Digital Commons Network^™

Sexually Transmitted Infections And Screening: An Educational, Evidence-Based, Quality Improvement Bundle, Misty D. White

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: With sexually transmitted diseases on the rise in central Texas, advance practice providers were not following evidence-based practice recommendations for sexually transmitted infection screening, treatment, and follow-up. Screening for sexually transmitted diseases occurred at a rate of less than one patient every 7.75 days.

Objective: The objective of this project was to develop and implement an advanced practice provider training tool to educate the clinic providers on sexually transmitted infections, collect pre- and post-data for the educational sexually transmitted infection bundle, and collect sexually transmitted infection screening, identification, treatment, and follow-up data generated by the clinic advanced practice providers …

Implementing An Antibiotic Stewardship Bundle In An Urgent Care Center, Christianah Ogunleye

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Inappropriate antibiotic prescribing for upper respiratory infections (URIs) remains a major contributor to antimicrobial resistance, adverse drug events, and unnecessary healthcare costs, particularly in urgent care settings characterized by high patient volume and rapid clinical decision-making. The purpose of this quality improvement project was to implement and evaluate a multifaceted antibiotic stewardship program aimed at improving evidence-based antibiotic prescribing practices for URIs in an urgent care setting. A bundled intervention was implemented that included provider education, evidence-based clinical decision guidelines, patient education materials, and audit-and-feedback strategies. Pre- and post-intervention data were collected and analyzed to assess changes in antibiotic prescribing …

Improving Colorectal Cancer Screening Adherence, Albin Abraham

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background

As the second leading cause of cancer-related deaths in the United States, colorectal cancer (CRC) is a prevalent but highly preventable form of cancer (American Cancer Society National Colorectal Cancer Roundtable [ACSNCCR], 2026; Maratt et al., 2024). Screening for CRC is fundamental to prevention and early detection. Despite advances in screening measures, CRC screenings remain suboptimal (Tonini & Zanni, 2024). In the US, more than one in three adults 45 years or older are not screened as recommended (ACSNCCR, 2026).

Purpose

As a safety-net county health network primarily serving the under-resourced population, the organization is uniquely positioned to impact …

Implementing A Nurse-Led Multimodal Pain Management Toolkit To Enhance Recovery After Outpatient Urologic Surgery, Danielle Cirlos-Valles

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Purpose To evaluate the impact of a nurse-led multimodal postoperative pain management toolkit on recovery outcomes among adults undergoing same-day urologic surgery.

Design Quality improvement project using a pre–post implementation design in an outpatient perioperative setting.

Methods An evidence-based toolkit grounded in Enhanced Recovery After Surgery (ERAS) principles was implemented over eight weeks, incorporating scheduled non-opioid analgesics, nonpharmacologic strategies (thermal therapy, guided breathing, early mobilization), standardized patient education, and 24-hour follow-up calls. Outcomes included Visual Analog Scale (VAS) pain scores at discharge and 24 hours, escalation pathway utilization, and nurse knowledge competency. Descriptive statistics and paired t tests were used. …

Implementing An Anxiety Management Bundle In Long-Term Nursing Facilities, Sundan G. Bryson

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

There is currently a gap in accurate screening and treatment of anxiety in Long-Term Care (LTC) nursing facilities. The question for this quality improvement project was: Will implementing interventions for long-term care residents aged 65 and older improve anxiety screening, non-pharmacological interventions, and mental health referrals by 10% compared to current practices? Interventions to enhance anxiety screening included the Geriatric Anxiety Scale-Long Term Care (GAS-LTC) tool to assess and score anxiety. In addition, a Non-Pharmacological Intervention (Non-PI) tool was created to evaluate interventions performed by facility staff. Referrals to the mental health care provider were submitted if a resident scored …

Tiny Heart Bundle Qi Project: 3d Modeling To Improve Care Of Cardiac Nicu Patients, Stacy Ranee Harris

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background—Infants with congenital heart disease (CHD) are being care for in the neonatal intensive care unit (NICU) by increasing numbers of novice nurses. Understanding complex cardiac anatomy is imperative to novice nurses’ readiness to care. Parents of infants with CHD may not understand their child’s anatomy, which impacts many facets of their care.

Purpose— The purpose of this quality improvement (QI) project was to determine if education, including 3D heart models improved novice nurse readiness to care for NICU patients with CHD and if parental understanding improves after receiving education with 3D heart models.

Methods— This was a plan-do-study-act (PDSA) …

The Unspoken Workweek: Understanding The Impact Of Menstruation On Work Experiences, Cherie Kuriakose

Psychology Theses

Menstruation remains an underrecognized factor in workplace well-being, despite affecting a large portion of the workforce. Existing research shows significant gaps in understanding employees’ lived experiences and organizational responses. This qualitative study aims to explore how menstruation influences work life, productivity, and perceptions of support within U.S. workplaces. Thirty menstruating employees were recruited using convenience and purposive sampling to participate in semi-structured virtual interviews, and data were analyzed thematically, guided by grounded theory principles. Findings revealed three central themes: (a) stigma and non-disclosure, shaped by internalized norms and workplace culture; (b) invisible effort and struggles that impact work, including productivity, …

Data-Driven Prediction Of Concrete Bridge Deck Corrosion Using Ground Penetrating Radar (Gpr), Nafisa Shafiullah

Civil Engineering Theses

Corrosion detection remains a crucial factor in the proper maintenance of Reinforced Concrete (RC) structures. While several studies have used Ground Penetrating Radar (GPR) for corrosion detection, quantitative models for prediction are still limited. This study presents an approach for the quantitative prediction of rebar corrosion in concrete using GPR data obtained from a prior experimental program involving accelerated corrosion. A total of 36 RC samples were cast, varying in cover depth, rebar diameter, and concrete porosity. The samples were subjected to an impressed current of 0.65 A in a 5% NaCl solution over three phases: 10, 20, and 30 …

The Evolution Of News Language In The Digital Age: A Comparative Analysis Of 1996-97 And 2023-24, Keenan Wallace

Theses & ETDs

This paper examines linguistic changes in mainstream written news media in the United States. We compare subjectivity, formality, lexical diversity, and reading complexity from 1996- 97 to 2023-24 across five local and national news publications; the New York Times, LA Times, Washington Post, Hartford Courant, and Chicago Tribune, to determine if there has been a shift towards simpler, more subjective, and less formal language in accordance with the familiarization and potential preference of the audience to shorter, more casual forms of news media prevailing online. We use comparative tests, linear models, and linear mixed models to examine changes in the …

Charting The Distinct Rights Of Sea Workers In European Waters : A Focus On Decent Working Time, María Carrera-Arce, Raphael Baumler, Laura Carballo, Bikram Singh Bhatia

Reports

The document contains three distinct reports:

• The Report 1 ‘Social rights of sea workers in European waters – A Legal study’ discusses sea workers labour regulations in Europe, including cross-sectoral and sector-specific instruments. (pp. 13-68)

• The core of Report 2 ‘Ensuring decent working time for the future – Seafarers under EEA and non-EEA flags’ analyses flags State working-time requirements in the EEA and selected non-EEA jurisdictions. (pp. 69-131)

• The Report 3 ‘A working time comparative analysis – Examples of labour gaps between sea and land workers’ explores in depth working time between sea workers and other occupational …

Capacity-Building Project To Progress The Implementation Of International Instruments To Combat Iuu Fishing (Capfish) : Summer Academy: West Africa, World Maritime University, Korea Maritime Institute, Ministry Of Oceans And Fisheries

Reports

The CAPFISH Project was created in response to an identified need for capacity-building to address illegal, unreported and unregulated (IUU) fishing and related matters - a complex problem affecting aquatic ecosystems, coastal communities, fishers and fish workers, and economic and national security. Over the last five years, the CAPFISH Project has provided training and educational materials on IUU fishing to developing country administrations around the world, most recently with a two-week regional Summer Academy for West Africa. This Academy ran for two weeks and included delegates from fisheries, maritime and enforcement agencies, industry, maritime training institutions, regional fisheries bodies, and …

Programming Macrophage Phenotypes And Promoting Ischemic Heart Repair With Precision Immunomodulatory Therapy, Jing Zhang

Dissertations and Theses

Despite significant advances in reperfusion and pharmacological therapies, effective strategies to modulate the post-infarction inflammatory response remain limited, leaving a critical gap in improving cardiac repair and long-term outcomes. Excessive or prolonged inflammation after myocardial infarction (MI) drives cardiac remodeling and fibrosis, impairing myocardial recovery and increasing the risk of heart failure (HF) or recurrent ischemic events. I hypothesize that appropriate immunomodulation after MI may reduce unwanted inflammation and improve heart function. Interleukin‑10 (IL‑10) is a pleiotropic immunomodulatory cytokine with therapeutic promise for limiting excessive inflammation and improving tissue repair in ischemic hearts. However, two translational barriers remain for applying …

After Hours, Faster Reperfusion: A Multidisciplinary Quality Improvement Initiative To Reduce Stemi Door-To-Balloon Time, Suhas Tatapudi, Aarohi Parikh, Jeffrey Lesser, Alexander Rhodes, M Daniel

Gulf Coast Division GME Research Day 2026

No abstract provided.

Another Gastric Band Complication: Acute Appendicitis, Dustin Williamson, Naveed Ismail, John Weaver

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.

Gritty Residents: Starting Residency With Resiliency, R Levi Sundermeyer, Brock Cardon

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.

Making The Most Out Of Advanced Directives: A Qi Project, Brissa Mundo-Santacruz, Joseph Freeze, Jesus Dorado, Nina Ball

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.

Communication's Effect On Consent, Spencer Hood, Anthony Carter, Kyle Jiganti, Jesse Hinckley

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.

Improving Sepsis Order Set Utilization Through Targeted Resident Education: A Lean Six Sigma Green Belt Quality Improvement Project, Sarah Sheikh, Puneeth Shridhar, Bushra Bangash, Valerie Chukelu, Tonya Meirhofer, Arunima Jose, Zainab Shakir, Shane Jenks, Augusto Sepulveda, Trung Nguyen, Rajeev Raghavan

Gulf Coast Division GME Research Day 2026

No abstract provided.

A Shocking Case Of Wolf Parkinson White (Wpw) Syndrome, Sarah Hendee, Bailey Reale, Tate Higgens, David Taylor, Dmitriy Scherbak

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.

Early Results Of Custom 3d Printed Midfoot Cage For Segmental Bone Loss, Morgan Shano, Jake Shulmister, Emma Kayal, Alan Ng, Brett Sachs, Ronnie Pollard

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.

Unwrapping The Candy Cane: An Underrecognized Cause Of Postoperative Abdominal Pain, Priscilla Itua, Uzma Ali, Mohammad Mahdi, Osamah Salim, Sarib Sultan

Gulf Coast Division GME Research Day 2026

No abstract provided.

Watery Diarrhea And Hypotension: A Missed Clue To Adrenal Crisis In A Patient With Addison's Disease, Wafa Mehboob, Umema Irfan, Keyaben Patel

Gulf Coast Division GME Research Day 2026

No abstract provided.

When Analgesia Is Contraindicated: Non-Pharmacologic Resolution Of Pain Enabling Rehabilitation Participation, Zane Shah, Anand Allam

Gulf Coast Division GME Research Day 2026

No abstract provided.

2026 Gulf Coast Division Gme Research Day Agenda, Hca Healthcare

Gulf Coast Division GME Research Day 2026

No abstract provided.

Disseminated Mycobacterium Avium Complex (Mac) Infection Presenting With Mycotic Aneurysm And Multisystem Involvement In A Patient With Newly Diagnosed Acquired Immunodeficiency Syndrome (Aids), Hannah Rector, Michael Haddad, Dmitriy Scherbak

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.

Necrotizing Sweet Syndrome In A Young Male: A Rare Clinical Mimic Of Necrotizing Fasciitis, Evan King, Rawad Radaa, Ryne Peters

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.

A Case Report: Successful Treatment Of Clot In Transit In The Ra And Rv, Venkata Kalyan Byrapogu, Garret D. Olsen, Rati Shirodkar, Brett Hiendylmayr, Pratik Saha

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.

Survival Following Extreme Metformin-Associated Lactic Acidosis In A Patient With Acute-On-Chronic Kidney Disease Managed With Crrt, Phil Khong, Danielle Sudilovsky, Logan Blackney, Ryan Spilman, Alex Enurah

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.

Case Reports: A 66-Year-Old Male With Severe Hypocalcemia In The Setting Of Metastatic Prostate Cancer And Denosumab Use, Danielle Sudilovsky, Marissa Patterson, Sophia Eschelbeck, Madeline Whitney, George Issa

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.

Advancements In Treating Stretch Marks In People Of Color: A Comprehensive Review Of Therapeutic Modalities, Hannah Chaudhury, Nicole York, Helen Chen, Michelle Tarbox

Gulf Coast Division GME Research Day 2026

No abstract provided.