Digital Commons Network^™

Bibbidi-Bobbidi No Boo-Boo Pulse-Oximeter: A Child-Friendly Prototype To Improve The Pediatric Experience, Holly Dickens

2025

INNOVATION & LEADERSHIP

Background: This prototype design project addresses the critical need to enhance pediatric patient comfort by reimagining common medical equipment to be child-friendly. A significant gap exists in pediatric device development, as most tools are repurposed from adult models and fail to consider the unique psychological, emotional, and developmental needs of children (Espinoza et al., 2020). Devices such as pulse oximeters, though essential in monitoring oxygenation and widely regarded as the “fifth vital sign” (Al-Beltagi et al., 2024), often cause distress for young patients. Traditional models feature intimidating adult-centric aesthetics, bright red sensor lights, and sticky wraps …

State Of California Cannabis Reporting, University Of Mississippi – National Center For Cannabis Research And Education

California

No abstract provided.

Some Like It Hot -Structural Changes In Extremophile Rubredoxin At 120 °C., Tzanko Doukov, Igor Leontyev, Francis E. Jenney, Dominic George, Stephen P Cramer

PCOM Scholarly Works

How does the structure of a protein change as the temperature is raised from cryogenic conditions at 100 K to 393 K? Understanding the structure and dynamics of proteins under environmental extremes is relevant for human health, biotechnological applications, and our search for life elsewhere in the universe. Here we reveal the high temperature crystal structure of a hyperthermophilic (Pyrococcus furiosus) rubredoxin at 393 K (120 °C), together with multiple complementary structures down to 100 K. The results are compared with molecular dynamics calculations. Significant changes in H-bonding are observed. Discussions about high-temperature protein structure and stability need to recognize …

A Geothermal Amoeba Sets A New Upper Temperature Limit For Eukaryotes, H Beryl Rappaport, Natalie A. Petek-Seoane, Tomáš Tyml, Felix Mikus, Kurt Labutti, Godwin Ani, Jessica K. Niblo, Ethan Macvicar, Rachel M. Shepherd, Ignacio De La Higuera, Samuel J. Lord, Kenneth M. Stedman, Multiple Additional Authors

Center for Life in Extreme Environments Publications

The study of temperature limits has transformed our knowledge of the boundaries of life but has been largely focused on bacteria and archaea. We isolated a novel geothermal amoeba, , that divides at 63°C (145.4°F), establishing a new record for the upper temperature limit across all eukaryotes. We demonstrated cellular proliferation with growth experiments and visualized mitosis expansion microscopy. Using high-temperature live-cell imaging, we quantified movement up to 64°C. We assembled the genome of and using comparative genomics found an enrichment of genes related to proteostasis, genome stability, and sensing the external environment. Taken together, our findings challenge the current …

Navigating The Future: Healthcare Professionals’ Perspectives On Cobot Integration In Hospitals, Amanda Spence, Kellie Patterson, Stephanie Rogers, Paige Merring, Wendy Bassett, Stephanie Roth, Sanaz Taherzadeh, Susan Smith Birkhoff, Briana Abernathy, Hannah Rackie, Erin Mitchell, Morgan Tallo

Biennial Convention (CONV)

There is growing interest in the implementation of delivery robots in healthcare, yet a lack of understanding remains regarding frontline clinicians’ views on the implementation of these robots. Limited research exists addressing the perceptions, attitudes, and experiences of staff following the integration of delivery robots into clinical practice. Gaining insight into staff perspectives is essential for the effective integration and optimization of robots in healthcare settings.

This study aims to explore the perceptions of healthcare workers after the implementation of delivery robots within a large tertiary care hospital setting.

Guided by Bowden’s feasibility framework, a mixed methods design with a …

Advanced Deep Neural Network Architectures For 3d Gait Assessment From Video In The Early Detection Of Alzheimers Disease, Abhishek Singh Kushwaha

Electronic Theses and Dissertations

This thesis presents an advanced deep learning framework for markerless 3D gait assessment using monocular video, aimed at the early detection of Alzheimer’s disease (AD). Recognizing gait abnormalities as potential preclinical biomarkers, the study leverages video-based human pose estimation to derive detailed spatiotemporal gait parameters without the need for specialized laboratory equipment. The proposed system adapts the MeTRAbs (Metric-Scale Truncation-Robust Heatmaps for Absolute 3D Human Pose Estimation) architecture to reconstruct metric-scale 3D human joint coordinates from RGB video recordings. A complete processing pipeline is developed to extract stride length, cadence, stance and swing phases, and gait variability, validated against the …

A Capital Idea? The Welfare Effects Of Relocating Indonesia’S Government To A New City, Alexander D. Rothenberg, Radine Rafols, Yao Wang, Yi Jiang

Center for Policy Research

Many developing countries are planning to create new capital cities, a place-making policy designed to alleviate congestion and respond to climate change. To evaluate growth and welfare effects, we specify a dynamic quantitative spatial model with public employment, informality, fiscal transfers, and frictions in trade and migration. We calibrate the model with data from Indonesia and conduct policy experiments studying the creation of Nusantara in East Kalimantan. Despite increasing employment in the new capital region, we find that building Nusantara reduces national growth and welfare. Climate change attenuates its negative welfare effects, but only slightly.

Healthlitpro™: Development Of An Ai Driven Audit & Feedback Tool For Organizational Health Literacy, Carol J. Howe, Yunhe Feng, Song Fu, Donger Chen, Lindsey Patton

2025

RESEARCH

Purpose: Organizational Health Literacy (OHL) refers to the ability of healthcare institutions to support patients and families to access, understand, and use health information. Nurses play a key role in OHL using evidence-based health literacy practices (i.e. plain language, teach-back, open-ended questions, chunking information, and three to five key points) when educating patient families. Yet, implementation is challenging. Audit and Feedback (A&F) is an implementation strategy for promoting fidelity to health literacy practices. Conventionally requiring expert human evaluations that are costly, labor-intensive, and difficult to scale.

Methods: HealthLit was trained using a dataset of simulated nurse-patient education …

Shorter Stays, Collaborative Care: Tackling Bronchiolitis Together, Alyssa Gestring, Sharmila Chowdary Kanuru

2025

QUALITY IMPROVEMENT

Background: Bronchiolitis is a leading cause of pediatric hospitalization. Despite American Academy of Pediatrics recommendations to reduce unnecessary care and costs, management variation persists. Modest reductions in length of stay (LOS) can meaningfully impact cost and hospital throughput. During our baseline period (Aug 2021-Dec 2022), our average LOS for bronchiolitis admissions was 51 hours, in comparison to 40.8 hours (1.7 days) for the 10th percentile of Children’s Hospital Association peer hospitals. Our aim was to reduce the average LOS of patients with uncomplicated bronchiolitis by 12 hours between January 2023 and the end of 2024, without increasing …

Building Confidence And Competence: Pediatric Early Immersion Tracks For Nursing Students, Candice Hogan, Sana Iqbal

2025

INNOVATION & LEADERSHIP

Background: Literature suggests nursing students often enter pediatric clinical settings with limited exposure, heightened anxiety, and minimal preparedness for the acuity and complexity of pediatric care. Many academic programs lack adequate pediatric clinical hours, leaving graduates underprepared for practice. To address this gap, a pediatric hospital created two education development tracks for pre-licensure nursing students to foster early immersion.

Implementation: Track one is a 10-week summer program for students who have completed at least one clinical rotation. Track two supports senior-level students to complete capstone clinical hours on the unit where they transition into Nurse …

The Development And Implementation Of On-Demand Nsqip Visualization Tools In A Pediatric Health System, Tess Davis, Karisa Price, Courtney Russ

2025

INNOVATION & LEADERSHIP

Background: Children’s Health System of Texas (CHST) is comprised of campuses in Dallas and Plano. Located thirty miles apart, the distance places a strain on communication within the enterprise. While Semiannual Reports (SARs) provide retrospective data, our surgeons frequently voiced a desire to visualize timely postoperative occurrences in an attempt to provide on-time interventions.

Implementation: Surgical Clinical Reviewers (SCRs) queried available resources including National Surgical Quality Improvement Program (NSQIP) surgeon champions, an otolaryngologist, and our perioperative data analyst. Each player brought a unique perspective and assisted in prioritizing metrics. As a team, the Tableau educational …

Walk The Talk: Elevating Quality One Step At A Time, Hayden Dutton, Jesse Castro, Maria Leal, Megan Mysliwiec

2025

QUALITY IMPROVEMENT

Background: The Clinical Quality Improvement Consultant (CQIC) role was established in 2023 for Acute Care Services (ACS) and Clinical Resource Teams (CRT). This role was developed to accurately track data and facilitate quality improvement initiatives. ACS includes acute pediatrics, renal, trauma, gastroenterology, pulmonary, neurology, integrated therapy, and observation units. CQICs performed a gap analysis which uncovered a lack of knowledge of current unit state and pro-active hospital acquired condition (HAC) data. In partnership with clinical leaders, a weekly Quality Leader Rounding (QLR) was created to address this, environmental state, and patient family education. The goal of QLR …

Innovation Curse: The Wastefulness Of Technologies Believed To Mitigate Climate Change, Minh Hoang Nguyen, Valoree Gagnon, Thanh Tu Tran, Thi Mai Anh Tran

Michigan Tech Publications

Technological innovations are increasingly promoted as solutions to climate change. However, many innovations, including Carbon Capture and Storage, bioplastics, and glacier geo-engineering, suffer significant limitations from high costs, speculative efficacy, and adverse ecological consequences. Using Granular Interaction Thinking Theory (GITT), a transdisciplinary framework grounded in information theory, quantum mechanics, and mindsponge theory, in this study, we explain how such technological innovations become systemically favored despite their flaws. We introduce the concept of the “innovation curse,” which arises when institutional and cognitive filtering systems, operating under high informational entropy, default to familiar but ineffective techno-solutions while marginalizing Indigenous and Local Knowledges …

Garla Freeman V. Td Bank

2025 Decisions

USDC for the District of New Jersey

Comparing In-Person Discussions Versus Online Learning Modules On Post-Pda Ligation Care Knowledge Retention Among Night Shift Nurses In A Level 4 Nicu, Jeffrey Canlas, Olga Deleon, Sharon Summers, Jerithea Tidwell, Noorjahan Ali

2025

QUALITY IMPROVEMENT

Background: Postoperative management of neonates following patent ductus arteriosus (PDA) ligation is critical in a Level 4 Neonatal Intensive Care Unit (NICU). Night shift nurses are faced with unique challenges when caring for these patients. The night shift NICU leaders wanted to determine the most effective educational method to enhance learning retention and clinical competency. The purpose of this quality improvement project was to evaluate whether in-person discussions lead to better retention and understanding of post-PDA ligation management among night shift NICU nurses compared to online learning modules.

Methodology: A comparative, quasi-experimental design was used to …

Advocating For Health Equity: A Quality Improvement Project Surrounding Social Determinants Of Health Screening, Rose Anne Dela Cruz, Amanda Marquez, Madison Lemmons

2025

INNOVATION & LEADERSHIP

Background: Social Determinants of Health (SDOH) can gravely impact patient recovery. Health organizations should prioritize identifying high-risk SDOH patients to improve patient outcomes. Current research suggests SDOH screening should be standard practice in preventative care. With this awareness, healthcare team members must identify patients with complex social determinants of health needs to ensure essential resources are offered to enhance their healing process during hospitalization and sustain it post-discharge. The most straightforward approach to identifying patients from diverse backgrounds with SDOH requirements is via SDOH screening. The collaborating health system, serving a diverse pediatric population in the …

Circling Together To Support Transitioning Nurses With Mentorship, Martha Shaw, Jill Hesler, Sarah Ritchie

2025

QUALITY IMPROVEMENT

Background: Nurses orientating to new environments can experience transition shock as they navigate new professional experiences, challenges, and identities. While much attention is given to supporting new graduate nurses, experienced nurses changing specialties frequently receive less structured support, despite facing unique challenges. Experienced nurses enter their new roles with a level of competence and expertise from a previous specialty, only to find themselves functioning as beginners in a new practice setting. Mentoring practices have been shown to increase confidence, decrease anxiety, and improve rates of retention and growth behaviors over the course of a career leading to …

Epilogue: Postoperative 30-Day Follow-Up, Tess Davis, Karisa Price, Courtney Russ

2025

INNOVATION & LEADERSHIP

Background: The NSQIP-P Surgical Clinical Reviewers (SCR) of Children’s Health of Texas initiated a quality project with the goal of maintaining an 80% postoperative follow-up rate. To remain relevant in the ever-changing landscape of healthcare, we recognize the need for thoughtful and individualized approaches to follow-up. Unprecedented growth in the healthcare sector creates a demand for innovative solutions to address the ever-changing needs of the pediatric surgical population. Patient expectations have driven the desire for organizational transparency and robust approaches to ensure optimal, holistic outcomes. This has been accomplished using tailored follow-up strategies to meet organizational …

Impact Of An Escape Room Educational Intervention For Telephone Triage Nurses, Susan Webber, Kathleen Ellis

2025

RESEARCH

Purpose: This study examines the impact of an escape room educational intervention on the knowledge, preparedness, and confidence of nurses who work in pediatric telephone triage, as well as examining the effect of the intervention on perceptions of teamwork.

Methods: This study used a quantitative pre-post study. Six Likert-scale questions focused on pre- and post- intervention comparisons, while four questions addressed participant satisfaction.

Results: The sample had a long tenure in nursing, with 81.57% having 15 years or more of nursing experience. Length of time working in telephone triage was fairly equally divided between groups who …

Reducing Unexpected Nasogastric Tube Reinsertions Through Interdisciplinary Education: A Pediatric Ambulatory Initiative, Jordon Delatorre, Nadia Gose, Leslie Moore, Aren Parker, Shivani Patel, Iman Rahim-Tejani

2025

INNOVATION & LEADERSHIP

Background: In late 2024, pediatric GI clinic RNs noted a rise in unexpected visits for nasogastric tube (NGT) reinsertion, continuing into early 2025. These visits disrupted clinical flow and strained limited RN resources. Caregivers were often unable or unwilling to perform reinsertion at home. RNs escalated the issue to leadership, prompting collaboration with the ambulatory clinical program director. Weekly planning meetings began in April 2025 to develop a safe, efficient workflow aimed at reducing unplanned NGT-related visits and improving care delivery.

Implementation: An interdisciplinary team, including GI clinic RNs, inpatient GI and NICU nurses, educators, …

I Don’T Want To Be Alone: The Impact Of Cohorting Neonates On One Unit, Deb Lathrop, Rose Dela Cruz

2025

INNOVATION & LEADERSHIP

Background: The hospital has been caring for neonates since it opened in 2005. To comply with state regulations, a state designation for neonatal care is required. The facility hired a program manager to address specific needs and to apply for the state designation. A designation of Level 1 neonatal care was obtained at the end of 2023. The facility does not possess a Neonatal Intensive Care Unit. The program manager started collecting historical data on thermoregulation who are located on every unit of the facility in October 2023. It became evident that neonates in the hospital …

Nursing Care For The Sexual Assault Patient Using Trauma-Informed Care: Development Of Simulation Curriculum, Lauren Orr

2025

INNOVATION & LEADERSHIP

Background: In 1999, the American Association of Colleges of Nursing (AACN) called for nursing programs to include nursing care of patients who have experienced violence, including sexual violence. The care of these vulnerable patients requires specialized care, but also the use of specialized language through using trauma-informed care (TIC) to prevent revictimization and to further support healing. A simulation curriculum was developed that can both introduce the nursing care needed for a sexual assault patient and allow students to practice using TIC that is used when students practice independently as licensed nurses. Multiple studies have supported …

Improving Sdoh Screening Compliance In Pediatric Settings: Addressing Health Literacy In East Texas, Katie Bien

2025

QUALITY IMPROVEMENT

Background: Low parental health literacy is an under-screened social determinant of health (SDOH) that drives inequities in rural communities such as East Texas, where over 105,000 children lack access to a pediatrician, and families travel 80+ miles for care. Pediatric mortality in this region is 2.5 times the national average (UT Tyler SOM, 2023). National data indicate that one in three parents has limited health literacy (Tran et al., 2008), further exacerbating risks of missed appointments, medication errors, and poor outcomes.

Methodology: The initiative was conducted in a rural outpatient pediatric cardiology clinic within Children’s Health …

Front Matter And Table Of Contents

University of Miami Race & Social Justice Law Review

No abstract provided.

From Fairy Tales To Fascist Nightmares: Countering Ron Desantis’ Florida, Ronald Mize, Et. Al

University of Miami Race & Social Justice Law Review

The recent spate of anti–‘woke’, don’t say gay, anti–trans, and anti–immigrant legislation, led by Florida Governor Ron DeSantis, puts the sunshine state in the unenviable position of serving as the nation’s test case for Republicans’ neofascist agendas. This paper explores the exclusionary, targeting, and banning aspects of these culture war assaults on public education and outgroups. The specific banning of Critical Race Theory is discussed alongside cis–heteronormative efforts to target queer and trans communities, as well as DeSantis’ executive memoranda of transporting those at the border to sanctuary cities and S.B. 1718 aimed at excluding immigrant communities from public life …

The Power Of Public Vision In Adr, Courtney Verbick

Cardozo Journal of Conflict Resolution (CJCR) Blog

Mediation, a form of alternative dispute resolution (“ADR”), resolves disputes outside of court with a neutral third party that facilitates negotiations. Its confidentiality promotes fairness, neutrality, and candor. This is appealing to parties when litigation could result in bad publicity, and is common in labor disputes, especially during union strikes, where open dialogue is essential.

The print edition of the issue has also been released. This post was originally published on the Cardozo Journal of Conflict Resolution website on November 24, 2025

The Grad's Playbook: Enhancing The Onboarding And New Student Orientation Experience, Debra Rodrigues, Elissa Lipke

Graduate Student Dissertations, Theses, Capstones, and Portfolios

Graduate students often describe the transition into their programs as both exciting and overwhelming. New Student onboarding and orientation play an important role in helping them feel prepared, connected, and supported, yet many universities still approach these processes in a limited way. This study explored how graduate onboarding can better address student needs by drawing on Maslow’s Hierarchy of Needs and Senge’s Five Disciplines of a Learning Organization.

Using a mixed-methods sequential design, the researchers invited 239 newly admitted graduate students to participate, of whom 65 consented and completed a post-orientation survey examining their feelings of preparedness, belonging, and confidence. …

Development And Applications Of A Health Equity Summary Score Using The Medical Expenditure Panel Survey, Ronald R. Sanchez

Dissertations and Theses

Despite sustained national efforts, disparities in healthcare delivery persist among racial and ethnic minorities, low-income individuals, and socially at-risk populations. Monitoring modifiable aspects of care delivery, such as the structures and processes that health systems can directly improve, is a key strategy for addressing these gaps. However, most measures evaluate modifiable aspects of care delivery separately, limiting understanding of how improvements in one domain reinforce the other and how their combined effect influences equitable care.

This dissertation addresses this gap by combining patient experience and clinical quality, two modifiable aspects of care that captures how patients interact with the health …

Mcsa Forum Minutes 11/24/2025, Morris Campus Student Association

Morris Campus Student Association

No abstract provided.

Ascertaining Ascertainability, Patrick D. Murphree

Louisiana Law Review

No abstract provided.