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Creating Consistency: Standardizing Gestational Diabetes Group Visit Framework In High-Risk Obstetric Care, Danielle Pack

Master's Projects and Capstones

Objective: Gestational diabetes mellitus (GDM) requires timely and consistent education to promote effective self-management and improve maternal and fetal outcomes. Baseline observations at a Santa Clara County high-risk obstetric clinic identified variation in educational materials, educator delivery, referral processes, and workflows between English- and Spanish-language GDM group visits. A review of the literature supported standardized diabetes education and group prenatal care as strategies to improve consistency, efficiency, and patient access. Aim: This quality improvement project aimed to develop and implement a standardized GDM group visit framework for nurse practitioners, registered dietitians, and scheduling staff, with the goal of increasing compliance …

You Haven’T Been Forgotten: Driving Improvements In Trust, Transparency, And Accountability Through A Patient-Centered Communication Initiative In The Emergency Department, Ellie Mead

Master's Projects and Capstones

Objective: In Spring 2026, the Emergency Department (ED) at Hospital X identified difficulties securing high levels of patient satisfaction. Over one third of patients did not feel adequately “informed about delays,” and observation of nurse-patient interactions in front-end care areas confirmed these communication gaps: in 87% of interactions, nurses did not explain next steps to the patient, and in none of the 51 interactions observed did nurses proactively inform patients about possible delays. Aim: This quality improvement initiative sought to improve the patient experience in the ED and drive a 10% increase in Press Ganey patient satisfaction survey results relating …

Cover And Contents

Turkish Journal of Veterinary & Animal Sciences

No abstract provided.

Topology-Aware Graph Neural Network With Spatiotemporal Encoding And Contrastive Learning For Scalable Dynamic Network Representation, Wassan S. Hayale, Rasha S. Ali, Raghda Abd Ul Rab Abd Ul Hasan, Lateef Abd Zaid Qudr, Safwan Nadwe, Nitin S. Solke, Ravi Sekhar, Pritesh Shah, Reyad Omran Essa

Mesopotamian Journal of Big Data

Recently, Dynamic Graph Neural Networks (DGNNs) have become a potent candidate to model time-changing graphs, although other solutions, including Temporal Graph Networks (TGN), Evolving Graph Convolutional Networks (EvolveGCN), and Dynamic Self-Attention Networks (DySAT), still have significant barriers to scalability, computational efficiency, and temporal embedding drift. To overcome these drawbacks, this paper presents a Topology-Aware Graph Neural Network (TAGNN) model capable of incorporating graph-topology encoding and the spatiotemporal memory mechanisms into the learning process of dynamic node representation. The proposed framework includes three key components: (i) returns global and local structural data such as graph Laplacian-based feature transformations and position encodings, …

Protecting America’S Critical Infrastructure: A Shared Responsibility In An Era Of Escalating Cyber Threats, Alan Saquella

Publications

The recent cyberattacks targeting municipal water facilities across multiple U.S. states serve as another reminder that America’s critical infrastructure remains under constant attack. According to the FBI, Environmental Protection Agency (EPA), and the Cybersecurity and Infrastructure Security Agency (CISA), attackers successfully compromised operational technology (OT) devices, including programmable logic controllers (PLCs), by exploiting Internet-connected systems, changing administrator credentials, and disrupting normal operations. Fortunately, local operators responded quickly by isolating affected systems, restoring backups, and preventing what could have become a significant public health crisis.

While these incidents focused on water treatment facilities, they represent a much larger national security issue. …

Staff Re-Entry Plan — Indian Trail, Flett, Woodridge, Travis Schulhauser

Spokane Wildfire Academic Consortium Repository

Following the downgrade of Level 3 Evacuation orders at Flett Middle School and Indian Trail and Woodridge elementary schools on Aug. 9, district staff worked with Fulcrum Environmental Consulting to conduct visual inspections and air-quality testing at these sites. More than 100 interior and exterior locations were tested, with indoor air quality within the Good-to-Moderate range under the EPA Air Quality Index. Inspectors also found no indication of unusual ash, soot or other settled particulates inside or outside the buildings.

Formative Work To Guide Implementation Of An Evidence-Based Breast And Cervical Cancer Prevention And Early Detection Behavioral Health Program In Clinics: Qualitative Study Guided By The Consolidated Framework For Implementation Research, Roshanda S Chenier, Maria E Fernandez, Lara S Savas

Faculty, Staff and Student Publications

Background: Salud en Mis Manos (SEMM) is a community health worker-delivered evidence-based intervention shown to increase breast and cervical cancer screening in medically underserved Latinas. Despite SEMM's success in community-based settings, clinic-based implementation is limited.

Objective: This study aimed to identify factors influencing the implementation of SEMM in clinic settings using the Consolidated Framework for Implementation Research (CFIR) to inform and refine implementation strategy development.

Methods: We developed theory-informed (eg, CFIR, Social Cognitive Theory, and Readiness) interview guides to elicit barriers and facilitators of SEMM clinic implementation. We conducted 12 semistructured interviews with clinic leaders, outreach coordinators, and community health …

Enhancing Diagnostic Safety: Addressing Knowledge Gaps For Using Human Factors Tools In The Safe And Effective Use Of Ai - A Proposed Research Agenda, Jeff Brady, Kenneth R Catchpole, Linda Gangai, Mark Graber, Ayse P Gurses, Charles E Kahn, Elizabeth A Krupinski, Soundar Kumara, Chris Mamrol, Kristen E Miller, Timothy J Mosher, Sarah E Parker, Mary D Patterson, Susan Shelmerdine, Joshua Streit, Charlotte Van Sassen, Michael H Kanter, Melissa Carraway, Michael A Bruno

Faculty, Staff and Students Publications

Introduction: Identify knowledge gaps in applying artificial intelligence in clinical settings, using medical imaging as a primary use case to enhance diagnostic efficacy, efficiency, and patient and provider safety.

Methods: We convened a two-day workshop with 18 interdisciplinary experts from three countries. Experts represented quality and patient safety, human factors and systems engineering, radiology and other medical specialties, nursing, medical informatics, cognitive and perceptual psychology, psychometrics and statistics, and machine learning, drawn from academia, industry, health systems, and government.

Results: We identified by consensus six major knowledge-gap domains, with specific research questions for each domain: development, validation, integration and sustainability; …

Increasing Internal Teacher Capacity Through Instructional Support And Professional Growth, Kelly Compher

Masters Projects

The state of Michigan has long invested in early literacy by supporting K-2 teachers in professional learning and early literacy coaching. This project focuses on the need to develop upper elementary teachers in grades three through five on their knowledge of the science of reading and foundational skills. Providing professional learning on the science of reading will increase knowledge and self-efficacy, which upper elementary teachers need in order to implement a Tier 1 curriculum as mandated by PA 146 of 2024. This project outlines a series of three professional development sessions that help build content knowledge around the science of …

Prekindergarten Teachers' Perspectives On Coaching Following Professional Development On Early Childhood Programs, Donna Renee Morton

Walden Dissertations and Doctoral Studies

Coaching is recommended for prekindergarten (PK) teachers following professional development (PD) to increase implementation of instruction practices with fidelity in early childhood (EC) programs. The problem addressed in this study was PK teachers were challenged to engage in coaching experiences after PD to implement instructional practices with fidelity in a large EC program located in the Mideastern United States. Framed by Knowles’s adult learning theory, the purpose of this basic qualitative study was to explore PK teachers’ perspectives on coaching experiences after receiving PD to implement instructional practices with fidelity. Semistructured interview data were collected from eight PK teachers who …

Staff Education To Improve Staff Knowledge On Fall Prevention, Nginjoh Presilia Njofang

Walden Dissertations and Doctoral Studies

Patient safety risks associated with falls are a major issue in adult inpatient medical-surgical environments because nursing inconsistencies with regard to fall risk assessments, individualized fall prevention interventions, and documentation could impede adherence to best practices. To overcome this knowledge gap among RNs in the selected environment, a DNP education project aimed at standardized fall-prevention staff education was initiated. The question for the practice was whether standardized staff education would increase knowledge among nurses regarding fall-risk assessments, preventive measures, and documentation requirements, based on pretest and posttest results. In the course of a one-hour educational session conducted face-to-face, twenty RNs …

Implementation Of A Nurse-Led Self-Measured Blood Pressure Program In Rural Primary Care, Stephanie Marie Montgomery

Walden Dissertations and Doctoral Studies

Hypertension remains a leading modifiable risk factor for cardiovascular morbidity and mortality, yet blood pressure control remains suboptimal among many adults, particularly those receiving care in rural primary care settings. Reliance on office-based blood pressure measurements may limit opportunities to identify uncontrolled hypertension and actively engage patients in disease self-management. This Doctor of Nursing Practice quality improvement project evaluated the implementation of a standardized self-measured blood pressure (SMBP) program for adult patients with hypertension in a rural primary care practice. The intervention included validated home blood pressure monitors, standardized patient education, teach-back to verify measurement competency, structured home blood pressure …

Addressing Food Insecurities Through Staff Education In The Rural Health Setting, Angela Dawn Suttle

Walden Dissertations and Doctoral Studies

Rural America, including Arkansans, face a number of social determinants of health (SDOH) including food insecurities (FIs) and the inability to access nutritious food. FIs contribute to poor outcomes and increases healthcare utilization. Inconsistent screenings for FIs in adults living in the rural health clinic (RHC) setting, lack of standardized workflows, and failure to provide community resources when FI is identified represents a significant gap in practice. Purpose: The purpose of this Doctor of Nursing Practice (DNP) staff education project was to increase utilization of screening tools for FI, implement a standardized workflow, and provide patients with resources to improve …

Staff Education To Improve Early Identification Of Behavioral Escalation And Timely Clinical Intervention In An Adult Group Home Setting, Gayduo Barr

Walden Dissertations and Doctoral Studies

In this Doctor of Nursing Practice (DNP) staff education project addressed a gap in staff knowledge regarding the early identification of behavioral escalation and timely intervention in an adult group home setting. The practice-focused question was: Does staff education about early identification of behavioral escalation and timely clinical intervention improve the knowledge of staff working in an adult group home setting? The purpose was to improve staff knowledge of behavioral escalation, triggers, trauma-informed care, and intervention strategies. I delivered a structured educational intervention to 14 house managers. Educational content included behavioral escalation stages, triggers, de-escalation techniques, trauma-informed care, documentation, and …

Weekly Team Validation Rounding Focused On Chlorhexidine Gluconate Bathing And Bath Completion And Documentation Compliance, La-Toya Therese Fong

Walden Dissertations and Doctoral Studies

This quality improvement project evaluated whether weekly team validation rounding improved chlorhexidine gluconate (CHG) bath completion and documentation compliance among eligible adult inpatients, with particular attention to differences in compliance outcomes between Pod 5C and Pod 4B. Background. Hospital-acquired infections continue to increase morbidity, mortality, length of stay, and healthcare costs. Although CHG bathing is an evidence-based strategy for reducing infection risk and the transmission of multidrug-resistant organisms, inconsistent documentation at the practicum site limited accurate monitoring of compliance across validation data, electronic medical record documentation, and DOMO reports. Method. Participants included eligible adult inpatients admitted within the previous 24 …

Fellowship Graduates’ Perceptions Of The Professional Competencies Developed In A Local Orthopedic Manual Physical Therapy Program In The Southern United States, Margaret Elaine Lonnemann

Walden Dissertations and Doctoral Studies

Orthopedic manual physical therapy (OMPT) fellowship programs focus on improving clinical skills and professional development in physical therapy. OMPT fellowship programs are 1–3-year postprofessional subspecialty training programs in manual physical therapy requiring prior orthopedic clinical experience. The problem that was addressed in this study is that professional competencies are not adequately assessed after program completion of an OMPT fellowship in the Southern United States. Grounded in Dreyfus’s skill acquisition model, the purpose of this basic qualitative study was to explore OMPT fellowship graduates’ perceptions of the professional competencies developed and recommendations for assessing these competencies in future graduates. Data were …

Postsecondary Experiences And Impact On Career Choices And Employment Status For Cisgender Women With Autism, Maureen Bell

Walden Dissertations and Doctoral Studies

Cisgender women with autism remain underrepresented in research on postsecondary education and career development despite experiencing distinct barriers within these systems. This qualitative study examined how cisgender women with autism perceived the impact of their postsecondary education experiences on career choices and employment navigation. Guided by the social model of disability and intersectionality theory, nine postsecondary participants formally diagnosed with autism and who self-identified as cisgender completed semistructured interviews exploring their educational and employment experiences. Thematic analysis identified seven interconnected themes. Findings indicated that academic success often masked significant internal distress, suggesting that performance did not reflect accessible environments. Participants …

Kindergarten Classroom Educators’ Perceptions Of Social Emotional Learning Implementation, Thomasina A. Millner

Walden Dissertations and Doctoral Studies

The problem addressed in this study was that research on social emotional learning (SEL) has largely focused on student outcomes, program effectiveness, and implementation practices, but limited research has examined kindergarten classroom educators’ perceptions of implementing SEL. Grounded in the Collaborative for Academic, Social, and Emotional Learning framework, the purpose of this study was to explore kindergarten classroom educators’ perceptions of SEL implementation. For this basic qualitative design, semistructured interviews with nine kindergarten educators who had at least 1 year experience implementing SEL were conducted. Through thematic data analysis the following five themes emerged: Educators noted (1) that SEL is …

A Phq-9 Depression Screening Staff Education Program For Outpatient Nurses, Kaliym Hassaan Howell

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project was an educative project to improve staff knowledge of the Patient Health Questionnaire-9 (PHQ-9) in an outpatient behavioral health unit. The PHQ-9 is a nine-item depression screening scale to evaluate depressive symptoms presence and severity (Ford et al., 2020; Negeri et al., 2021; Stanyte et al., 2023). One identified practice issue was a knowledge gap in administration, scoring, and interpretation of PHQ-9 among nurses, which was noted by inconsistencies in the interpretation and use of the tool. Since nurses are essential in PHQ-9 administration and interpretation, systematic education was needed to enhance competency. …

Trace Elements In Complete Feeds Used In Intensive Rearing Of Cattle, Poultry, And Pigs: Occurrence And Predicted Transferred Concentrations In Animal-Derived Food, Elizabeta Dimitrieska Stojkovikj, Vangelica Enimiteva, Aleksandra Angjeleska, Risto Uzunov

Turkish Journal of Veterinary & Animal Sciences

This study investigated the concentrations of essential (Zn, Cu, Mn, Co, and Mo) and toxic (Pb, Cd, As, and Hg) trace elements in complete feeds used for the intensive rearing of cattle, poultry, and pigs in North Macedonia and predicted their transfer into animal-derived foods. A total of 107 feed samples were collected from 40 farms between May 2023 and April 2024 and analyzed using inductively coupled plasma mass spectrometry. The results revealed that while most essential elements were within the regulatory limits, Co exceeded the maximum level in two cattle feed samples. Zn, Cu, and Mn levels were generally …

Hard Palate Morphology In The Anatolian Water Buffalo (Bubalus Bubalis), Mehmet Can, Şükrü Hakan Atalgin, Mehmet Faruk Aydin, Soner Bekmezci̇

Turkish Journal of Veterinary & Animal Sciences

This study aimed to examine the morphological and histological features of the hard palate in the Anatolian water buffalo through light and scanning electron microscopy, complemented by gross and morphometric evaluations. Eight hard palates were used in the study. A total of eight Anatolian water buffalo heads from healthy adult female water buffaloes were collected immediately after slaughter from various slaughterhouses in Balıkesir, Türkiye. After analyzing and identifying the obtained hard palate samples, measurements were taken and documented through photography. The papilla incisiva, located in the middle of the caudal concave edge on the ventral surface of the pulvinus dentalis, …

A Large-Scale Annotated Flight Time-Series Dataset And Geospatial Post-Flight Analysis Tools For Ngafid, Roman Kozulia

Theses

This work presents three contributions to the National General Aviation Flight Information Database (NGAFID): a maintenance-linked flight dataset forpredictivemaintenanceresearch, anaviationchartprocessingservice, and an interactive geospatial heat map for post-flight event analysis. The first contribution is a maintenance-linked flight dataset for predic- tive maintenance and prognostics research in general aviation. The dataset contains approximately 100,000 non-simulated maintenance work orders and more than a million multivariate flight recordings extracted from NGAFID. Eachflightisassociatedwithmaintenancerecordsandlabeledaspre-maintenance, day-of-maintenance, or post-maintenance. Flights are exported as one-hertz sensor time series with flight-phase annotations, while a clustering pipeline groups technician-written maintenance records into event categories. To our knowledge, thisisthelargestpubliclyavailablegeneralaviationflightdataset linked to …

Pol/His 3005: Social Welfare Policy In The United States, Oswaldo A. Mena Aguilar

Open Educational Resources

The United States is one of the richest countries in the world, yet poverty, hardship, and inequality remain central features of American life. This course begins with that paradox. Why does a country with so much economic capacity tolerate so much poverty? Why does its welfare state protect some risks generously while treating other forms of need as individual failure? Why are benefits for the poor so visible, stigmatized, and administratively demanding, while benefits for the affluent are often hidden in the tax code, treated as private achievement, and politically protected? The course is organized around a sequence of questions. …

Syllabus Psy 201: Psychological Research, Valeriia Modina

Open Educational Resources

Syllabus for PSY 201: Psychological Research, taught at the College of Staten Island in Fall 2026. Psychologists use the scientific process to collect information about human behavior. This enables them to develop valid and reliable explanations about behavior. This course will review the research process from the formulation of a research question through the publication of research findings. We will examine various data collection methods including observation, interview, survey, quasi-experimental, and experimental. Students will also be introduced to the way in which statistics help us understand and interpret the information we collect about behavior.

Deep Sequencing Analysis Of Mitochondrial Dna Heteroplasmy Transmission And The Genetic Bottleneck Effect In Mother-Daughter Pairs, Mayyahi Mohammed T. Jaber, Sarah Talib Al-Mofarji, Zahraa Mustafa Al-Jumaa, Nisred Klichkhanov

Muthanna Medical Journal

The inheritance pattern of mitochondrial DNA (mtDNA) from mother to offspring is well known, but the dynamics of heteroplasmy, the coexistence of more than one type of mtDNA molecule per cell, as well as the influence of the Genetic Bottleneck on the Variant Allele Frequency (VAF), are still under active research investigation. This study was conducted with the objective of detecting and analyzing the inheritance pattern of low levels of heteroplasmy across the Whole Mitochondrial Genome (WMS) within 100 phenotypically normal mother-daughter pairs. Blood DNA samples were used for extracting DNA, followed by Whole Mitochondrial Genome Sequencing with a depth …

Molecular Characterization Of Pasteurella Multocida Capsular Type A Strains Isolated From Different Regions Of Anatolia, Türkiye​, Adam Bashir Tawor, Osman Ergani̇ş, Asli Balevi̇, Suliman Mohamed Yousof Sadam

Turkish Journal of Veterinary & Animal Sciences

Pasteurella multocida serotype A is an important pathogen that causes respiratory illness in both farm animals and poultry, leading to severe economic losses worldwide. This study aimed to isolate P. multocida capsular type A (capA) as well as investigate the virulence-associated genes (VAGs) within the isolates. Samples (n = 250) were collected in the Anatolia region from cattle (n = 130), sheep (n = 70), goats (n = 45), and pet birds (n = 5) with clinical respiratory signs. Polymerase chain reaction (PCR) assays were conducted using kmt1 and capA primers for P. multocida species identification and capsular serogroup A …

Effect Of Rangeland Quality On Rumen Development Of Angora (Mohair) Goat Kids And Bucks, Betül Zehra Sariçi̇çek

Turkish Journal of Veterinary & Animal Sciences

This study was conducted to determine the effect of rangeland quality on the rumen development of Angora goat kids and bucks. Twenty male singleton Angora goat kids with similar birth dates and birth weights were selected from each farm in an area with three different rangeland quality levels (good, medium, or poor) in Ankara Province. The kids were weaned at 60 days of age and then grazed completely on rangeland until slaughter. Rumen volumetric and papillary development of animals slaughtered at 4 and 7 months of age were determined. Empty rumen length, width, and weight were affected by rangeland quality …

Arterial Architecture Of The Goat Spleen (Capra Hircus) Revealed By Corrosion Casting And Scanning Electron Microscopy, Baran Erdem, Sevi̇nç Ateş, Meryem Karan

Turkish Journal of Veterinary & Animal Sciences

The spleen is an essential organ involved in hematopoietic and immune functions. A comprehensive understanding of its anatomy, including vascular topography and segmentation, is essential for the accurate diagnosis and treatment of splenic diseases, and the minimization of complications during surgical procedures. Detailed knowledge of the vascular architecture also supports the accurate prediction and management of hemorrhage severity in cases of splenic rupture. The spleen’s microvascular system has a unique and complex organization that is distinct from other organs, and its elucidation is critical for understanding splenic function. In the present study, the spleens of 20 hair goats were examined. …

Crisis Communication Management During Covid 19 In The Sultanate Of Oman: An Analytical Study Of The Government Communication Center’S Accounts On X Platform, Aaisha Alkaabi, Faten Ben Lagha

Journal of Arts and Social Sciences

This study examines the characteristics of the content published on the Omani Government Communication Center’s accounts on X platform, namely its official account and its “Oman VS Covid 19” account, which was dedicated to managing the COVID-19 crisis during the period from January 2020 to August 2022. The study adopted Betteke Van Ruler’s Communication Grid of Tactics Model and employed the survey method to achieve its objectives through two research tools: content analysis tools and semi-structured interviews. The findings revealed a diversity of media formats used in the posts published by the two accounts (text with infographics, images, and videos), …

Judicial Departure And Legal Certainty: A Comparative Study Of Us And French Law, Faisal Oklah Khattar Shatnawi, Abdulwahab Abdullah Al-Maamari, Yassin Ahmad Al-Qudah, Radeyah Ahmad Mohammad Amayreh, Muneer Ali Muhammad Hulaiel

Hasanuddin Law Review

In any constitutional system, it is difficult to reconcile the need for legal certainty and constitutional adaptation when there is judicial departure from constitutional precedent. In this paper, We develop a functional comparative approach that explains how constitutional systems maintain legal certainty in the face of constitutional adaptation enabled by judicial departure from constitutional precedents. Using comparative analysis of United States Supreme Court jurisprudence (1954–2023) and French Constitutional Council rulings (1971–2023), We examine how such systems preserve their constitutional stability in spite of judicial change. It is concluded that the departure of courts from constitutional precedent need not mean the …