Digital Commons Network^™

Effectiveness Of A Multifaceted Educational Program For Patients Receiving Oral Anticoagulants, Yu-Hsia Tsai, Meei-Fang Lou, Chi-Tai Kuo, Her-Kun Chang, Kuo-Liong Chien, Bih-Shya Gau, Lai-Chu See

International Nursing Research Congress (INRC)

Background: Atrial fibrillation (AFib) is a common arrhythmia associated with elevated risks of stroke and mortality. Oral anticoagulants (OACs) are prescribed to reduce stroke risk, yet many patients lack sufficient understanding of their use. Effective educational strategies are crucial for enhancing medication safety and minimizing complications.

Purpose: This study evaluated the effectiveness of a multifaceted, interactive education program for patients with AFib taking OACs. Grounded in the Health Belief Model, the intervention was delivered via a mobile application (App). Its effectiveness was compared to a control group receiving a printed brochure. Outcomes included patient knowledge, health beliefs, and medication satisfaction. …

Reduced Executive Function In Older Adults With Chronic Diseases And Subjective Cognitive Decline, Cheng-Chen Chou, Yuan-Mei Liao, Jong-Ni Lin

International Nursing Research Congress (INRC)

Background: Chronic diseases are common worldwide and are closely associated with cognitive decline. Subjective cognitive decline (SCD) refers to self-perceived worsening of memory or cognitive ability. Individuals with SCD have a two-fold higher risk of developing dementia and often experience reduced physical function, emotional problems, lower quality of life, and an increased risk of falls. However, research on cognitive function and related factors among older adults with chronic diseases who report SCD remains limited.

Purpose: To compare cognitive and executive function in older adults with chronic diseases with and without SCD, and to identify factors associated with cognitive and executive …

Biographex: Multi-Level Explainability In Graph Neural Networks For Trustworthy Biomedical Ai, Muhammad Talha Sajid, Ahmad Kamran Malik, Nafees Qamar, Hasnian Abudullah, Aleem Ahmad

Biological and Biomedical Sciences Department Faculty Journal Articles

In biomedical research and clinical practices, Graph Neural Networks (GNNs) are playing an increasingly important role and have been applied to the problems of disease pathway detection, gene–disease relation prediction, etc. They show great potential for biomedical predictions; however, there are interpretability issues when used on complex datasets like gene expression data. Current explainability methods such as GNNExplainer are designed to explain individual instances, not the whole network. The absence of transparency hinders trust and limits the clinical/biomedical implementation of GNNs. Additionally, more interpretable models like GNN-SubNet and XGDAG do not fulfill the expectation of a clear picture for the …

“The Daemons Of Unplumbed Space”: Einsteinian Portals Into The Unknown In Paul W. S. Anderson’S Event Horizon And H.P. Lovecraft’S The Dreams In The Witch House, Kristine Larsen

Mythcon

Jason Colavito notes that “cosmic horror” developed in response to the counterintuitive and unsettling repositioning of space and time within Einstein’s Special and General Theories of Relativity, as embodied in H.P. Lovecraft’s Cthulhu Mythos. The horror of such a “weird tale” derives from the violation of already unnatural seeming physical law by the influence of super-natural powers. Lovecraft himself defined a weird tale as containing at least a hint of a “suspension or defeat of those fixed laws of Nature, which are our only safeguard against the assaults of chaos and the daemons of unplumbed space.” Surely the singularity of …

The God Machine: Environmental Resonances In Tolkien And Hollow Knight: Silksong, Alicia Fox-Lenz

Mythcon

After reading The Lord of the Rings, it would not be surprising for the reader to assume Tolkien was a luddite or at very least had some deep-rooted environmentalist leanings. After all, the anti-industrialist sentiment is one of the many themes that so enamored his American fans in the 1960s. In LOTR, industry (as opposed to craft) is aligned with evil, most notably through Saruman — a failed craftsman who has turned to machination. Through him, we see the industrialization of Isengard and its deleterious effects on nearby Fangorn, as well as the resulting destruction of the failed …

The Role Of Social Emotional Learning In Utah’S Implementation Of Essa, Sharon Walles

Transforming Communities

The Every Student Succeeds Act (ESSA), as a policy, offers an additional tool to address the escalating adolescent mental health crisis. By acknowledging the critical link between student well-being, academic success, and evidence-based practices, this policy analysis explores how funding from ESSA can be leveraged to integrate Social Emotional Learning (SEL) within Utah’s schools. Experts, educators, and parents can be voices to combat misinformation surrounding the recent politicization of SEL and its implementation. This analysis connects Bronfenbrenner’s Ecological Theory, which highlights the interconnectedness of the environment, with the importance of prioritizing mental health within schools to help adolescents with issues …

Assessing A Fourth Trimester Support Group Using An Adapted Ripple Effects Mapping, Kayleigh Gregory, Aubrey Jones, Isabel Paulk, Krysten Munn, Karli Adams, Diana Frankenburger

Transforming Communities

Purpose: Maternal mental health disparities warrant attention, particularly as rural communities face substantial barriers to timely screening and treatment. The Fourth Trimester group at the University of Kentucky was established in April 2022 to address the need for additional postpartum support. This qualitative study examined participants’ perspectives on the group.

Method: Participants included 8 mothers who engaged in the online fourth-trimester social support group. Data were collected using an adapted ripple effects mapping via semi-structured interviews.

Findings: Results of the thematic content analysis revealed six key themes: (1) Community and Belonging, (2) Circle of Wisdom, (3) Empowerment, (4) Practical Support, …

Sense Of Safety And Quality Of Life Among Immigrants, Rachel Gomez

McNair Scholars Research

This study examined the relationship between sense of safety and quality of life among Hispanic/Latinx immigrant communities. The study sought to determine whether perceived sense of safety was associated with quality of life and whether differences existed based on immigration status, gender, and age. A quantitative, non-experimental survey design was used with a convenience sample of 33 first- and second-generation Hispanic immigrants from Arkansas. Participants completed a survey combining the Immigrant Enforcement Fear Scale and the 10-Item Well-being Instrument, which were translated into Spanish to increase accessibility. Data were analyzed using Pearson correlation coefficients and independent-samples t-tests with an alpha …

The Biological Response Of Human Np Cells To Soluble Collagen Vi, Jonathan Dalton, Srikanth N. Divi, Yasmine Eichbaum, Panya Luksanapruksa, Mitchell K. Ng, Rachel Huang, Alan S. Hilibrand, Alex R. Vaccaro, Dessislava Z. Markova, Christopher K. Kepler

Department of Orthopaedic Surgery Faculty Papers

Extracellular matrix (ECM) dysregulation plays a significant role in the development of intervertebral disc disease (IVDD). The ECM around the chondrocytes in the nucleus pulposus (NP) is unique in that it contains ColVI. While linked to chondrocyte proliferation in cartilage, ColVI's specific role in IVD degeneration is less clear. Our aim was to determine the expression of ColVI in NP cells from degenerative IVDs, along with the effects of soluble ColVI on NP cells. Thus, we compared the expression levels of ColVI in human degenerated IVD samples, along with the effect of soluble ColVI on primary human NP cells. A …

From Prevention To Intervention: Delirium Order Set Utilization At Pennsylvania's First American College Of Surgeons (Acs) Geriatric Surgery Verified (Gsv) Hospital, Emma Dela Cruz, Rovinder Sandhu Md, Lauren Curcio Msn, Rn, Gero-Bc, Tcrn, Christina Holub Msn, Crnp, Fnp-C, Gs-C

Research Scholars

No abstract provided.

Oximetry Disparity Due To Skin Color, Sera Wambui Karanja, Kirth W. Steele Do

Research Scholars

No abstract provided.

Implementation Of A Network-Wide Pediatric Stroke Protocol, Isabella Latini, Liborio Larussa Md, Teresa M. Romano Md, Matthew Palilonis

Research Scholars

No abstract provided.

Assessing Frontline Rehabilitation Clinician Engagement In Quality Improvement And Research: The Role Of Systems Thinking, Psychological Safety, And Advisory Board Support, Synthia Layous, Kasey Hutter Ms, Ccc-Slp, Michael Pechulis Dpt, Heather Monihan Pt, Dpt

Research Scholars

No abstract provided.

Do Burn Wounds Treated With Dermal Scaffold Need Surgical Reconstruction?, Daniel Magallanes, Melaina Barbe, Sigrid A. Blome-Eberwein Md

Research Scholars

No abstract provided.

Mystery Archives: Administrative File Management & Retention, Mia Mancebo, Amy Kintz, Jonathan Davidson Mba, Mabc, Pmp

Research Scholars

No abstract provided.

Transcatheter Aortic Valve Replacement (Tavr): Does The Surgical Location Impact Outcomes?, Vaughn Mccain, Sam Veluz, Zachary Onsinyo, Bryan D. Nelson Mba, Cphq, Nrp, James K. Wu Md

Research Scholars

No abstract provided.

The Use Of Artificial Intelligence In Healthcare, Sean Mcclain, Terry Purcell Mba

Research Scholars

No abstract provided.

Operative Room Turnover And Efficiency Transitioning Between Robotic And Laparoscopic Surgery At Lehigh Valley Health Network, Part Of Jefferson Health, Liyana Paiker, Kelsey White Do, Mark Broadwin Md, Rovinder S. Sandhu Md, Jeffrey Glaser Md, Mba

Research Scholars

No abstract provided.

Management Of Hospitalized Patients With The West Nile Infection At Lehigh Valley Health Network, A Part Of Jefferson Health (Lvhn), Ta'niya Pleasant, Maham Rehman, Raul E Davaro Md

Research Scholars

No abstract provided.

Improving Efficiency And Cost Effectiveness In Radiology Services Within Urgent Care Imaging Services, Athon Ros, Drew Borger Cpa

Research Scholars

No abstract provided.

Retrospective Review Of Vaginal Cuff Recurrence Following Hdr Therapy Of Endometrial Or Uterine Cancer, Kaitlyn Shak, Melissa Kratz Rn, Msn, Aocn

Research Scholars

No abstract provided.

Using Fecal Diagnostic Tests To Assess The Prevalence Of Fasciola Hepatica In The United States Sheep Population, Brooke A. Delcambre

LSU Master's Theses

Fasciola hepatica, the common liver fluke, is endemic in the Pacific Northwest and Gulf Coast of the United States. To provide updated information on F. hepatica prevalence, as part of the USDA National Animal Health Monitoring System Sheep 2024 study, sheep operations in the top 30 sheep-producing states were identified, and producers were invited to participate. For each operation, feces were collected from at least eight sheep and pooled to form a single composite sample. Two methods were used to identify sheep infected with F. hepatica: fecal sedimentation and indirect sandwich ELISA. At the national level, across 318 operations, 7.1 …

Implementation Of A Perioperative Normothermia Bundle To Improve Temperature Maintenance In Adult Colorectal And Hysterectomy Surgical Patients: A Quality Improvement Project, Jessica L. Salisbury

Doctor of Nursing Practice Final Project Abstract

Purpose

This quality improvement project evaluated the effectiveness of an evidence based perioperative normothermia bundle in improving maintenance of normothermia among adult colorectal and hysterectomy surgical patients at a community hospital. The project aimed to reduce perioperative hypothermia through standardized warming interventions while improving compliance with evidence based practice.

Background

Preventable perioperative hypothermia increases postoperative complications, prompting implementation of an evidence based warming bundle to maintain intraoperative temperatures 36 Celsius or greater.

Methodology

Using the Iowa Model, an interdisciplinary team implemented an evidence based perioperative normothermia bundle incorporating multimodal warming, temperature monitoring, and staff education. Compliance and temperature outcomes were …

Walking The Talk For Dementia: Building Social Networks And Collaborations, Walter D. Dawson, Jenn Reed, Fernando Aguzzoli-Peres, Kate Irving, Sherril B. Gelmon

OHSU-PSU School of Public Health Faculty Publications and Presentations

Background: Dementia is one of the greatest global health challenges requiring multimodal efforts to address its impact on people and societies. Walking the Talk for Dementia (WTD) is a unique global initiative designed to challenge the stigma that surrounds dementia, foster intergenerational dialogue, build a community, and inspire a renewed sense of purpose among participants. A social network analysis (SNA) was conducted to provide greater detail and contextualization of the connections made during WTD and insights into the collaborations that arose from this immersive event which may influence dementia policy, care, and services. Methods A robust, comprehensive, and minimally intrusive …

Evaluating The Effectiveness Of Crr Programs On Decreasing Hospitalizations And Improving Client Stability While In The Crr Program, Grace Yoshioka, Megan Messa Lpc, Nicholas Waxmonsky Lpc

Research Scholars

Yoshioka, G., Messa, M., & Waxmonsky, N. (2026, July). Evaluating the Effectiveness of CRR Programs on Decreasing Hospitalizations and Improving Client Stability while in the CRR Program. Presented at Research Scholar Presentation, Lehigh Valley Health Network, Center for Healthcare Education, Center Valley, PA.

Treatment Patterns And Survival Of Triple Negative Breast Cancer Patients Seen At Lehigh Valley Health Network, Part Of Jefferson Health (Lvhn) From 2017-2022, Swarna Rishika Suresh, Savitri Skandan Md, Melissa Kratz Rn, Msn, Aocn

Research Scholars

No abstract provided.

Connecting To The Community Through The Lehigh Valley Practice And Community-Based Research Network, Rachel Rose, Nicole M. Burgess Bs, Autumn Kieber-Emmons Md, Mph, Ashwini Kamath Mulki Md, Mbbs, Mph, Angela Colistra Lpc, Phd, Ms, Roya Hamadani Mph

Research Scholars

No abstract provided.

To Be Understood: The Impact Of Professional Medical Interpreters On Patient Satisfaction, Kassia Kuczynski, Joumana De Santiago

Research Scholars

No abstract provided.

Reducing Emergency Department Length Of Stay Through Split-Flow Optimization, Jessica Lee, Matthew Souchak Bsn, Rn, Ccrn

Research Scholars

No abstract provided.

Common Factors And Conditions Affecting Cabg Readmissions, Jonathan Nelson, Vaughn Mccain, Kelly Lu, Grace Perez, Bryan D. Nelson Mba, Cphq, Nrp, James K. Wu Md

Research Scholars

No abstract provided.