Digital Commons Network^™

Strategies To Reduce Waiting Times In A Hospital Emergency Department, Gillian Denise Browne-Farrell

Walden Dissertations and Doctoral Studies

Leaders of the emergency departments (EDs) globally, especially in the United States face persistent challenges addressing staffing issues in the ED and increased wait times. The purpose and review question for this integrative review was to investigate strategies and best practices to decrease waiting times in a hospital ED. The Theory of Constraints framework served as the theoretical foundation for this review. An examination of the literature published within the past five years identified 101 relevant articles. From these articles, 30 empirical and non-empirical articles were selected for further analysis using the Johns Hopkins evidence-based practice model and six major …

Enhancing Communication Among New Nurses Using Scenario-Based Education, Anita Clark Chambers

Walden Dissertations and Doctoral Studies

This staff education project was designed to enhance communication among new nurses with 2 years or less of experience in a Level One trauma center emergency department (ED). The aim of this project initiative was to enhance learners’ communication strategy knowledge and confidence by using scenario-based education via a web-based format. When ineffective communication exchanges occur with healthcare personnel, such as with new nurses, negative patient care outcomes can occur such as sentinel events. Transitional challenges such as lack of prioritization, clinical decision-making skills and low confidence can affect the new nurse’s ability to appropriate effective communication strategies into their …

Staff Education To Enhance The Use Of Alternatives To Restrictive Interventions When Managing Aggressive Behaviors, Anthony Obinna Madu

Walden Dissertations and Doctoral Studies

This is a DNP staff education project executive summary aimed at increasing staff knowledge on the use of alternatives to restrictive interventions when managing aggressive behaviors in an inpatient psychiatric unit.

Rna Sequencing And Immunohistochemistry Jointly Improve Tumor Biomarker Interpretation, Vladimir Kushnarev, Danil Stupichev, Suren Davitavyan, Kirill Kriukov, Basavaraja U Shanthappa, Anna Butusova, Sofia Menshikova, Anna Belozerova, Anastasia Shvyrkova, Arina Tkachuk, Olga Khatenkova, Linda Balabanian, Ekaterina Postovalova, Jochen K Lennerz, Funda Meric-Bernstam, Alexander Bagaev

Faculty, Staff and Student Publications

This study aimed to assess the correlation between RNA sequencing (RNA-seq) and immunohistochemistry (IHC) in detecting key cancer biomarkers across solid tumors, and then, to establish RNA-seq thresholds that accurately reflect clinical IHC classifications. Expression levels of nine biomarkers-ESR1, PGR, AR, MKI67, ERBB2, CD274, CDX2, KRT7, and KRT20-were analyzed in 365 formalin-fixed, paraffin-embedded samples from breast, lung, gastrointestinal, and other solid carcinomas. Correlations between RNA-seq data and IHC scores were determined using Spearman's correlation coefficients, with RNA-seq cut-offs established to distinguish positive from negative IHC scores. The results revealed strong correlations for most biomarkers, with coefficients ranging from 0.53 to …

Rsph4a-Pcdx: An Index To Predict Lung Function Decline In Primary Ciliary Dyskinesia, Gabriel Román-Ríos, Gabriel Rosario-Ortiz, Marcos J Ramos-Benitez, Ricardo A Mosquera, Wilfredo De Jesús-Rojas

Faculty, Staff and Student Publications

Primary ciliary dyskinesia (PCD) is a rare, genetically heterogeneous disorder that impairs mucociliary clearance and leads to progressive lung disease. This study aimed to characterize lung function decline in a genetically homogeneous cohort of Puerto Rican patients with

Impact Of Firefighters' Work Schedule On Cardiovascular Disease Risk, Wellbeing And Safety In Firefighters: Protocol For The Swift Study, A Multidisciplinary Prospective And Cross-Sectional Study, Walaa F. Abdelmoaty, Shelby L. Watkins, Aanuoluwakiitan Ayeni, David A. Hurtado, Andrew W. Mchill, Jeremy J. Biggs, Kurt T. Hegmann, Steven A. Shea, Todd Bodner, Nicole P. Bowles

Psychology Faculty Publications and Presentations

Firefighters face frequent physical and psychosocial stressors, increasing their risk for hypertension. Rising call volumes with a stable workforce have heightened occupational burdens. To meet their occupational demands while increasing time off-duty, fire departments across the country have switched from a 24 hours on 48 hours off (termed ‘24/48’) work schedule to one that increases the number of consecutive days off (eg, 1 day on, 3 days off, 2 days on, 3 days off (termed ‘1/3/2/3’) or 48 hours on 96 hours off (termed ‘48/96’)). However, these schedule changes come at the expense of increasing time on-duty, which may have …

Inhibition Of Epithelial Cell Yap-Tead/Lox Signaling Attenuates Pulmonary Fibrosis In Preclinical Models, Darcy Elizabeth Wagner, Hani N Alsafadi, Nilay Mitash, Aurelien Justet, Qianjiang Hu, Ricardo Pineda, Claudia Staab-Weijnitz, Martina Korfei, Nika Gvazava, Kristin Wannemo, Ugochi Onwuka, Molly Mozurak, Adriana Estrada-Bernal, Juan Cala-Garcia, Katrin Mutze, Rita Costa, Deniz Bölükbas, John Stegmayr, Wioletta Skronska-Wasek, Stephan Klee, Chiharu Ota, Hoeke A Baarsma, Jingtao Wang, John Sembrat, Anne Hilgendorff, Jun Ding, Andreas Günther, Rachel Chambers, Ivan Rosas, Stijn De Langhe, Naftali Kaminski, Mareike Lehmann, Oliver Eickelberg, Melanie Königshoff

Faculty, Staff and Students Publications

Idiopathic pulmonary fibrosis (IPF) is a progressive and lethal disease characterized by excessive extracellular matrix deposition. Current IPF therapies slow disease progression but do not stop or reverse it. The (myo)fibroblasts are thought to be the main cellular contributors to excessive extracellular matrix production in IPF. Here we show that fibrotic alveolar type II cells regulate production and crosslinking of extracellular matrix via the co-transcriptional activator YAP. YAP leads to increased expression of Lysl oxidase (LOX) and subsequent LOX-mediated crosslinking by fibrotic alveolar type II cells. Pharmacological YAP inhibition via verteporfin reverses fibrotic alveolar type II cell reprogramming and LOX …

Mississippi Libraries Volume 87, Number 1 And 2

Mississippi Libraries

Complete issue of Vol. 87, Nos. 1 and 2 of Mississippi Libraries

The Tax Adviser, Volume 12, Number 12, December 1981, American Institute Of Certified Public Accountants

Tax Adviser

No abstract provided.

Tax Trends, E. S. Linett

Tax Adviser

No abstract provided.

Tax Clinic, Henry J. Ferrero Jr.

Tax Adviser

No abstract provided.

Tax Havens—An Endangered Species?, Charles T. Crawford

Tax Adviser

No abstract provided.

Tooth Brushing Technique Detection With Deep Learning On The Edge, Anthony Teal, Dheryta Jaisinghani

Summer Undergraduate Research Program (SURP) Symposium

Non-communicable gum disease affects about 42%_[4] of adults aged 30 years and older. Developing a robust model to detect brushing techniques on a smartwatch can help reinforce good brushing habits and prevent gum disease.

The likelihood of someone owning a smart watch compared to a smart toothbrush is staggering. There were around 66,051_^[3] smart toothbrushes sold in 2022, with smartwatches shipping about 150,000,000_[2] units. It is important to have an alternative on a smartwatch, because it will reach far more users.

Data privacy has become a large issue worldwide. With a pre-trained model that is systematically fine-tuned …

Tooth Brushing Pressure Detection Using Only A Smartwatch, William Spielbauer, Dheryta Jaisinghani

Summer Undergraduate Research Program (SURP) Symposium

• Roughly half (46%) of American adults aged 30 or older show signs of gum disease.^₁
• Improper tooth-brushing technique – in particular, excessive pressure when brushing – can cause inflammation and recession of the gums due to abrasion (gingivitis).^₂
• While there are ways to track and prevent excessive pressure (smart brushes have this feature built in), these are expensive solutions that require specialized equipment.

Eclipse, Nebraska: An Astronomical Event In Middle America, Maxwell Crees

Summer Undergraduate Research Program (SURP) Symposium

I used documents and interviews to determine how the name, belonging to the once-populated town of Eclipse, Nebraska, originated. I concluded that it was the result of a real, astronomical event.

A Temporal And Spatial Analysis Of Agricultural Impacts On Water Bodies In The Cedar River Watershed, Erin Kennedy, Clair Taylor, Mohammad Iqbal

Summer Undergraduate Research Program (SURP) Symposium

Water quality in Iowa has a direct impact on the health of humans, the environment, and the economy. This is why pollution of surface water in northeast Iowa is not only a local, but also a regional and national concern. Agricultural runoff from Iowa has an impact on water bodies as far as the Gulf of Mexico. Excess nutrients, particularly phosphorus and nitrogen, enhance phytoplankton growth and lead to the eutrophication of stream water. It also contributes to the hypoxia zone, also known as the “dead zone” in the Gulf of Mexico. In Iowa, excess nutrients have severely damaged lake …

Tracking The Ice Age: Applying Facies Changes And Grain Size Variability To Trace Environmental Shifts Linked To The Laurentide Ice Sheet, Abigail Mandick, Laura Comstock, Alexa Clements, Dylan Ward

Summer Undergraduate Research Program (SURP) Symposium

Reconstructing past ice sheet margins is critical for modeling future environmental change under a warming climate. The Laurentide Ice Sheet (LIS) was a large glacier that covered much of North America during the Pleistocene Epoch (2,580-11.7 thousand years ago) (Head, 2019). Process associated with advances and retreat of the ice are responsible for many modern landforms. Here, we present a detailed stratigraphic column and measured section of the Paddison Run outcrop near Cincinnati, based on field observations and measurements. By reviewing sedimentary characteristics, we provide a detailed record of environmental changes linked to the ice sheet margin. High resolution records, …

Silent Hazards: Safety And Risk Protocols Of Potential Hazardous Museum Specimens, Madelyn Wilson, Alexa Clements, Nathan Arndt, Lee S. Potter

Summer Undergraduate Research Program (SURP) Symposium

Museum collections can contain a range of materials including rock and mineral specimens. However, the ability of museum curators to correctly identify geological samples and assess associated risks is largely dependent on their background. Exposure, which can be thought of as a combination of the concentration of a hazardous material and the amount of time that material is in contact with living tissues, should be minimized to ensure the safety of museum staff and visitors. While best practices for minimizing exposure to radioactive or toxic minerals are widely available, it is challenging to find similar recommendations for the safe handling …

Implications Of Plant Clonality For Nutrient Pollution In Grasslands And Wetlands, Sydney Aird, Kenneth Elgersma

Summer Undergraduate Research Program (SURP) Symposium

No abstract provided.

Developing A Dna Extraction Method For Mineral Abundant Limestone Cave Samples, Treytun Garcia, Marek Sliwinski

Summer Undergraduate Research Program (SURP) Symposium

Caves offer a unique environment to study microbial life that survives under extreme nutrient limitation. To this extent, 16s metabarcoding serves as a sort of “DNA fingerprint” that allows us to identify and study the microbial composition of these environments, but there are hurdles that must be overcome to obtain enough DNA for effective and reliable 16s sequencing. It is important to maximize the amount of DNA that can be extracted from the Wind Cave samples because it is an extremely low biomass environment and sufficient DNA for sequencing can be hard to get. Wind Cave National Park serves as …

Slis Notes: The Ai Elephant In The Room, Stacy Creel, Andrew Sims

Mississippi Libraries

Notes and updates from the Director of the School of Library and Information Science at The University of Southern Mississippi. This column discusses the emergence of new AI tools and their potential effects on libraries.

Economic Recovery Tax Act Of 1981: U.S. Citizens Working Abroad, Anthony M. Komlyn, Peter W. Minges

Tax Adviser

No abstract provided.

Dynamic Insertion Of Translation Lookaside Buffer (Tlb) Hint Bits Based On Virtual Address Bits, Na

Defensive Publications Series

A translation lookaside buffer (TLB) is a fast cache that stores recent page table entries to enable efficient translation between virtual and physical memory addresses. TLB entries include architected hint bits that can be used to provide information about the nature of the memory access. Current TLB implementations associate hint bits with physical pages, limiting their flexibility. This disclosure describes techniques to dynamically control hint bits by embedding them directly within the virtual address. New instructions can be introduced that either directly specify the hint bits or provide a register holding them. The provision of such new instructions enables hints …

6th Annual Noaa Hurricane Preparedness Summit 2025, Coastal Response Research Center

Coastal Response Research Center

NOAA’s Office of Response & Restoration’s Disaster Preparedness Program partnered with CRRC to facilitate a webinar entitled “NOAA Hurricane Preparedness Summit 2025” on two consecutive days: April 23 and 24, 2025. The purpose was to improve NOAA’s posture for the upcoming hurricane season by identifying best practices and lessons learned from the 2024 season, recognizing challenges related to these major weather events, and learning about plans, kits, tools and other resources for improving personal preparedness. The Summit also included plenary presentations outlining other topics such as NWS Products and Services, operational spotlights, and technological innovations, and tools.

Competence To Stand Trial And Criminal Responsibility: The Effect Of Pretrial Publicity On Insanity Verdicts, Hannah Hennessey

Masters Theses & Specialist Projects

Despite the legal distinction between competence to stand trial (CST) and criminal responsibility (CR), the potential for jurors to conflate these constructs due to pretrial publicity (PTP) remains an under-examined issue in forensic psychology research. Therefore, the current study investigated whether exposure to PTP about a defendant’s CST influences jurors’ CR verdicts. A national sample of jury-eligible adults (N = 598) was recruited through Prolific. Participants were randomly assigned to read one of three mock PTP news articles: (1) the defendant was CST, (2) the defendant was previously found incompetent to stand trial (IST) but was later restored to competency, …

Tides, Tourists, And Tails: Exploring Human-Wildlife Overlap On The Homer Spit, Alaska, Serena Seiler

Masters Theses & Specialist Projects

Coastal areas present unique challenges for human-wildlife coexistence due to their shared use by people and marine species. The Homer Spit in Homer, AK (59.6481° N, 151.5299° W) is a projection of land into Kachemak Bay on which lodging, restaurants, campgrounds, RV parks, fishing, and a variety of coastal activities exist or occur, especially during the summer months. Two of the most popular nearshore marine mammals that attract visitors are sea otters (Enhydra lutris) and harbor seals (Phoca vitulina). These two species spend time swimming, foraging, and resting around the Spit, potentially resulting in co occurrences with humans. Using a …

Paying The Education Debt: How Community Colleges Can Lead In Restoring Higher Education Access In U.S. Prisons, Tammy Zimmer

Instructional Leadership Abstracts

Discusses paying education debt with respect to how community colleges can lead in restoring higher education access in United States prisons.

"The question is no longer can we provide higher education in prison, it’s will we. For those of us already engaged in this work, the answer is clear. I invite you to join us."

Rangelands Glossary, Department Of Primary Industries And Regional Development, Western Australia

Natural resources factsheets

An alphabetical list of common Rangelands terminology.

Examining Nonprofit Social Service Sector Burnout And Turnover: Trait Mindfulness As A Moderator Of Work-Life Balance And Compassion Fatigue, Melissa L. Brown

Dissertations

Nonprofit burnout and turnover surpass all national industries, specifically in the social services subsector. In contrast to their for-profit counterparts, nonprofit turnover rates remain on the rise. While literature indicates that one of the primary drivers of nonprofit turnover is burnout, more granular research proposes that nonprofit social service employees encounter a distinct form of burnout generated by the exposure to secondary traumatic distress known as compassion fatigue. This study investigated the antecedents of this phenomenon by examining trait mindfulness as a moderator of work-life balance and compassion fatigue among nonprofit social service providers. To sustain a workforce that provides …

Adolescent Students’ Adaptability During The Covid-19 Pandemic Impacting Their Academic Preparedness In College: A Qualitative Exploration Of Resilience In Secondary School Disruptions, Nicole Tyanne Jameson

Dissertations

This study, conducted several years after the onset of the COVID-19 pandemic, takes a unique approach to investigating the long-term effects of the pandemic-induced disruptions on adolescents during secondary schooling and their academic preparedness in college. The study combined a descriptive qualitative analysis of academic routine data with quantifiable resilience scores, providing a comprehensive understanding of the challenges students faced, their adaptability and resilience, and the overall impact on their education journey into college. This comprehensive descriptive qualitative study utilizes triangulation of quantitative data and qualitative approaches to understand the subject matter thoroughly. The quantitative scores meticulously analyzed resiliency and …