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Articles 601 - 630 of 49105
Full-Text Articles in Entire DC Network
Q-Learning Enhanced Memetic Algorithm For Robust Scheduling Of Space Launch Missions, Rui Lin, Xiaolu Liu, Yonghao Du, Mingyang Geng, Zhenshun Shi
Q-Learning Enhanced Memetic Algorithm For Robust Scheduling Of Space Launch Missions, Rui Lin, Xiaolu Liu, Yonghao Du, Mingyang Geng, Zhenshun Shi
Journal of System Simulation
Abstract: A robust optimization mathematical model and an enhanced memetic algorithm (MA) for space launch mission scheduling are proposed to address the practical challenges in space launch mission scheduling under the influence of multiple uncertainties such as equipment failure, process rework due to quality issues, and technological changes. A robust optimization scheduling model for space launch missions is built by integrating the makespan under the worst-case scenario, the average maximum makespan, and the average deviation of process start times. A Q-learning enhanced memetic algorithm (QMA) is proposed, which can dynamically select parent solutions based on the population state. Simulation experiments …
Investigating The Prevalence Of Human Papilloma Virus In A College-Aged Sample Group And Its Link To Sexual Behaviors And Attitudes, Gabriela Lewczyk, Eva Pollak, Phoebe Stryker, Samantha Hickey, Emily Moyer, Katelyn Ambrose, Alexander Knight, Rahjai Thomas, Adriana Burk, Paul E. Richardson
Investigating The Prevalence Of Human Papilloma Virus In A College-Aged Sample Group And Its Link To Sexual Behaviors And Attitudes, Gabriela Lewczyk, Eva Pollak, Phoebe Stryker, Samantha Hickey, Emily Moyer, Katelyn Ambrose, Alexander Knight, Rahjai Thomas, Adriana Burk, Paul E. Richardson
Journal of the South Carolina Academy of Science
Human Papilloma Virus (HPV) is the most common sexually transmitted infection (STI) in the United States, infecting up to 75% of sexually active individuals, with a prevalence rising significantly around age nineteen for oral and genital infections. Because the virus infects epithelial cells and is transmitted primarily through skin-to-skin contact, it is found mainly in the cervix, oral cavity, and on/within ones’ skin. While most of the 200+ HPV subtypes are benign and tend to self-clear within six months to two years, twelve of these strains are classified as high-risk oncogenic strains that drive malignant progression. Furthermore, HPV is linked …
The Structure And Regulatory Mechanism Of The Emrb Rna Motif In Lactobacillus Acidophilus, Isabella J. Mezzenga, Brian M. Lee
The Structure And Regulatory Mechanism Of The Emrb Rna Motif In Lactobacillus Acidophilus, Isabella J. Mezzenga, Brian M. Lee
Journal of the South Carolina Academy of Science
Major facilitator superfamily (MFS) transporters aid bacteria in expelling toxic compounds such as antibiotics, bile acids, and other substances. Previous bioinformatic studies identified the emrB motif as a potential regulatory RNA element. In Lactobacillus, this RNA motif is generally found in the intergenic region upstream of an MFS transporter gene with homology to the emrB gene from Escherichia coli. Secondary structure predictions of the intergenic region were used to define the structural features of this RNA motif. The emrB motif comprises two hairpins, though inclusion of neighboring regions is predicted to stabilize alternative secondary structures. A potential rho independent terminator …
Exploring The Dynamics Of Tilted, Truncated Accretion Disks, José L. Montés, Chris Fragile, Deepika Bollimpalli, Matthew Liska
Exploring The Dynamics Of Tilted, Truncated Accretion Disks, José L. Montés, Chris Fragile, Deepika Bollimpalli, Matthew Liska
Journal of the South Carolina Academy of Science
Tilted accretion disks are theoretically not uncommon in stellar mass black hole systems. The dynamics of tilted disks display interesting physical behaviors that could explain certain observational phenomena such as quasi-periodic oscillations. We present results of recent numerical simulations of tilted, truncated accretion disks around rotating black holes. Our simulations model systems composed of a thick inner torus surrounded by a thin outer disk and were run with the goal of investigating the behaviors of the torus because of the exchange of angular momentum between it and the outer disk. Multiple simulations produced surprising results, such as the potential tearing …
From Classification To Segmentation: Evaluating Machine Learning Defect Localization And Inspector Performance In Manufacturing, Gavin Smithson, Dakota Fulp, William M. Jones, Sharmistha Chakrabarti
From Classification To Segmentation: Evaluating Machine Learning Defect Localization And Inspector Performance In Manufacturing, Gavin Smithson, Dakota Fulp, William M. Jones, Sharmistha Chakrabarti
Journal of the South Carolina Academy of Science
High-volume manufacturing at Los Alamos National Laboratory requires rigorous quality assurance; however, sustained manual inspection can be inconsistent, costly, and fatiguing. This paper presents the model-evaluation component of a larger human-in-the-loop artificial intelligence project for manufacturing anomaly detection. MicroSentryAI uses pretrained models to identify potential anomaly regions, while AnnoMate provides accessible tools for annotating, validating, and comparing those regions. The study emphasizes the distinction between classification, which determines whether a sample is anomalous, and segmentation, which identifies the location of an anomaly. Using Intersection over Union (IoU), precision, recall, and Euclidean distance between centroids, experiments with simulated mask errors demonstrated …
Trust In Leader As A Focal Point In Building Followers’ Servant Leadership At Schools, Regi Sanjaya, Maria Merry Marianti, Brigita Meylianti Sulungbudi
Trust In Leader As A Focal Point In Building Followers’ Servant Leadership At Schools, Regi Sanjaya, Maria Merry Marianti, Brigita Meylianti Sulungbudi
The South East Asian Journal of Management
Research Aims: This research recognises the evolving landscape of followership within Indonesia’s education sector, specifically examining the fundamental role of trust in the leader in promoting servant leadership behaviour.
Design/Methodology/Approach: The study involved 248 teachers from 11 of Indonesia’s 38 provinces, representing 25 cities and 79 schools across kindergarten, elementary, middle, and high school levels. Analysis was conducted using a regression-based method with SPSS 26.0 and PROCESS Macro 4.2.
Research Findings: The findings revealed two mediation pathways between principal servant leadership and followers’ servant leadership: one through trust in the leader and a serving culture, and the other through trust …
Process Fairness As A Mediator Of The Relationship Between Reward Communication And Organisational Attachment, Azman Ismail, Ummu Ajirah Abdul Rauf, Muhammad Ajib Abd Razak, Nik Hasfizul Hassan
Process Fairness As A Mediator Of The Relationship Between Reward Communication And Organisational Attachment, Azman Ismail, Ummu Ajirah Abdul Rauf, Muhammad Ajib Abd Razak, Nik Hasfizul Hassan
The South East Asian Journal of Management
Research Aims: The study examines the mediating role of process fairness in the relationship between reward communication and organisational attachment.
Design/Methodology/Approach: Cross-sectional data were collected from 437 employees at Malaysian public tertiary education institutions using purposive sampling. The data were analyzed using SmartPLS to examine both the measurement and the structural equation models.
Research Findings: Process fairness is a crucial mediating variable between reward communication and organisational attachment.
Theoretical Contribution/Originality: This study extends Leventhal’s (1976) Self-Interest Model and Shapiro’s (1993) Model of Procedural Justice by examining the role of process fairness as a mediating variable between reward communication and organisational …
The Impact Of Employee Recognition Practices To Job Satisfaction In Business Process Outsourcing (Bpo): The Mediating Role Of Employee Productivity, Genesis S. Austria, Celso S. Alicante Jr., John Crisjer A. Araullo, Erica Shane B. Belleza, Peter Daniel S. Gutierrez, Daisy R. Payawal, Erwin Stuart C. Toledo
The Impact Of Employee Recognition Practices To Job Satisfaction In Business Process Outsourcing (Bpo): The Mediating Role Of Employee Productivity, Genesis S. Austria, Celso S. Alicante Jr., John Crisjer A. Araullo, Erica Shane B. Belleza, Peter Daniel S. Gutierrez, Daisy R. Payawal, Erwin Stuart C. Toledo
The South East Asian Journal of Management
Research Aims: This study investigates the impact of employee recognition practices on job satisfaction in the BPO industry, with employee productivity examined as a mediating variable. It addresses the persistent challenge of high attrition in the Philippine BPO sector, where demanding performance standards and work conditions heighten the need for effective recognition mechanisms.
Design/Methodology/Approach: A quantitative research design was employed using survey data collected from 701 employees working in BPO companies across Metro Manila. PLS-SEM was utilized to test the direct and mediating relationships among variables.
Research Findings: Results indicate that employee recognition has a significant positive effect on job …
After-Hours Digital Connectivity, Emotional Exhaustion, Service Quality, And Turnover Intention Among Hotel And Resort Employees, Badaruddin Badaruddin, Fatmasari Fatmasari, Sitti Mujahida, Muhammad Azizurrohman
After-Hours Digital Connectivity, Emotional Exhaustion, Service Quality, And Turnover Intention Among Hotel And Resort Employees, Badaruddin Badaruddin, Fatmasari Fatmasari, Sitti Mujahida, Muhammad Azizurrohman
The South East Asian Journal of Management
Research Aims: This research evaluates whether after-hours digital connectivity is associated with emotional exhaustion among frontline hotel and resort employees in Indonesia and whether exhaustion transmits its effects to service quality and turnover intention. It also tests psychological detachment as a boundary condition.
Design/Methodology/Approach: A cross-sectional survey was conducted from December 2025 to February 2026. Purposive sampling produced 294 usable responses from frontline employees who routinely used digital communication for work coordination. The model was estimated using partial least squares structural equation modelling (PLS-SEM), including direct, indirect, and interaction effects.
Research Findings: After-hours digital connectivity significantly increased emotional exhaustion. Exhaustion, …
Mental Health As A Mediator In The Relationship Between Life Satisfaction, Resilience, And Employee Engagement Among Generation Z Employees, Ida Farida, Irfiani Triastari
Mental Health As A Mediator In The Relationship Between Life Satisfaction, Resilience, And Employee Engagement Among Generation Z Employees, Ida Farida, Irfiani Triastari
Psychological Research on Urban Society
This study examined the mediating role of mental health, operationalized as lower non-specific psychological distress, in the relationships between life satisfaction, resilience, and employee engagement among Generation Z employees in Indonesia. A quantitative cross-sectional explanatory survey design was used. The sample consisted of 324 Generation Z employees selected from a larger dataset based on age cohort, full-time employment status, and voluntary participation. Data were analyzed using Structural Equation Modeling with LISREL 8.80 and Maximum Likelihood estimation. The results showed that life satisfaction was positively associated with employee engagement and with mental health as operationalized in this study. Resilience was positively …
Catfish Cultivation In Buckets For Blimbingsari Beach Fishermen As An Additional Source Of Income, Ali Wafa, Muhammad Faris Faisal, Iffan Gallant El Muhammady, Agung Wijaksono
Catfish Cultivation In Buckets For Blimbingsari Beach Fishermen As An Additional Source Of Income, Ali Wafa, Muhammad Faris Faisal, Iffan Gallant El Muhammady, Agung Wijaksono
Bhakti: Jurnal Pengabdian Masyarakat
Traditional fishermen on Blimbingsari Beach have experienced a decline in income since 2022. This is due to extreme sea weather and the high cost of fuel per voyage. This empowerment program aims to create additional sources of income in an effort to maintain welfare. Using a Participatory Rural Appraisal (PRA) approach, this activity was carried out productively for 4 months (July-October 2023), involving the Blimbingsari Beach fishermen's joint business group (KUB). This program is part of the 2023 PPK Ormawa maritime village scheme, with funding support of IDR 38,700,000. The empowerment results showed that the team's efforts resulted in the …
Humor Strategies In Political Communication: The Signaling Representation Of Presidential Candidates In The Election Debates, Rizka Septiana, Novrita Widiyastuti
Humor Strategies In Political Communication: The Signaling Representation Of Presidential Candidates In The Election Debates, Rizka Septiana, Novrita Widiyastuti
JURNAL KOMUNIKASI INDONESIA
The objective of the study is to identify the humor strategies employed by presidential candidates during the 2024 debates as a form of political communication. Many successful presidents have a sense of humor and have used humor as a communication strategy to convey political messages. Over the years, research on humor in politics has focused primarily on expression of humor on digital platforms; with only a few studies examining humor in presidential debates. This study examines how presidential candidates use humor during debates through the lens of Signaling theory. Using qualitative content analysis to identify patterns of humor, this study …
“Not Just A Muslim Candidate”: Zohran Mamdani’S Mediated Political Representation On Instagram @Zohrankmamdani, Arina Naila Hanifa Sadono, Verdy Firmantoro
“Not Just A Muslim Candidate”: Zohran Mamdani’S Mediated Political Representation On Instagram @Zohrankmamdani, Arina Naila Hanifa Sadono, Verdy Firmantoro
JURNAL KOMUNIKASI INDONESIA
This study examines how Zohran Mamdani’s Instagram account, @zohrankmamdani, communicates his Muslim minority identity and constructs his mediated political representation through political human branding. As the first Muslim mayor of New York City, Mamdani represents a case of Muslim minority political representation in a context where Muslim Americans face negative perceptions and discrimination. This study analyzes his New York City mayoral election campaign from June 25 to November 4, 2025, using Mayring’s qualitative content analysis to examine 48 purposively selected Instagram posts from a total of 286 posts published during the period. The findings show that his political persona extends …
A Philosophical Introduction To Elements And Relations: Aspects Of A Scientific Metaphysics, Martin Zwick
A Philosophical Introduction To Elements And Relations: Aspects Of A Scientific Metaphysics, Martin Zwick
Complex Systems Faculty Publications and Presentations
My book, Elements and Relations*, amplifies Bunge’s characterization of the systems project as the construction an “exact and scientific metaphysics” (ESM) different from and broader than the reductionist and physicalist ontology of conventional science. This paper discusses the scientific theories constituting this project and the central notion of “system” as a structure-function dyad, where “structure” is the system’s internal order and “function” is its participation in the external order of its environment. The paper also discusses the book’s proposal of ontology and ethics as a structure-function dyad for the systems field, an ontology of problems that exemplifies the ESM idea.
Empowering Women In Community-Based Tourism: A Close Look At Tourism Villages, Tristanti Tristanti, Ismi Dwi Astuti Nurhaeni, Mulyanto Mulyanto, Ratna Devi Sakuntalawati
Empowering Women In Community-Based Tourism: A Close Look At Tourism Villages, Tristanti Tristanti, Ismi Dwi Astuti Nurhaeni, Mulyanto Mulyanto, Ratna Devi Sakuntalawati
The Qualitative Report
This study examines women's empowerment in community-based tourism in Nglanggeran Tourist Village, Indonesia. Using an interpretive phenomenological approach, it explores how women experience the empowerment process within a rural tourism setting. Data were collected through semi-structured interviews with five women actively involved in tourism activities and analyzed thematically. Findings show that empowerment follows five interconnected stages: raising awareness through women's groups, identifying programs based on local tourism potential, designing need-based initiatives, implementing training and mentoring, and evaluating programs through participatory discussions. Active participation and integration of local resources drive the process. Participants reported greater self-confidence, positive mindset changes, improved employment …
Inside A Multidisciplinary Grounded-Theory Project On Corruption In Ecuador: Navigating And Negotiating Challenges, Maria-Jose Rivera, Paúl Arias-Medina, Aracely Rojas-Lazo, Dolores Sucozhañay-Calle
Inside A Multidisciplinary Grounded-Theory Project On Corruption In Ecuador: Navigating And Negotiating Challenges, Maria-Jose Rivera, Paúl Arias-Medina, Aracely Rojas-Lazo, Dolores Sucozhañay-Calle
The Qualitative Report
Studying day-to-day corruption raises hurdles for qualitative teams that cut across methodological, emotional, and ethical domains. Rather than presenting substantive findings on corruption, this article reports a reflexive analysis of those hurdles as experienced by an eight-member, multidisciplinary research team conducting the qualitative grounded-theory phase of the CIRCLE project in Ecuador - a context where discussing corruption often triggers mistrust, discomfort, and political sensitivities. Drawing on 33 meeting minutes and eight researcher stance memos, we applied Braun and Clarke’s reflexive thematic analysis to team-generated documents to examine how challenges unfolded and were negotiated. We identified three interconnected domains of difficulty. …
Cultivating Gen-Z As Cultural Heirs In The Indigenous Community Of Cireundeu, Sardin Sardin, Ade Romi Rosmia, Mohamad Hadi Ali Mutamam
Cultivating Gen-Z As Cultural Heirs In The Indigenous Community Of Cireundeu, Sardin Sardin, Ade Romi Rosmia, Mohamad Hadi Ali Mutamam
The Qualitative Report
How do Indigenous leaders teach digital-native youth to value centuries-old traditions? This six-month ethnographic study examined cultural transmission in Cireundeu, an Indigenous Sundanese community in West Java, Indonesia. Existing studies often address Indigenous education and digital youth culture separately, with limited attention to leaders’ perspectives. Conducted from June to November 2024, the study drew on participant observation, interviews with 25 community members, six focus group discussions, and digital artifact analysis. Reflexive thematic analysis identified three interconnected patterns. First, leaders fostered cultural learning through graduated ceremonial participation. Second, elders practiced leader-orchestrated digital bricolage by adapting Instagram, TikTok, and WhatsApp for cultural …
Participatory Research With People With Aphasia: Frameworks, Examples, And Implementation Guidance, Jacqueline J. Hinckley, Katie A. Strong, Brent Archer, Lauren Bislick, Suma R. Devanga, Amy E. R. Engelhoven, Anthony Pak-Hin Kong
Participatory Research With People With Aphasia: Frameworks, Examples, And Implementation Guidance, Jacqueline J. Hinckley, Katie A. Strong, Brent Archer, Lauren Bislick, Suma R. Devanga, Amy E. R. Engelhoven, Anthony Pak-Hin Kong
The Qualitative Report
Participatory research (PR) improves the meaningfulness and efficiency of research and reduces the research-to-practice gap, because it includes the lived experience of those who are affected by the research in the planning, execution, and dissemination of the research. Communication disabilities, like aphasia due to stroke, or communication differences impact the way in which meaningful research collaborations can take place. The purpose of this paper is to describe the ethics, challenges, and opportunities for involving people with aphasia as collaborators in research. We highlight specific examples of PR projects undertaken by community member teams composed of researchers, clinicians, people with aphasia, …
The Effects Of An E-Learning Program On Knowledge, Beliefs, And Decision-Making Regarding Suspected Acute Myocardial Infarction Among Older Adults In Urban Communities: A Quasi-Experimental Study In Thailand, Chalermkwan Madsong, Naruemon Sawaengsri, Pramote Thangkratok, Thamonwan Boonprasit, Lawan Vanpirod
The Effects Of An E-Learning Program On Knowledge, Beliefs, And Decision-Making Regarding Suspected Acute Myocardial Infarction Among Older Adults In Urban Communities: A Quasi-Experimental Study In Thailand, Chalermkwan Madsong, Naruemon Sawaengsri, Pramote Thangkratok, Thamonwan Boonprasit, Lawan Vanpirod
Journal of Health Research
Background: Delayed contact with emergency medical services (EMS; 1669 in Thailand) contributes to poor outcomes following acute myocardial infarction (AMI), particularly among older adults with limited symptom recognition. This study evaluated the effects of an e-learning program on AMI-related knowledge, health beliefs, and decision-making among older adults in urban Thailand.
Methods: A one-group pretest–posttest design with follow-up was conducted from December 2025 to January 2026. Thirty-five older adults aged 60–85 years from urban communities in Bangkok and nearby provinces participated. The two-week e-learning intervention comprised four interactive lessons based on the Health Belief Model and American Heart Association recommendations. AMI …
Predictors Of Tiktok Addiction Among University Students: The Contributions Of Fear Of Missing Out (Fomo) And Academic Stress, Dosi Juliawati, Muhammad Ikhsan, Hengki Yandri, Rasmita Rasmita, Darsi Darsi, Ainil Khuryati, Daflaini Daflaini
Predictors Of Tiktok Addiction Among University Students: The Contributions Of Fear Of Missing Out (Fomo) And Academic Stress, Dosi Juliawati, Muhammad Ikhsan, Hengki Yandri, Rasmita Rasmita, Darsi Darsi, Ainil Khuryati, Daflaini Daflaini
Buletin Konseling Inovatif
he surging popularity of TikTok among university students has raised serious scholarly concerns regarding the escalation of digital behavioral addiction and its detrimental impacts on higher education outcomes. Aims and scope of paper: This study aims to investigate the concurrent and partial contributions of Fear of Missing Out (FoMO) and academic stress as predictors of TikTok addiction among undergraduate higher education students. Employing an associative quantitative design with a cross-sectional approach, this study involved 54 active students selected via purposive sampling based on specific digital intensity and institutional criteria. Data were gathered using three validated Likert-model psychological instruments: the FoMO …
Self-Regulated Learning As A Predictor Of Learning Motivation Among High School Students With Fear Of Failure, Luky Kurniawan, Auliana Ayu Sholekhah, Natri Sutanti
Self-Regulated Learning As A Predictor Of Learning Motivation Among High School Students With Fear Of Failure, Luky Kurniawan, Auliana Ayu Sholekhah, Natri Sutanti
Buletin Konseling Inovatif
Self-regulated learning is one of the important factors in determining students' success in achieving academic goals. This study aims to examine the role of self-regulated learning as a predictor of learning motivation in students with a tendency to fear of failure. This study uses a quantitative-correlational approach with a survey method. The research sample consisted of 159 high school students who are selected by using purposive sampling. The instruments used in this study were a fear of failure scale used for screening, a self-regulated learning scale, and a learning motivation scale. The validity of the instruments that were tested using …
How Ai’S Data Centers Thirst For Water Will Leave The Rest Of Us Dry If Left Unregulated, Emma Sawko
How Ai’S Data Centers Thirst For Water Will Leave The Rest Of Us Dry If Left Unregulated, Emma Sawko
Oil and Gas, Natural Resources, and Energy Journal
No abstract provided.
Opening The Door: Copyrightability Of Interpreted Seismic Models After Gsi V. Tgs, David Logan
Opening The Door: Copyrightability Of Interpreted Seismic Models After Gsi V. Tgs, David Logan
Oil and Gas, Natural Resources, and Energy Journal
No abstract provided.
Beneath The Surface: Addressing The Ownership And Development Rights Of Geothermal Energy Resources Under Oklahoma Property Law, Kobe K. Gipson
Beneath The Surface: Addressing The Ownership And Development Rights Of Geothermal Energy Resources Under Oklahoma Property Law, Kobe K. Gipson
Oil and Gas, Natural Resources, and Energy Journal
No abstract provided.
Aesthetic Considerations In Nuisance Claims Against Texas Wind Farms, Ellie Duggan
Aesthetic Considerations In Nuisance Claims Against Texas Wind Farms, Ellie Duggan
Oil and Gas, Natural Resources, and Energy Journal
No abstract provided.
Ownership Of Produced Water And The Path To Domestic Lithium And Critical Mineral Commercialization, Emily Davis
Ownership Of Produced Water And The Path To Domestic Lithium And Critical Mineral Commercialization, Emily Davis
Oil and Gas, Natural Resources, and Energy Journal
No abstract provided.
The Eleventh Circuit’S Narrow Interpretation Of Nepa In Alligator Alcatraz, Madison Crow
The Eleventh Circuit’S Narrow Interpretation Of Nepa In Alligator Alcatraz, Madison Crow
Oil and Gas, Natural Resources, and Energy Journal
No abstract provided.
Creating A Climate Of Safety: Preparing Nursing Students For Responsible Artificial Intelligence Use, Shanti Srinivas, Jennifer L. Stewart
Creating A Climate Of Safety: Preparing Nursing Students For Responsible Artificial Intelligence Use, Shanti Srinivas, Jennifer L. Stewart
HCA Healthcare Journal of Medicine
Safety is the foundation of high-quality, effective, and efficient health care, requiring intentional dedication from organizations, leaders, educators, providers, and patients alike. The increasing integration of artificial intelligence (AI) into health care settings is outpacing the development of structured safety education designed for its use. As AI tools become increasingly embedded in diagnosis, documentation, and clinical decision-making, a climate of safety must extend to encompass the unique risks these technologies introduce, including algorithmic biases, data privacy vulnerabilities, and the possible erosion of clinical judgment through overreliance on machine-generated outputs.
Equally essential is the promotion of workplace wellbeing, which recognizes that …
From Hired To Hands-On-Deck Status: Solving Delays In Health Care Hiring Processes And Supporting Workforce Safety Across A Large For-Profit Health System, Cynthia Skeens
HCA Healthcare Journal of Medicine
Background
During and after the COVID-19 pandemic, health care staffing shortages and onboarding inefficiencies, specifically delays in employee health clearance, prolonged time to hire, and threatened workplace and patient safety.
Methods
An employee health onboarding workflow at a large health care organization was redesigned across 3 domains: people, process, and technology. Interventions included workflow standardization, elimination of non–value-added steps, optimized tuberculosis screening, increased appointment capacity, and technology integration (electronic health record [EHR]documentation, centralized scheduling and communication, and completion of pre-visit forms). Following a pilot from May to December 2022, the workflow was expanded organization-wide with a structured rollout and ongoing …
Promoting Safety In Alcohol Withdrawal Syndrome: A Proactive Nursing Process Framework, Julie Anne C. Comia, Elizabeth Card
Promoting Safety In Alcohol Withdrawal Syndrome: A Proactive Nursing Process Framework, Julie Anne C. Comia, Elizabeth Card
HCA Healthcare Journal of Medicine
Background
Alcohol withdrawal syndrome (AWS) is a potentially life-threatening response to the abrupt cessation or reduction of heavy, prolonged alcohol use. Untreated, it can progress to delirium tremens (DT), a medical emergency historically associated with mortality as high as 40%. Agitation and hallucinations during withdrawal also pose safety risks to the health care team in addition to the patient. Because deterioration follows a predictable course, timely nursing recognition and intervention are central to protecting both the patient and the care team from avoidable harm. The evidence-based framework is intended as an educational tool to help nurses anticipate and avoid harm; …