Digital Commons Network^™

Policy Brief For Evidence-Based Telehealth Use In Ems: A Comprehensive Reference For Program Administrators, Field Leaders, And Clinical Directors, Florida Center For Emergency Medical Services

Florida Center for Emergency Medical Services Research Reports

Executive Summary

Telehealth-supported emergency medical services (EMS) represents an evidence- based approach to enhancing prehospital care delivery, expanding access to physician expertise, and improving resource utilization. The evidence base demonstrates clear benefits in appropriate contexts: for time-sensitive emergencies, telehealth enables significant reductions in treatment times; for low-acuity conditions, programs report transport reductions of 50–67% while maintaining high safety profiles.

Successful implementation requires appropriate patient selection, robust technical infrastructure, comprehensive training, and systematic quality assurance. Programs demonstrate success when targeting patients with stable vital signs and absence of conditions requiring immediate physical intervention. Implementation barriers commonly include regulatory and reimbursement limitations, …

Evidence-Based Telehealth Use In Ems: A Comprehensive Reference For Program Administrators, Field Leaders, And Clinical Directors, Michael Lozano Jr.

Florida Center for Emergency Medical Services Research Reports

Executive Summary

Telehealth-supported emergency medical services (EMS) represents an evidence-based approach to enhancing prehospital care delivery, expanding access to physician expertise, and improving resource utilization. This best-practice reference synthesizes current evidence and operational experience to guide EMS administrators in evaluating, implementing, and sustaining telehealth programs tailored to their communities' needs and resources.

Telehealth in EMS encompasses multiple distinct applications. General teleconsultation enables paramedics to connect with remote emergency physicians for real-time clinical guidance and disposition decisions. Specialty-specific applications focus on time-sensitive conditions including stroke and acute myocardial infarction, where early specialist involvement compresses treatment timelines. Community paramedicine integration extends EMS …

Policy Brief For Crisis On The Frontlines: Recruitment And Retention Challenges In Ems, Florida Center For Emergency Medical Services

Florida Center for Emergency Medical Services Research Reports

Executive Summary

Emergency Medical Services (EMS) in Florida and across the United States are facing an unprecedented workforce crisis. EMS staffing shortages are no longer looming - they are present-day realities that affect the safety and well-being of every community. EMS personnel are the first line of response for medical emergencies, disasters, and public health crises. Yet today, many agencies are struggling to maintain staffing levels due to recruitment barriers, retention challenges, and systemic funding shortfalls. The message is clear: stabilizing the EMS workforce is essential not only for EMS agencies but also for the broader public safety and health …

Policy Brief For Vital Signs: Findings From Florida’S 2024 Ems Workforce Statewide Survey, Florida Center For Emergency Medical Services

Florida Center for Emergency Medical Services Research Reports

Executive Summary

Florida's Emergency Medical Services workforce stands at a critical juncture. The 2024 statewide survey of nearly 50,000 certified EMTs and paramedics reveals both strengths and vulnerabilities that demand immediate policy attention. While Florida's EMS professionals demonstrate strong commitment to their communities and confidence in clinical leadership, significant challenges threaten long-term workforce sustainability.

Most concerning are persistent gaps in compensation satisfaction, high rates of mental health challenges, and troubling retention patterns among early-career providers. These findings suggest that without strategic intervention, Florida may face escalating shortages in emergency medical response capacity, particularly in underserved and rural communities.

This policy …

Human Biology Group Project, Wroud Saleh

Open Educational Resources

No abstract provided.

People's Upr Written Record: Compiled By The International Human Rights Clinic At The University Of Illinois Chicago School Of Law And The Human Rights At Home Litigation Clinic At The Saint Louis University School Of Law, Sarah Dávila A., Lauren E. Bartlett

Faculty White Papers

This written record compiles the lived experiences of directly impacted persons. Directly impacted persons include people who have personally faced the conditions, policies, or practices documented in this written record in the United States and who have chosen to share their testimonies. The testimonies in this written record include those provided in-person, via video recording, which have been transcribed, or in writing. Testimonies are presented anonymously with ▊ sign as names and identifiable information has been redacted. Their accounts provide first-hand evidence of how these human rights issues operate in practice, offering essential context and depth that cannot be captured …

The Offshore Origins Of Regulatory Arbitrage, Ian J. Murray

William & Mary Business Law Review

Especially since the 2007–08 financial crisis, commentators have seized on the term “regulatory arbitrage” to describe a sprawling range of strategic compliance behavior spanning diverse sectors of the contemporary economy. Despite the term’s prevalence, there is scant agreement on the scope of activities it describes. To some, it has become a catch-all for legal avoidance from time immemorial. Such an expansive understanding obscures the context that led the term to acquire salience and fosters a fatalist view that all regulation is futile. Resisting this trend, this Article answers calls to situate regulatory arbitrage in a richer socio-historical context. Tracing the …

Perceptions And Utilization Of Chiropractic Care In The General Population: A Qualitative Descriptive Study, Megan Mcnamara

Honors Projects

Chiropractic care is widely recognized as a safe, holistic approach for managing musculoskeletal conditions, yet the profession continues to face longstanding skepticism and misunderstanding. Many individuals remain unsure about what chiropractors treat, a gap that may exist due to inaccurate social media content and bias among some medical providers, which can limit referrals and reduce patient access to appropriate care. To examine how the public perceives and utilizes chiropractic services, this study used a qualitative descriptive survey consisting of 15 multiple-choice questions across four domains: familiarity and exposure, perceptions and attitudes, trust and influencing factors, and utilization and future intentions. …

Journal Of The Arts And Special Education: Volume 6, Issue 1

Journal of the Arts and Special Education

No abstract provided.

Let’S Dance!: A Community Partnership Fostering Movement, Connections, And Inclusion, Michelle J. Cook, Michele Dunleavy, Carrie A. Payne, Sarah E. Whitney, Matthew Levy, Jack M. Mcbride, Ella Garrity

Journal of the Arts and Special Education

Despite the many documented physical and social benefits, dance is frequently not accessible to individuals with and without disabilities. We share an inclusive dance community partnership called Let’s Dance! that was developed to foster movement, connections, and inclusion. To increase awareness and inclusive dance opportunities, this community partnership involved (a) a workshop on inclusive dance practices for preservice teachers and (b) a community-based inclusive Let’s Dance! dance event. Following a review of the literature outlining the benefits of dance and the barriers that need to be dismantled to make dance more inclusive for students of all abilities, we share inclusive …

Rising Oil Prices In The Philippines: Why A Targeted Uplift Response Is Preferable To Broad Price Suppression, Marites M. Tiongco, Caesar B. Cororaton, Francine Ysabel D. Gañgan

Angelo King Institute for Economic and Business Studies (AKI)

Global oil prices have risen sharply following the escalation of renewed geopolitical conflict and severe disruption in the Strait of Hormuz, a critical maritime route for global energy shipments. From a pre-conflict level of approximately US$72 per barrel, Brent crude has surged to nearly US$150 per barrel as of mid-April 2026 (Reuters, 2026), a roughly twofold increase, as tanker attacks and fears of sustained supply disruption persist despite a large coordinated reserve release by the International Energy Agency.

For the Philippines, this matters because the country remains heavily dependent on imported petroleum and is vulnerable to external shocks in shipping, …

Electronic Book Acquisition Strategies In Academic Libraries: A Review Of The Literature, Rachel E. Scott, Michael A. Arthur

Faculty and Staff Publications – Milner Library

Electronic book (e-book) acquisition models have evolved over the decades they have been available to library customers. This review leverages findings from scholarly literature to document the proliferation and evolution of e-book acquisitions models, their strengths and weaknesses in various contexts, and their role in the collection development strategies of academic libraries. From firm orders and subscription packages to demand-driven and evidence-based acquisitions, engagement with e-book acquisitions models varies considerably based on factors such as library budget and staffing, institutional curriculum and programs, consortial affiliations, support for textbook affordability initiatives, and COVID-19 responses. The findings from this literature review suggest …

Interprofessional Perspective: Development Of The National Academies Of Practice Joint Health Literacy Position Statement, Teresa Wagner, Vincent Salyers, Bich Nguyen, Tanya Sudia, Kate Taylor, Devora R. Winkfield, Nancy Colletti, Felicia Chew, Sarah Manspeaker

Department of Occupational Therapy Faculty Papers

No abstract provided.

Dnp Final Report: An Evidence-Based Project To Decrease Stress In Undergraduate Nursing Students, Elaine Wallace

DNP Final Reports

Stress among undergraduate nursing students is a well-documented concern that negatively affects academic performance, clinical readiness, well-being, and program retention. Stress levels are often heightened before clinical skills check-offs, highlighting the need for practical, evidence-based interventions. This Doctor of Nursing Practice quality improvement project examined whether mindfulness-based mandala coloring could reduce perceived stress in undergraduate nursing students. Using the PICOT framework, the project evaluated whether undergraduate nursing students (P) who participated in mindfulness-based mandala coloring (I), compared with no intervention (C), experienced reduced perceived stress levels (O) over a 12-week implementation period (T).

A comprehensive search of the literature supported …

Targeting Oncogenes: Development And Characterization Of Aurka And Her2 Inhibitors, Itzel Montoya

Chemistry Theses

Targeted inhibition of oncogenes has remained a key strategy in the development of more potent, effective, and less toxic therapeutic anticancer agents. Among the most clinically significant signaling pathways are those mediated by the Human Epidermal Growth Factor Receptor 2 (HER2) and Aurora Kinase A (AurKA). HER2 is a member of the ErbB receptor family that supports cell growth and proliferation through downstream signaling of the PI3K and MAPK pathways and is closely linked to more aggressive tumors and therapeutic resistance. AurKA is a protein kinase essential for mitotic spindle assembly, centrosome maturation, and other key processes in cell cycle …

Rearfoot Realignment As A Prophylactic Strategy For Recurrent Lateral Column Ulcers In Diabetic Foot: A Case-Based Hypothesis, Christopher I. Anjorin Ms Dpmc, Ali-Abdul Kareem Dpm

School of Podiatric Medicine - Student Research

Lateral column ulcerations remain a persistent and complex challenge in diabetic foot management. Although procedures such as tailor’s bunionectomy may provide localized pressure relief, they often fail to address the underlying biomechanical contributors, most notably rearfoot deformities such as calcaneal varus or pes cavovarus frequently observed in diabetic patients. These structural abnormalities shift the weight‑bearing axis laterally, increasing ground reaction forces along the fifth metatarsal and predisposing individuals with diabetic peripheral neuropathy and impaired proprioception to recurrent ulceration. This case explores the hypothesis that prophylactic rearfoot realignment may offer superior long‑term outcomes by correcting the mechanical etiology of lateral column …

Population Trends In Infant Mortality Before, During, And After Implementation Of Therapeutic Hypothermia Across Racial And Ethnic Groups: United States Period-Linked Data, 2000-2017, Janardhan Mydam, Nitin Chouthai

Conference Presentation Abstracts

Background: Moderate to severe hypoxic-ischemic encephalopathy (HIE) remains a major cause of neonatal mortality and lifelong morbidity. Following publication of the NICHD Neonatal Research Network trial in 2005, therapeutic hypothermia (TH) became the standard of care for infants with moderate to severe HIE. However, national trends in HIE-related infant mortality before, during, and after TH implementation across racial and ethnic groups have not been comprehensively evaluated.

Objective: To assess the impact of therapeutic hypothermia on HIE-related infant mortality by comparing mortality rates before (2000-2005), during (2006-2009), and after (2010-2017) implementation of TH among different racial and ethnic groups in the …

Severity And Duration-Dependent Aortic Stiffening In A Rabbit Coarctation Model Identifies Constitutive Material Parameters As Promising Regional Biomarkers For Hypertension Progression, Arash Ghorbannia, Jamasp Azarnoosh, John F. Ladisa Jr.

Biomedical Engineering Faculty Research and Publications

Coarctation of the aorta (CoA) alters hemodynamics and drives regional remodeling, yet the influence of severity and duration on constitutive properties is undefined. We quantified mechanical responses from CoA to identify constitutive parameters capturing stiffening across clinical severities and durations. Mild (≤ 12 mmHg), intermediate (13–20 mmHg), and severe (> 20 mmHg) CoA was created in rabbits for short, long, and prolonged durations (~ 1, 3, or 22 weeks, respectively). Stress–stretch curves from proximal and distal regions were fit with multiple constitutive models (Linear Elastic, Neo-Hookean, Yeoh, Ogden, Mooney–Rivlin, Holzapfel). Model performance was evaluated by normalized RMSE and R², with …

Dollar$ And $Ense: A Financial Aid And Academic Records Newsletter - Spring 2026, Nova Southeastern University

Dollars & Sense Newsletter

No abstract provided.

Comparison Of Gene Up Regulation Between A Mouse Model Of Rop And Extremely Premature Newborns From Days 7 To 14 Of Life, Nitin Chouthai, Nikhlesh K. Singh

Conference Presentation Abstracts

Background: Severe ROP is linked to considerable morbidity in extremely premature newborns. To our knowledge, there are currently no early-phase biomarkers for ROP.

Objective: The objective of this retrospective study was to compare the retinal RNA expression in mouse pups exposed to oxygen-induced retinopathy with the blood RNA profile of extremely premature newborns during the first two weeks of life, specifically from days 7 to 14 of life.

Design/Methods: Bulk RNA transcriptome analysis was conducted using peripheral blood samples from 21 extremely preterm newborns who were born at less than 26 weeks’ gestation and were between 7 and 14 days …

Exploring Single Celled Rna Biomarkers Using Deconvolution Analysis For Severe Retinopathy Of Prematurity In Extremely Premature Newborns, Vighnesh Ghatpande, Saachi A. Bodas, Nitin Chouthai

Conference Presentation Abstracts

Background: Timely, precise diagnosis of Retinopathy of Prematurity (ROP) is key to implementing appropriate treatment, as distinctions between mild-ROP and severe-ROP are the primary factors in its characterization. Deconvolution analysis of bulk RNA sequencing is an indirect method to identify static and dynamic molecular and physiological associations.

Objective: The objective of this this study was to evaluate if deconvolution analysis can be used to identify cellular biomarkers of ROP.

Design/Methods: This is a prospective study (IRB#086113MP2E) with a convenience sample size of 8 neonates with no ROP, 6 neonates with mild to moderate ROP (M-ROP), and 7 neonates with severe …

Selective Retention Of Birdshot Pellets In The Rearfoot: A Case Demonstrating Tissue Preservation And Functional Recovery, Yasim Zafar, Steven Bolton, Alexandria Armstrong, Hooman Mir

School of Podiatric Medicine - Student Research

Level of Evidence: III (Case Study)

Statement of Purpose: Gunshot wounds to the foot pose a unique surgical dilemma—whether to pursue aggressive foreign body removal or to preserve soft tissue integrity. This case highlights the management of a birdshot injury to the rearfoot where selective non-removal of pellets near the neurovascular bundle led to complete healing and full functional recovery. The purpose is to emphasize tissue preservation over aggressive exploration in complex ballistic foot injuries.

Case Study: A 26-year-old female sustained a birdshot gunshot wound to the right rearfoot. Multiple small entry wounds were noted on the posterior and plantar …

Is Tax “Law”?, Luís C. Calderón Gómez

Articles

Although taxation remains a hotly contested issue in debates by both politicians and political theorists—over the optimal size of government, distributive (and sometimes corrective) justice, or even the legitimacy of current private property arrangements—taxation has been largely ignored by legal theorists, to the detriment of both tax law and legal theory.  This Article argues that tax law, driven by its battle against tax evasion, is in deep conflict with widely accepted conceptions of “legality”—that is, the qualities that make a rule distinctively and normatively “law.”  This matters because legality is a key buttress in jurisprudential and political theory accounts that …

Student Senate Meeting Minutes April 1, 2026, Student Senate-Winona State University

Student Senate Meeting Minutes

This document is the official Winona State University Student Senate Minutes for April 1, 2026.

Daily Eastern News: April 01, 2026, Eastern Illinois University

Daily Eastern News: 2025-2026

No abstract provided.

Efficacy Analysis In Clinical Trials: A Comprehensive Review Of Statistical And Machine Learning Approaches, Dhrubajyoti Ghosh, Samhita Pal

Faculty Articles

Efficacy testing is a cornerstone of clinical trials, ensuring that medical interventions achieve their intended therapeutic effects. Over the decades, a wide range of statistical methodologies have been developed to address the complexities of clinical trial data, including parametric, nonparametric, Bayesian, and machine learning approaches. Parametric methods, such as t-tests, ANOVA, and LMMs, have traditionally been the foundation of efficacy testing due to their efficiency under well-defined assumptions. Nonparametric techniques, including the Friedman test, Brunner-Munzel test, and modern extensions like nparLD, have emerged as robust alternatives, particularly for skewed, ordinal, or non-normal data. Bayesian methodologies have enabled the incorporation of …

Admissions Magazine Spring 2026, Embry-Riddle Aeronautical University

Admissions Magazine

Altitude: Fueling the Future

• Flight Training Starts Here
• Opening Doors To Discovery, Access, and Opportunity
• Built for Pressure, Trained for Altitude
• Smarter Design, Stronger Performance
• Fueling the Future: Advancing Cryogenic Fuel Innovation for Safer, Smarter, Lunar Missions
• Planting the Seed for Smart Farming
• Out-Of-This-World Research in the Andes
• Inside a World of Science: Taking on Space, Systems, and Science
• Staying Ahead of the Herd: Student Innovation Reaches NASA
• Against the Current, Making History
• Transformative Technology
• Shadowing Success
• Where Passion Ignites Altitude: Embry-Riddle Rocket Team Overcomes Setbacks to Launch DENEB-2
• Cross Country to Crash Scenes: Running Toward Understanding
• Making an Impact: …

Department Of Mathematical Sciences Newsletter, Spring 2026, University Of Montana--Missoula. Department Of Mathematical Sciences

Newsletters from the Department of Mathematical Sciences at UM

Alumni Profile: Dr. Frank Gilfeather / John Bardsley -- Does Distance from Treatment Centers Impact Cancer Survival in Montana? / Hanna Antonsen -- Notes from the Chair / John Bardsley -- Math Department Cultivates New Perspectives with Indigenous STEM Course / Frederick Peck -- Mary Kay Kriley, 1942-2025 -- Michael O'Lear, 1947-2025 -- Photos from the 2026 Pi Day "Mathathon" -- Donations to the Math Department -- Degree Recipients 2025-2026 -- Spring 2026 Scholarships & Awards -- Analyzing High School Districts Through Redistricting: An Undergraduate Research Project

Testing The Intermediate Disturbance Hypothesis On Anthropogenic Pressure In Central Alabama, Gavin Terrell

Theses

Biodiversity is fundamental to maintaining ecosystem structure and function globally. Prior to the late 20th century, ecological theory generally predicted that biodiversity would be highest in systems experiencing minimal disturbance. However, Joseph H. Connell challenged this view with the Intermediate Disturbance Hypothesis (IDH), which posits that species diversity peaks at intermediate levels of disturbance and declines under conditions of both low and high disturbance. Although widely cited, the applicability of the IDH to natural systems remains debated, particularly in the context of anthropogenic disturbances and when diversity is measured beyond species richness alone.

This study evaluated the predictions of the …

What Common Themes Are Challengers Trying To Silence And What Would Be Lost Without Them?, Corrine H. Martello

Richard T. Schellhase Essay Prize in Ethics

This research paper aims to analyze the controversies surrounding The Catcher in the Rye, written by J.D. Salinger, The Bluest Eye, by Toni Morrison, and The Perks of Being a Wallflower, by Stephen Chbosky, three commonly challenged books that are often found in high school English classes, in order to answer the question “what themes in these books are challengers trying to silence, and what would be lost without them?”. It will be broken into four sections, Alienation, Mental Health Struggles & Trauma, The Loss of Innocence, and Exploring Identity, which are common themes presented in all three books. …