Digital Commons Network^™

The Neuroscience Of Qualified Immunity, Gary S. Gildin

Dickinson Law Review (2017-Present)

Qualified immunity not only absolves public officials from accountability for the damages caused when they deprive a citizen of their constitutional rights; by virtue of companion doctrines shielding governmental entities from liability, conferral of immunity leaves the victim to bear the loss. Therefore, it is essential that the contours of immunity be carefully calibrated to align with its intended purposes.

The United States Supreme Court has continuously expanded immunity to protect the exercise of discretion where, albeit acting in violation of constitutional norms, the official could have reasonably believed their conduct was constitutional. This Article exposes the implicit assumptions as …

Balanced Crystalloids Versus Normal Saline In Adults With Sepsis: A Comprehensive Systematic Review And Meta-Analysis, Azizullah Beran, Nehaya Altorok, Omar Srour, Saif-Eddin Malhas, Waleed Khokher, Mohammed Mhanna, Hazem Ayesh, Nameer Aladamat, Ziad Abuhelwa, Khaled M. Srour, Asif Mahmood, Nezam Altorok, Mohammad Taleb, Ragheb Assaly

Pulmonary and Critical Care Medicine Articles

The crystalloid fluid of choice in sepsis remains debatable. We aimed to perform a comprehensive meta-analysis to compare the effect of balanced crystalloids (BC) vs. normal saline (NS) in adults with sepsis. A systematic search of PubMed, EMBASE, and Web of Sciences databases through 22 January 2022, was performed for studies that compared BC vs. NS in adults with sepsis. Our outcomes included mortality and acute kidney injury (AKI), need for renal replacement therapy (RRT), and ICU length of stay (LOS). Pooled risk ratio (RR) and mean difference (MD) with the corresponding 95% confidence intervals (CIs) were obtained using a …

A Community Educational Intervention To Improve Firearm Safety Behavior In Families, Elizabeth G. Choma Msn, Rn, Cpnp-Pc

Doctor of Nursing Practice Projects

Background: Every day in America children, are injured or killed from the accidental shooting of firearms. Additionally, few households with children report storing all guns unloaded and locked up. Recent evidence supports education on safe firearm storage as an effective intervention in promoting firearm safety in families with children. However, Pediatric healthcare providers often do not have enough time for firearm education during well visits.

Objective: This Quality Improvement (QI) project aimed to use an educational intervention with statistics on firearms in children and implemented the Asking Saves Kids (ASK) campaign to assess and improve firearm safety behaviors in families …

A Certified Nurse Program: Mitigating Barriers To Certification, Kymberlee Cox Msn, Rn, Npd-Bc, Pccn-K

Doctor of Nursing Practice Projects

Background: Certification recognizes a nurse's specialized knowledge, skill, and expertise. It has been linked to positive patient, nurse, and organizational outcomes. Recognizing these advantages, the nursing department set a goal to increase certification rates. However, perceived barriers to certification existed, and rates remained unchanged. A program was needed to overcome these obstacles.

Aims/Objectives: To develop and evaluate a Certified Nurse Program that addresses the perceived barriers to certification by proactively supporting, preparing, and recognizing nurses who pursue and maintain a specialty certification.

Methodology: A 200-bed Maryland suburban hospital adopted the program. Initiatives for certification support, preparation, and recognition were implemented. …

A Telehealth Blood Pressure Education Program On Hypertension Knowledge, Selfcare, And Behavior, Cheynnie N. Burnett Msn, Aprn, Fnp-C

Doctor of Nursing Practice Projects

Background: Hypertension poses a significant risk for morbidity and mortality. Regular blood pressure monitoring, medication compliance, and/or lifestyle modifications have shown to improve control. Digital communication in healthcare, such as telemedicine provides patients and primary care offices an opportunity to improve access to care and education.

Objectives: This Quality Improvement (QI) Project aimed to answer the question: In adult patients with a diagnosis of hypertension, what is the effectiveness of implementing an evidence- based telehealth blood pressure management program in a primary health care setting, when compared to baseline, on blood pressure knowledge, management, and self-care over a nine- week …

No Justice, No Pleas: Subverting Mass Incarceration Through Defendant Collective Action, Andrew Manuel Crespo

Fordham Law Review

The American penal system is a system of massive, racially unjust incarceration. It is also, to quote the U.S. Supreme Court, a “system of pleas.” The latter drives the former, as coercive plea bargaining makes it possible for the state to do two things that are otherwise hard to pull off at once: increase convictions and sentence lengths. Mass incarceration is a predictable result. But while plea bargaining is intensely coercive when leveraged against individuals, the system of pleas has a structural weak point. That Achilles’ heel is exposed once we see people facing prosecution not as isolated individuals but …

The Impact Of Empathy-Building Activities: Implementing The Anti-Defamation League's No Place For Hate Program, Heidi Blackwell

Doctor of Education (EdD)

During the 2020–2021 and 2021–2022 school years, the Anti-Defamation League’s (ADL) No Place for Hate program (NPFH) was implemented in a cooperating high school (COHS) to see if empathy-building activities had an impact on school climate. The purpose of this study was to review the implementation and impacts of a semi-structured program on creating safe, welcoming schools. Data collected from schoolwide surveys, focus groups, and group meetings that happened throughout the 2 school years provided information around students’ sense of belonging, connection, and purpose at school, the pros and cons of the NPFH program, and its place in the school …

Teaching Pandemics Amidst A Pandemic, J.R. Webb

Bridgewater Review

No abstract provided.

Teaching In The Pandemic: New Teachers' Perceptions, Marlene Correia, Gia Renaud

Bridgewater Review

No abstract provided.

Vulnerable, Yet Resilient: The Impact Of Covid-19 On Latino-Owned Businesses In South Omaha, Cristián Doña-Reveco, Marissa Cuellar

Latino/Latin American Studies Reports

The effects of COVID-19 have been felt broadly, across Omaha’s Latino community. Latino-owned businesses are a group of particular relevance due to the importance that local business, economic development, employment, and wealth creation have on the community as a whole. Using survey data collected between September 2021 and January 2022 among Latino business owners in South Omaha, the current study seeks to provide an exploratory and descriptive analysis of the impact of the pandemic on this group. The survey was applied to a non-random convenience sampling of 121 Latino business owners. Thus, there is no intention for this survey to …

Expectant Management Of A Heterotopic Interstitial Pregnancy - A Case Report, Mariam Ayyash, Majid Shaman, Brian M. Craig, Raminder K. Khangura

Obstetrics, Gynecology and Women's Health Services Articles

Heterotopic pregnancy is the simultaneous occurrence of two pregnancies at two different implantation sites, mostly intrauterine and extrauterine sites. An interstitial ectopic pregnancy as part of a heterotopic pregnancy is very rare. This report highlights the case of a 40-year-old woman with heterotopic pregnancy who had conceived via assisted reproductive technology. The patient had an interstitial ectopic pregnancy and a viable intrauterine pregnancy. She was treated expectantly and had cesarean delivery of the intrauterine pregnancy at 38 weeks of gestation. Although management options for heterotopic pregnancies include surgical and medical, it may be reasonable to consider expectant management for select …

Risk Of Ipsilateral Deep Vein Thrombosis After Kidney Transplantation: A Retrospective Study, Abdul K. Natour, Shahnur Ahmed, Dean Y. Kim, Lauren Malinzak, Ali Rteil, Loay S. Kabbani

Surgery Articles

OBJECTIVE: To investigate the incidence and characteristics of deep vein thrombosis (DVT) in kidney transplantation recipients and analyze whether the anatomical side of DVT was associated with the side of the transplanted organ.

METHODS: A single-center retrospective medical record review of patients who received a kidney transplant between January 2004 and July 2019 and who subsequently developed DVT. Only patients who received unilateral kidney transplants were included in the study. Patients who underwent concomitant pancreatic transplants, bilateral kidney transplants, or repeat procedures were excluded.

RESULTS: Of the 2449 kidney transplants performed during the study period, 1482 were included in the …

Pre And Postnatal Magnetic Resonance Imaging Of Ventriculomegaly, Ryan Kelsch, Megan Moore, Anant Krishnan

Posters

Purpose or Case Report: The purpose of this research was to analyze our institution’s large database of fetal magnetic resonance (MR) for cases of ventriculomegaly in order to understand trends in pre and postnatal MR.
Methods & Materials: In this retrospective study, 316 individual fetal MR exams from the past 10 years at our institution were reviewed. Of those, 86 patients had fetal MRs with findings of either ventriculomegaly or an ordering indication of ventriculomegaly. Our inclusion criteria of a diagnosis of ventriculomegaly (lateral ventricle measured at the trigone on coronal imaging of over 10mm) on fetal MR with a …

Front Matter, North Carolina Journal Of Law & Technology

North Carolina Journal of Law & Technology

No abstract provided.

A Knife In A Gunfight: Empowering North Carolina Municipalities To Close The Digital Divide, Pearson Cost

North Carolina Journal of Law & Technology

No abstract provided.

The Perfect Storm? Opioid Epidemic Meets Covid-19 Pandemic: Reevaluating The Role The Ryan Haight Act And The Dea Play In The Future Of Safe Access To Virtual Healthcare, Allison Gray

North Carolina Journal of Law & Technology

No abstract provided.

This Is No Ovary-Action: Femtech Apps Need Stronger Regulations To Protect Data And Advance Public Health Goals, Allysan Scatterday

North Carolina Journal of Law & Technology

No abstract provided.

The Impact Of Mentorship On Nurses’ Level Of Self-Efficacy And Motivation To Pursue Board Leadership Positions, Amy K. Mccarthy Msn, Rnc-Mnn, Ne-Bc

Doctor of Nursing Practice Projects

Background: Nurses comprise the largest component of the healthcare workforce and possess a unique understanding of healthcare operations and patient care. On average, the proportion of nurses serving on hospital boards range from 2 to 6%, with the proportion of physicians averaging 20%. Over the last decade, much attention has been placed on emphasizing the importance of a nurse’s presence on boards. Despite these initiatives, nurses continue to display an overall hesitancy towards board service.

Objectives: The aim of this project was to implement an evidence-based mentorship program to address barriers to board leadership and increase overall self-efficacy and motivation …

Improving Screening For Sleep Disturbance In Patients With Parkinson’S Disease, Jenny Nguyen Msn, Fnp-C

Doctor of Nursing Practice Projects

Background: Sleep disturbance (SD) is one of the most common and debilitating non-motor manifestations of Parkinson’s disease (PD). SD intensifies the disease-related disabilities of motor and non-motor symptoms. In spite of this, it is often under-recognized and underaddressed by healthcare professionals. The Movement Disorder Society recommends the Parkinson’s disease Sleep Scale (PDSS – 2) be used to screen and measure severity of overall sleep problems in this patient population.

Objectives: The purpose of this quality improvement (QI) project is to increase the utilization of the PDSS-2, a standardized approach to assessment of sleep difficulties. This can facilitate identification of individual …

Implementation Of A Standardized Handoff Tool For The Transition Of Care Of Adult Liver Transplant Patients, Suzanne Robertazzi Msn, Anp-Bc

Doctor of Nursing Practice Projects

Background: The transfer of care of the adult liver transplant patient from the inpatient to the outpatient setting has increased in complexity and has the potential to lead to errors and adverse events.

Objective: This pre-post design quality improvement project implemented a hand-off communication tool to improve adult liver transplant patient outcomes when transitioning from the inpatient to outpatient setting.

Methods: The hand-off tool was based on Illness severity, Patient summary, Action list, Situation awareness, and Synthesis (I-PASS). An EMR chart review was completed on discharged liver transplant patients 3 months (N=28) prior and 4 months (N=36) after I-PASS implementation. …

The Impact Of The Covid-19 Pandemic On Medical School Pathway Programs, Nick Jennings, Charmi Trivedi, Julie Orban, Sonal Batra

GW Research Showcase 2021-2026

No abstract provided.

Concordia Seminary Magazine Spring 2022, Vicki Biggs

Concordia Seminary Magazine

Made through Him

Dobbs V. Jackson Women's Health Organization And The Likely End Of The Roe V. Wade Era, Jeffrey Hannan

Duke Journal of Constitutional Law & Public Policy Sidebar

No abstract provided.

Recommendations For Strengthening The Kingdom Of Saudi Arabia's Management Of Non-Hazardous Solid Waste Informed By A Comparative Assessment Of The Management Of Non-Hazardous Solid Waste In The United Arab Emirates, Saud Hani Arab

Dissertations & Theses

Despite significant changes in the category and volume of waste, the Kingdom of Saudi Arabia (KSA) still manages refuse the same way it did decades ago. Before 1975, waste generators were responsible for collecting and disposing of nonhazardous solid waste (NSW). The KSA later set up the Ministry of Municipalities and Rural Affairs (MOMRA) in 1975 as a result of the oil boom. One of the initial tasks of MOMRA was to manage and develop NSW system. In addition to management, MOMRA also distributed waste bins throughout the KSA and hired waste haulers to be responsible for NSW. As I …

Effects Of Pre-Literacy On High School English Learners (Els) In The Rural Upper Midwest, Maciah L. Lorang

Honors Thesis

The purpose of this research is to catalog the observed effects of pre-literacy on high school English learners (ELs) in the rural Upper Midwest and propose solutions on a local level. A phenomenological research design was implemented for this study. Participants were high school teachers who teach English learners in their classes. Participant demographics include four teachers, one who teaches an EL English course, one who teaches an EL algebra course, one who is an EL teacher, and one who is a Spanish teacher. Participants were interviewed until saturation was reached. The interviews were then transcribed as de-identifiable data (if …

Challenges In The Management Of Pulmonary Atresia And Intact Ventricular Septum (Pa Ivs), Danielle Healey, Zainab Awan, Alyssia Venna, Priya Misra, Yves D’Udekem

GW Research Showcase 2021-2026

No abstract provided.

Costs And Outcomes Of Ed Patients With Uncomplicated Biliary Colic, Michael Makutonin, Ali Moghtaderi, Sophia Newton, Yan Ma, Andrew Meltzer

GW Research Showcase 2021-2026

No abstract provided.

Association Between Clinical Seizures And Eeg Factors With Neurologic And Neurocognitive Outcomes In Pediatric Cerebral Malaria, Daniel Muller, Angela Sarkisian, Alexander Andrews, Daniel James Clark, Douglas G. Postels

GW Research Showcase 2021-2026

No abstract provided.

Assessment Of Eye Pain Symptoms Among Pediatric Students During The Covid-19 Pandemic, Jason Dossantos, Julie Thomasian, Monica Manrique, Isabelle Dortonne, Sohel Rana, Richard Birdsong

GW Research Showcase 2021-2026

No abstract provided.

Effect Of Alcohol Use Disorder On Revision Rates And Perioperative Outcomes In Total Shoulder Arthroplasty, Anthony K. Chiu, Kendrick Cuero, Samuel I. Fuller, Amil R. Agarwal, Tim Kreulen, Umasuthan Srikumaran

GW Research Showcase 2021-2026

No abstract provided.