 10, 2026, this project aimed to increase average nutrition knowledge and confidence scores related to selecting nutritious foods and preparing healthy meals by 20% among senior housing facility residents. Methods A microsystem assessment, literature review, SWOT analysis, fishbone diagram, and GANTT chart were completed to guide project development and implementation. Weekly nutrition education workshops were conducted over a 10-week period and included presentations, group discussions, …

In The Loop: Delivering Consistent, Compassionate Communication At Every Step Of The Ed Journey, Karina Basilio

Master's Projects and Capstones

Objective: Nearly 70% of patients in the emergency department (ED) at Hospital X are never roomed and instead wait in the main waiting area for evaluation, results, or disposition. Frequently, without structured updates on their plan of care, expected wait time, or next steps. This communication gap leaves patients feeling forgotten and disengaged from their own care. It is associated nationally with lower satisfaction, increased anxiety, and higher rates of patients leaving without being seen. Context: Hospital X is a mid-sized, community-based acute-care hospital in the Bay Area, California, serving a diverse patient population, with an ED that …

Breaking The Silence: Standardizing Routine Intimate Partner Violence Screening At A Community Clinic Serving The Latinx Community, Victoria M. Hall

Master's Projects and Capstones

Intimate partner violence (IPV) affects the Latinx population disproportionately due to socioeconomic status, cultural stigma, and language barriers. However, routine screening remains inconsistent and unstandardized at a local community clinic in San Francisco’s Mission District, despite evidence-based practices recommending it. The gap in IPV screenings across the Adult, Teens, and Women’s clinics resulted in only 1.6% of patients being screened in July 2025 and 4.1% in June 2026. This quality improvement project aimed to address low screening rates by standardizing IPV screening through a printed bilingual screener, a 60-minute staff in-service on IPV and the new screening protocol, and by …

Beyond The Tremor: Building Interdisciplinary Confidence In Parkinson's Disease Management Through Structured Education, Roya Oreo

Master's Projects and Capstones

Abstract

Objective: Parkinson’s Disease (PD) is a neurodegenerative disease that is commonly seen in skilled nursing facilities (SNF). Gaps in knowledge among clinical staff regarding PD-specific care have resulted in negative outcomes such as delayed medication administration, unmet activities of daily living (ADL) needs, restricted mobility, and dissatisfaction with care from residents and family members. At a 55-bed SNF in Northern California, clinical staff self-reported 60% confidence in their ability to care for and manage residents with PD. This reflects a need for structured, evidence-based education, specific to Parkinson’s Disease. Aim: This quality improvement (QI) project aimed to increase the …

Nourishing Confidence: Empowering Seniors To Make Healthy Food Choices, Ina Patricia Bangawan

Master's Projects and Capstones

Objective This quality improvement (QI) project evaluated the effectiveness of a 10-week nutrition education program designed to improve nutrition knowledge and confidence in making healthy nutritional choices among independent older adults living in a low-income senior housing community. Aim By August 10, 2026 the goal of this project was to increase average nutrition knowledge and confidence scores related to selecting nutritious foods and preparing healthier meals by 20% among senior housing facility residents. Methods A microsystem assessment and gap analysis, literature review, SWOT analysis, fishbone diagram, and GANTT chart were completed to guide the project development and implementation. Weekly nutrition …

Steady Steps: Building Confidence In Parkinson’S Disease Care, Jerlyn T. Nicdao

Master's Projects and Capstones

Parkinson’s disease is a movement disorder that greatly impacts one’s quality of life due to its worsening progression and impact on cognitive and physical functions. Objective: The purpose of this quality improvement project is to strengthen staff confidence and competence in caring for residents with Parkinson’s disease (PD) living in a skilled nursing facility. Aim: Clinical nurse leader (CNL) students aim to increase staff confidence and competence in PD care from 60% to 75% over a six-week period, from June 18, 2026, to July 30, 2026. Method: A total of thirteen interdisciplinary staff members (e.g. registered nurses, licensed vocational nurses, …

Standardizing Gestational Diabetes Group Education In An Outpatient Maternal-Fetal Medicine Clinic: A Quality Improvement Project, Nina Prieto

Master's Projects and Capstones

Gestational diabetes mellitus (GDM) requires timely and consistent education to support effective self-management and reduce maternal and fetal complications. Baseline assessment of an outpatient maternal-fetal medicine clinic identified variation in educational materials, teaching approaches, referral processes, scheduling, and workflows across English- and Spanish-language GDM group visits. This quality improvement project aimed to standardize the group visit process and increase staff compliance with standardized materials and workflows from 0% to 50% over a 12-week period. Data were collected through direct observation of group and individual education sessions, stakeholder feedback, review of existing materials, referral and attendance patterns, and workflow analysis. These …

Improving Sleep Assessment Compliance On A Medical-Surgical Unit, Cassandra Nguyen

Master's Projects and Capstones

Poor sleep in the hospital is linked to more pain, more opioid use, delirium, slower healing, and longer hospital stays. A required Enhanced Recovery Medicine (ERM) sleep assessment is meant to help, but it is not always documented. On a 25-bed medical-surgical unit in a large integrated health system in northern California, only 75.8% of eligible days had this assessment documented before noon at baseline (March 30 to April 28, 2026). The plan has three parts: bedside sleep champions on the day and night shift, staff education during shift huddles supported by an education flyer, and weekly audits through the …

“Now Serving… Not Quite Yet”: Improving Waiting Room Experience Through Consistent Communication In The Emergency Department, Juan Carlos Serrato

Master's Projects and Capstones

Context: The quality improvement project was implemented in the front-end microsystem of a 36-bed emergency department (ED) in a non-profit, Magnet-designated California hospital. Problem: Communication with non-roomed patients at Hospital X was inconsistent, contributing to dissatisfaction. In June 2026, Press Ganey reported that 61.4% of patients felt they were informed about delays. Baseline observation identified gaps in staff explanations of estimated wait times, next steps in care, and opportunities to ask questions. Intervention: A 30-day pilot provided staff education on the AIDET communication framework through formal in-service education and daily huddles. Patient-facing materials explained the ED process …

Cultural Tailoring Of Digital Nutrition Interventions: A Scoping Review Of Adaptation Strategies, Evaluation Methods, And Evidence Gaps, Wendy Liang

Master's Projects and Capstones

Background: Nutrition-related chronic diseases disproportionately affect culturally diverse populations, highlighting the need for effective and equitable interventions. Digital nutrition interventions have expanded rapidly due to their accessibility; however, the extent to which they incorporate and evaluate cultural tailoring remains unclear.

Research aim: This scoping review maps the existing evidence on culturally tailored digital nutrition interventions, describes cultural adaptation strategies used, examines methods used to evaluate cultural appropriateness, and identifies gaps for future research and public health practice.

Methods: A scoping review was conducted following the PRISMA-ScR guidelines.

Findings: Culturally tailored digital nutrition interventions generally improved participant engagement, acceptability, and dietary …

Imsa Summer Symposium 2026, Student Inquiry And Research (Sir)

Summer Symposium

For nearly four decades, IMSA has worked to advance the human condition through educational innovation. The Summer Symposium is our annual showcase for the research projects that were conducted in IMSA’s experiential learning programs between May and August. These programs include Student Inquiry and Research (SIR), IN2 Business Internships, and the Student Research and Experiential Learning Opportunity (SRELO) program. For the first time, we are also excited to welcome IMSA Research, Inquiry Skills, and Experimentation (RISE) students to present at the Summer Symposium.

Cover Design

Luke Berryman

The Hidden Costs Of Accountability: Unpacking The Emotional Labor Of Student Conduct Work And Building Tools For Resilience, Tiffany Marlene Shierling

Graduate Student Dissertations, Theses, Capstones, and Portfolios

This dissertation explored the psychological challenges student conduct administrators (SCAs) face in higher education. These professionals have encountered significant emotional labor, vicarious trauma, and ethical dilemmas as they address student misconduct while striving to achieve educational and developmental outcomes. The study highlighted a research gap concerning the impact of these challenges on the mental well-being of SCAs, which hinders the development of effective support systems. This study aimed to address the mental health needs of SCAs by developing a comprehensive toolkit. Grounded in self-compassion theory and resilience theory, the toolkit provides resources for emotional self-regulation, supervisor training, and institutional recommendations.

Improving Pressure Injury Prevention Through Braden Scale Compliance And Education In The Emergency Department, Joycelyn Lee, Kira Simone Faerstain, Alyssa Kristine Ortiz, Ashley Briseida Cruz

Master's Projects and Capstones

Pressure injuries are a major burden in healthcare, particularly in the Emergency Department (ED). Patients can be sedentary for prolonged periods of time and don't always get their skin checked promptly. Patients visiting the ED often have comorbidities and patient-specific medical needs, such as seniors with fragile skin, malnourishment, immobility, etc. At a Southern Los Angeles Hospital, leadership found that there was a need for improvement in this area. Implementing standardized risk assessment methods can help to improve the consistent use of the Braden Scale as a predictive and preventive tool for identifying patients' risk for pressure injuries and promoting …

Ppt-1 Regulates Lipid Droplet Homeostasis And Promotes Oxidative-Stress Resilience In C. Elegans., Chukwuadinula Deborah Ashiedu

Master’s Theses and Projects

No abstract provided.

The Educational Experiences Of College Students Who Were Formerly Involved In The Juvenile Justice System, Nicole-Jasmin T. Clark

Doctoral Dissertations

In the United States, juvenile offending, reentry, and recidivism continue to be serious concerns for public and institutional policy making. Due to historical and current policies of both the education and juvenile justice system, youth of color (YOC) and youth with disabilities and diagnosed with mental health disorders have been overly disciplined by schools and disproportionately adjudicated by the juvenile justice system. In their annual Statistical Briefing Book, The Office of Juvenile Justice and Delinquency Prevention (OJJDP) has consistently reported YOC, particularly Black youth, are arrested, adjudicated, and detained at much higher rates when compared to their white peers. Research …

When Policy Meets Public Distrust: A Social Network Analysis On Indonesia's Mbg Program, Rizky Fauziah, Rehia Karenina Isabella Barus, Ressi Dwiana

JURNAL KOMUNIKASI INDONESIA

The Indonesian government program Free Nutritious Meal, locally abbreviated as MBG, launched in early 2025, has generated significant public controversy. Data from the Institute for Development of Economics and Finance (INDEF) indicate that, as of August 2025, approximately 4,000 students across Indonesia had reportedly suffered food poisoning associated with the program. This situation has fueled widespread public concern and contributed to declining trust in government. This study aims to analyze communication networks surrounding the MBG on the social media platform X. This study draws on Trust and Distrust Theory and employs a Social Network Analysis (SNA) approach to examine how …

Leadership And Character In The Law: An Introduction From Kenneth Townsend, Kenneth Townsend

Journal of Legal Education

No abstract provided.

Fostering Future Difference-Makers: The Integration Of Leadership Training In Law Schools, Leah Teague

Journal of Legal Education

No abstract provided.

Obeying In Advance Will Not Save You: How Adaptive Leadership Can Help Legal Education Stay Mission Driven In Times Of Authoritarianism And Fear, Tania Luma

Journal of Legal Education

No abstract provided.

What Do We Do At The End Of A World?: Cultivating Emergent Leadership In A Time Of Collapse, Brent Godfrey

Journal of Legal Education

No abstract provided.

Professional Identity Formation As Theory And As Practice For The Education Of A Lawyer, Louis D. Bilionis, Neil W. Hamilton

Journal of Legal Education

No abstract provided.

Who’S The Lawyer Now? Professional Identity In A Genai World, Aric K. Short

Journal of Legal Education

No abstract provided.

Practicing Pietas: Character Development For Lawyers As Citizens, Elisabeth Rain Kincaid

Journal of Legal Education

No abstract provided.