Digital Commons Network^™

The Antelope, University Of Nebraska At Kearney

The Antelope

No abstract provided.

Design And Implementation Of A Drug Revolving Fund For Hypertension Treatment In Primary Care Setting Of The Federal Capital Territory, Nigeria, Grace Julcit Shedul, Erica L Jamro, Mark D Huffman, Et Al.

2020-Current year OA Pubs

BACKGROUND: Expanding treatment for hypertension requires ensuring access to affordable, high-quality blood pressure (BP) lowering medications. We describe the design, implementation and evaluation of a BP-lowering medication drug revolving fund (DRF) embedded in the Hypertension Treatment in Nigeria (HTN) Programme in 60 primary healthcare centres (PHCs) in the Federal Capital Territory, Nigeria.

METHODS: We used the exploration, preparation, implementation and sustainment framework to describe the DRF design and implementation and the reach, effectiveness, adoption, implementation and maintenance framework to report implementation outcomes. From June 2022 to December 2023, the DRF programme was implemented, and the data were collected from PHCs' …

Comparison Of Depression Risk And Depression-Related Ambulatory Care Utilization In Sarcopenia Patients With And Without Chinese Herbal Medicine., Hang-Che Li, Hanoch Livneh, Wei-Chiao Chang, Yu-Han Wang, Ming-Hsien Yeh, Bo-Chyuan Chen, Ming-Chi Lu, Wei-Jen Chen, Tzung-Yi Tsai

Leadership, Learning and Counseling Faculty Publications and Presentations

The impact of psychiatric disorder, especially depression, on the prognosis of sarcopenic patients is gaining prominence. Yet, there have been very few studies focusing on this issue, let alone the related targeted mental health prevention. This cohort-based nested case-control study is geared to compare risk of depression and the depression-related ambulatory care utilization for sarcopenia persons with and without receiving add-on Chinese herbal medicines (CHMs) treatment.

Infection And Nonunion Rates In Open Fractures, Roman M. Natoli, Lucas S. Marchand, Sofia Bzovsky, Jennifer E. Hagen, Mark J. Gage, Christina A. Stennett, Nathan N. O’Hara, Kyle J. Jeray, Brad Petrisor, Sheila Sprague, Gerard P. Slobogean, Jeffrey Wells, Mohit Bhandari, Anthony D. Harris, C. Daniel Mullins, Lehana Thabane, Amber Wood, Gregory J. Della Rocca, Joan Hebden, Lyndsay M. O’Hara, Robert Zura, Christopher Lee, Joseph Patterson, Michael J. Gardner, Jenna Blasman, Jonah Davies, Stephen Liang, Monica Taljaard, The Flow Investigators, The Prep-It Investigators

Orthopaedic Surgery Faculty Publications

Background: Infection and nonunion are common sequelae of open fractures. Studies have shown infection and nonunion rates ranging from 2% to 52% and 12% to 17%, respectively. The present article describes the rates of surgical site infection (SSI) and delayed union/nonunion following open fractures in a large contemporary series of patients from prospective clinical trials with adjudicated outcomes. Methods: A descriptive analysis was performed with use of patient data from the FLOW, Aqueous-PREP, and PREPARE-Open studies. These studies, published within the past 10 years, included multiple international trauma centers and shared definitions for SSI and delayed union/nonunion. SSI and delayed …

’We Are Teachers Too’: Reclaiming Professionalism In Early Childhood Education From Within, Vicky Bamsey, Lewis Fogarty

School of Law, Humanities and Social Sciences

The professionalisation of Early Childhood Education and Care(ECEC) has gained international prominence due to its role infostering children’s lifelong learning and contributing to societaleconomic growth. This paper explores professionalism in the ECECworkforce in England, focusing on tensions between policy, qualificationsand the experiences of early years educators. Drawing oncritical pedagogy and Bernstein’s pedagogic device, we explorehow power dynamics and inequalities have led to the deprofessionalisationof early years educators, positioning them assubordinate to teachers in compulsory education. Through narrativeinquiry with 15 participants, we highlight the challenges andopportunities for early years educators to reclaim agency, fostercriticality and transform their professionalism. The findings highlighta …

Clearing The Air: Associations Between Air Pollution And Alzheimer's Disease, Greer Russell, Robert Martin

Advocate GME

No abstract provided.

Editorial: Healthcare Technologies And Space: Therapeutic Built Environment As A Health Technology And Technologies For Improved Healthcare Settings, Evangelia Chrysikou, Fernando Loizides, Marianna Obrist, James Barlow, Paul Barach

College of Population Health Faculty Papers

No abstract provided.

Characteristics Of The United States Acute Care Nurse Practitioners’ Work Environment, 2012 To 2022, Kristin Hittle Gigli

Biennial Convention (CONV)

Background: Acute care comprises a significant amount of health care, with over 35 million hospitalizations in the United States annually.¹ As the population ages and comorbidities and chronic illness increase, demand for hospital care is forecasted to grow.² To meet the demand for acute care, clinicians, healthcare organizations, and policymakers are calling for increased nurse practitioner (NP) utilization in hospital care.^3,4

Significance: Acute care NPs practice across clinical specialties and assume diverse roles providing high-quality, interdisciplinary hospital care.^3,5,6 Despite demand for NPs in hospital care, barriers, including organizational regulations and state scope-of-practice restrictions, limit …

Combatting Weight Bias In Healthcare Students, Jacy Ghast, Holly Farley, Johnna Paulson

Biennial Convention (CONV)

Healthcare workers often hold implicit biases against patients with obesity, impacting communication, quality of care, and health outcomes. This pilot study explored implicit weight bias among pre-licensure nursing students towards obese patients, implements a structured intervention, and assesses changes in attitudes, perceptions, and confidence levels. The study's purpose is to enhance nursing education curricula by incorporating training that promotes unbiased, patient-centered care for obese patients. Ideally, students will have the capability to reflect, respect, and respond to patients in a positive manor. Grounded in social constructivist theory, the intervention employs simulated learning experiences, followed by debriefing and reflection. Pre- and …

The Bg News November 19, 2025, Bowling Green State University

BG News (Student Newspaper)

The BGSU campus student newspaper. November 19, 2025. Volume 105-Issue 12.

Trajectories Of Recovery After Acute And Critical Illness (Tracer), Felipe González-Seguel, Louisa A. Summers, Lindsey E. Fresenko, Douglas E. Long, Logan N. Scott, Stacey A. Slone, Srushan Shankara Bhaktula, Yuan Wen, Benjamin F. Miller, Peter E. Morris, Amy L. Salyer, Anna G. Kalema, Ashley A. Montgomery-Yates, Esther E. Dupont-Versteegden, Kirby P. Mayer, Isabelle D. Bach, Davis A. Englund, Zachary R. Hettinger, Ahmed Ismaeel, Audrey M. Johnson, Philip A. Kern, Gerald V. Klim, Allison M. Owen, Jocelyn C. Porchia, Heba H. Qaissi

Physiology Faculty Publications

Introduction Patients who survive admission to intensive care unit (ICU) for critical illness are at high risk of developing muscle atrophy and weakness, commonly diagnosed as ICU-acquired weakness (ICUAW). The development of ICUAW is closely linked to long-term symptoms and impairments known as post-intensive care syndrome (PICS). Despite heightened recognition of impairments, there is limited research supporting effective interventions to improve muscle and physical outcomes after hospital discharge. Prior to developing and testing interventions for ICU survivors, it is imperative to understand the trajectory of muscle and physical function recovery following an ICU stay. The purpose of this study is …

State Of Ohio Adversity And Resilience (Soar) Study Protocol: A Comprehensive, Multimodal, Family-Based, Longitudinal Observational Investigation Of Risk And Resilience In Mental Health And Substance Use Disorders, Chris Flask, Martha Sajatovic

Faculty Scholarship

Introduction Deaths related to drug overdose and suicide in the USA have increased 500% and 35%, respectively, over the last two decades. The human and economic costs to society associated with these - €- deaths of despair' are immense. Great efforts and substantial investments have been made in treatment and prevention, yet these efforts have not abated these increasing trajectories of deaths over time. The COVID-19 pandemic has exacerbated and highlighted these problems. Notably, some geographical areas (eg, Appalachia, farmland) and some communities (eg, low-income persons, - €- essential workers', minoritised populations) have been disproportionately affected. Risk factors have been …

Midweek Memo, Georgia Southern University

Midweek Memo

• Applaud
• Remember
• Share
• Experience
• Around the Nest

Ucf Libraries Annual Report 2024-2025, John C. Hitt Library

Libraries' Documents

Annual report for the UCF Libraries for the year 2024-2025

Creation And Standardization Of A Neuroprotection Bundle For Our Micropremature Infants, Christina Eldrenkamp, Margaret Behm, Jeffrey George, Preetha Prazad, Duane Stich, Aarti Amlani, Roshena Hill, Jill Alden, Michael Bevill, Alyssa Sichrovsky, Irene Baviera, Surichhya Bajracharya, Allison Lukens

Nursing

No abstract provided.

Understanding Perceptions About And The Practice Of Integrated Pest Management And Biological Control Of The Filth-Breeding Flies By Individuals Involved In The Equine Industry In The United States, Virgillia Adele Beyer-Junfin, Theresa Pesl Murphrey, David Lawver, Barry Boyd, Amy Boren-Alpizar, Rilee Hall, Audra W. Richburg

Journal of Extension

Filth-breeding flies pose significant health risks and costs in the equine industry. Although an arsenal of management strategies exists, integrated pest management (IPM) utilizing biological control (BC) offers cost and labor efficient pest control for equine facilities. Yet, little data exists on IPM adoption across the equine industry in the United States. This quantitative study examines the knowledge, perceptions, and adoption of IPM of those involved in the equine industry. Findings reveal knowledge barriers and time constraints as major preventatives. Preferred communication channels for IPM information are also identified. Recommendations are made for further research and practice in IPM and …

Family And Consumer Sciences Extension Is Stem, Gina Peek, Kimberly Williams, Kelly Wardlaw, Susan Routh

Journal of Extension

Family and consumer sciences (FCS) has a foundation in science, technology, engineering, and math (STEM). We developed a simple framework with three criteria to identify and evaluate family and consumer sciences Extension STEM resources. Results indicate that STEM resources are more readily available in certain family and consumer sciences content areas. This simple framework can be applied to other Extension program areas to strengthen and articulate STEM concepts.

Increasing The Likelihood Of Using Mental Health First Aid: Applying The Theory Of Planned Behavior, Alexander E. Chan, Cheyenne Schad, Julie Slivka, Elise Young, Ghaffar A. Hurtado Choque

Journal of Extension

This study applies the Theory of Planned Behavior to examine what may drive intentions to help others after receiving Mental Health First Aid (MHFA) training. The study is unique in its application of theory to understanding MHFA outcomes, as prior studies tended to be atheoretical. Logistic regression was used to analyze the results of post-program surveys completed by MHFA participants. Results showed that participants who reported positive changes in subjective norms and attitudes were significantly more likely to report increases in intentions to help. However, when analyzed in a model containing all predictors, only attitudes remained significant.

Interpreting Extension Professionals' Viewpoints On Agricultural Climate Change Programming, Aaron B. Wilson, Alli Wenman, Samuel Pratsch, Kenneth Genskow, Patrick Robinson, Dennis Todey, Laurie Nowatzke, Namah Chiamo Taku-Forchu, Moses Wanyakha

Journal of Extension

We evaluated Extension professionals' attitudes and beliefs from Midwestern "1862" land-grant universities around three themes: prioritizing climate programming, farmers' perceptions, and the role of Extension leadership in building capacity to integrate climate change into programs. Using key informant interviews and a two-hour virtual workshop, we developed 'coordinate planes' to illustrate the tensions and contradictions among the three themes, with participants expressing highly diverse viewpoints across the region. Results identify the need for Extension leadership to support multi-state programs and shared resources that provide consistent guidance and expectations around climate change programming while recognizing the intrinsic state context and values.

Farm Tour Evaluation Tool For Agricultural Awareness, Hannah Eason, Jessica Ryals, Yvette Goodiel, Lauren Butler, John Diaz, Marilyn Swisher

Journal of Extension

Educational farm tours offer learning opportunities that cannot be duplicated in a classroom setting. Developing a consistent farm tour evaluation tool is paramount to quantifying individual Extension farm tours while also providing a common platform to measure outcomes and impacts nationally and over time. An IRB-approved farm tour evaluation tool was developed to capture agricultural awareness and used to evaluate the 2022 National Association of County Agricultural Agents Annual Meeting/Professional Improvement Conference (NACAA AM/PIC) tours. The evaluation tool attempts to quantify farm tour outcomes and impacts and demonstrate the value of agriculture to decision makers, consumers, and community members.

Extension Interest Assessment: An Evaluation Of Hispanics Residents Of Florida, John M. Diaz, Pablo Lamiño Jaramillo, Miguel A. Acevedo, Juan M. Campos Krauer, Elise S. Gornish, Alvaro Romero, Armando J. Ubeda, E. Hance Ellington

Journal of Extension

Our study examined the interests and preferences of Hispanic residents in Florida regarding extension services. We surveyed 481 adults, focusing on their interest in various topics, preferred information frequency, engagement modalities, and resource types. We found high interest in finance, health, food safety, and wildlife conservation, with a strong preference for online and hybrid resources. However, 66% were unaware of Cooperative Extension, highlighting potential for increased engagement. Our study emphasizes the need for expanded Spanish extension offerings and culturally tailored programs. Further research is recommended to generalize findings across states and better serve the Hispanic community nationwide.

Nebraska Extension Tractor And Equipment Safety Certification Course – Measuring Long-Term Impact And Implementing Improvements, Rebecca Bonacci, Ellen Duysen, Bri Parr, Susan Harris, Aaron Yoder

Journal of Extension

Many jobs in agriculture have been deemed too hazardous for children younger than 16 years. A waiver allowing 14- and 15- year-old youth to work on farms requires safety course certification. [Redacted] Extension has partnered with a NIOSH funded Agricultural Safety Center to provide an annual tractor and equipment safety course across [Redacted]. To gauge impact, a survey addressed questions regarding the program's long-term impact, perceived value, injuries, close calls, recommendations for improvement and adoption and implementation of safety practices. The results have led to improved programming. The findings provide a roadmap to establish effective tractor and equipment certification programs.

Using Fermi Estimates Within Needs Assessments: An Extension Professional’S Guide, Emma Lonstrup, Carolyn D. Rider, Miranda R. Westfall

Journal of Extension

Needs assessments are an important activity for Extension professionals, as they identify community assets and guide decisions about programs and services. A common challenge is a lack of needs assessment data. The Fermi Estimate Framework can help Extension professionals overcome the challenge of missing data by producing reasonable estimates to answer questions of interest. Here we share detailed, step-by-step instructions for using the Fermi Estimate Framework, accompanied by a real-world Extension example.

What Covid-19 Taught Extension: Experiences Of Extension County Engagement Specialists Promoting Vaccinations In Meat Processing Plants In Rural Missouri., Wilson Majee, Ifeolu David, Lynelle Phillips, Rachel Buenemann, Kassandra Maturino

Journal of Extension

Extension played a significant role, in collaboration with other key community organizations, by disseminating information that debunked COVID-19 myths, and promoting vaccinations at the community level. In this article we present insights from the experiences of Extension faculty at the University of Missouri who were engaged in promoting COVID-19 vaccinations for meat processing plant workers. Findings from this quality improvement project highlight opportunities for leveraging Extension field faculty, and challenges to consider in future public health promotion efforts.

Building Confidence And Clinical Judgment In Nursing Students Through Bcma Simulation, Arielle St. Romain, Sharonda Johnson

Biennial Convention (CONV)

Medication errors are a persistent problem in healthcare, with the Institute of Medicine (2007) highlighting their prevalence, estimated at one error per patient per day in hospitals. Healthcare organizations have increasingly implemented Barcode Medication Administration (BCMA) systems to improve medication delivery accuracy. However, many nursing students receive limited exposure to BCMA, which may impede their readiness for practice (Ledlow et al., 2022); (Strudwick et al., 2018). Simulation-based education offers a solution, allowing students to practice essential clinical skills, such as medication administration, in a controlled, risk-free environment (Alexander et al., 2015). High-fidelity simulations improve clinical decision-making, exposing students to realistic …

Policy Engagement And Advocacy To Transform Child Health Care Delivery And Improve Child Health, Kristin Hittle Gigli, Ashleigh F. Bowman

Biennial Convention (CONV)

Background: There have been significant advancements in health care and science over the last century. However, these changes have not adequately addressed child health needs. Children have increasing health care needs associated with rising rates of mental health conditions, chronic diseases, and violence-related injuries.¹ Further, health care reform has almost exclusively focused on adult populations and cannot be adapted to pediatric populations.² Over a three-year period, two committees were convened by the National Academies of Science, Engineering, and Medicine (NASEM) to examine opportunities for innovation within policy and the health care system to improve child health and …

Unlocking Leadership: Mentoring Globally, Connecting Deeply, Transforming Personally, Wedad Ashkar, Krista A. White

Biennial Convention (CONV)

Background: Mentoring is a key process in which experienced individuals provide guidance to help others transform personally and professionally. Sigma’s Global Leadership Mentoring Community (GLMC) is a platform that matches dyads across the globe to develop transformational nurse leaders. Mentorship fosters leadership skills, academic productivity, and job satisfaction, thus, empowering clinicians to drive healthcare innovation that strive to improve health outcomes.

Aims: (1) Describes the reciprocal benefits of the relationship of an experienced academician in the United States and an early career Family Nurse Practitioner (FNP) in Israel; (2) Shares leader attributes being developed through our journey; and (3) Examines …

Adult Residents' Knowledge, Attitude, And Involvement In Malaria Prevention In Ikot Ekpene, Nigeria, Idongesit Akpabio, Esther Inokon, Alberta Nsemo

Biennial Convention (CONV)

INTRODUCTION:The sub-Saharan Africa has a high prevalence of malaria being one of the leading causes of mortality in the local population. This study were to investigate knowledge and attitude towards prevention, prevention strategies, vector control and materials needed for prevention. Five null hypotheses guided the study.

METHOD: This involved descriptive design and Focus Group Discussion FGD. The target and accessible population were 7862 and 1,534 residents from eight villages respectively. Subjects were 487 selected from 32 households using systematic random sampling. Questionnaire with Content Validity Index of .89 and test-retest reliability of .87 was used for data collection. FGDs …

Medication Administration Simulation For Undergraduate Pharmacology Nursing Students, Hannah Landgrave, Ashley Turner, Ashley York

Biennial Convention (CONV)

Medication administration and safety constitute vital components of a nurse's clinical practice, necessitating a comprehensive understanding of pharmaceuticals, informatics, and clinical judgment. Research indicates that up to 30% of newly licensed nurses are involved in medication errors, with 23% lacking the requisite competencies to make informed clinical decisions .1,2 Simulation offers an opportunity for students to apply theoretical knowledge within a controlled, risk-free environment, thereby enhancing clinical judgment and mitigating medication administration errors.3

The objective of this study was to evaluate the satisfaction and self-confidence of undergraduate nursing students engaged in a simulation activity integrated into a didactic pharmacology course. …

Detecting Metabolic Syndrome Among Older African American Women With A Phenotype Of Heart Failure, Carolyn B. Sue-Ling

Biennial Convention (CONV)

Background: Metabolic syndrome (MetS) appears to play a pivotal role in the development of heart failure with preserved ejection fraction (HFpEF), one of two phenotypes of heart failure (HF). HFpEF has emerged as the more dominant cardiometabolic phenotype in older women worldwide, estimated to be present in 20-25% of older African American (AA) women. Recognizing MetS in older AA women would prompt the use of recently identified highly effective medications and lifestyle-based treatments that would impact patients with HFpEF.

Purpose: To determine whether the triglyceride-glucose (TyG) index, a product of triglyceride and fasting plasma glucose, alone or combined with waist …