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Quality Improvement Project Improve Staff Knowledge On Spravato For Treatment Resistant Depression, Cynthia Barraza Guerra

Doctor of Nursing Practice Projects

Treatment-resistant depression (TRD), defined as major depressive disorder unresponsive to at least two adequate antidepressant trials, is linked to higher morbidity, diminished quality of life, and increased healthcare utilization. Spravato (intranasal esketamine), approved by the U.S. Food and Drug Administration, provides a novel mechanism of action through N-methyl-D-aspartate (NMDA) receptor modulation but requires strict safety oversight due to risks including dissociation and hypertension. This Doctor of Nursing Practice (DNP) quality improvement (QI) project evaluated whether a targeted educational intervention improved staff knowledge and confidence in Spravato safety protocols. Guided by Lewin’s Change Theory, Bandura’s Social Learning Theory, and implemented with …

Quality Improvement Project High-Quality Simulation Training For High-Quality Nurse Educators, Cherrelle Hawkins

Doctor of Nursing Practice Projects

The Associate of Applied Science in Nursing (AASN) faculty use simulation as a teaching modality to assist nursing students in preparing for their clinical experiences by transitioning knowledge into practice. To successfully facilitate simulations, faculty must possess knowledge and competence in facilitating simulation sessions. Faculty at the practice site lacked these characteristics due to the nonexistence of a simulation training program. This quasi-experimental quality improvement project aimed to implement formal simulation training for faculty to influence self-perceived knowledge and competence in facilitation constructed by the Adult Learning Theory and the Awareness-Desire-Knowledge-Ability-Reinforcement (ADKAR) Change Model. The PI evaluated knowledge and competence …

Quality Improvement Project Impacting Provider Self-Efficacy And Use Of Cbt For Depression Treatment, Tony Orafunam

Doctor of Nursing Practice Projects

This Doctor of Nursing Practice (DNP) quality improvement project was conducted at a mid-sized outpatient psychiatric clinic in Hempstead, New York, focusing on strengthening providers’ self-efficacy in delivering Cognitive Behavioral Therapy (CBT) to young adults (aged 19–35) diagnosed with Major Depressive Disorder (MDD). Rather than targeting MDD directly, the initiative aimed to impact provider self-efficacy and skill in CBT to improve access to evidence-based treatment and reduce the need for external referrals. Employing Bandura’s Social Cognitive Theory and the ADKAR change model, the project used a quasi- experimental, one-group pre-test/post-test design. Six advanced practice providers participated in a structured, interactive …

Quality Improvement Project Providing Accessible Evidence-Based Education To Nurses Throughout A National Healthcare System, Bailey Wells

Doctor of Nursing Practice Projects

The pursuit of ongoing professional development and learning is crucial to ensure nurses remain well-informed about healthcare trends and have access to the most up-to-date evidence-based materials. This quality improvement project aimed to implement a monthly educational series for nursing personnel within the Veterans Health Administration (VHA) through expansion of the Veterans Administration (VA) – Extension for Community Healthcare Outcomes (ECHO) program. Using Bandura’s Self-Efficacy Theory of Motivation in Psychology, participants’ previous knowledge was linked to continued professional development. The plan, do, study, act (PDSA) framework provided structure for the project, with the awareness, desire, knowledge, ability, and reinforcement (ADKAR) …

Quality Improvement Project Unlocking Critical Thinking: The Use Of Guided Reflection In Nursing Education, Alissa Wheat

Doctor of Nursing Practice Projects

Nursing education is at a crossroads as the demand for practice-ready nurses increases in a rapidly evolving healthcare environment. Despite high licensure pass rates, graduates often demonstrate gaps in clinical judgment and critical thinking, key competencies for safe nursing practice. This project addressed the problem of limited structured strategies to develop these competencies among pre-licensure nursing students in a Houston-based nursing program. The purpose was to evaluate guided reflection, implemented as a competency-based education (CBE) tool, to determine its effect on faculty perceptions of supporting critical thinking and clinical judgment. A quasi-experimental, one-group pretest–posttest design was conducted with clinical faculty …

From Either-Or To All Together: Integrating Universal And Relativistic Approaches To Belonging And Engagement In The First Year Of Middle School, Kristina Shiann Tucker

Dissertations and Theses

Schools are designed to foster growth and learning while promoting positive educational outcomes for all students. Yet, there is some evidence that the education system is not meeting the needs of all students, nor are achievement outcomes the same for everyone. Some of the identified challenges seem to be developmentally based, whereas others are evident among different demographic subgroups. Developmental differences are apparent in many aspects of academic functioning, such as student motivation and engagement, which peak when students enter school and normatively decline, relatively steadily, throughout students' educational careers. Demographic disparities are even more pronounced, represented, for example, in …

Immunological Aspects Of Migraine And Post-Covid Headache In A Narrative Review, Marwa Mohammed Ali Jassim, Ahmed Jameel Obayes, Abeer Mohammed Ali Al-Garawyi

Muthanna Medical Journal

Migraine is the most prevalent multidisciplinary and multifactorial neurologic disorder which is manifested by recurrent headache attack. Conditional findings indicate that nutritional deficiencies especially the deficiency of Vitamin B12 could be an influence on the pathophysiology of migraine through neurological functioning and the conversion of homocysteine. According to a recent literature, vitamin D deficiency has a potential role to play in the incidence and severity of migraines and related processes of inflammation in migraine pathogenesis. Conversely, the preservation of electric potential of the neurons is one of the principal purposes of Mg. Consequently, neurological complications may result from magnesium deficiency; …

Suicide And Suicide Attempts In Al-Muthanna Governorate: A Demographic–Social Analytical Study (2020–Mid2025), Adil Jafaar Abdul Sahib, Saad Hadi Jiad, Taif Ali Hasson

Muthanna Medical Journal

Introduction: Suicide and suicide attempts represent one of the most pressing global health and social problems. Al-Muthanna Governorate has recently witnessed a noticeable increase in suicide rates, highlighting the need for a local demographic and social investigation. Aim of Study: This study aims to analyze the demographic and social factors associated with suicide and suicide attempts in Al-Muthanna Governorate (2020-mid-2025), while identifying the most common methods and motives. Methods and Materials: Data were collected from major hospitals and the Forensic Medicine Department using the official Ministry of Health suicide reporting form. Variables included age, sex, marital status, education, occupation, residence, …

A Study On The Prevalence And Impact Of Infectious Causes Of Abortion In Women, Shaimaa M.S. Zainulabdeen, Najee B. Haifaa, Zahraa Abd Alhammza Abbass, Iman Ali Atyah

Muthanna Medical Journal

Abortion is the termination of a pregnancy before the fetus can survive outside the uterus, either spontaneously (miscarriage) or intentionally (induced). On the other hand, induced abortions carried out for various reasons are referred to as elective abortions, whereas therapeutic abortions are performed to protect the pregnant woman's health. The gestational period is a particularly delicate time because it is characterized by major physiological changes in both the mother and the fetus. Human immunodeficiency virus (HIV), cytomegalovirus (CMV), and Toxoplasma gondii are among the pathogenic agents that have been associated with pregnancy problems, including miscarriage. About 75% of all pregnancy …

Assessing Community Engagement In The Standard Gauge Railway Project In Tanzania: A Case Study Of The Morogoro – Makutupora Segment, Chacha Timasi Nyakega, Oscar Whynijous Tefurukwa

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

Governments play a critical role in engaging communities in decision-making processes directly affecting their daily lives. Such engagement influences the feasibility and success of project implementation. However, the degree of community engagement varies across different projects. This study examines community engagement and perceptions regarding the implementation of the Standard Gauge Railway (SGR) project in Tanzania, focusing on Lot II, the Morogoro to Makutupora segment. The theoretical framework proposed by Fung guided the analysis. A qualitative approach was employed, with a sample of 30 respondents. Data were collected through focus group discussions (FGDs) and analyzed using content analysis. Findings indicate that …

“Better Safe Than Sorry”: Exploring The Experiences Of Malaysian Parents On Sharenting, Ireena Nasiha Ibnu, Tengku Elena Tengku Mahamad, Zaridah Abdullah Dollah, Massila Hamzah, Nor Hazlina Binti Hashim

Asia-Pacific Social Science Review

This research explores the experiences of Malaysian parents concerning their children’s privacy and their sharenting habits in the digital age. Sharenting, the practice of sharing information about one’s children on social media, has become prevalent, raising concerns about privacy and potential risks. Through qualitative exploration, this study investigates how Malaysian parents strike a balance between sharing meaningful moments online and ensuring the safety and privacy of their children. Two focus group discussions were conducted via Zoom with 15 Malaysian parents. The central theme that emerges from this study revolves around the delicate balance between parental expression and safeguarding children’s privacy. …

Ethical Technology Assessment Of Artificial Intelligence (Ai) And The Internet Of Things (Iot) Among Gen Z Population In Thailand And The Philippines, Melvin Jabar, Penchan Pradubmook Sherer, Seung Chun Paek, Elena Chiong-Javier

Asia-Pacific Social Science Review

With the use of the ethical technology assessment model by Palm and Hansson (2006), this paper examines the knowledge and perceptions about the ethics of and experiences with artificial intelligence (AI) and the internet of things (IoT) among the Generation Z population in Thailand and the Philippines. A total of 1,060 Thai and 1,499 Filipino Gen Z students participated in the online survey. Results revealed that Gen Z respondents from Thailand and the Philippines muse heavily on privacy, social contact, autonomy and control, as well as human reproduction and health issues. Moreover, both groups are most bothered by the potential …

Examining Filipino Cultural Traits And Entrepreneurial Intention: Applying The Mapa Ng Loob Framework Within The Five-Factor Model In Academic Entrepreneurship, Marlo C. Novino

Asia-Pacific Social Science Review

The academic community is transitioning to fulfill its new mission of promoting innovation and entrepreneurship for economic and social development. With this, there is a need to examine the entrepreneurial intention of an academic entrepreneur from a cultural trait lens. This study explores lexically based Filipino personality traits that influence entrepreneurial attitude and intention in an academic setting, highlighting the significance of the Masaklaw na Panukat ng Loob (Mapa ng Loob) psychological tool as a culturally relevant framework. The Mapa ng Loob thoroughly evaluates personality trait constructs that are both theoretically and practically important in Filipino culture by providing a …

Criminal Records As Political Capital: Renegotiating Ex-Convict Labels To Acquire Village Head Positions In East Java, Indonesia, Mochamad Iqbal Jatmiko, Muhamad Supraja

Asia-Pacific Social Science Review

Unlike other new democracies, the political system in post-authoritarian Indonesia has recently allowed ex-convicts to run for election. This qualitative case study examines how ex-prisoners serving as village heads in Probolinggo Regency, East Java, discursively reframed their criminal past as informal symbolic capital to win rural political contestations and effectively execute village bureaucratic functions. Contrary to previous analyses highlighting collateral consequences that disqualify ex-criminals’ political prospects, we report that interactive dialogue has successfully turned negative reputations into collectively consented territorial patronage, specifically within crime-prone village contexts. Through persuasive discursive means, this can then be leveraged to mobilize voters’ political support …

Balancing Act: Addressing Child Quantity-Quality Trade-Off In The Philippine Households With Educational And Health Social Programs, John Andrew A. Alsol, Zed Tristan L. Dy, Maire Carroline T. Magante

Asia-Pacific Social Science Review

The child quantity-quality (CQQ) trade-off has been extensively studied in economic research since it was first introduced by Becker and Lewis in 1973. Studies have argued that the current economic circumstances and the presence of government aid in education and health determine the existence and extent of the CQQ trade-off. However, there is a dearth of empirically tested research on the possible decreasing effects of social programs on the CQQ trade-off. Using the 2019 Annual Poverty Indicators Survey, this paper seeks to determine the effect of education and health social programs on the CQQ trade-off in the Philippines. Probit models …

Design And Standardization Of A Test To Measure Arm Motor Speed Using A Bulgarian Bag ‘Among 18–20 Years Old’ Weighing Between 65 And 86 Kg, Jalal Abdul Zahra Kanaan

Modern Sport

The importance of this research lies in understanding the reality of arm kinetic velocity and how to develop it for the better by measuring it and determining its level during the training period. This is achieved by establishing criteria and levels that help coaches and players determine its true level. The research problem was: Kinetic velocity is an important physical requirement in wrestling, especially for the arms, in performing quick and varied movements that help the wrestler perform the required grip on the opponent. This enables the desired accomplishment to be achieved after being tested and measured using a scientific …

The Reality Of Artificial Intelligence Applications In Sports Clubs In The Kingdom Of Bahrain, Dalal Salama Abu Sayam, Rana Majid Al Alawi

Modern Sport

This research aimed to identify the reality of AI applications in sports clubs in Bahrain by measuring the extent to which employees in sports clubs understand the concept and importance of AI and its uses in the sports field, as well as identifying the reality of AI systems application in these clubs and the main obstacles they face in this area. The study employed a questionnaire as a research tool, which was administered to a random sample selected using a snowball method, comprising 97 administrators and coaches from first-tier sports clubs. The study revealed a high level of understanding of …

Hubungan Hiperurisemia Dengan Penurunan Lfg Pada Pasien Penyakit Ginjal Diabetes Di Rscm Jakarta, Rury Maharani Adna, Maruhum Bonar Hasiholan Marbun, Ikhwan Rinaldi, Em Yunir, Sukamto Koesnoe, Gurmeet Singh, Robert Sinto

Jurnal Penyakit Dalam Indonesia

Introduction. Elevated serum uric acid levels are associated with the progression of kidney disease in patients with type 2 diabetes mellitus (DM), through mechanisms involving endothelial dysfunction, oxidative stress, and chronic inflammation. Research in Indonesia on the relationship between uric acid levels and the decline of glomerular filtration rate (GFR) in diabetic patients remains limited. This study aimed to determine the association between serum uric acid (SUA) levels and decline in glomerular filtration rate among patients with diabetes mellitus diagnosed with diabetic kidney disease at Cipto Mangunkusumo Hospital, Jakarta, over a one-year period.

Methods. This retrospective cohort study …

Pengaruh Heart Rate Variability Terhadap Kesintasan Pasien Dengan Kanker: Laporan Kasus Berbasis Bukti, Kartika Anastasia Kosasih, Nida Raniah, Rudi Putranto, Wulyo Rajabto, Hamzah Shatri, Edward Faisal, Vinandya Irvianita Poespitasari

Jurnal Penyakit Dalam Indonesia

Depression, anxiety, and poor outcomes in cancer are possibly mediated by autonomic dysfunction. Autonomic disfunction found in cancer patients can cause increase in sympathetic tone and decrease in cardiac muscle vagal tone. Heart rate variability (HRV) is a non-invasive index for measuring vagal response and a potential stress response in autonomic dysfunction. In patients with cancer, high vagal tone measured by HRV is significantly correlated with increased overall survival. This evidence-based case report aims to investigate the role of HRV as a prognostic factor in cancer patients. Literature search was done by two authors on five databases: Pubmed, Cochrane Library, …

Hubungan Visceral Adiposity Index Dengan Neuropati Diabetik Perifer Pada Pasien Diabetes Melitus Tipe 2, Muhammad Arif Sanusi, Dian Anindita Lubis, Santi Syafril

Jurnal Penyakit Dalam Indonesia

Introduction. Type 2 diabetes mellitus (T2DM) is the leading metabolic disease in Indonesia. Diabetic peripheral neuropathy (DPN), a major complication of T2DM, was associated with insulin resistance and adipose dysfunction. Visceral adiposity index (VAI) is a tool to measure visceral fat as the indicator of adipose dysfunction and insulin sensitivity. The association between VAI and DPN has not been widely researched, especially in Indonesia. This study aims to assess the association between them.

Methods. This was a cross-sectional study conducted on adult patients (aged ≥18 years) with T2DM at H. Adam Malik General Hospital, Medan, from December 2024 …

Uab Libraries Q3 2025 Employee Updates, Uab Libraries

UAB Libraries News

No abstract provided.

Re: Approval Letter For The Butte Priority Soils Operable Unit (Bpsou) Revised Draft Final Reclamation Improvement Sites Field Sampling And Investigation Plan (Fsp): Bres No. 45 – Garfield Response To Agency Comments (Dated August 14, 2025), Molly Roby

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Re: Approval Letter For The Butte Priority Soils Operable Unit (Bpsou) Draft Final Bres No.94 – Rialto Dump Reclamation Improvement (Ri) Field Sampling Plan (Fsp) (Dated August 21, 2025), Molly Roby

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Revised Final Uniform Federal Policy- Quality Assurance Project Plan, Hydrogeologic, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Navigating Succession: Exploring Succession Planning Strategies In Polish Family Businesses, Jan M. Klaczak, Theresa M. Neal, Yvonne Doll

International Journal of Applied Management and Technology

Family businesses are the foundation of modern economies and societies, yet many encounter continuity challenges during succession. The purpose of this qualitative, multiple-case study grounded in Rothwell’s seven-step model for succession planning was to explore succession planning strategies Polish family business leaders used for ownership and leadership transfer to the next generation. Three family business leaders who executed succession planning in their firms participated in the study. Data were collected via semistructured interviews, researcher notes, and company document reviews. Using methodological triangulation and Yin’s five-step data analysis, four themes emerged: systematic succession, grooming the successor, communication with nonfamily stakeholders, and …

Dayton's Future Is Onmain, Eric F. Spina

President's Blog: From the Heart

"It's a party," announced emcee Sharon (Davis) White '78 as she greeted an overflow crowd of community champions who had gathered under a huge tent on a mostly vacant land dotted with bulldozers and filled with dreams.

Rising Waters, Falling Taxes: The Impact Of Hurricane Sandy On Property Tax Assessments In New York City, Wei Guo, Qing Miao, Yusun Kim, Yilin Hou

Center for Policy Research

Climate disasters pose fiscal challenges for local governments by increasing recovery costs and demand for property tax relief. Homeowners with or without property damage face tax burdens that may not match changes to their property value. This study examines the impact of Hurricane Sandy on property values and tax assessments in New York City. Using a difference-in-differences approach and comprehensive property-level data, we find that (1) inundated properties faced greater tax burdens due to limited declines in taxable value; (2) unaffected properties in flood zones saw tax burden increases due to declining market values and unchanged taxable values; and (3) …

Fencing In The Summer Paralympic Games: A Historical-Analytical Study Of The Achievements Of The Countries Of The Participating Teams For The Period (1960–2024), Jamal Sakran Hamza, Saja Khaled Jassim Mohammed, Mohammed Ramadan Najm

Modern Sport

The Paralympic Games are one of the most important sporting events today, as they represent the other side of disability in the world, as “they are an embodiment of the human will and its ability to overcome challenges, and go beyond being just a sports competition to become a global platform that contributes to changing societal attitudes towards disability The purpose of the research is to conduct a historical and documentary analysis of the achievements of the national teams participating in the Paralympic fencing within the Summer Paralympic Games in the period from 1960 to 2024, the researchers used the …

The Impact Of Hot And Arid Conditions On Dehydration Levels, Some Physiological Variables, And The Performance Some Of Basic Basketball Skills, Ahmed Hassan Yas, Fatmah Abd-Alredah Hatam

Modern Sport

The atmosphere in Baghdad and most regions of Iraq during the summer is characterized by extreme heat and aridity. These climatic conditions are among the negative factors that significantly impact cognitive function and the performance of athletic skills.

Consequently, The current study was designed to investigate the impact of hot and arid conditions on dehydration levels, specific physiological indicators, and the performance of key basketball skills among first-stage students at Al-Mustansiriya University. A sample of 30 students was randomly divided into a control group and an experimental group. The control group was permitted to consume water and fluids ad libitum …

Ebola Virus Vp35 Nnlns Motif Modulates Viral Rna Synthesis And Mib2-Mediated Signaling, Grace Uwase, Priya Luthra, Olivia A Vogel, Jyoti Batra, Bruno A La Rosa, Kathleen C F Sheehan, Oam Khatavkar, Jacqueline E Payton, Robert A Davey, Nevan J Krogan, Christopher F Basler, Daisy W Leung, Gaya K Amarasinghe

2020-Current year OA Pubs

Ebola virus (EBOV) is a nonsegmented, negative-sense virus (NNSV) with a single-stranded RNA genome. EBOV encodes for a limited number of proteins and thus depends on host factors to facilitate viral replication and pathogenesis. Of the virus-encoded proteins, multifunctional EBOV VP35 (eVP35) is necessary for host immune evasion and viral RNA synthesis. Previous proteomics studies identified an interaction between eVP35 and the host E3 ubiquitin ligase Mindbomb 2 (MIB2). Here, we show how an NNLNS (Asn-Asn-Leu-Asn-Ser) motif (residues 201 to 205) within eVP35 serves as a binding site for MIB2. This motif is critical for eVP35-dependent inhibition of MIB2-mediated interferon …