Digital Commons Network^™

Lowering Morbidity And Readmissions Of Underserved Preterm Infants To Reduce Acute Care Hospital Spend, Adaugo Amuta

Walden Dissertations and Doctoral Studies

Neonatal readmissions remain a significant challenge in urban acute care hospitals serving indigent preterm infants. These readmissions impose substantial financial burdens, with high-cost conditions such as bronchopulmonary dysplasia, necrotizing enterocolitis, and retinopathy of prematurity driving recurring expenditures. This integrative review examined strategies that healthcare administrators can implement to reduce neonatal readmissions, improve care equity, and optimize healthcare spending in hospitals serving vulnerable populations in the Commonwealth of Virginia. A comprehensive literature search of empirical and non-empirical studies yielded 105 results for quality assessment using the Johns Hopkins appraisal tools. A total of 29 were included for thematic analysis. Five main …

Mitigating Vicarious Traumatization From Exposure To Human Trafficking For Human Services Professionals, Andrea T. Charles-Alleyne

Walden Dissertations and Doctoral Studies

Human trafficking is a devastating form of exploitation that not only has detrimental impacts to its victims but also the human services practitioners charged with and committed to their service provision. The secondary impact for professionals is not to be underestimated, as repeated exposure to the traumatic experiences of their clients can potentially lead to physical as well as emotional symptoms such as vicarious trauma, compassion fatigue, and burnout. Often, practitioners prioritize the needs of their clients with a relentless focus on advocacy and the overall well-being of those they serve. The purpose of this qualitative action research study was …

Expectant Management Vs Medication For Patent Ductus Arteriosus In Preterm Infants: The Pda Randomized Clinical Trial, Matthew M Laughon, Sonia M Thomas, Kristi L Watterberg, Kathleen A Kennedy, Martin Keszler, Namisavayam Ambalavanan, Alexis S Davis, Jonathan L Slaughter, Ronnie Guillet, Tarah T Colaizy, C Michael Cotten, Megan A Dhawan, Carl L Bose, Jennifer Talbert, Sarah Smucny, William E Benitz, Matthew A Rysavy, Robin K Ohls, Mariana C Baserga, Sara B Demauro, Mambarambath Jaleel, Wesley M Jackson, Waldemar A Carlo, Karen M Puopolo, Anna Maria Hibbs, Anup Katheria, Pablo J Sánchez, Carl T D'Angio, Ravi M Patel, Beth Ann Johnson, Valerie Y Chock, Abhay J Bhatt, Stephanie L Merhar, Ryan Moore, Abbot R Laptook, Sarvin Ghavam, Janell Fuller, Shilpa Vyas-Read, Stephen D Kicklighter, Baiba Steinbrekera, Kathryn Anderson, Praveen K Chandrasekharan, Myra H Wyckoff, Cassandra Montoya, Abhik Das, Barbara Do, Samantha Chang, Rosemary D Higgins, Michele C Walsh

Faculty, Staff and Student Publications

Importance: The management of patent ductus arteriosus (PDA) in preterm infants is controversial.

Objective: To determine whether expectant management compared with active treatment of a protocol-defined PDA in preterm infants decreases the incidence of death or bronchopulmonary dysplasia (BPD).

Design, setting, and participants: A randomized clinical trial including infants born at 22 to 28 weeks' gestation and diagnosed with a protocol-defined PDA between the age of 48 hours and 21 days at screening. The trial was conducted from December 2018 to December 2024 at 33 hospitals within the National Institute of Child Health and Human Development Neonatal Research Network. The …

The Nature Philosophy Of John Dewey, John R. Shook

Dewey Studies

No abstract provided.

To Believe In Miracles, Eric Schwegman

Fresh Voices: Composition at Cal Poly

No abstract provided.

Aurora Sinai Exchange, 2007 January, Advocate Health - Midwest

Historical Documents - Combined

Aurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events.

Aurora Sinai Exchange, 2006 November, Advocate Health - Midwest

Historical Documents - Combined

Aurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events.

Aurora Sinai Exchange, 2006 September, Advocate Health - Midwest

Historical Documents - Combined

Aurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events. Care management article is on cholesterol management.

Aurora Sinai Exchange, 2006 July, Advocate Health - Midwest

Historical Documents - Combined

Aurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events.

Aurora Sinai Exchange, 2006 May, Advocate Health - Midwest

Historical Documents - Combined

Aurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events.

Aurora Sinai Exchange, 2006 April, Advocate Health - Midwest

Historical Documents - Combined

Aurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events. The Urgent Care Center in downtown Milwaukee opens.

Aurora Sinai Exchange, 2006 March, Advocate Health - Midwest

Historical Documents - Combined

Aurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events. The Care Management article is on colorectal cancer.

Aurora Sinai Exchange, 2006 February, Advocate Health - Midwest

Historical Documents - Combined

Aurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events. Highlighting the newly remodled ACE of Hearts program in the 3-S Cardiac Telemetry Unit.

Aurora Sinai Exchange, 2006 January, Advocate Health - Midwest

Historical Documents - Combined

Aurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events. Update about the STAT team, which was created in September 2005. The Care Management article is on preventing Deep Vein Thrombosis and pulmonary embolism.

Aurora Sinai Exchange, 2005 October, Advocate Health - Midwest

Historical Documents - Combined

Aurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events.

Aurora Sinai Exchange, 2005 November, Advocate Health - Midwest

Historical Documents - Combined

Aurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events. The Care Management article is on smoking cessation in preparation for all Aurora hospitals and clinics becoming smoke-free in 2006.

Aurora Sinai Exchange, 2005 August, Advocate Health - Midwest

Historical Documents - Combined

Aurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events. The Care Management article is on flu shots.

Aurora Sinai Exchange, 2005 June, Advocate Health - Midwest

Historical Documents - Combined

Aurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events. The Care Management article is on preventing bed sores.

Aurora Sinai Exchange, 2005 May, Advocate Health - Midwest

Historical Documents - Combined

Aurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events. The Care Management article is on asthma.

Aurora Sinai Exchange, 2005 March, Advocate Health - Midwest

Historical Documents - Combined

Aurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events. The Care Management article is on diabetes care.

Aurora Sinai Exchange, 2005 January, Advocate Health - Midwest

Historical Documents - Combined

Aurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events. Feature article is on eICU, a remote critical care monitoring system.

Aurora Sinai Exchange, 2005 February, Advocate Health - Midwest

Historical Documents - Combined

Aurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events. The Care Management article is on total joint replacement care.

Aurora Sinai Exchange, 2004 November, Advocate Health - Midwest

Historical Documents - Combined

Aurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events. The Care Management article is on reducing employee back injuries.

This is the first issue with this title. It continues Inside Aurora Sinai Medical Center.

Community College Library Digital Branches And Their Communities, Helen Cozart

SLIS Connecting

Community Colleges have long been a staple of American life. They offer an affordable education that is transferable to a four-year school or certification in a trade. Since they are in the community, costs can be further lowered by allowing traditional students to live at home and non-traditional students to be with their families and workplaces (Princeton Review, n.d.). Many community colleges actively engage with their communities, encouraging attendance and offering community enrichment programs. Community college libraries can occupy a powerful position in this relationship, creating an environment for the public that is inviting and encouraging through their physical offerings …

When Nutrition Fails: Modeling Protein Malnutrition-Driven Vulnerability In Hepatic Drug Metabolism And Inflammatory Stress, Vijitha D. Kantety, Victor Jiminez Jr.

Annual Research Symposium

Background

Protein malnutrition remains a major global health problem and frequently co-occurs with alcohol use, opioid exposure, and infectious disease, particularly in low- and middle-income settings. The liver is central to both metabolism and inflammatory regulation, yet the effects of a malnutrition-like nutrient environment on hepatic responses to combined metabolic and inflammatory insults are not well defined. Cytochrome P450 3A4 (CYP3A4), a key enzyme involved in opioid metabolism, is highly sensitive to inflammatory signaling and may be especially vulnerable under conditions of nutritional deficiency. This project aims to 1) develop an in vitro model of nutritionally competent versus amino acid–restricted …

Could Dietary Zinc Protect Your Gums? Insights From Non-Diabetic Adults, Jacob R. Kelly, Hayden Dehoyos, Man Hung Phd, Amir Mohajeri Phd

Annual Research Symposium

Background:
Zinc plays an important role in enzymatic and inflammatory processes that may influence periodontal health. The relationship between zinc intake and periodontitis remains insufficiently characterized in adults without diabetes.
Methods:
A population-based adult sample was analyzed to examine the association between zinc intake from dietary and supplemental sources and periodontal disease, adjusting for relevant demographic, socioeconomic, behavioral, and health-related factors.
Results:
Zinc intake patterns varied across population subgroups and were associated with periodontal outcomes after accounting for potential confounders. Adequate zinc intake was consistently linked to more favorable periodontal status.
Conclusion:
These findings suggest that sufficient zinc intake may …

More Hours, More Work: Head Start Expansions Boost Maternal Employment, Chloe R. Gibbs, Esra Kose, Maria Rosales Rueda

Upjohn Institute Working Papers

Women’s employment remains highly sensitive to childcare constraints, making childcare availability a critical lever for supporting mothers’ labor force attachment. We study the effects of expanded full-day programming in Head Start, using the 2016 federal funding initiative that targeted grantees with low full-day enrollment. Linking administrative program data, geo-coded center locations, and household data on employment, we estimate a difference-in-differences design by comparing mothers of young children in treated and untreated areas. The policy increased full-day enrollment by 19 percent and raised single mothers’ employment (1.9%), hours (2.5%), and earnings (6.5%). Results show that extending program duration meaningfully improves maternal …

Formulation And Development Of Skincare Cream Using Pleurotus Djamor, K. A. E. Madushanka, W. V. P. M. Weligalla, K. D. K. P. Kumari, W. M. K. M. Ratnayake

Journal of Innovation in Science, Engineering and Technology

Mushrooms have emerged as versatile and valuable resources in the cosmetic industry, offering a plethora of benefits that range from skincare to haircare formulations. As natural alternatives to synthetic ingredients, mushrooms not only cater to the growing consumer demand for sustainable and eco-friendly products but also offer unique properties such as antioxidant, anti-inflammatory and moisturizing effects. Hence, Pleurotus djamor, which is a grown mushroom in Sri Lanka was selected to prepare a new cream formulation for skincare. In the study, an aqueous extract of P. djamor (AEPD) was used and phytochemical screening was done to screen alkaloids, saponins, flavonoids, …

Novel Technique For Enhancing The Therapeutic Efficacy Of Coenzyme Q10 In Transdermal Drug Delivery Systems For Skin Rejuvenation, L. M. Hettihewa, K. G. P. Wasana, Y. M. Imendra, G. P. C. Weerasooriya, W. M. K. M. Rathnayake

Journal of Innovation in Science, Engineering and Technology

Coenzyme Q10 (CoQ10) is a very imperative compound for electron transport chain in mitochondria and exerts its effects as cutaneous antioxidant. All human cells have CoQ10, and sometime deficiency had been identified due to genetic defects or with ageing. Supplements with COQ 10 are commonly used enteral and dermal application for the prevention and treatment of aging. Delivery of dermal CoQ10 is very limited due to its poor penetration and unstable compounds. systematic review was conducted by our research group through electronic databases using preclinical and randomized controlled trials to evaluate the efficacy and stability of improved delivery systems of …

Assessment Of Antioxidant Retention Of Boiled And Non-Boiled Aqueous Extracts Of Broccoli, Cabbage, Kohlrabi And Cauliflower In Sri Lanka, D. M. S. S. Dassanayake, B. C. K. Kumari, P. R. H. Perera, G. M. Yasasvi, L. M. Hettihewa, W. M. K. M. Ratnayake

Journal of Innovation in Science, Engineering and Technology

The comparison of antioxidant activities between non-boiled and boiled aqueous extracts of selected vegetables from the Brassica oleracea L. species is an interesting study topic, particularly in a context like Sri Lanka, where traditional and modern medicinal practices often emphasize the role of dietary plants in health. Hence, this was aimed to evaluate the antioxidant potential of boiled and non-boiled aqueous extracts (BAE and NBAE respectively) of selected vegetables belonging to the Brassica oleracea L species, which are commonly consumed as a raw vegetable in fresh salads as well as a cooked vegetable in curry or fried form i.e. Brassica …