Digital Commons Network^™

Staff Education: Teaching Patients To Manage Their Hypertension, Andrea Arroyo

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project on staff education addresses the practice problem of staff knowledge deficits in educating patients on hypertensive management. The project question was: Will evidence-based hypertension management education increase staff knowledge? The project evaluated the effectiveness of a structured educational program in training personnel on how to educate patients on optimal hypertension management techniques. The project used evidence-based literature to bridge a clinical practice gap, educate staff, and empower healthcare professionals to improve patient care. Ten participants were a part of the project. A pre-survey was administered, followed by a PowerPoint presentation on how to …

Mitigation Strategies For Burnout Prevention, Judith Nm Lamarre

Walden Dissertations and Doctoral Studies

This doctoral project is a staff education initiative aimed at increasing staff knowledge on burnout mitigation strategies. The project describes the practice challenge and why staff practice must address it. Psychiatric burnout leads to emotional exhaustion, professional dissatisfaction, and patient safety concerns. The work aims to answer the practice-focused question and the purpose of the doctoral project, specifically asking: Will a structured educational session on evidence-based burnout mitigation strategies increase staff knowledge? Staff knowledge was measured using pre- and post-education surveys. The pre-survey results showed mean score of 60%, while the post-survey results showed a mean score of 80%, reflecting …

Acute Gastropericardial Fistula With Cardiac Tamponade And Septic Pericarditis Due To Helicobacter Pylori–Induced Gastric Ulcer Perforation, Stephen J. Bordes, Christopher D. Oubre, Preethi H. Kanumuri, Nicholas Leblanc, Richard Lewis, Thomas Marsden, Terry Stelly

School of Medicine Faculty Publications

No abstract provided.

Nasogastric/Orogastric Verification: Ph Or Not To Ph?, Ramona Jachymiak Msn, Rn, Ccrn

Nursing Research & Professional Development Conference

Background/Introduction:

Review of current literature identified pH testing as superior to air insufflation for verification of Nasogastric/Orogastric placement in pediatric patients 28 days and older. X-ray is considered the gold standard but not practical. The practice of auscultation has risk of incorrect placement, which can have negative patient outcomes if you introduce formula or breast milk into the lungs.

Purpose:

The purpose of this initiative was to implement best practice for Nasogastric/Orogastric placement verification in infants and children 28 days and older to prevent safety events associated with incorrect placement.

Implementation plan:

With this information, a suburban children’s hospital identified …

Advocate Nurses Collaborate For Stronger Legal Shields Against Workplace Violence, Susan Morby Msn, Rn, Nea-Bc, Sarah Gilmore Bsn, Rn

Nursing Research & Professional Development Conference

Background/Introduction

Healthcare workers (HCW) face disproportionately high rates of workplace violence (WPV) and are five times more likely to be injured than other types of workers (Lim et al., 2022). HCWs account for 73% of all nonfatal workplace injuries in 2018 (OSHA, 2020). National studies show that 12% of nurses planning to leave the profession in the next 5 years cite WPV as the reason (Smiley et al., 2025). Despite implementation of security measures, WPV continues to escalate, contributing to burnout and workforce attrition (The Joint Commission, 2018).

Purpose or Objective

This initiative aimed to expand legal protections for all …

Patient Identification: Call Check Connect, Antoinette Fox Bsn, Rn, Nicole Calderon Bsn, Rn

Nursing Research & Professional Development Conference

Background: Lack of staff participation in verifying correct patient in conversations via phone or in-person has led to an increase in patient safety events within our site.

Local problem: While receiving telemetry monitoring, a patient experienced sustained bradycardia (slow heart rate). When the concern was initially escalated to the care team, there was confusion regarding which patient was experiencing the clinical decline. The lack of use of the high reliability tool read/repeat back and patient identifiers lead to a delay in escalation to the clinician and a clinical intervention delay. Ultimately leading to a major safety event.

Method: The safety …

Implementing Blood Culture Collection Education For Emergency Department Nurses, Michelle Atkinson Bsn, Rn, Pbt, Tncc, Jessica Verenski Msn, Rn, Ecrn, Tncc, Cen

Nursing Research & Professional Development Conference

Background: One of the most common nursing procedures in the emergency department is blood specimen collection. Blood specimen collections are used for diagnosis and treatment. Incorrect collection of blood cultures leads to redraws, which delays patient care and treatment. A lack of adequate training among emergency department staff has resulted in errors in specimen collection.

Local Problem: There was a lack of education provided for emergency department teammates for proper collection of blood cultures. This led to incorrectly collecting blood cultures. Improper blood culture collection resulted in high contamination rates in 2023 (goal is less than or equal to 2.3%). …

Meeting 2025-11-12, Civil Service Senate

Civil Service Senate Minutes

Minutes of the Civil Service Senate meeting.

Sigma-Hole-Supported Interactions In Complexes Of Group 5 Oxyhalides (Mox3) With Insights For Their Extended Solids, Donovan Hoilette Jr., Gabriel F. Stewart, Kelling J. Donald

Chemistry Faculty Publications

The existence and nature of sigma hole type interactions in inorganic extended solids remain largely unexamined, even though the influence of such interactions for heteroorganic compounds is well known. The series of group 5 MOX₃oxyhalides are intriguing in this regard since several of the known crystal structures are molecular solids with highly polarized M centers. We examine computationally the bonding in the isolated MOX₃ molecules and their smallest clusters (MOX₃)_nwhere M = V, Nb, and Ta, and X = H, F, Cl, Br, and I. That investigation provides us with substantial evidence, based …

Assessing The Role Of Ai In Determining The Necessity And Proportionality Of The Exercise Of Self-Defense Against An Armed Attack, Marco Roscini

International Law Studies

This article explores whether artificial intelligence (AI) constitutes an asset or rather a challenge in assessing the necessity and proportionality of a State’s response to an armed attack in the context of self-defense. Two central arguments are advanced. First, while AI may assist in detecting incoming threats of armed attacks, abstract and highly context-driven notions like necessity and proportionality would be very difficult to encode into algorithms. Second, even assuming that this were possible, relying on AI to determine the necessity and proportionality of a self-defense response would present as many challenges as it does advantages and, therefore, should be …

Advancing Palliative Care Competency Through An Evidence-Based Educational Intervention For Healthcare Providers, Lauren Elizabeth Griffin

Walden Dissertations and Doctoral Studies

A major gap in acute care is the delayed initiation of palliative consultations. Although over 58 million people worldwide could benefit, only 14% receive such care. Despite evidence that early involvement improves outcomes, providers often overlook their value, leading to late referrals, typically after repeated hospitalizations or near end-of-life, when hospice may be more appropriate. This Doctor of Nursing Practice (DNP) educational intervention addressed a critical practice-focused question to enhance healthcare providers’ understanding of palliative care improve hospital-based patient outcomes. The intervention aimed to demonstrate a ≥20% knowledge gain from pretest to posttest scores related to distinguishing palliative care from …

Integrating Psychotherapy And Medication Management In A Primary Care Clinic, Patricia Nkhono

Walden Dissertations and Doctoral Studies

A knowledge deficit in integrating supportive psychotherapy with medication management to treat patients’ psychiatric challenges was identified in a primary care clinical setting. I developed a staff education project to close the knowledge gaps of nurses and nurse practitioners related to an evidence-based protocol that incorporated supportive therapy in individualized treatment plans. The project’s aim was to develop, implement, and evaluate the staff education program. The focused project question centered on whether staff education would increase staff knowledge and drive increased supportive therapy orders at admission of patients. Clinical staff registered nurses and nurse practitioners (N = 5) participated in …

Exploratory Study Of Semiconductor Nanomembranes In Em Applications, Grant D. Heileman

Electrical and Computer Engineering ETDs

Antenna systems are a cornerstone of modern technologies, playing an increasingly vital role in their advancement. As demand for compact, high-performance, and adaptable communication platforms grows reconfigurable antenna technologies are becoming essential. This research explores a novel front-end reconfigurable antenna system (FERAS) architecture that leverages the mechanical flexibility and photoconductive behavior of semiconductor nanomembrane (SNM) devices. By exploiting the emergent properties of ultra-thin silicon (Si) or gallium arsenide (GaAs) nanomaterials and optically exciting these samples using vertical-cavity surface-emitting laser (VCSEL) arrays, this study develops lightweight, low-cost, deployable antenna structures for satellite communications, remote sensing, GPS, and radar. Despite their significant …

Structural Determinants And The Ethics Of Health Inequity: Law, Poverty, And Prevention, Daniela Oehring

School of Health Professions

Health inequity represents one of the most pressing ethical challenges of our time, manifesting as unfair and preventable differences in health outcomes that stem from broader social, economic, and structural conditions. This chapter examines the complex intersection of legal frameworks, philosophical theories, and jurisprudential interpretations that shape our understanding of health equity as both a public health imperative and a fundamental question of justice. Through a comprehensive analysis of international human rights law, declarations, and constitutional provisions, the chapter demonstrates how legal instruments have evolved to recognise health as a fundamental human right while establishing state obligations to address structural …

People Living With Hiv Became Influencers On Social Media: Breaking The Stigma, Charisma Asri Fitrananda, Yogi Muhammad Yusuf, Qisthy Rabathy, Yusuf Bahtiar

JURNAL KOMUNIKASI INDONESIA

This study examines the differences in stigma experienced by people living with human immunodeficiency virus (PLHIV) on social media and in broader Indonesian society. When PLHIV disclose their HIV-positive status on social media and attempt to break the stigma by becoming social media influencers, they receive both supportive and critical responses. Negative reactions arise when they are perceived as promoting risky activities, as burdens to the state, or when they face challenges securing sponsorship for their initiatives. This research employs a case study approach to explore the experiences of PLHIV use social media influence as a means to counter HIV-related …

Re: Medical Monitoring Working Group Meeting Minutes, Mike Mcanulty, Eric Hassler

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

The Impact Of Childhood Adversities On Prison Misconduct: A Study Based On General Strain Theory, Ellen Brefo Agyei

Electronic Theses and Dissertations Archive

Drawing on General Strain Theory, this study examines how Adverse Childhood Experiences (ACEs) shape the choice of coping mechanisms of inmates within correctional settings. While prior research has explored prison misconduct, little research has looked at the relationship between ACEs, negative emotions, and prison misconduct. To address this gap, this study uses the nationally representative dataset, Survey of Prison Inmates (SPI) conducted in 2016, to explore how ACEs affect prison misconduct and whether negative emotions mediate this relationship. Findings from the regression analyses suggest that inmates who experienced more ACEs experienced higher levels of negative emotions and were more likely …

Giacomo De Gorzanis: Solo Lute Music And Edition Of Opera Nova De Lauto, Libro Quarto (1579), Mycah Shey Kettner

Electronic Theses and Dissertations Archive

This project is the first transcription of Giacomo Gorzanis’s fourth solo lute book, Opera Nova de Lauto, published in 1579, into modern notation and in a scholarly critical edition. This project discusses the lute music and works of Gorzanis, and the methodology of how this critical edition surfaced. It also discusses the historical and cultural impact of the dance movements in Libro Quarto. This project will hopefully shine a light on the importance of solo lute music composed by Giacomo Gorzanis.

The Interrogation Of An Accountability System Blind To Inequities, Deartis Barber

Electronic Theses and Dissertations Archive

This dissertation examines the geography of educational inequality in Shelby County, Tennessee, arguing that where students live and attend school is not random but the outcome of historical, socioeconomic, and political forces that shape access to opportunity. Using secondary data from state, federal, and U.S. Census sources, the study employs tract-level stepwise linear regression and Geographic Information System (GIS) mapping to investigate whether “place is destiny” for public school students. Results reveal a powerful and persistent relationship between socioeconomic need and educational outcomes. The Socioeconomic Need Index (SNI) is the strongest predictor of academic underperformance, chronic absenteeism, and lower accountability …

Presidents, Opinions, And Independent Officers, Jed Handelsman Shugerman

Faculty Scholarship

The Opinions in Writing Clause is a persistent textual problem for the claim that Article II implies an indefeasible removal power: If the Framers believed they had given the president an unconditional removal power, why would they also specify a lesser power merely to ask for opinions? New historical research confirms this textual problem was also contextual: early state constitutions, the Ratification debates, and the First Congress indicate that the Opinions Clause’s original public meaning signaled independence of department heads, or at least the possibility of congressional requirements like good cause.

Legal scholars have already shown that the texts of …

Rasburicase Repercussions: Methemoglobinemia And Hemolytic Anemia In An African American Male With Undiagnosed Glucose-6-Phosphate Dehydrogenase Deficiency, Nathan Fletcher, Kamakshi Katwala, Mitali Roy

Advocate GME

Introduction Rasburicase, a recombinant urate oxidase, effectively lowers nephrotoxic uric acid levels in tumor lysis syndrome (TLS). However, its use produces oxidative byproducts that can precipitate hemolysis and methemoglobinemia in patients with glucose-6-phosphate dehydrogenase (G6PD). Although G6PD screening is recommended prior to use in high-risk populations, emergent presentations often preclude timely testing. We report a rare case of simultaneous rasburicase-induced methemoglobinemia and hemolytic anemia in a patient with previously undiagnosed G6PD deficiency. Case Presentation: A 74-year-old African American man with an indeterminate plasma cell dyscrasia and chronic kidney disease presented with 24 hours of abdominal pain, nausea, and emesis. Initial …

Envis: A User-Centered Web-Based Tool For Interactive Visualization Of Environmental Geospatial Data, Saima Sanjida Shila

LSU Master's Theses

Data visualization is an essential part of analyzing environmental geospatial data. Despite having the availability of large environmental datasets, there remains a lack of easily accessible, user-friendly, and interactive visualization tools in this field. Therefore, this study aims to develop a user-friendly and easily available web-based visualization tool. Before developing the tool, we conducted a survey of researchers at the LSU Coastal Studies Institute to collect their opinions on currently available visualization tools. In the survey, 55% of participants responded between somewhat satisfied to dissatisfied with their current visualization tools. Most of the participants mentioned two major limitations of existing …

Low Mutation Rate But High Male-Bias In The Germline Of A Short-Lived Opossum, Yadira Peña-García, Richard J Wang, Muthuswamy Raveendran, R Alan Harris, Paul B Samollow, Jeffrey Rogers, Matthew W Hahn

Faculty, Staff and Students Publications

Age and sex have been found to be important determinants of the mutation rate per generation in mammals, but the mechanisms underlying these factors are still unclear. One approach to distinguishing between alternative mechanisms is to study species that reproduce at very young ages, as competing hypotheses make different predictions about patterns of mutation in these organisms. Here, we study the germline mutation rate in the gray short-tailed opossum, Monodelphis domestica, a laboratory model species that becomes reproductively mature at less than 6 mo of age. Whole-genome sequencing of 22 trios reveals one of the lowest mutation rates per generation …

Slc35g3 Is A Udp-N-Acetylglucosamine Transporter For Sperm Glycoprotein Formation And Underpins Male Fertility In Mice, Daisuke Mashiko, Shingo Tonai, Haruhiko Miyata, Martin M Matzuk, Masahito Ikawa

Faculty, Staff and Students Publications

Despite the recognized importance of glycans in biological phenomena, their complex roles in spermatogenesis and sperm function remain unclear. SLC35G3, a 10-transmembrane protein specifically found in early round spermatids, belongs to the sugar-nucleotide transporter family, indicating its involvement in glycan formation. In this study, we found that Slc35g3 knockout male mice were sterile due to impaired sperm functions in uterotubal junction passage, zona pellucida binding, and oocyte fusion. Mouse SLC35G3 has UDP-GlcNAc transporter activity, and its ablation caused abnormal processing of the sperm plasma membrane and acrosome membrane proteins. Reported human SLC35G3 mutations (F267L and T179HfsTer27) diminished the UDP-GlcNAc transporter …

Genome-Wide Discovery Of Multiple Sclerosis Genetic Risk Variant Allelic Regulatory Activity, Marissa Granitto, Lois Parks, Molly S Shook, Carmy Forney, Xiaoting Chen, Lee E Edsall, Omer A Donmez, Sreeja Parameswaran, Kristen S Fisher, Aram Zabeti, Lucinda P Lawson, Matthew T Weirauch, Leah C Kottyan

Faculty, Staff and Students Publications

Multiple sclerosis is an immune-mediated demyelinating disease of the central nervous system with a complex etiology involving environmental and genetic factors. Numerous genetic risk loci for multiple sclerosis have been nominated through genome-wide association studies, with most associated variants residing in noncoding regions. However, further work is needed to understand how genetic variation contributes to disease-related alterations to gene expression. Here, we use Massively Parallel Reporter Assays to identify genetic risk variants with genotype-dependent enhancing or silencing activity within a set of 14,275 variants distributed among multiple sclerosis risk loci that have reached genome-wide or suggestive significance. We applied our …

Unraveling The Lullabies Of Learning: Exploring The Role Of Individual Components Of Infant-Directed Speech In Language Learning, Stephanie L. Lopez

LSU Doctoral Dissertations

Children learn language more effectively from infant-directed speech (IDS) than adult-directed speech (ADS). Three experiments were run (a pilot and two full experiments) testing the effects of pitch and pitch variability on segmenting a target word out of the speech stream and then associating it to an object. Visual prosody via eyebrow movements and lip contours were added as additional cues after the Pilot Study. Additional factors included after the Pilot Study were shortened sentences from 10 syllables each to seven syllables each, shortened target words from three syllables to two syllables, consistent syllable onset of target words, and two …

Life As An Intern For Njit Stem For Success, Christopher Tava

STEM Month

I joined the STEM for Success Team in May 2023 with two main goals. The first goal was to reach 100 hours worth of contributions, as part of a mandatory internship requirement to graduate from the Academy for Mathematics, Science, & Engineering (AMSE). I reached that goal by early October 2023, although I have been motivated to continue my work with NJIT beyond that hour target. The second goal was to accomplish something that I was proud of with the resources that the New Jersey Institute of Technology (NJIT) provided me. I had heard of former students of AMSE that …

Television Guidebook, Ujwal S. Thirunagari

STEM Month

In this television guidebook, we work to clearly explain television technology by including detailed illustrations and introducing fundamental concepts. This guidebook first explains the Cathode Ray Tube by laying out the basics of circuits, thermionic emission, the electron beam gun, and the deflection yoke. Then, the guidebook tackles the modernly adopted LED panel technology used in most phones and computers by explaining the fundamentals of light and liquid crystal. In future iterations of the guidebook, we hope to delve into more detail on color CRTs, thin film transistors, OLED panels, and Micro-LED technology.

Decision In Art. 78 Proceeding - Azzollini, Stephan (2025-03-11)

Decisions in Art. 78 Proceedings

No abstract provided.

Do No Harm?: An Assemblage Of Care, Compliance, And Resistance To North Carolina’S Parents’ Bill Of Rights, Sarah Cornette, William Pryor Iv

Journal of Queer and Trans Studies in Education

North Carolina’s Parents’ Bill of Rights (NC-PBOR) requires school counselors to disclose sensitive student information to parents, creating profound legal-ethical dilemmas. This study examines how counselors navigate these mandates through interviews, surveys, and arts-based analysis. Findings show counselors experience institutional betrayal, ethical precarity, and emotional exhaustion, yet also engage in subtle resistance through strategic ambiguity, relational buffering, and quiet noncompliance. Methodologically, we integrate coding, poetic inquiry, and visual confection to capture affect, embodiment, and contradiction often missed by conventional analysis. By foregrounding emotion and multiplicity, we contribute to assemblage-informed policy studies and queer qualitative inquiry, while bearing witness to the …