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Articles 6541 - 6570 of 1791722
Full-Text Articles in Entire DC Network
Fact-Checking In The University: The Experience Of The ‘Verificatón Electoral’ As A Model Of Teaching Innovation, Irene Larraz, Samuel Toledano, Jordi Rodríguez-Virgili, Félix Arias Robles, Ángeles Durán, Marta Pérez-Escolar, Rocío Zamora Medina, Rubén Ramos Antón, Óscar Espíritusanto Nicolás, Miguel Ángel Esteban Navarro, Marcos Bermejo Gil
Fact-Checking In The University: The Experience Of The ‘Verificatón Electoral’ As A Model Of Teaching Innovation, Irene Larraz, Samuel Toledano, Jordi Rodríguez-Virgili, Félix Arias Robles, Ángeles Durán, Marta Pérez-Escolar, Rocío Zamora Medina, Rubén Ramos Antón, Óscar Espíritusanto Nicolás, Miguel Ángel Esteban Navarro, Marcos Bermejo Gil
Journal of Media Literacy Education
This article analyzes the experience of Verificatón, a teaching innovation project based on a live fact-checking hackathon aimed at identifying and combating disinformation in the electoral context. The initiative, developed by the fact-checking media outlet Newtral in collaboration with nine Spanish universities, brought together a hundred journalism students. The results show that this experience facilitates the adoption of the fact-checking methodology in the students' professional practice and contributes to overcoming the competency gap in university journalism education. The case study validates this training proposal, which, framed within an electoral scenario, reinforces students’ learning of the role of critical thinking in …
The Role Of Media Literacy In Shaping Campus Student Leaders’ Perceptions Of Media Activism, Online Risks, And Social Support, Srividya Ramasubramanian, Minnie S. Mcmillian, Shumaila J. Bhatti, Shannon Burth, Julius Matthew Riles, Elizabeth Behm-Morawitz, Melody Wilson
The Role Of Media Literacy In Shaping Campus Student Leaders’ Perceptions Of Media Activism, Online Risks, And Social Support, Srividya Ramasubramanian, Minnie S. Mcmillian, Shumaila J. Bhatti, Shannon Burth, Julius Matthew Riles, Elizabeth Behm-Morawitz, Melody Wilson
Journal of Media Literacy Education
in social movements. Within contemporary contexts, media is an important site through which campus student leaders raise awareness, share relevant information, distribute online petitions, and shape public discourses on various social issues. Media literacy is an essential skill for student leaders to be effective in their activist initiatives and be able to cope with the inevitable pushback through trolling and cyberbullying that such activism would likely bring up. This survey (N = 855) with college student leaders across three universities explores how they rate themselves on media literacy skills, how well they understand the risks involved with media activism, and …
Empowerment Or Oppression? College Students’ Interpretations Of Sex And Relationships In The Popular Media, Nicola Mcclung, Riana Pella
Empowerment Or Oppression? College Students’ Interpretations Of Sex And Relationships In The Popular Media, Nicola Mcclung, Riana Pella
Journal of Media Literacy Education
Scholars have long emphasized the harmful effects of overtly sexist and oppressive media images on young people’s understandings of sex and relationships. Yet, this emphasis on explicit harm leaves a gap in understanding how college students interpret subtle, hidden, and ambiguous media messages. To address this gap, we asked 196 California college students at a large public university to critique a range of mainstream media content— from overtly oppressive, to affirming of nondominant gender identities, to containing mixed messages about empowerment and oppression. Responses were coded using our media literacy scoring guide for assessing students’ ability to critically analyze media …
Factors Associated With Health Literacy And Chronic Disease Services Performance Among Village Health Volunteers In Chiang Rai, Thailand: A Cross-Sectional Study, Sunaree Tanapek, Saroj Nakju
Factors Associated With Health Literacy And Chronic Disease Services Performance Among Village Health Volunteers In Chiang Rai, Thailand: A Cross-Sectional Study, Sunaree Tanapek, Saroj Nakju
Journal of Health Research
Background: The growing burden of NCDs in Thailand highlights the need for effective community management by Village Health Volunteers (VHVs). This study investigated factors associated with health literacy and chronic disease service performance among VHVs in Chiang Rai Province, Thailand.
Methods: A cross-sectional survey was conducted among 325 VHVs via two-stage cluster sampling between June and July 2023. Data were collected using a validated five-part questionnaire (Cronbach’s alpha = 0.93–0.98). Data analysis included descriptive statistics, content analysis, Chi-square tests, and Spearman's rank correlation coefficient.
Results:VHVs demonstrated good health literacy (41.8%) and a high level of chronic disease service performance …
Point-Of-Generation Pfas Capture And Destruction For Manufacturing Emissions: An Open Technical Disclosure For Industry, Ernest N. Sumrall
Point-Of-Generation Pfas Capture And Destruction For Manufacturing Emissions: An Open Technical Disclosure For Industry, Ernest N. Sumrall
Defensive Publications Series
This defensive publication discloses an integrated system for capturing per- and polyfluoroalkyl substances (PFAS) at their point of generation in manufacturing processes and destroying them on site. Process emissions containing PFCAs, PFSAs, perfluoroalkane sulfonamides, and functionalized perfluoropolyethers are captured under negative pressure and transferred into a circulating water loop by fine-bubble scrubbing, exploiting the surfactant character of PFAS; foam fractionation concentrates the compounds into a minimal liquid volume. The concentrate is pre-treated in a closed-loop hydrodynamic cavitation stage — high-to-low pressure nozzle transitions into a low-pressure collision chamber, with a pump drawing suction from the low-pressure chamber and discharging into …
Ers‑Ω20 V5.2 — Gyroid‑Stabilized Multi‑Modal Emergency‑Response Coordination, Hazard‑Mapping & Field‑Stability Engine, Michael Victor Caldwell Mr.
Ers‑Ω20 V5.2 — Gyroid‑Stabilized Multi‑Modal Emergency‑Response Coordination, Hazard‑Mapping & Field‑Stability Engine, Michael Victor Caldwell Mr.
Defensive Publications Series
ERS‑Ω20 v5.2 is a mobile emergency‑response coordination engine designed for:
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Wildfire zones
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Collapse zones
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Disaster sites
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Medical‑triage fields
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Off‑grid and unstable environmental conditions
It integrates:
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Gyroid structural damping (Sanitized Block‑2.0)
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Atmospheric hazard‑mapping (ARPN‑2.0 + ARG‑CM‑2.0)
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Environmental‑resilience modeling (CIFRS‑N + CWRE‑1.0)
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Resonance stabilization (CMRS‑1 + APR AI)
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Smart‑skin telemetry (Arachne‑Chip‑2.0)
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Thermal buffering (Forgecell Prime‑2.0)
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Off‑grid power (Mechanic’s Battery‑2.0)
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Optional robotics integration (RBT‑Ω16)
ERS‑Ω20 v5.2 is fully grounded in posted Caldwell TDC inventions and is designed to be builder‑ready, test‑ready, and deploy‑ready for real‑world emergency‑response scenarios.
CORE SUBSYSTEMS (All Posted on TDC)
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Sanitized Block‑2.0 — Gyroid Structural Panel System
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UGCRM‑1.0 — Universal …
Exploring Successful Change Strategies For Small Business Owners To Remain Competitive, Omari Akuamoah Boateng
Exploring Successful Change Strategies For Small Business Owners To Remain Competitive, Omari Akuamoah Boateng
Walden Dissertations and Doctoral Studies
Small businesses are vital to the U.S. economy but face significant challenges in implementing organizational change to remain competitive due to resource constraints. This problem is important to small business owners because ineffective change strategies limit growth, sustainability, and broader economic contribution. Grounded in the resource-based view of the firm and entrepreneurship theory, the purpose of this qualitative pragmatic inquiry project is to explore the evidence-based organizational change strategies used by some small business owners in the United States to achieve and sustain a competitive advantage. The participants were 6 leaders from small businesses with fewer than 100 employees located …
Global Humanitarian Aid Sector Leaders’ Perceptions Of Leadership Development Programs To Support Humanitarian Aid Workers, Stephen J. Thomspon
Global Humanitarian Aid Sector Leaders’ Perceptions Of Leadership Development Programs To Support Humanitarian Aid Workers, Stephen J. Thomspon
Walden Dissertations and Doctoral Studies
The problem addressed through this study is that current leadership development programs for global humanitarian aid sector (GHAS) leaders fail to adequately address the unique circumstances of humanitarian aid work. Grounded in trauma-informed care and adaptive leadership, the purpose of this basic qualitative study was to explore GHAS leaders' perceptions of the essential components and opportunities for improving leadership development programs, as well as their recommendations on how to address the unique contexts of humanitarian aid workers. Semistructured interviews with eight GHAS leaders who had at least 10 years of sector experience were conducted. Through qualitative content analysis with a …
Biomechanical And Talar Cartilage Responses To Running In Individuals With Chronic Ankle Instability, Minsub Oh
Biomechanical And Talar Cartilage Responses To Running In Individuals With Chronic Ankle Instability, Minsub Oh
Theses and Dissertations
Context: Chronic ankle instability (CAI) has shown altered movement patterns and joint loading, which increase the risk of posttraumatic ankle osteoarthritis. Abnormal vertical ground reaction force (vGRF) during running may contribute to talar cartilage degeneration; however, the acute biomechanical and cartilage responses to running in individuals with CAI remain unclear. Purpose: The purpose of this study was to compare running biomechanics and changes in talar cartilage thickness and T2 relaxation times before and after running between individuals with CAI and healthy controls. Methods: Twenty individuals with CAI and 20 healthy controls completed running biomechanics and magnetic resonance imaging (MRI) sessions. …
Dnp Final Report: Enhancing Self-Regulated Learning And Metacognition For First-Semester Undergraduate Nursing Students, Carla S. Biondillo
Dnp Final Report: Enhancing Self-Regulated Learning And Metacognition For First-Semester Undergraduate Nursing Students, Carla S. Biondillo
DNP Final Reports
Background. First-year undergraduate nursing students often struggle to adapt their learning strategies to the higher-order thinking and clinical reasoning demands of nursing education. Ineffective study habits, low academic self-efficacy, and limited self-regulated learning (SRL) skills are consistently identified as predictors of attrition, which ranges from 20–50% nationally and internationally.
Purpose. At an academic medical center in rural East Texas, first-semester students report academic overwhelm and inadequate study strategies, consistent with national trends. A structured, evidence-based faculty coaching intervention targeting SRL and metacognition was found to be feasible within the collaborative, student-centered organizational culture.
Methods. A quality improvement (QI) design …
Identifying Symbolic Modeling Of Grooming Precursors In Social Media, Heath Landress
Identifying Symbolic Modeling Of Grooming Precursors In Social Media, Heath Landress
Walden Dissertations and Doctoral Studies
Short-form video platforms such as TikTok and Instagram Reels increasingly circulate dating and lifestyle advice that may normalize coercive relational scripts. A key challenge for preventing technology-facilitated child sexual exploitation is that early grooming precursors can be communicated through audiovisual design choices, such as tone, pacing, setting, and editing, that make manipulative narratives appear benign. The purpose of this qualitative multimedia content analysis was to identify recurring observable patterns that provide a form of symbolic modeling, through which relational and boundary-shaping cues associated with early-stage sexualized grooming are framed as ordinary dating or lifestyle advice in public TikTok and Instagram …
Dnp Final Report: Community-Based Advance Care Planning Education For Older Adults: A Quality Improvement Project, Teresa Hill
Dnp Final Report: Community-Based Advance Care Planning Education For Older Adults: A Quality Improvement Project, Teresa Hill
DNP Final Reports
Background: Advance care planning (ACP) supports patient autonomy and promotes care aligned with individual values and preferences. Despite these benefits, fewer than half of adults aged 50–80 have completed formal ACP documentation, and community-dwelling older adults rarely engage in ACP before serious illness, representing a persistent gap in early engagement.
Purpose: This quality improvement (QI) project evaluated the effectiveness of a community-based ACP educational intervention in improving ACP knowledge, confidence, and engagement among older adults.
Methods: A nurse facilitator trained in the Five Wishes framework delivered a structured, 60-minute ACP workshop at a senior center in North Texas. A pre–post …
Effect Of Role Ambiguity On Turnover Intention: A Moderated Mediation Model, Heejin Lim, Seung Eun Lee
Effect Of Role Ambiguity On Turnover Intention: A Moderated Mediation Model, Heejin Lim, Seung Eun Lee
International Nursing Research Congress (INRC)
Purpose: Given nurses’ high turnover and its impact on patient safety and quality of care (Wu et al., 2023), reducing their turnover intention is crucial. This study aimed to (a) test the direct effect of role ambiguity on turnover intention, (b) examine the indirect effect via burnout, and (c) investigate whether physician–nurse collaboration moderates the path from role ambiguity to burnout and, consequently, the conditional indirect effect (moderated mediation) on turnover intention.
Design/Methods: This descriptive, correlational study analyzed data from 507 registered nurses in South Korea collected between October and December 2024. Eligible participants had at least one year of …
Risk Factors For Metabolic Syndrome Among U.S.-Born And Non-U.S.-Born Hispanics In The United States, Banessa Maldonado
Risk Factors For Metabolic Syndrome Among U.S.-Born And Non-U.S.-Born Hispanics In The United States, Banessa Maldonado
Walden Dissertations and Doctoral Studies
Current knowledge regarding risk factors for metabolic syndrome (METS) among Hispanic individuals of Mexican descent remains limited. Using data from NHANES 2017–2020, this study compared factors contributing to METS and included U.S.-born and non-U.S.-born Hispanic adults of Mexican descent aged ≥ 18 years living in the USA (N = 949) with assessed METS. Grounded in the social ecological model and social determinants of health, this research evaluated dietary habits, lifestyle patterns, and acculturation processes using multivariate logistic regression and stratified analyses. Educational attainment was associated with METS, but the association was not statistically significant in adjusted models p = 0.528. …
Ƒ(Enlightenment): A Complex Adaptive Systems Model Of Recursive Causality And Human Meaning-Making, Daniel Lambert
Ƒ(Enlightenment): A Complex Adaptive Systems Model Of Recursive Causality And Human Meaning-Making, Daniel Lambert
Dissertations and Theses
Conflict Resolution has developed as a richly interdisciplinary field; however, its theoretical architecture remains fragmented across distinct bodies of scholarship. Existing approaches offer valuable but often isolated explanations of conflict behavior, limiting their ability to account for its complexity. This thesis addresses this limitation by advancing systems science as an organizing framework for integrating these perspectives. It introduces the Human-Complex Adaptive Systems (H-CAS) framework, which conceptualizes human behavior as a recursive adaptive process operating across interconnected regulatory domains. Within this model, conflict is not treated as a discrete event or purely deliberative process, but as an emergent property arising from …
Parental Enculturation And Child Well-Being In Immigrant Families: Examining Peer Relationship Difficulties And Emotional Symptoms In Asian American Youth, Yuxin Yu
LSU Master's Theses
Parents with immigration backgrounds face the dual challenges of maintaining their heritage culture while supporting their children’s adaptation to the mainstream culture. Although previous studies stressed both acculturation and enculturation, these two processes can compete and even conflict, leading to the important question for parents: Does parental enculturation influence children’s peer relationships and emotional functioning? This study examines the associations between parental enculturation and the social and emotional adaptation of Asian American youth by focusing on peer relationship difficulties and emotional symptoms. Participants included 75 Asian American parents of children aged 4 to 17, who completed measures of parental enculturation …
Irrigation Water Conservation And Accelerated Composting: An Exploration Of Environmentally Conscious Practices For Ornamental Horticulture, William James Carson Dunford
Irrigation Water Conservation And Accelerated Composting: An Exploration Of Environmentally Conscious Practices For Ornamental Horticulture, William James Carson Dunford
LSU Master's Theses
Best management practices for ornamental horticulture include proper management of irrigation water resources and substrate components. The first study investigated the effects of wind speed, wind direction, water pressure, and spray stake height on irrigation efficiency in nursery containers. Results indicated that lower spray stake height positions and lower wind speeds significantly improved the irrigation water volume captured within nursery containers by as much as 18% to 39%. Orienting spray stakes against prevailing winds further enhanced water retention, particularly at 0 and 1 inch heights. In contrast, higher stake elevations led to increased irrigation water loss by as much as …
Cultural Humility, Reformation Of Power Structures, And Cultural Competence As Seeds And Fruits Of Interculturality, Doug Herbek
Cultural Humility, Reformation Of Power Structures, And Cultural Competence As Seeds And Fruits Of Interculturality, Doug Herbek
Obsculta
This piece examines how interculturality both promotes and is fostered by cultural humility, reformation of power structures, and development of cultural competence. As we pursue interculturality, we incarnate the Gospel. In the process, local church leadership becomes inclusive and integrative, worship becomes more heartfelt, and community and unity are fostered as we celebrate our differences.
An Introduction To The China Land Sales Data Set: The Universe Of Land-Use-Right Transfers In China 2000-2022, Yilin Hou, Lin Li, Qiang Ren
An Introduction To The China Land Sales Data Set: The Universe Of Land-Use-Right Transfers In China 2000-2022, Yilin Hou, Lin Li, Qiang Ren
Center for Policy Research
The China Land Sales Data Set (2000-2022) includes the universe of land-use-right sales in China in the first 23 years of the 21st century, a period of the fastest mass urbanization and intense infrastructure construction in China’s history, that accompanied the rapid growth of China’s economy and household income. For this reason, this data set carries substance in many ways for anyone who needs to understand the occurrences in China of that period. The phrase “land sale” refers to the transfer of land-use right from the state as the sole owner of urban land to any individual, firm or entity …
Performance Evaluation Of The Xpert® Hcv Test On Fingerstick Blood In A Prospective Observational Clinical Study At Clia-Waived Sites In The United States, Jennifer R Havens, L Madeline Mccrary, Et Al.
Performance Evaluation Of The Xpert® Hcv Test On Fingerstick Blood In A Prospective Observational Clinical Study At Clia-Waived Sites In The United States, Jennifer R Havens, L Madeline Mccrary, Et Al.
2020-Current year OA Pubs
BACKGROUND: A major barrier to hepatitis C virus (HCV) elimination in the United States is the lack of a point-of-care test to confirm the presence of HCV RNA. The purpose of this clinical trial was to evaluate the performance of the Xpert® HCV test at CLIA-waived sites in the United States.
METHODS: Participants at risk and/or with signs/symptoms of HCV infection provided fingerstick blood that was tested on the Xpert® HCV test and venous blood tested using the cobas® HCV and Elecsys® Anti-HCV II tests. Fingerstick blood was collected at CLIA-waived sites by individuals self-trained on collection procedures.
RESULTS: Participants …
“I Started Healing Myself”: Black Mothers’ Grief Journeys After Stillbirth, Carrie J. Henry, Sara Kaylor, Mallory Scogin
“I Started Healing Myself”: Black Mothers’ Grief Journeys After Stillbirth, Carrie J. Henry, Sara Kaylor, Mallory Scogin
International Nursing Research Congress (INRC)
Introduction: Stillbirth (fetal death after 20 weeks gestation) occurs twice as often for Black mothers compared to White in the United States (Gregory et al., 2024), yet limited research has explored how Black mothers cope with stillbirth-related grief and distress (Boyden et al., 2014; Henry et al., 2023). Evidence suggests coping behaviors after perinatal loss differ across cultural and racial groups (Henry et al., 2024; Moore et al., 2022), yet most studies reflect mostly White samples. Understanding how Black mothers navigate the grieving process is essential to inform culturally responsive care and bereavement support (Fenstermacher & Hupcey, 2019; Henry et …
Snap Into Better Pediatric Neuro Assessments, Irene Chacko, Nayelli Fuentes, Annie Mazon Kellejian, Claire Ring, Ibrahim Shaikh
Snap Into Better Pediatric Neuro Assessments, Irene Chacko, Nayelli Fuentes, Annie Mazon Kellejian, Claire Ring, Ibrahim Shaikh
2025
No abstract provided.
Trust, Participation, And Power: Community Perspectives From The Equity In Public Health Initiative, Shaniece Criss, Roger S. Abim-Karmon, Jody Teel, Vanessa Rodríguez, Adia Bennon, Sally Wills, Sarah Gonzales, Dalmondeh D. Nayreau, Vaishnavi Bharadwaj, Hannah G. Kim, Jennifer Woollery, Melissa Fair
Trust, Participation, And Power: Community Perspectives From The Equity In Public Health Initiative, Shaniece Criss, Roger S. Abim-Karmon, Jody Teel, Vanessa Rodríguez, Adia Bennon, Sally Wills, Sarah Gonzales, Dalmondeh D. Nayreau, Vaishnavi Bharadwaj, Hannah G. Kim, Jennifer Woollery, Melissa Fair
Health Sciences Publications
Health disparities arise from unequal power relations shaping resource allocation, governance, and community agency. Community power is a key mechanism for addressing disparities. This study examines how visible, hidden, and invisible power operate within a U.S. county to inform inclusive governance. We conducted seven focus groups with Black and Hispanic residents (n = 68) and sixteen semi-structured interviews with elected officials, government staff, and advocacy leaders in Greenville County, South Carolina. Data were collected between March and December 2024. Transcripts were collaboratively coded in NVivo and analyzed using thematic analysis guided by Heller et al.’s Three Faces of Power …
Preemptive Tocilizumab In Cd19 Car-T Cell Therapy: Evaluating Its Role In Reducing Severe Cytokine Release Syndrome, Anna V. Guistolisi
Preemptive Tocilizumab In Cd19 Car-T Cell Therapy: Evaluating Its Role In Reducing Severe Cytokine Release Syndrome, Anna V. Guistolisi
Summer Interdisciplinary Research Symposium
Objective
The purpose of this paper is to explore whether prophylactic use of tocilizumab in patients with B-cell malignancies receiving CD19 Chimeric Antigen Receptor T-cell (CAR-T) therapy reduces the incidence of severe Cytokine Release Syndrome (CRS) within 30 days when compared to standard initiation of tocilizumab.
Methods
A literature search was conducted using PubMed, Google Scholar, ClinicalTrials.gov, and the Christopher Center Library to identify studies evaluating tocilizumab for CRS in patients receiving CD19-directed CAR T-cell therapy. Studies involving patients with B-cell malignancies treated with CD19 CAR T-cell therapy were included, while studies involving non–B-cell malignancies, non-CD19 CAR T-cell therapy, or …
Kason Jamison V. Chrislyn Morgan
Safety Of Early Discharge And Abbreviated Nimodipine Course In Patients With Good-Grade Aneurysmal Subarachnoid Hemorrhage, Patrick R. Toyota, Alexander D. Rebchuk, Michael A. Rizzuto, Hugh Mchugh, Kelsey Cruz, Charles S. Haw, Gary J. Redekop, Peter Gooderham
Safety Of Early Discharge And Abbreviated Nimodipine Course In Patients With Good-Grade Aneurysmal Subarachnoid Hemorrhage, Patrick R. Toyota, Alexander D. Rebchuk, Michael A. Rizzuto, Hugh Mchugh, Kelsey Cruz, Charles S. Haw, Gary J. Redekop, Peter Gooderham
Department of Neurosurgery Faculty Papers
Aneurysmal subarachnoid hemorrhage (aSAH) remains a devastating cerebrovascular emergency associated with substantial morbidity and mortality. Current guidelines recommend 14-21 days of inpatient monitoring and a 21-day course of nimodipine following aSAH. This retrospective study evaluates early outcomes early discharge (≤14 days post-ictus) and an abbreviated nimodipine course in highly selected patients with good-grade aSAH managed under a standardized institutional protocol. Consecutive patients enrolled in the Vancouver Ruptured Aneurysm Database (VRAD) at Vancouver General Hospital between 2022 and 2025 were included. Inclusion criteria were good-grade aSAH (WFNS Grade I-III) and discharge home within 14 days of ictus. The primary outcome was …
Strategic Organizational Growth In Nonprofit Organizations: A Swot-Based Change Management Analysis, Sharika Williams
Strategic Organizational Growth In Nonprofit Organizations: A Swot-Based Change Management Analysis, Sharika Williams
Walden Dissertations and Doctoral Studies
Nonprofit organizations often face operational and sustainability challenges. This study examined a nonprofit serving individuals with intellectual and developmental disabilities that was experiencing increased service demands, communication challenges, and workforce shortages. The purpose of this generic qualitative study was to develop a sustainable strategic change management approach to strengthen workforce development, financial stability, stakeholder collaboration, and strategic planning. Guided by the research question, "How can the client nonprofit organization implement a sustainable change-management approach that addresses internal communication challenges and resource constraints while maintaining mission alignment?" the study used a SWOT analysis and Kotter’s eight-step change model. Data were collected …
Enhancing Staff Knowledge Of Prenatal Depression Screening And Follow-Up Protocols, Gladys Ajohmbu Esunji
Enhancing Staff Knowledge Of Prenatal Depression Screening And Follow-Up Protocols, Gladys Ajohmbu Esunji
Walden Dissertations and Doctoral Studies
This staff education project addressed inconsistent staff knowledge of prenatal depression screening and follow-up protocols in an outpatient behavioral health practice serving prenatal patients. Prenatal depression is a nursing practice concern because delayed identification and inconsistent follow-up may affect maternal well-being, infant outcomes, family functioning, and timely access to behavioral health support. The practice-focused question was: According to the evidence, among clinical staff in an outpatient maternal mental health setting, what is the impact of structured staff education on adherence to prenatal depression screening on follow-up protocol knowledge? The purpose was to improve clinical staff knowledge through a structured education …
A Multimodal Approach To The Treatment Of Primary Chronic Pelvic Pain In Adult Women: The Positive Impact Of Shared Decision Making On Health Outcomes, Kylie Freese
Summer Interdisciplinary Research Symposium
Objective:
The goal of this paper was to assess approaches to management of idiopathic chronic pelvic pain (ICPP) in females to improve health outcomes.
Methods:
A structured literature search was conducted in the MEDLINE and CINAHL databases. Studies were included if they evaluated therapeutic interventions for primary/idiopathic chronic pelvic pain in adult females and reported treatment outcomes. Studies with adolescents, males, non-treatment topics, diagnostics, or unrelated conditions were excluded.
Results:
Myofascial therapy resulted in relief of anxiety and depression (-4.0+/-3.2, p< 0.001; -3.4+/-2.5, p< 0.001) and female sexual function index (FSFI) (7.8+/-6.4, p< 0.001). Psychological approaches had similar results regarding pain improvement, however showed worsening of FSFI (-0.31 [ -0.95, 0.34]; -1.95 [-3.63, -0.28]). Duloxetine and amitriptyline trials displayed improvement in pain, with amitriptyline impacting urinary symptoms and duloxetine resulted in lower pain scores. Cannabidiol improved pain, sleep, and mood disturbances (p≤0.001). Multimodal treatment resulted in greater improvement in pain (-2.19, [-3.17, -1.22], p=0.002) and FSFI (2.47, [1.06,3.88], p=0.030). No study showed statistically significant data displaying improvement/worsening quality of life.
Conclusion:
Each individual treatment resulted in improvements in the measured outcomes. Multimodal treatment approaches result in greatest outcomes when …
Re: Conditional Approval Letter For The Draft Final 2024 Unreclaimed Sites Sampling: Ur-21 Site Evaluation Summary Report, Molly Roby
Silver Bow Creek/Butte Area Superfund Site
No abstract provided.