Digital Commons Network^™

Factors Influencing Secondary Traumatic Stress In Neonatal Intensive Care Unit Nurses, Heemoon Lim, Hyejung Lee

Biennial Convention (CONV)

Secondary traumatic stress is a significant occupational hazard for healthcare providers, particularly neonatal intensive care unit nurses, who are frequently exposed to traumatic events while caring for newborns and managing the emotional distress of the newborns’ families. This study aimed to assess the prevalence of secondary traumatic stress among neonatal intensive care unit nurses, identify its influencing factors.

This cross-sectional study recruited 131 neonatal intensive care unit nurses from 22 hospitals in South Korea using convenience sampling. Among them, 13 nurses were selected for qualitative interviews through purposive sampling. Data were collected via an e-survey and in-depth interviews from August …

The Patient Violence Framework, Laura Graham, Jennifer Bail

Biennial Convention (CONV)

Patient Violence against nurses is a widespread problem resulting in both emotional and physical injury to the nurse. Emergency Department (ED) nurses are at an increased risk due to the volume and variety of the patients they serve, and the general chaotic environment of the ED; however, little research has been done examining the characteristics of patients who offend and the physical environment of the ED where the event happened. The aim of this three-article dissertation was to develop a more thorough understanding of the personal attributes (endogenous) of the individual patient and external (exogenous) factors of the ED setting …

Beyond Static Models - A Framework For Evaluating Dynamic Ml Approaches In Heart Failure Risk Prediction, Mohammad Arif Ul Islam

Theses

Heart failure remains a pressing global health challenge, affecting approximately 64 million people and incurring annual healthcare costs of $108 billion, driven by high readmission rates and delayed interventions. Current risk prediction models predominantly rely on static machine learning approaches, utilizing fixed datasets that fail to adapt to the evolving nature of patient health. This limitation results in outdated risk assessments, hindering timely clinical responses and worsening patient outcomes and resource efficiencies. This research addresses a fundamental methodological gap by developing and validating a chunk-based ensemble framework that enables researchers to evaluate dynamic machine learning potential using readily available static …

In Their Own Voice: A Grounded Theory On Overcoming Internet Gaming Disorder, Jayson Carmona

Theses and Dissertations

Internet Gaming Disorder (IGD) is highly comorbid with depression, anxiety, sleep loss, lower productivity, and social isolation. The DSM-5 TR designates IGD as a condition for further study, however the ICD-11 has designed Gaming Disorder as a codified illness. While most studies look at IGD via a medical model lens focusing almost exclusively on symptomology, very little research explores the process of recovery in IGD. In this grounded theory inquiry, a theory of recovery from IGD is generated. Secondary internet data consisted of 113 posts on the subreddit /r/StopGaming on reddit.com. This resulted in 196 pages of data. Researcher used …

Adolescent Children’S Risk Of Long Covid-19 Syndrome Based On Diet And Demographic Factors From An Online Survey, Christopher Waskewich

Journal of Social, Behavioral, and Health Sciences

Limited information is available on how coronavirus disease 2019 (COVID-19) has [JG1] affected adolescents regarding long-term health risks. This quantitative study focused on the effect of U.S. adolescents’ daily diet, race/ethnicity, levels of income, family level of education, access to health care, age, and comorbidities on the risks of long COVID-19 syndrome. I used the constructs of the health belief model to understand the impact of those variables. The online survey results (N = 298) found that adolescents whose daily vegetable consumption was more than daily recommendations (2–3 cups) had a lower odds ratio of having long COVID-19 syndrome …

Conservative Vs Invasive Interventions For Temporomandibular Disorders–An Executive Summary Of The Clinical Practice Guideline, Gary D. Klasser, Charles S. Greene

School of Dentistry Faculty Publications

This guideline is based on the International Association for Dental, Oral, and Craniofacial Research (IADR) list of keypoints for the diagnosis and management of TMDs. Clinical Question: Are conservative reversible therapies more effective for TMDs as compared to invasive and irreversible interventions?

Predictors Of Sexual Violence Prevalence At U.S. Colleges And Universities, Theodore Daniel Hostikka

Walden Dissertations and Doctoral Studies

This research explored the prevalence of sexual harassment and assault among students at U.S. colleges and universities, aiming to quantify incident rates and assess their impact on academic and psychological well-being. Grounded in socioecological and intersectional theories, the research examined how environmental interactions and interconnected social identities shape individual experiences. Specifically, this research explored (a) the link between the percentage of female students and the prevalence of sexual violence on campuses; (b) how the proportion of first-generation students relates to sexual violence prevalence; (c) the connection between campus size and rates of sexual violence; and (d) whether gender makeup, first-year …

The Effectiveness Of Telemedicine As A Pivotal Tool In Providing Accessible Medical Care, Peyton Wilt

Honors Theses

Telemedicine has emerged as one of the most transformative innovations in modern healthcare, offering new opportunities to bridge long-standing gaps in access, quality, and continuity of care. Rural and underserved communities in the United States face persistent barriers to healthcare, including provider shortages, geographic isolation, limited access to specialty services, transportation challenges, and socioeconomic disparities. These structural barriers often delay diagnosis, disrupt chronic disease management, and worsen overall health outcomes. Telemedicine provides a mechanism to address many of these obstacles by enabling remote consultations, real-time monitoring, follow-up appointments, and access to specialty providers through digital platforms.

This thesis examines the …

The Need To Incorporate Polysubstance Use In Neuropsychopharmacology Research: Biological Lessons And New Opportunities, Max E. Joffe, Susan M. Ferguson, Nick W. Gilpin, Melissa A. Herman, Lori A. Knackstedt, Patrick A. Randall, Abigail G. Schindler, Mary M. Torregrossa, Jennifer A. Rinker

School of Medicine Faculty Publications

Critical evaluation and refinement of animal models is essential for neuroscientists to understand complex physiological and pathological processes related to psychiatric diseases. In general, preclinical studies modeling drug dependence and problematic substance use have been limited to the administration of a single substance; however, there is a growing appreciation that this approach has failed to capture the complexities of humans and has stifled translational efforts. Polysubstance use represents the overwhelmingly common patterns of alcohol and drug use in humans. For example, epidemiological studies generally determine that between 70–95 % of individuals with alcohol use disorder use tobacco daily, and upwards …

Taking From The Most Vulnerable: Legal Implications Of Seizing Federal Benefits From Foster Kids, Lucy Johnston-Walsh

Seton Hall Law Review

No abstract provided.

The Parent Caregiving Experience Of School-Aged Children With Cancer, Sofia Flowers

Biennial Convention (CONV)

In 2023, roughly 9,000 children less than 15 years of age were diagnosed with cancer in the United States. This suggests that approximately 18,000 parents were caring for a child newly diagnosed with cancer. In this informal caregiving role, parents’ roles double as both parent to their child and serving as their healthcare advocate. Studying the parent caregiving perspective can provide valuable insights for the professional health care team to guide their practice. The purpose of this project was to characterize the symptom management and caregiving experiences of parents of school-aged children diagnosed with cancer. The project was a secondary …

Evaluating The Impact Of Educational Materials On Mental Health Using Smartphones, Christine L. Hober

Biennial Convention (CONV)

The purpose of this quality improvement project is to explore the impact of smartphone use on mental health issues and evaluate the effectiveness of educational emails with infographics designed to manage smartphone-related issues.

Specifically, the study aims to determine how different levels of smartphone engagement influence the mental health outcomes of sleep disturbances, anxiety, headaches, depression and overall well-being in adult women.

The background for this study is rooted in existing research that links excessive smartphone use to negative mental health outcomes, such as increased anxiety and depression (Twenge & Campbell, 2018). Despite growing concerns about these impacts, there is …

Conceptions Of Indigenous Child Development: Perspective Of Families And Health Professionals, Francisca Marquez-Doren, Camila Lucchini-Raies, Marcela Gonzalez-Aguero, Angelica Farías-Cancino

Biennial Convention (CONV)

Introduction. The factors that deprive children of their rights are well known, and one of them is their belonging to indigenous peoples. Indigenous children in their early childhood are exposed to greater social inequalities, as they are born and develop in more unfavorable living conditions (Alarcón Muñoz et al., 2021; Pyerín & Weinstein, 2015). The percentage of poverty, deficits in education, social security and work is higher in indigenous early childhood (Pyerín & Weinstein, 2015). In Chile, children belonging to indigenous peoples account for around 14% of the population between 0 and 9 years of age, with the Mapuche, Aymara …

Reducing Moral Distress Through Improved Interprofessional Collaboration In End-Of-Life Care, Marissa Teresa Perino

Biennial Convention (CONV)

Inadequate interdisciplinary collaboration in end-of-life care can result in moral distress among nurses, reflecting conflicts between core nursing values and physician expectations. This quality improvement project seeks to reduce moral distress by enhancing collaboration between physicians and nurses in providing end-of-life care in a defined microsystem on the Transitional Care Unit (TCU). A pre-survey of registered nurses (RNs) revealed that moral distress occurs when caring for actively dying patients, regardless of their code status. Nurses identified a need for improved communication with physicians to facilitate timely implementation of comfort medication order sets and better address the palliative needs of these …

Huddle Up! A Quality Improvement Project To Improve Discharge Length Of Stay, Joshua S. Monsivais

Biennial Convention (CONV)

Prolonged discharge patient encounter length of stay (LOS) in emergency departments (ED) contributes to overcrowding, delayed care, and increased costs. This Quality Improvement (QI) project was initiated at a community, 42-bed Emergency Department that services approximately 75,000 patients annually to address the baseline average discharge LOS of 294 minutes from January 2024 - August 2024. The organizational goal for these discharged patients sits at 165 minutes. The project’s aim was to reduce discharge LOS by implementing structured TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety) huddles to enhance communication, optimize patient flow, and improve throughput efficiency.

This …

Reducing The Strain On Emergency Medical Services: A Rural Community Nursing Intervention, Nikoli Yudin, Daniel Evoy, Cameron Kiersch, Robin Haugh

Biennial Convention (CONV)

Introduction: Community nursing serves as an alternative healthcare model aimed to enhance access to care for patients who are Medicare beneficiaries in rural areas and have a chronic medical condition. Timely access to healthcare is essential to prevent frequent emergency department (ED) visits and hospitalization.

Background: Over 80% of Medicare beneficiaries manage at least one chronic illness while 68% manage two or more. Populations in rural areas face significant barriers to healthcare access including provider shortages and geographic isolation. The community nursing intervention reduces ED visits and hospital admissions for Medicare patients with chronic disease in rural settings.

Methods: A …

The Effect Of Triaging Educational Training Program On Triaging Knowledge Self Efficacy And Accuracy, Sawsan Falatah, Janice Hawkins, Craig Cunningham

Biennial Convention (CONV)

Inaccurate triage decisions can also lead to increased length of patient stays in the emergency department, increased rehospitalizations, and increased risk of mortality, all of which are quality of care indicators. Anecdotal evidence from the emergency department leadership, however, suggests that inaccurate triaging decisions are being made. In addition, 60 percent of a limited sample of 30 charts that were recently reviewed contained inaccurate triaging decisions. The accuracy of these triaging decisions has not been systematically evaluated at our facility. Triaging educational training programs that include systematic audits of triaging decisions have been shown to improve the sustained accuracy of …

Nurses' Perceptions On Cyber Risk Disclosure To Cied Patients: Right To Know, Safety, And Well-Being, Leanne Torgersen, Stefan M. Schulz

Biennial Convention (CONV)

Subject Population: Nurses will be invited to participate in an online questionnaire to understand their perceptions of 1) whether cyber risk language should be included in informed consents, 2) what perceived barriers exist when communicating cyber risks to patients (people, process and/or policy); 3) how can nursing facilitate solutions in supporting patient advocacy, improving nursing practice standards, and influencing policy change.

Research Design: This cross-sectional convergent parallel mixed-methods research design incorporates a hermeneutical approach for the qualitative assessment. The objective is to understand how nurses view the relationship between advocating for patients’ right to know, ethical adherence in patient care, …

An Integrative Review Of Telehealth For Rural Veterans, Olivia Palczewski, Mary Clare K. Houlihan

Biennial Convention (CONV)

Introduction: Telehealth may be a sustainable healthcare delivery option for rural veterans as it allows for increased access to services and can lead to improved healthcare outcomes; however, the use of telehealth in this population is understudied.¹ Accordingly, the purpose of this integrative review was to analyze the barriers, outcomes, and effectiveness of telehealth for rural veterans. Levesque’s Patient-Centered Access to Health Care Framework guided this review as it considers supply-side and demand-side dimensions that influence how individuals access healthcare.²

Methods: A comprehensive literature search was performed in the PubMed and Scopus databases. The framework outlined in Whittemore …

Statistical Validation Of The Microplate Reader For Antioxidant Activity Measurement Using The Dpph Assay, Rismawati Rismawati, Dikdik Kurnia, Ersanda Hafiz, Muhammad Ihda H. L. Zein

Chimica et Natura Acta

Antioxidants research has been garnering increased interest among researchers, particularly in the fields of medicine and health, focusing on both natural and synthetic antioxidants. The DPPH method is the most used approach for antioxidant analysis due to its efficiency, simplicity, and accuracy. This study aims to validate the sensitivity of the microplate reader compared to UV-Vis spectrophotometer, both used for measuring absorbance in the DPPH antioxidant test. The samples used in this study include ascorbic acid, gallic acid, and quercetin standards. Statistical validation in the DPPH antioxidant test includes precision testing, T-test, and % recovery test. Based on the statistically …

Potential Of Chitosan-Encapsulated Mango Leaf Extract Oemulsion As Fruit Packaging, Panji Setya Utama Putra, Damar Rastri Adhika, Lia Amelia Tresna Wulan Asri

Chimica et Natura Acta

Fruits have a relatively short shelf life. One of the extensively researched preservation methods for fruits is edible coating. Edible coating is a method of coating food products with a polymer layer. Considering the environmental and sustainability aspects, edible coatings were synthesized from biodegradable polymers derived from polysaccharides. Chitosan is a widely developed and researched type of biopolymer due to its antimicrobial activity. In addition to antimicrobial activity, antioxidant properties are important in food packaging applications. Mango leaves (Mangifera indica L.) contain various secondary metabolites that play a role in antioxidant activity, such as mangiferin, gallic acid, flavonoids, and gallotanin. …

Exploring The Synergistic Effect Of Curcumin On Gelatin Films For Real-Time Pork Freshness Assessment, Risna Erni Yati Adu, Gebhardus Djugian Gelyaman, Kristoforus Wilson Kia, Emirensiana Oki, Maria Desi Silab, Angelina Knaofmone

Chimica et Natura Acta

A smart film based on hydromethanol-curcumin has been developed as a freshness detector for local packaged pork. It was fabricated using solution casting method by varying the curcumin content to determine its effect on the chemical, physical, mechanical and functional characteristics of the film. Film characteristics were determined using colorimeter, TGA, FTIR, SEM and bioactivity assay. Film response was analyzed in different pH buffer solutions, different acid base media and pork samples during the storage period. Film characteristics such as antioxidant, antibacterial activity and surface color was improved by increasing curcumin concentration. On the other hand, mechanical dan physicochemical characteristics …

Circulating Tumor Dna Refines Risk Stratification Of Neoadjuvant Therapy-Resistant Breast Tumors, Mark Jesus M Magbanua, Nayelis A Manon, Denise M Wolf, Samuel Rivero-Hinojosa, Ziad Ahmed, Rosalyn W Sayaman, Antony Tin, Derrick Renner, Ekaterina Kalashnikova, Lamorna Brown-Swigart, Gillian L Hirst, Christina Yau, Wen Li, Claudine Isaacs, Rebecca A Shatsky, Amy S Clark, Alexandra Zimmer, Amy L Delson, Angel Rodriguez, Minetta C Liu, Paula R Pohlmann, Laura J Esserman, Hope S Rugo, Angela Demichele, Laura Van 'T Veer

Faculty, Staff and Student Publications

Early-stage breast cancers resistant to neoadjuvant therapy (NAT), characterized by high residual cancer burden (RCB) after treatment, have an increased risk of metastatic recurrence. Here, we show that circulating tumor DNA (ctDNA) detected using a tumor-informed test (1) can improve risk stratification of patients with NAT-resistant tumors (RCB-II/RCB-III) and (2) predict response to NAT. Stratification using ctDNA status at pretreatment or post-NAT and ctDNA dynamics identified NAT-resistant tumors with a significantly decreased risk of metastatic recurrence. ctDNA clearance as early as week 3 across receptor subtypes predicted favorable responses to NAT, including immunotherapies. Interestingly, less than a fifth of patients …

Single Cell Spatial Profiling Of The Matrisome Identifies Region-Specific Adhesion And Signaling Networks In Glioblastoma, Arpan De, Santiago A Forero, Ali Pirani, John E Morales, Marisol De La Fuente-Granada, Sumod Sebastian, Jason T Huse, Leomar Y Ballester, Jeffrey S Weinberg, Frederick F Lang, Kadir C Akdemir, Joseph H Mccarty

Faculty, Staff and Student Publications

The human brain contains a milieu of extracellular matrix (ECM) components that promote normal development and physiology. ECM signaling pathways are often dysregulated in brain pathologies including the malignant cancer glioblastoma (GBM). Here, we used single-cell spatial transcriptomic platforms to map the expression of nearly 400 ECM genes in matching non-cancerous brain and GBM samples. At least four different GBM cell populations have been identified that show unique ECM expression profiles and spatial enrichment in distinct intratumor regions. Spatial mapping demonstrates largely non-overlapping expression signatures of ECM components in GBM stromal cell types, particularly in vascular endothelial cells and microglia/macrophages. …

Friends Of Wheeler Home, Project Correspondence, Milly Wright

Correspondence

Correspondence between Milly (with unlisted last name but likely to be Wright based on other collection contents) and William Lindsey McDonald concerning her gratitude for his support of the Wheeler Home restoration project.

Transcription

[page 1]

Card Front

[page 2]

28 Sandra Lane

Athens, AL 35611

January 8, 1996

Dear Bill,

How can I begin to thank you for the stalwart support that you have given me during these many years that we have struggled to get the Wheeler project moving? Your constancy and commitment are an inspiration to all of us.

As we move to a different level of …

An Exploratory Evaluation Of The Kalamazoo River Watershed Council: Assessing Organizational Impact And Value, Alexander Mendez

Honors Theses

The Kalamazoo River Watershed Council (KRWC) plays a central role in protecting, restoring, and promoting the long-term health of the Kalamazoo River watershed, a geographically expansive and ecologically complex system facing persistent challenges from legacy contamination, nonpoint source pollution, land-use pressures, and inequitable access to watershed resources. This honors thesis presents an exploratory organizational evaluation of the KRWC, assessing its role and relevance within the watershed, the effectiveness of its programs and partnerships, the strengths and limitations of its governance structure, and opportunities to strengthen its long-term sustainability and impact.

Guided by principles of Practical Participatory Evaluation (PP-E) and Fourth …

Glycoside Hydrolase-Mediated Glucomannan Catabolism In Segatella Copri, A Target Of Microbiota-Directed Foods For Malnourished Children, Cyrus Zhou, Matthew C Hibberd, Evan M Lee, Suzanne Henrissat, Marie A Crane, Jiye Cheng, Michael J Barratt, Jeffrey I Gordon, Et Al.

2020-Current year OA Pubs

Evidence is emerging that perturbed postnatal gut microbiota development is causally related to childhood undernutrition. Clinical trials in undernourished Bangladeshi children found that a polysaccharide-rich, microbiota-directed complementary food (MDCF-2) designed to repair this perturbation produced superior ponderal and linear growth compared to a standard ready-to-use supplementary food. Subsequent analyses disclosed several candidate bioactive polysaccharides in the MDCF and their bacterial targets, notably strains of

Camidanlumab Tesirine For Relapsed Or Refractory Classic Hodgkin Lymphoma: A Phase 2 Study, Alex F Herrera, Nancy L Bartlett, Et Al.

2020-Current year OA Pubs

Outcomes in classic Hodgkin lymphoma (cHL) have steadily improved; however, additional therapies are needed for patients who relapse or do not respond to novel agents. Here, we report the efficacy and safety of camidanlumab tesirine (Cami), an anti-CD25 antibody-drug conjugate, in patients with relapsed/refractory cHL after brentuximab vedotin/programmed cell death protein 1 inhibitor therapies from the phase 2 ADCT-301-201 study. Eligible patients were adults with cHL who had received ≥3 previous lines of systemic therapy (or ≥2 if ineligible for hematopoietic stem cell transplant). Patients received 45 μg/kg Cami (IV, once every 3 weeks) in cycles 1 to 2, followed …

Behavioral Health Interventions For Pediatric Acute Lymphoblastic Leukemia: A Scoping Review, Carolyn R. Bates, Sydney M. Gibson, Peter R. Johnson, Sarah L. Hunt, Patrick Dyjak, Courtney A. Gibson, Christina M. Sharkey, Kimberly L. Klages

Student Publications

Background: Acute Lymphoblastic Leukemia (ALL) is the most common pediatric cancer, with significant advancements in treatment leading to over 90% five-year event-free survival rates in developed countries. However, disruptions in health behaviors during treatment, such as diet, activity, and sleep, can negatively impact treatment tolerance and increase risks of late effects. This scoping review aimed to assess the breadth of existing behavioral health interventions designed to improve immediate and long-term health outcomes for children and adolescents receiving treatment for ALL.

Method: The review focused on behavioral interventions for children (ages 2-18 years) undergoing active treatment for ALL. We followed the …

515-517 West 171st Street Llc V. Sequin

All Decisions

A landlord initiated a licensee holdover proceeding. The tenant, son of the former rent-controlled tenant, moved for summary judgment on his succession defense, claiming he primarily resided with his deceased father. The court granted the tenant's motion, finding sufficient evidence of co-residency for the statutory period, even considering the father's time in a nursing home before death. The landlord failed to raise material issues of fact, and the petition was dismissed, establishing the tenant's right to succeed to the rent-controlled tenancy.