Digital Commons Network^™

Decreasing Extubation Times Using Adaptive Support Ventilation: A Scoping Review, Daphne Thomas, Cole Vest, Luke Wilson, Shannon Witcher, Bobby Bellflower Dnsc, Nnp-Bc, Faanp

Doctor of Nursing Practice Projects

Purpose/Background:This scoping review explores the effectiveness of adaptive support ventilation (ASV) compared to conventional ventilation modes in reducing postoperative extubation times in adults undergoing general anesthesia with ventilatory support. Ventilator weaning is a critical determinant of recovery and outcomes in intensive care settings. ASV, a closed-loop ventilation mode, automatically adjusts ventilator parameters based on patient-specific respiratory mechanics and demand to optimize the weaning process. Although promising, evidence regarding ASV’s effectiveness remains inconsistent across different patient populations and surgical contexts.

Methods: A systematic literature search was conducted from August 2023 to December 2024 across PubMed, CINAHL, Medline, JAMA, and Google …

Savings Incentives And The Secure 2.0 Act: New Evidence On Employer-Sponsored Emergency Savings Accounts And The Saver’S Match, Stephen Roll, Mathieu Despard, Selina Miller

Center for Social Development Research

credit. Analyses drawn upon data from the Workforce Economic Inclusion and Mobility Survey, a survey experiment testing the appeal of employer-sponsored emergency savings accounts. The findings indicate that interest in employer-sponsored emergency savings programs is generally high and that, for low-wage workers, offers of matching contributions are more salient than automatic contributions.

IMPLICATIONS for SECURE 2.0 This is the first research brief in a series examining the implications of the SECURE 2.0 Act for the retirement security of low-wage workers in the United States. All briefs in the Implications for SECURE 2.0 series can be found at https://csd.wustl.edu/tag/secure-2.0/

Estimated Amounts Of Terrestrial Carbon Mobilized And Sequestered By The 1980 Mount St. Helens Eruption, Washington State, Usa, Lizzet G. Reyes

Dissertations and Theses

Volcanic eruptions significantly influence the geologic carbon cycle by emitting CO₂ and mobilizing terrestrial carbon pools. The 1980 Mount St. Helens (MSH) eruption offers a unique case study, triggering a massive landslide that displaced 2.7 km³ of sediment, buried 600 km² of forest, and disrupted regional carbon dynamics. Pre-eruption terrestrial carbon stocks, including aboveground biomass (AGB), dead biomass (D), and soil organic carbon (S), averaged 209.5 tC/ha. Post-eruption, total carbon density fell to 118.7 tC/ha, driven mainly by a 51% reduction in AGB, modest declines in D, and redistribution of S. Over 36 years, ecosystem recovery increased …

The Impact Of The Utilization Of Shared Decision-Making Tools In Contraceptive Counseling On Patient Satisfaction In Adolescents: A Scoping Review, Akaninyene Ruffin Msn,Fnp-C, Judith Tunney Bsn, Rn, Mary Katherine Fouquier Phd, Aprn, Cnm, Facnm, Margaret Harvey Phd, Aprn, Acnp-Bc

Doctor of Nursing Practice Projects

Purpose/Background

Robust adolescent contraceptive counseling requires deep understanding of the specific context in which adolescents are receiving reproductive health care. As teen pregnancy rates rise, particularly in places across the Deep South, providers must find ways to engage their adolescent patients about their sexual and reproductive health. Professional organizations like the American College of Obstetricians and Gyencologists and the American Academy of Pediatrics both offirm the need for robust contraceptive counseling for adolescents. The purpose of this is to ascertain the impact of utilizing shared-decision making aids during contraceptive counseling on patient satisfaction in adolescent populations.

Methods

A systematic literature …

Jtc 25: Making The Impossible Her Reality, Staff Report

University of Mississippi News

This story is part of the 2025 Journey to Commencement series, which celebrates the pinnacle of the academic year by highlighting University of Mississippi students and their outstanding academic and personal journeys from college student to college graduate.

Nurses Confidence And Knowledge Improvement For Sleep In Sleep Hygiene Education, Rawda Nourain

Doctor of Nursing Practice Projects

The purpose of this DNP project was to increase the knowledge and self-confidence of nurses in relation to sleep hygiene practices for psychiatric patients to improve sleep quality and overall mental health. In this study, a pre- and post-intervention design was used for four nurses in a psychiatric unit. The intervention was comprised of teaching the patients about sleep hygiene practices, altering the environment (light and noise reduction), and using non-drug approaches. Knowledge assessments and self-confidence surveys were used to collect the data. All the participants were able to recall the correct sleep hygiene knowledge after the intervention, and all …

Quality Improvement Project Provider Burnout Related To Patient Satisfaction, Sherita Lee

Doctor of Nursing Practice Projects

Provider burnout is a critical issue in healthcare, often intensified by increasing demands to meet patient satisfaction benchmarks. This quality improvement project aimed to examine whether a structured stress reduction program could reduce provider burnout and positively influence patient satisfaction scores in a small outpatient clinic. Guided by the PICOT question—In the clinic setting (P), does the implementation of a stress reduction program for providers (I), compared to no intervention (C), lead to improved patient satisfaction scores (O) over a six-week period (T)? —the project used a pre- and post-intervention design. The intervention included mandatory provider breaks, communication training, and …

Enhancing Simulation Debriefing In Nursing Education: A Quality Improvement Project, Rebecca Ray

Doctor of Nursing Practice Projects

This quality improvement (QI) project is of utmost importance as it aims to significantly enhance the debriefing process after simulations in an Associate Registered Nursing Program. The project is designed to equip nursing instructors with a comprehensive guide to facilitate debriefing after simulations, thereby improving student learning outcomes, fostering reflection, and enhancing clinical practice. The lack of consistent and practical guidance during the debriefing process after simulation exercises has been identified as a critical challenge in the nursing program. Without proper guidance, the debriefing process may not achieve its intended outcomes, underscoring the necessity of this project. The intervention at …

Impact Of Nursing Burnout On Preceptors During The Transition Phase Of New Graduates Into The Workforce, Janessa Truss

Doctor of Nursing Practice Projects

There is a massive threat to healthcare systems posed by the growing burnout of inexperienced RNs working in practice transition to new graduate preceptors. Currently, this "Doctor of Nursing Practice (DNP) project" examines the role of the nurse in burnout within Long Term Acute Care (LTAC) facilities through the preceptorship. In the project, burnout factors and their effects on patient care and nursing workforce retention will be investigated, and interventions for burnout and its effects will develop. A mixed methods project involving qualitative and survey and interview analyses of five-year and older patients was performed. Burnout and job satisfaction were …

Quality Improvement Project Empowering Outpatient Providers: A Training Initiative On Social Determinants Of Health, Shannon Wrenn

Doctor of Nursing Practice Projects

Healthcare providers play a critical role in assessing social determinants of health (SDOH), yet many lack the knowledge and confidence to effectively address these factors during patient encounters. Research indicates that SDOH contribute to approximately 80% of health outcomes, yet only 41% of providers feel confident in discussing them with patients. This quality improvement project aimed to improve provider knowledge and confidence about SDOH as measured by pre- and post-education assessments. The SDOH targeted training took place at an outpatient interventional nephrology practice in Memphis, Tennessee. A quasi-experimental, one-group pretest-posttest design was used. Ten clinical staff members participated in an …

An Unusual Complication Of Diverticular Bleed: Dysphagia And Food Impaction From Black Esophagus, Nicholas Noverati, Beatriz Torre, Maria Mostyka, Cuckoo Choudhary, Christopher Henry, David Kastenberg, Stephanie Moleski

Division of Gastroenterology and Hepatology Faculty Papers

INTRODUCTION: Acute esophageal necrosis, or black esophagus, is a rare clinical phenomenon typically seen in older men after an acute triggering event. It may present with dysphagia due to stricturing or dysmotility, a complication of severe esophageal inflammation.

CASE PRESENTATION: Here we describe a case of a woman with several cardiovascular risk factors who developed black esophagus following diverticular-related hemorrhagic shock and presented with chest pain followed by dysphagia and food impaction likely as a result of mucosal sloughing and altered esophageal motility. The diagnosis was confirmed endoscopically and pathology revealed coagulative necrosis due to ischemia.

DISCUSSION: Acute esophageal necrosis …

The Effect Of Using Pelvic Floor Exercises Administered Through A Smartphone Application In Postpartum Women With Pelvic Floor Dysfunction, Elizabeth A. Russell

Evidence-Based Practice Project Reports

Pelvic floor dysfunction (PFD) affects 50% of postpartum women and can lead to pelvic pain, stress urinary incontinence, fecal incontinence, pelvic organ prolapse, or sexual dysfunction (Grimes, 2023). The purpose of this evidence-based practice project was to determine if the implementation of pelvic floor exercise (PFE) as guided by a smartphone application, to improve adherence and technique of exercises, will improve PFD symptoms and quality of life (QOL). At an OBGYN clinic in northern Indiana, all women who presented for their 6-week postpartum appointment were screened for PFD with the Pelvic Floor Distress Inventory (PFDI-20) and QOL with the Pelvic …

Cultivating Legal Protection: Replacing Wine Labeling Regulations With Regional Certification Marks, David Corasaniti

Washington and Lee Law Review Online

While wine labeling in the United States is currently governed by a complex regulatory framework administered by the Alcohol and Tobacco Tax and Trade Bureau (“TTB”), intellectual property (“IP”) rights for wine producing regions could serve this core function of protecting consumers better and more efficiently. Regulating wine labeling through IP would more closely mirror the system used by the European Union, which recognizes Geographical Indications, such as Champagne, Rioja, and Bordeaux, as a unique form of IP. By deregulating American wine labeling, and encouraging wine producing regions to assert their IP rights in the form of collectively held certification …

Men’S Preconception Health: Impact On Pregnancy And Awareness Strategies., Kara I. Carr

Honors Capstones

Men’s preconception health plays a critical role in pregnancy outcomes, but it continues to be overlooked in healthcare education. While women are routinely counseled by OBGYN providers on how nutrition, lifestyle, and chronic conditions can affect fertility, men often receive little to no guidance from their primary care providers. This project uses a literature review to look deeper into how limited awareness and involvement in men’s preconception health may impact pregnancy and infant health outcomes. The gap is linked to cultural norms, healthcare practices, and the lack of clear resources for men. This research aims to develop strategies that promote …

The Unwanted Child: A Historical Note, Lawrence M. Friedman

Cleveland State Law Review

Historically, the illegitimate child was unwanted: was "filius nullius," or nobody's child—a child without rights, and socially stigmatized. In many ways, both law and society conspired against these children. But both literature and the living law demonstrated that, in the 19th century, there were pockets of sympathy and understanding for these children. And the status of the illegitimate child changed over the years: both with regard to inheritance rights, and to position in society. Adoption law also made the unwanted, wanted—at least by the adopting parents. The marital status of parents became legally and socially more and more irrelevant over …

Courting Oblivion Part Ii: How To Revive American Reconstruction By Feigning Forgetfulness, Joshua J. Schroeder

Cleveland State Law Review

This is the second part of the three-part Courting Oblivion series on the legal concept of oblivion, meaning legal forgetfulness, letting go of the past, or forgiveness usually to predicate a second chance, a restart, or even an era of reconstruction. This Article demonstrates how to apply the “right to move on” described in Part I to the law in the United States through acts of oblivion and amnesty. It describes the general uses of acts of oblivion and amnesty to the general framework of government in the United States, leading to the final discussion in Part III about the …

The Chemistry Of Decomposition: The Mechanisms To Decay The Human Body, Lydia J. Buxa

Senior Honors Theses

Taphonomic analysis separates decomposition into four major stages: fresh, early decomposition, advanced decomposition, and skeletonization. It is easy to demarcate the observable changes to the body, but it is far more difficult to know what underlying biochemical processes are occurring. Fresh decomposition begins with algor mortis, livor mortis, and rigor mortis, which sets the stage for the major workforces of decomposition: autolysis and putrefaction. The external signs of decomposition appear in early decomposition, which can be attributed to the breakdown of proteins, lipids, carbohydrates, and nucleic acids. This also leads to major changes in the moisture levels during advanced decomposition, …

Edra 56: Bibliography, Tamara Karr

Bibliographies

EDRA 56: Designing Communities for Climate Action and Resilience

Focus, 2025, Winter, Andrews University

Focus

FOCUS (ISSN 1077-9345) is published quarterly, free of charge, for alumni and friends of Andrews University, an institution owned and operated by the Seventh-day Adventist Church.

The Impact Of Automated Text Messaging System Education On The Self-Efficacy Of Medical Office Staff, Jim Jorgensen

Doctor of Nursing Practice Projects

Inadequate patient bowel preparation is a leading cause of canceled or repeated colonoscopies, negatively impacting both outcomes and healthcare costs. While automated text messaging systems have improved patient adherence in other clinical areas, they remain underutilized by endoscopy staff due to low self-efficacy. This quality improvement project aimed to evaluate the effect of structured education on the self-efficacy of endoscopy nursing staff in using an automated text messaging system for outpatient colonoscopy preparation at a rural VA Medical Center (VAMC). Guided by Bandura’s Social Cognitive Theory and using the Plan-Do-Study-Act model, this project implemented a one-day, hands-on training session with …

Relationship Between Speaking Proficiency And Cultural Identity Of Korean Heritage Language Speakers, Minha Lee

Theses and Dissertations

Heritage language speakers from immigrant families often navigate between two languages and cultures as they form their personal identities. In this process, some develop their identity through their personal choices and external pressures, while others remain in a state of identity confusion. Although many factors contribute to the formation of their identity, the field of language education has continued to focus on the relationship between language proficiency and identity, assuming language ability could be one of the key influences. This study investigated the relationship between Korean speaking proficiency and cultural identity among Korean heritage language speakers born in the United …

Quantifying Treatment Response To A Macrophage-Targeted Therapy In Combination With Immune Checkpoint Inhibitors After Exposure To Conventional Chemotherapy, Shelby N. Bess, Gaven K. Smart, Timothy J. Muldoon

Biomedical Engineering Faculty Publications and Presentations

Background: Conventional chemotherapeutic agents, such as 5-fluorouracil (5-FU), can exert anti-tumor effects through immunogenic cell death (ICD) induction. Researchers have found hallmarks that quantify ICD (such as the translocation of HMGB1 and calreticulin). Although chemotherapeutic agents can induce ICD, they increase the expression of immune checkpoints, limiting their effectiveness. Studies have emphasized the importance of investigating the heterogeneous responses of cells co-localized in a solid tumor (macrophages, tumor cells, etc.) to ICD induction. However, these studies were performed in vivo, which limits the collection of information on cell-cell interactions due to model complexity.

Methods: In this study, we used a …

How To Be Unique: A Guide To The Law School Admissions Process, Abigail E. Bjerke

Master's Projects

The law school admissions process can be a difficult thing to navigate, especially with updates that occur each year throughout the process. Therefore, this guide to law school admissions aims at making said admissions process easier to understand for all law school candidates. In the guide, there are several chapters regarding specific steps in the admissions process alongside an extended literature review of already existing guides or relevant articles.

Sister, Lover, Monster: Gender, Sexuality, And Monstrousness In Batwoman, Carter Click

Honors Projects

Introduced in 2006, Kate Kane is the modern iteration of Batwoman, who is an out lesbian woman, in contrast to her 1950s counterpart that was created to alleviate concerns that Batman was gay. She would go on to star in stories by Greg Rucka, J.H. Williams III, and W. Haden Blackman that were published from 2009 to 2013. This run established core aspects of Kate’s character, supporting cast, and origin story. Though Rucka and Williams’ work has received some scholarly focus, Williams and Blackman’s work has received very little. This project attends to how these Batwoman comics facilitate queer representation …

Joining The Sapphic Tradition: A Contemporary Approach To Translating Sappho And Catullus, Rebekah Shively

Honors Projects

This project explores the accessibility and emotional resonance of ancient lyric poetry by creatively reimagining selected works of Sappho and Catullus through the integration of slang. Beginning with my personal discovery of Sappho in high school and later academic encounters with both poets, I trace the development of my interest from an informal, online fascination to formal research, while also recognizing how many existing resources felt outdated, inaccessible, or disconnected from a modern audience. After providing substantial background information on the two poets, I examine their popular culture presence before moving to similarities between their work, focusing primarily on Catullus' …

“Give A Girl An Education”: Jane Austen On Women’S Academic And Intellectual Enrichment, Ellie Ward

Senior Honors Theses

This thesis explores how Jane Austen, through her novels Sense and Sensibility, Pride and Prejudice, and Mansfield Park, contributed to the cultural conversations surrounding women’s education in Georgian-era England. While women’s education at the time was limited and controversial, Austen critiques the prevailing system and supports the intellectual growth of women. Moreover, this thesis analyzes the influence upon Austen's position, beginning with her own educational history and expanding to consider the effect of Enlightenment ideology, particularly the writings of Mary Wollstonecraft, Thomas Gisborne, and Hannah More, on Austen’s thinking. Ultimately, Austen challenges the restrictions placed on women’s …

Javier Milei, Fenómeno Barrial: Political Slogans As Narrative, Sawyer J. Deshon

Senior Honors Theses

Javier Milei won Argentina’s 2023 presidential race to the surprise of many. His prolific use of political slogans on social media has continued into his presidency, contextualizing his agenda and the potential image he seeks to project when pursuing reelection in 2027. This investigation conducts a critical reading of Javier Milei’s political slogans through the lens of Walter R. Fisher’s narrative paradigm, identifying a clear narrative arc that portrays Milei as a populist political outsider, villainizes the political elite of Argentina, and promises a thriving Argentina rooted in libertarian fiscal policy. The subsequent rhetorical analysis integrates quantitative and qualitative assessments …

The Icarian Dilemma: The Battle Of Faith Versus Identity Addressed With Scenic Design, Allistar G. Barrett

Senior Honors Theses

American Christians and the LGBTQ+ community have long been in a cultural war with one another. However, queer Christians – individuals who are both LGBTQ+ and Christian – have rarely found solace in either community, instead being shunned and ostracized for their beliefs and identities. Using the transformative art of theatre to address cultural divides, a theatrical scenic design was developed for Joe Calarco’s Shakespeare’s R & J, a retelling of the traditional Romeo and Juliet script through the lives of four Catholic school girls. This design uses the Greek mythology of Icarus, Catholic culture, the original Romeo and Juliet, …

Yoder In Brooklyn? Rapidly Expanding Free Exercise Jurisprudence, New York State School Regulations, And Hasidic Yeshivas, Jonathan Acampora

Seton Hall Law Review

No abstract provided.

It’S Not Like Riding A Bicycle: How A Steadfast And Committed Effort To Writing Can Contribute To The Development Of Student Writers, Meredith J. Whited

Honors Theses

This work investigates the effect of writing routines in public education. Propelled by the words and ideas of Penny Kittle, Cynthia Urbanski, Ralph Fletcher, and many more, a study was completed with high school aged students to find the correlation between writing routines and levels of writing apprehension. These students were given The Daly-Miller Test as a pretest via Google Forms at the start of the study. After responding to a series of five-minute writing prompts over the course of several days, students were given a post-test of the same survey to determine if changes in writing apprehension had occurred. …