Digital Commons Network^™

Quality Improvement Project Optimizing Opioid Screening: The Impact Of Staff Education In A Pain Management Clinic., Khairunnisa Khan

Doctor of Nursing Practice Projects

Chronic pain is a complex condition that often requires long-term opioid therapy, creating challenges for safe prescribing and patient monitoring. Inadequate screening for opioid misuse risk can contribute to unsafe practices, regulatory noncompliance, and patient harm. Validated instruments such as the Opioid Risk Tool (ORT) and the Current Opioid Misuse Measure (COMM) are available to guide risk assessment, yet their use in everyday practice remains inconsistent. This Doctor of Nursing Practice (DNP) quality improvement (QI) project aimed to evaluate whether targeted staff education improved compliance with opioid risk assessment documentation in a rural pain management clinic. A pre-/post-intervention design was …

Prevalence Of Helmet Use In Skateboarders: A Systematic Review And Narrative Synthesis, Katherine Hunzinger, Ricker Adkins, Stevie Chen, Thomas Li, Lujie Chen

Department of Exercise Science Faculty Papers

Introduction: Helmet adoption remains low among skateboarders, but the specific prevalence remains unclear. The purpose of this study was to summarize available evidence on helmet-use prevalence among skateboarders. Methods: A systematic search of PubMed and Web of Science was conducted using the search terms: skateboard, skateboarding, protective gear, protective equipment, pads, or helmet. Articles were included if they were in English with specific data on helmet use among skateboarders. Articles excluded were those representing reviews or conference abstracts/presentations; or if helmet use prevalence for skateboarders could not be ascertained. Data extraction and quality assessment were performed independently by two reviewers, …

Imsa 2025 Profile, Office Of College And Academic Counseling

IMSA Profile

The nationally-ranked Illinois Mathematics and Science Academy (IMSA) develops creative, ethical leaders in science, technology, engineering and mathematics. As a teaching and learning laboratory created by the State of Illinois, IMSA enrolls academically talented Illinois students in its tuition-free residential Academy for grades 10-12. Students are challenged with a rigorous curriculum designed to develop them into problem solvers and critical thinkers. Notable IMSA alumni include YouTube Co-Founder Steve Chen, PayPal Co-Creator Yu Pan, Yelp Co-Founder Russell Simmons, SparkNotes and OkCupid Co-Founder Sam Yagan, and Hearsay Social Founder, Clara Shih.

Problem Videogame Playing Scale: A Preliminary Study Of Measurement Invariance Between English And Malay, Jia Yuin Fam, Rumaya Juhari, Zainal Madon, Mohd Najmi Daud

Makara Human Behavior Studies in Asia

Purpose: Distinguishing between problematic and non-problematic gamers is a priority concern. Although the Problem Videogame Playing (PVP) Scale might be useful as a screening tool of IGD, there is little evidence to support the measurement invariance of the PVP scale. This study aimed to evaluate the psychometric properties of the English and Malay versions of the PVP scale. Methods: A total of 646 secondary school students aged between 12 and 18 years were recruited to participate in this study. Results: The unidimensional structure of the PVP scale was confirmed by confirmatory factor analysis. The PVP scale correlates well with other …

An Open Trial For Transdiagnostic Behavior Therapy For Primary Care (Tbt-Pc) In Veterans With Symptoms Of Depression And Anxiety, Daniel F Gros, Stephanie Hart, Michelle Pompei, Ron Acierno

Faculty, Staff and Student Publications

Transdiagnostic psychotherapies were developed to address multiple diagnostic presentations via a single, easier-to-implement protocol. However, despite advances, these protocols are largely limited to longer formats designed for mental health settings. The present study investigated a version of Transdiagnostic Behavior Therapy (TBT-PC) that was adapted for primary care settings. Forty-one participants with emotional disorders received 6 sessions of TBT-PC, with symptoms of depression and anxiety assessed at baseline, immediate post-treatment, and at 3-month follow-up. Medium treatment effects for symptoms of depression and anxiety were evidenced at post-treatment and sustained at follow-up. Treatment feasibility was supported by excellent attendance, treatment completion, and …

The Role And Influence Of Media Coverage And Social Media On Suicides: A Scoping Review, Kevin Miko Buac, Janine Trixia Austria, Claro Emmanuel Monsanto, Ma. Jamaica Monique Ponce, Arnold Christopher Soriano, Mystie Suzuki, Marc Eric S. Reyes

Makara Human Behavior Studies in Asia

Suicide is one of the leading causes of death worldwide. Numerous factors contribute to suicide ideation; recent studies highlight that the media’s presentation of suicide plays a significant role in influencing suicide ideation and attempts among their audience. This study aims to evaluate the extent of the literature on traditional media reporting and social media in the context of suicide ideation and attempts, considering social media as a distinct yet relevant domain with its widespread reach and user-driven nature. The PRISMA Extension for Scoping Reviews was employed to retrieve relevant studies and address the following questions: (1) What potential factors …

Effects Of Exercise Type And Frequency On Fear Of Falling And Quality Of Life In Individuals With Parkinson’S Disease, Abigail Gray

Doctorate in Kinesiology

Introduction: Exercise is a well-established tool for managing the symptoms and progression of Parkinson's Disease. Although the importance of exercise is known, existing guidelines lack specificity regarding exercise type, setting, and frequency. This study explores the role of group versus independent exercise and exercise frequency on fear of falling (FoF) and quality of life (QoL). Additionally, the relationship between QoL and FoF is explored. Methods: This cross-sectional, observational, mixed-methods study included 41 participants who completed three questionnaires: the Falls Efficacy Scale-International (FES-I), the Parkinson’s Disease Questionnaire (PDQ-8), and an Exercise Habits questionnaire created by the primary researcher. Results: A statistically …

Haitian Nurses’ Perception About Disaster Preparedness And Disaster Nursing, Jacqueline Cassagnol

International Nursing Research Congress (INRC)

Purpose: Disasters happen worldwide. They devastate infrastructure, livelihoods, and often result in mass casualties. The increased occurrence of disasters means that disaster preparedness training is essential. Studies have shown that nurses make up the largest number of healthcare providers and are often the first point of contact for disaster survivors. The International Council of Nursing calls for nurses to be involved in all aspects of disaster preparedness, from risk assessment to multidisciplinary management. Nurses and nursing associations are urged to take leadership roles in preparing their countries for disasters. In a country such as Haiti that is prone to natural …

Innovative Pain Care: Using Ivr To Improve Postoperative Pain And Anxiety, Sue Schuelke, Krystal Davis, Susan Barnason, Megan Dubas

International Nursing Research Congress (INRC)

Purpose: This study aimed to determine the efficacy of an Immersive Virtual Reality (IVR) relaxation intervention for postoperative surgical patients, focusing on evaluating postoperative pain and anxiety by group, examining differences in postoperative outcomes, and assessing the perceived usefulness of IVR relaxation.

Background: Surgery often results in significant acute postoperative pain and anxiety, which can impair recovery. These issues can lead to increased use of analgesics, hemodynamic instability, poor quality of life, longer hospital stays, and compromised functioning. Complementary and alternative medicine (CAM) therapies can help optimize postoperative pain management and reduce anxiety.

Methods: A two-arm randomized control study compared …

A Scoping Review On Childhood Immunization Reminder Strategies Available To Parents In North America, Matilda Anim-Larbi, Vivian Puplampu, Sithokozile Maposa, Akram Mahani, Mary Chipanshi

International Nursing Research Congress (INRC)

Objective: The scoping review protocol will be used to map out the immunization reminder strategies for parents’ literature to identify the effectiveness of these approaches in improving childhood vaccination uptake.

Introduction: Vaccine-preventable diseases continue to cause morbidity and mortality despite the introduction of childhood immunizations^1,2, with recent media alerts showing a surge of common childhood vaccine-preventable illnesses like measles³. Parents can play a pivotal role in ensuring their children receive vaccinations when due^4,5,6. However, effective immunization reminders could assist parents who forget or miss the immunization schedules for their children.

Inclusion criteria: The review …

Mthfr’S Role In Neuropsychiatric Disorders: Insights Into Precision Psychiatric Treatment, Anjana Ganesh, Nina Mourão, Elena Dike, Bharathi Gadad

Research Colloquium

Background: More than one in five U.S. adults live with a mental illness (1). Symptoms can range from mild to severe, with neuropsychiatric patients experiencing major difficulty in their daily activities. In 2021, an estimated 14.5 million adults in the United States had at least one major depressive episode with severe impairment in the past year (2). Treatment options currently include therapeutic and pharmacologic interventions based on large group data, but medications often take months to years to tailor to each patient. Genetic analysis provides an opportunity for personalized medicine for this vulnerable patient population through insight into the basis …

Comprehensive Review Of In Vitro Gut-Brain Axis Models In Parkinson’S Disease Research, John Nicholas Cauba, Jihoo Woo, Russell Wiggins, Shizue Mito

Research Colloquium

Background: The pathophysiology of Parkinson's Disease (PD) can be attributed to a gradually progressive dopaminergic neuron (DN) degeneration and aggregation of abnormal α-synuclein in the basal ganglia. While the classic paradigm of PD focuses on the role of neurotransmitter imbalance and motor impairments, there has been increasing scientific interest in the link between the intricate connection between gut dysbiosis with synucleinopathies and PD. This review explores the relevance of the Braak hypothesis, short-chain fatty acids (SCFAs) in neuronal viability, and gastrointestinal barrier dysfunction through the lens of in vitro modeling.

Methods: A collection of prospective literature was conducted …

Playful Learning Journeys: Exploring The Perceptions And Knowledge Of Lecturers/Tutors And Student Teachers, Frank Twum, Samuel Kweku Hayford, Dandy Dampson, Johnnie Kojo Hayford

Journal of Educational Research and Practice

This paper investigated the perceptions and knowledge of play-based learning (PBL) by lecturers/tutors and student teachers. Ninety lecturers/tutors (68 males, 22 females) and 363 student teachers (191 males, 172 females) participated in the study. While both lecturers/tutors and student teachers favored PBL, they had some concerns. Lecturers/tutors acknowledged the benefits of PBL, including its enhancement of memory, conceptual development, and motor skills in children. However, nearly two-thirds found it time-consuming. Student teachers were of the view PBL promoted positive student experiences. However, more than half felt PBL offered limited opportunities for their own learning during lessons. Both groups demonstrated knowledge …

Teacher Perceptions Of The Mental Health And Socio-Emotional Challenges Of English Language Learners, Nilufer Guler, Dincer Guler, Kyle Bush

Journal of Educational Research and Practice

A fast-growing percentage of students in K–12 classrooms are English language learner (ELL) students, and a large number of these students are experiencing a vast array of academic and non-academic challenges at school. Many ELL challenges involve inadequate socio-emotional learning (SEL) skill development, as well as mental health obstacles, and many schools are not equipped with the resources needed to address and resolve these challenges for ELLs.

In this study, we focus on teacher observations of the SEL and mental health challenges that K–12 students face. In the initial survey, 120 teachers participated regarding ELLs and these challenges. Following the …

From Imaging To Impact: A Multi-Disciplinary T32 Program Framework And Initial Insights For Training In Image-Guided Cancer Therapy, Kari J. Brewer Savannah, Stephen Y. Lai, Clifton D. Fuller, Kristy K. Brock

Advances in Cancer Education and Quality Improvement

As multi-disciplinary image-guided assessment and therapies become increasingly important for precision oncology, the need for comprehensive training opportunities that effectively prepare the next generation of clinician-scientists and scientists is evident. We present an innovative, evidence-based research training framework that integrates the following critical features: 1) intentional and personalized mentoring and career development, 2) immersive research in image-guided cancer therapy, 3) strategic mentored clinical exposure, 4) structured didactic learning and professional development opportunities, and 5) mentored grant writing. Designed to foster scientific rigor, translational thinking, and multi-disciplinary collaboration, the Image-Guided Cancer Therapy T32 Training Program (IGCT-T32) aims to prepare postdoctoral fellows …

Screening And Evaluation Of Thai Herbal Plants As Multifunctional Agents For Targeting Amyloid Β Pathogenesis In Alzheimer's Disease, Ruedeemars Yubolphan, Suchinda Malaivijitnond, Sukanya Jaroenporn

The Thai Journal of Pharmaceutical Sciences

Background: Alzheimer's disease (AD) is a neurodegenerative disorder driven by complex pathophysiological processes. Current therapeutic strategies emphasize the development of multifunctional agents, particularly those derived from natural sources, to target multiple stages of the amyloid β (Aβ) cascade, a central contributor to AD pathology.

Objectives: This study aimed to investigate the anti-Aβ activity of nine Thai herbs and evaluate their potential as multifunctional agents for AD treatment.

Methods: Nine Thai herbs—Caesalpinia sappan (CS), Thunbergia laurifolia (TL), Rhinacanthus nasutus (RN), Tabernaemontana divaricata (TD), Cyperus rotundus (CR), Terminalia chebula (TC), Azadirachta indica (AI), Piper retrofractum (PR), and Asparagus racemosus (AR)—were screened …

Free Speech At Colleges And Universities In The Mountain West, 2025, Olivia K. Cheche, Caitlin J. Saladino, William E. Brown Jr.

Higher Education

This fact sheet presents data on free speech at 16 colleges and universities across the Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah. The data are sourced from “The 2026 College Free Speech Rankings,” as originally published by The Foundation for Individual Rights and Expression (FIRE), and reflect 2025 data. The FIRE report presents free speech ranks, scores, grades, and data on speech controversies for 257 colleges and universities across 50 U.S. states and the District of Columbia. This fact sheet highlights the average free speech scores for each Mountain West state, as well as the free …

Rutabaga Cultivation In The Lake Superior Region, Russell Magnaghi

Upper Country: A Journal of the Lake Superior Region

The vast expanse of the Lake Superior Basin has been home to a multitude of industries from copper and iron mining, timber extraction, steel mills, grain transfer ports, and ship construction. However, given its northern location, agriculture is usually ignored due to a short growing season and poor soils. Immigrants who settled there like Finns and Scandinavians were familiar with this environment but even Italians found that they could develop their cherished home gardens and small farms. Most immigrants had migrated from farming environments and now accepted the challenge to farm in this new environment.

Of the many crops that …

An Improved Method To Calculate Stripping Inflection Point (Sip) And Its Application In Evaluating Moisture Susceptibility Of Asphalt Mixtures, Ping Jiang, Bo Lin, Yizhuang David Wang, Jenny Liu, Seyed Alireza Ghanoon

Civil, Architectural and Environmental Engineering Faculty Research & Creative Works

Accurately assessing asphalt mixtures' moisture susceptibility is critical because moisture damage can significantly reduce pavement durability, leading to premature failure and structural integrity of the pavement. The stripping inflection point (SIP), a moisture susceptibility index derived from the Hamburg Wheel Track (HWT) test, has practical merits in evaluating moisture susceptibility. However, current methods for determining the SIP showed low accuracy and high variability due to poor regression quality. Hence, this study aims to propose an improved method for calculating the SIP by modifying existing approaches to better capture the characteristics of rutting curves. Typical asphalt mixtures were used to conduct …

The Student Movement Volume 110 Issue 1: Andrews Assembles For A New School Year, Megan Constantine, Kyle Simpson, Melanie Webb, Audrey Lim, Lia Glass, Corinna Bevier, Isa Demoraes, Nicholas Gunn, Reagan Westerman, Aiko J. Ayala Rios, Samantha Woolford-Hunt, Anna Rybachek, Maya Thomas, Andrew Francis

The Student Movement V. 110 (2025-2026)

HUMANS

Human Writer Introductions, Humans Writers

Becoming Disciple Makers: A Look Into Chaplain Fetrick's Vision for Andrews Unviersity, Megan Constantine

New at AU: Professor Carrie Hess, Kyle Simpson

ARTS & ENTERTAINMENT

Arts & Entertainment Writer Introductions, Arts & Entertainment Writers

Cut for Time: Recapping the 77th Emmy Awards, Melanie Webb

Team Conrad v. Team Jeremiah: The History and Appeal of Love Triangles in Media, Audrey Lim

The Summer of Superheroes, Lia Glass

Why I Hate the Trailer for the New 'Wutherinng Heights', Corinna Bevier

NEWS

News Writer Introduction, News Writers

Almost Anything Goes: A Night Lit in Neon, Isa DeMoraes …

Validation Of The Jefferson Health-Related Social Needs Screener, Sara Beachy, Kristin L. Rising, Richard W. Hass, Terry Hyslop, Isabella Muti, Mackenzie Kemp, Rhea E. Powell, Cara Martino, Baligh R. Yehia, Joseph G. Cacchione, Patricia C. Henwood

Jefferson Hospital Staff Papers and Presentations

INTRODUCTION: Screening for health-related social needs (HRSN) is a growing national health priority. While multiple HRSN screening tools currently exist, none to our knowledge have been evaluated using robust statistical analyses. The goal of this work is to provide results from a validation study of the Jefferson HRSN screener conducted across inpatient and outpatient settings.

METHODS: This retrospective cross-sectional psychometric study included HRSN assessments conducted across inpatient and outpatient settings with adult patients from March 2023 to May 2024. The study was conducted across a 17-hospital academic health system serving a diverse community in a 9-county area crossing two states …

Music For Self-Care, A Nurse Well-Being Strategy, Kristen Gilmore Msn, Rn, Cen, Tcrn, Ne-Bc, Nc-Bc, Allison Mccrea Mmt, Mt-Bc, Stephen Didonato Phd, Lcp

Jefferson Hospital Staff Papers and Presentations

Background

• Evidence suggests that individuals with trauma exposure, such as the impact of crisis such as COVID-19, may benefit from music therapy.
• In 2021, the Hospital and Healthsystem Association of Pennsylvania (HAP) recognized the importance of ensuring well-being of the nursing workforce identifying the vital role that nursing plays upholding the highest standards of patient care.
• HAP, in partnership with the Pennsylvania Council on the Arts, created a three year, first of its kind program, to support the provision of music therapy program services for healthcare workers.
• Through this grant-funded program, Jefferson Health- Pennsylvania hospitals, were awarded $162,000. This grant …

Combined Annual Modulation Dark Matter Search With Cosine-100 And Anais-112, N Carlin, J Y Cho, J J Choi, S Choi, A C Ezeribe, L E França, C Ha, I S Hahn, S J Hollick, S B Hong, E J Jeon, H W Joo, W G Kang, M Kauer, B H Kim, H J Kim, J Kim, K W Kim, S H Kim, S K Kim, W K Kim, Y D Kim, Y H Kim, Y J Ko, D H Lee, E K Lee, H Lee, H S Lee, H Y Lee, I S Lee, J Lee, J Y Lee, M H Lee, S H Lee, S M Lee, Y J Lee, D S Leonard, N T Luan, V H A Machado, B B Manzato, R H Maruyama, R J Neal, S L Olsen, H K Park, H S Park, J C Park, J S Park, K S Park, K Park, S D Park, R L C Pitta, H Prihtiadi, S J Ra, C Rott, K A Shin, D F F S Cavalcante, M K Son, N J C Spooner, L T Truc, L Yang, G H Yu, J Amaré, J Apilluelo, S Cebrián, D Cintas, I Coarasa, E García, M Martínez, Y Ortigoza, A Ortiz De Solórzano, T Pardo, J Puimedón, M L Sarsa, C Seoane

Faculty and Staff Publications

The annual modulation signal, claimed to be consistent with dark matter as observed by DAMA/LIBRA in a sodium-iodide based detector, has persisted for over two decades. COSINE-100 and ANAIS-112 were designed to test the claim directly using the same target material. COSINE-100, located at Yangyang Underground Laboratory in South Korea, and ANAIS-112, located at Canfranc Underground Laboratory in Spain, have been taking data since 2016 and 2017, respectively. Each experiment published its respective results independently. In this Letter, we present the results of an annual modulation search as a test of the signal observed by DAMA/LIBRA with the first three …

Board Of Trustees Plumbers And Pipefitters Local V. Jones Lang Lasalle Americas Inc

2025 Decisions

USDC for the District of Delaware

Fostering Belonging Through Library Descriptions, Nicole Lewis, Sharolyn Swenson, Katie Yeo, Karen Glenn

Faculty Publications

In late 2023, the BYU Library adopted its Inclusive Metadata Policy as part of its commitment to fostering a campus culture of belonging. This policy reflects the Statement on Belonging, which affirms that we “value and embrace the variety of individual characteristics, life experiences and circumstances, perspectives, talents, and gifts of each member of the community and the richness and strength they bring to our community.”[1] Catalogers and archival processors at the library are engaging in practices of cultural humility to ensure that the language and frameworks we use to describe people, communities, and histories are inclusive and respectful. …

Floral Trait Diversity Supports Multiple Pollination Systems Across Urban Habitats In One Of The World's Greenest Cities, Ana Paula Sales De Araujo Franco, Maxwell Da Rosa Oliveira, Evaldo Benedito De Souza, Ingrid Lohani Degering Brand, Marcus Paulo Goncalves Rosa, Bruno Henrique Dos Santos Ferreira, Maria Rosângela Sigrist

Turkish Journal of Botany

Green cities comprise a variety of habitats subject to different levels of anthropogenic pressure, ranging from completely unvegetated areas to vast green spaces such as linear parks. In this scenario, cities can support different ecological processes and ecosystem functions, which vary qualitatively and quantitatively between different habitat types along the urbanization gradient. Specifically, green spaces and ruderal plants can support pollination services in urban ecosystems, providing food resources (e.g., nectar, pollen, oil), reproduction supports (copulation sites), and nesting sites for pollinators. As a result, plant species and their floral resources are important for pollinator diversity and the maintenance of the …

Agenda (9-19-2025), California State University, San Bernardino - Associated Students, Incorporated

Associated Students, Incorporated records

No abstract provided.

Trends And Disparities In Acute Coronary Syndrome-Related Mortality In The United States: Implications For Healthcare, Muhammad Khuzzaim Khan, Ibrahim Ahmed Khan, Abdul Moiz Javed, Arslan Wazir, Hira Saleem, Muhammad Zohaib, Faisal Rasheed, Priyanka Mohan Lal, Syeda Laiba Sherazi, Amiaz Karim, Nikhil Duseja, Hussam Al Hennawi

Abington Jefferson Health Papers

Acute coronary syndrome (ACS) is a major cause of morbidity and mortality in the United States (US). However, the trends and disparities in ACS mortality are not well understood. This study aimed to analyze the ACS mortality in the US from 1999 to 2020 using the Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research database. The age-adjusted mortality rates (AAMR) due to ACS were calculated for each year from 1999 to 2020, stratified by sex, race, urbanization, and state. The trends and disparities in AAMR were examined using descriptive statistics and graphical methods. The AAMR due …

Medical Guidelines For Fibrodysplasia Ossificans Progressiva, Frederick S. Kaplan, Mona Al Mukaddam, Genevieve Baujat, Alberto Hidalgo Bravo, Matthew Brown, Amanda Cali, Tae-Joon Cho, Corrie Crowe, Carmen L. De Cunto, Patricia L. R. Delai, Robert J. Diecidue, Elisabeth Marelise W Eekhoff, Lisa Friedlander, Clive S. Friedman, Zvi Grunwald, Nobuhiko Haga, Edward C. Hsiao, Richard Keen, Joseph A. Kitterman, Charles Levy, Vrisha Madhuri, Rolf Morhart, J. Coen Netelenbos, Christiaan Scott, Eileen M. Shore, Michael Zasloff, Keqin Zhang, Robert J. Pignolo

Department of Oral and Maxillofacial Surgery Faculty Papers

Fibrodysplasia ossificans progressiva (FOP) is an ultra-rare genetic condition characterized by congenital malformations of the great toes and progressive heterotopic ossification (HO) in specific anatomic patterns. Present management summarized here is focused on early diagnosis, assiduous avoidance of injury and iatrogenic harm, symptomatic amelioration of painful flare-ups, and optimization of residual function. Twenty-one members of the International Clinical Council on FOP (ICC) and seven consultants from 15 countries, chosen for their clinical expertise in FOP, developed this summary statement. Further advances in therapeutics will be based on rigorous clinical trials to assess novel and emerging treatment and prevention strategies. A …

Before “Once Upon A Time”: Creative Class Exercises That May Foster Law Student Proficiency In Gathering Information During A Client Interview, Laura A. Frase

St. Mary's Law Journal

No abstract provided.