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The Impacts Of Emotions On Thirst Among Heart Failure Patients, Chieh-An Yang, Hsing-Mei Chen, Tsung-Neng Tsai, Chieh-Yu Liu, Hui-Ju Lu, Ting-Ti Lin

International Nursing Research Congress (INRC)

Purpose: Thirst, characterized by sensations of oral dryness and a craving to drink, is a ubiquitous experience among heart failure (HF) patients. Besides reduced cardiac output, the clinical treatments for HF patients (e.g., diuretics, fluid restriction) may activate the renin-angiotensin-aldosterone system (RAAS), exacerbating their thirst distress.

Negative emotions are commonly experienced among heart failure patients. Previous studies have suggested that emotions (e.g., anxiety, depression) may activate the sympathetic nervous system, reducing the secretion of saliva, which, in turn, may increase sensations of dry mouth among HF patients. However, the relationship between emotions and thirst distress remains unclear. Therefore, the aim …

Spartan Daily, August 27, 2026, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2026

Volume 167, Issue 04

Development And Evaluation Of An Llm Based Nursing Documentation, Sumi Sung, Hyeyoung Lee, Wooje Sung, Do Yeon Kim, Jung Eun Hong, Yewon Lee, Seung Hee Lee

International Nursing Research Congress (INRC)

Background: Accurate nursing documentation is essential for communicating patient status and ensuring patient safety. However, heavy workloads and non-standard terminology often lead to omissions and errors. Large language models (LLMs) show promise in supporting nursing documentation, but hallucinations raise safety concerns. To mitigate these risks, we adopted a retrieval-augmented generation (RAG) approach that grounds responses in standard nursing terminologies [1]. This study aimed to develop and evaluate an RAG-based chatbot that supports nursing documentation using standard terminology and procedures.

Methods: From January 2022 to May 2024, we analyzed 70,926 unstructured nursing narratives from 76 patients with myocardial infarction who underwent …

Staff Education To Enhance Clinical Staff Knowledge Of Medication Adherence Strategies In Bipolar Disorder, George Niyi Ojewale

Walden Dissertations and Doctoral Studies

Medication nonadherence in bipolar disorder is a significant contributor to relapse, hospitalization, and functional decline. This doctor of nursing practice (DNP) staff education project addressed a practice gap at the project site involving inconsistent clinician knowledge and absence of a standardized approach to adherence education. The practice-focused question for this project was: How does implementing an evidence-based staff educational program improve clinical staff knowledge in supporting medication adherence in patients with bipolar disorder? The purpose of this project was to implement a structured, evidence-based educational intervention to improve clinician knowledge related to medication adherence strategies. The intervention consisted of a …

Electrical Leaders’ Effective Strategies To Reduce Workplace Fatalities And Injuries, Amy Clark

Walden Dissertations and Doctoral Studies

Workplace electrical safety programs help reduce injuries and fatalities, yet some U.S. electrical leaders who manage safety programs and oversee safety issues lack effective strategies to sustain safe environments to reduce electrical accidents. Grounded in Heinrich’s incident/accident pyramid theory and behavior-based safety theory, this qualitative pragmatic inquiry explored strategies used by six electrical leaders who successfully reduced workplace incidents. Data were collected through semistructured interviews and document analysis and analyzed using Castleberry and Nolen’s inductive thematic approach. Key themes included hazard identification, controls, personal protective equipment and inspections, common challenges (time, resistance, complacency), communication and engagement, safety culture and leadership, …

Reducing Inpatient Falls Through Staff Education, Courage Duin Chiangeh

Walden Dissertations and Doctoral Studies

Patient falls remain a major patient safety concern, particularly among hospitalized stroke patients who are at increased risk because of impaired mobility, neurological deficits, and cognitive changes. The inpatient stroke unit selected for this quality improvement project consistently reported the highest fall rates within the hospital system, highlighting the need for evidence-based interventions. The purpose of this project was to determine whether a structured fall-prevention education program incorporating evidence-based practices and the 4Ps of purposeful rounding (pain, potty, position, and possessions) would improve staff knowledge, increase compliance with fallprevention practices, and reduce patient falls over a 2-month period. Guided by …

Workplace Loneliness And The Impact Of Social Connections In Distributed Teams, Belkys Stallings

Walden Dissertations and Doctoral Studies

Workplace loneliness is a growing organizational challenge as the rise of distributed teams reshapes opportunities for social connection and engagement. Business leaders need to understand this challenge because it is associated with reduced belonging, lower job satisfaction, diminished productivity, and increased turnover intentions. The purpose of this quantitative correlational study was to examine the extent to which distributed team environments (remote, hybrid, or flexible) impacted workplace loneliness and whether social connectedness moderated this relationship. Social exchange theory, self-determination theory, and Weiss’s concept of loneliness grounded this study. The participants comprised 84 adults working full-time in distributed team environments across the …

The Relative Strength Of Compulsive Reward-Driven Eating, Weight Self-Efficacy, And Physical Appearance Comparison In Predicting Feelings Of Self-Worth, Kathleen Rowe

Walden Dissertations and Doctoral Studies

Walden University College of Psychology and Community Services This is to certify that the doctoral dissertation by Kathleen Rowe has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Hedy Dexter, Committee Chairperson, Psychology Faculty Dr. Medha Talpade, Committee Member, Psychology Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2026

Socioeconomic Determinants Of Malaria Infection Among Pregnant Women In Cameroon, Sub-Saharan Africa, Arnold Akosah Muluh

Walden Dissertations and Doctoral Studies

Malaria during pregnancy is a significant public health issue in Cameroon, affecting maternal health and birth outcomes. Despite preventive measures, disparities exist among socioeconomic groups and between urban and rural areas. The study was guided by the social-ecological model and explored how socioeconomic factors and geographic location influence malaria infection in pregnant women. Specifically, the impact of wealth index, maternal education, and healthcare access on infection rates, considering maternal age, parity, and residence, was examined. Quantitative data from the Cameroon DHS Phase 8 were used (N=1204). The sample included pregnant women with valid malaria test results. Chi-Square tests and binary …

Re: 2026 Spring Semi-Annual – Interim Site-Wide Groundwater Monitoring Data Report Silver Bow Creek Butte Area Npl Site, Butte Priority Soils Operable Unit Consent Decree-Civil Action No. Cv 89-039-Bu-She, Josh Bryson

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Feedback To Fixes: A Review Of The New Ebsco User Interface, Meghan Lenahan

Library Scholarship

No abstract provided.

August 27, 2026

The Breeze, 2020-

No abstract provided.

Re: Draft Final Butte Priority Soils Operable Unit Unreclaimed Sites Field Sampling And Investigation Plan: Ur-51 –Area Near Bres No. 50 – Zelia And Mountain Con Mine, Mike Mcanulty

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Re: Draft Final Butte Priority Soils Operable Unit Unreclaimed Sites Field Sampling And Investigation Plan: Ur-52 Area West Of Bres No. 133 – Dexter Mill, Mike Mcanulty

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

The Role Of Green Accounting In Achieving Sustainable Development Through The Quality Of Accounting Information: An Empirical Study Of Iraqi Industrial Companies, Ahmed Neamah Abed, Anmar Adnan Khudhair, Farqad Mohammed Bakr Al Saadi

Muthanna Journal of Administrative and Economics Sciences

The goal of this study is to highlight the role of green accounting, both direct and indirect, via the quality of accounting information, in achieving sustainable development goals in industrial companies in Iraq. The methodology was done based on data obtained in 2026 through a questionnaire sent to a random sample of 110 employees (accountants, heads of finance departments, finance managers and internal auditors) in industrial companies listed on the Iraq Stock Exchange. Structural equation modelling (SEM) was used to test the hypotheses and pathways by applying AMOS software. Furthermore, the results indicated that the green accounting is positively and …

A Multisystem Presentation Of West Nile Neuroinvasive Disease: Lessons In Diagnostic Complexity, Carrine S. Kogulan, Philip Yusuf, Oluwafemi Ajibola

Student Publications

West Nile virus (WNV) is an uncommon but serious case of encephalitis and meningitis, often presenting with nonspecific symptoms that can mimic a wide range of infectious, metabolic, and endocrine disorders. We present the case of a 61-year-old male with multiple comorbidities who arrived with 5 days of fever, chills, profuse diarrhea, black stools, and worsening confusion. Initial evaluation in the emergency department revealed hyponatremia, transaminitis, and concern for tick-borne illness, prompting empiric doxycycline. However, the patient denied any tick bites. Given his known thyroid nodule and Burch-Wartofsky screening score of 70, he was empirically treated for thyroid storm despite …

Indolent Progression Of A Persistent Positron Emission Tomography (Pet)-Negative Ground-Glass Pulmonary Nodule To Pulmonary Adenocarcinoma Following Nine Years Of Radiographic Surveillance: A Case Report, Talyn Smith, Chenxi Shi, Saima Memon

Student Publications

Indolent pulmonary adenocarcinoma spectrum lesions can remain radiographically stable for years and often demonstrate little to no fluorodeoxyglucose (FDG) uptake on positron emission tomography (PET), making diagnosis and management challenging. We report the case of a 74-year-old Caucasian woman with a remote five-year smoking history and a strong family history of lung cancer who was followed for a persistent right upper lobe ground-glass pulmonary nodule. Despite gradual enlargement, PET imaging performed seven years later demonstrated no significant FDG uptake. Serial computed tomography (CT) scans over the following years showed slow progression from a pure ground-glass nodule to a mixed ground-glass …

Staff Education To Strengthen Patient Counseling For Recurrent Uti Prevention In Middle-Aged And Older Women In A Low-Income Community Clinic, Linda Osamede Isidienu

Walden Dissertations and Doctoral Studies

This doctor of nursing practice (DNP) project was a practice-focused quality improvement (QI) staff education initiative designed to address recurrent urinary tract infections (UTIs) among middle-aged and older women receiving care in a low-income community clinic. Recurrent UTIs are associated with increased antibiotic use, antimicrobial resistance, and reduced quality of life. The purpose of this project was to evaluate whether a structured staff education program could improve provider knowledge related to patient counseling on UTI prevention. Twenty nurses and medical assistants participated in the intervention, which included education on evidence-based prevention strategies, counseling techniques for low health literacy populations, and …

Effective Strategies To Increase Employee Engagement Within Small And Medium Enterprise (Sme) Remote Workforces, Marion Catherine Hulse-Lawlor

Walden Dissertations and Doctoral Studies

The prevalence of remote work environments has created challenges for small and medium enterprise (SME) healthcare leaders who must sustain workforce productivity while increasing employee engagement. Declining employee engagement affects not only productivity but also organizational effectiveness and profitability. The purpose of this qualitative pragmatic inquiry research project was to identify and explore the effective strategies that some leaders of remote SME healthcare workforces use to improve employee engagement. Using engagement theory as the conceptual lens to guide the research project, six purposefully sampled United States business leaders who demonstrated successful engagement practices within remote SME healthcare workforces were studied. …

Re: Draft Final Butte Priority Soils Operable Unit Unreclaimed Sites Field Sampling And Investigation Plan: Ur-41 – Montana Street And Interstate-90, Mike Mcanulty

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Re: Draft Final Butte Priority Soils Operable Unit Unreclaimed Sites Field Sampling And Investigation Plan: Ur-53 – South Of Surprise Dump, Mike Mcanulty

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Microemulsion Eyedrop For Delivery Of A Pparα Agonist To Improve Diabetic Keratopathy Corneal Wound Healing., Ehsan Kaffash, Wentao Liang, Rudra Pangeni, Joseph M Clayton, Tianyi Li, Sagun Poudel, Shiya Han, Long Zhao, Jian-Xing Ma, Qingguo Xu

PCOM Scholarly Works

Diabetic keratopathy (DK) is characterized by delayed corneal wound healing in diabetes, and recent studies have linked this defect to impaired mitochondrial respiration and reduced peroxisome proliferator-activated receptor-α (PPARα) signaling in the corneal epithelium. The PPARα agonist fenofibrate (Feno) has shown therapeutic potential in diabetic corneal disease, but prior topical and oral approaches still face formulation and translational limitations. In this study, we developed a Feno-loaded microemulsion (Feno microemulsion) eyedrop to improve drug solubility, precorneal residence, and ocular bioavailability of Feno for the treatment of DK. Potential excipients were first screened in primary human corneal epithelial cells (HCECs) to identify …

Operational Resilience In Cubesat Tracking Operations Through Complementary Architectures At Dss-17, Andrea Togni, Emily Walter, Chloe Hart, Ryan Collins, Noah Patrick, Christo Smith, Nathan Fite, Benjamin Malphrus, Marc Sanchez-Net

Small Satellite Conference

Loss of phase-locked loop (PLL) lock during CubeSat tracking can simultaneously eliminate both telemetry and Doppler observables, leaving operators blind during critical mission phases. While closed-loop receivers provide high-precision tracking under nominal conditions, they remain vulnerable to low signal-to-noise ratio, rapid Doppler dynamics, oscillator instability, and modeling errors. This single-point failure mode reduces operator situational awareness precisely when it is most needed. This work presents a dual-acquisition architecture that eliminates single point failure in CubeSat ground tracking. Implemented at DSS-17, Morehead State University's 21-meter deep-space antenna, the system pairs a conventional closed-loop modem with a parallel open-loop receiver implemented on …

Catarina-A2: A Cubesat-Based Approach To Environmental Data Collection Using Sdr Technology In The Catarina Constellation, Gabriel Mariano Marcelino, Carlos Augusto Porto Freitas, Carlos Eduardo Possamai, Heitor Azuma Kagueiama, Elço João Dos Santos Junior, Flávio Gabriel Oliveira Barbosa, Paulo Alberto Macedo Vieira Violada

Small Satellite Conference

The Catarina Constellation is a Brazilian small-satellite initiative conceived to expand and modernize national space-based services through low-cost, scalable, and application-oriented CubeSat missions. Structured into mission-specific fleets, the constellation is designed to address strategic national needs while simultaneously fostering technological development and industrial capability within Brazil. Its first fleet is dedicated to environmental data collection, supporting governmental agencies and research institutions that rely on timely and reliable information for environmental monitoring, water resource management, and agricultural planning. Within this context, the Catarina-A2 mission represents a key step in the deployment of the constellation’s environmental data collection segment. Catarina-A2 is a …

Sexual Harassment In Dentistry: Understanding The Issue And Steps To Prevent It From Happening

Journal IDA

The #MeToo Movement in 2017 shone a light on how widespread sexual abuse and sexual harassment were in the workplace.1 A survey completed in 2020 reported that 38 percent of women experienced different forms of sexual harassment in the workplace, while approximately 15 percent of men reported similar experiences.2 The data indicate, that sexual harassment was not unique to women as men, as well as nonbinary people also reported facing sexual harassment.

Radiation Safety In Dental Offices: Where Do We Stand In 2025?

Journal IDA

Dental x-rays were first invented in 1896.1 Dr. Otto Walkhoff, a German dentist, who is credited with taking the first dental radiograph, used himself as the subject and required a 25-minute exposure time for that first blurry radiographic image to be seen.

An Annotated Walkthrough Of Dental And Dental Hygiene Professional Oaths

Journal IDA

Most of the information contained in this article was taken using AI search engines. It is meant to be a refresher for dentists and dental hygienists as it relates to the oaths we took when we graduated from our training programs. It is also meant to be an opportunity for practitioners to reflect on their journeys since graduation as to have true they stayed to the oaths that they took. Dental assistants are not required to take a professional oath in Indiana.

Protecting Dentistry’S Ethics: Ida’S Peer Review Program

Journal IDA

All members of the dental profession are responsible for protecting the Principles of Ethics: Autonomy, Nonmaleficence, Beneficence, Justice and Veracity. Peer Review is:

• A dispute resolution program.
• Available to all Indiana patients.
• A resource for disputes for both IDA members and non-members.
• Part of what makes dentistry a profession.
• Voluntary for the subject dentist regarding participation.
• Initiated by patient complaints onlNot permitted to have findings entered as evidence in court.
• Not disclosed as part of dental license renewal.

When a patient submits a request for mediation, the complaint involves an alleged violation of at least one of the Principles …

Ethical Considerations In Cosmetic Dentistry

Journal IDA

Dentistry is both an art and a science. Patient care revolves around treatment for pain, missing teeth while also ensuring that appearances or the esthetic outcomes are maintained or enhanced. These two facets are not contradictory, but are intertwined for optimal, complete and customizable care for each patient. Dentists are often faced with requests from patients for a stereotypical “perfect” smile, which includes perfectly aligned teeth that are white in color resembling the image commonly conveyed by the media. As clinicians, we respond in our own way to these increasingly demanding esthetic demands. Some specialize in developing “esthetic” treatments; others …

Overview Of Indiana Health Records Law

Journal IDA

Inquires regarding the use, access, ownership, retention and disposal of health records have ranked in the top three questions from dentists, dental offices and patients over the last 25 years. As every dental office has dental health records, it is important to understand the legal and professional liability implications for properly handling and safeguarding records.