Digital Commons Network^™

Correlation Of Ultrasound-Based Hydration Assessment Measures With Cvp And Clinical Hydration Status Among Children Admitted To The Picu: A Prospective Observational Study, Sandeep Tripathi, Tara Osman, Mina Hafzallah, Kejin Lee, Drew A. Whalen

Journal of Pediatric Intensive Care

Purpose: To assess the correlation of respiratory variation in IVC with CVP in children. Secondary objective was to evaluate IVC variability with clinical hydration status. Methods: IVC variability assessed at the subcostal (SC), and right lateral (RL) region and collapsibility index (CI) (spontaneously breathing) and distensibility index (DI) (positive pressure) and IVC/Aortic ratio calculated. Partial correlations calculated between CI/DI with CVP adjusting for BMI & age. Sensitivity of CI & DI to predict clinical dehydration calculated using ROC curves. Results: 145 ultrasounds on 72 patients (41% positive pressure). Only RL CI in spontaneously breathing patients strongly correlated with CVP (r …

Impact Of Extended Reality On Robot-Assisted Surgery Training: A Systematic Review And Meta-Analysis, Michael Bickford, Fayez Alruwaili, Sara Ragab, Hanna Rothenberg, Mohammad Abedin-Nasab

Rowan-Virtua School of Osteopathic Medicine Departmental Research

Robot-assisted surgeries (RAS) have an extremely steep learning curve. Because of this, surgeons have created many methods to practice RAS outside the operating room. These training models usually include animal or plastic models; however, extended reality simulators have recently been introduced into surgical training programs. This systematic review and meta-analysis was conducted to determine if extended reality simulators can improve the performance of robotic novices and how their performance compares to the conventional training of surgeons on surgical robots. Using the PRISMA 2020 guidelines, a systematic review was performed searching PubMed, Embase, Web of Science, and Cochrane library for studies …

New Patient Onboarding, Jennifer Fournier, Sarah Flagg, Alletta Roberts Dzik, Lyndsay Stevens, Shannon Smith, Karen Waterhouse

Operations Transformation

Currently there are barriers to establish a new patient with a primary care. The workflow for patients who self-refer currently requires 10 steps and is performed by 7 care team members.

• 4 PSR at the front desk complete paper intake forms that are then manually entered into a spreadsheet by 3 other care team members.

The step in the workflow, to obtain the release of information for patient records to be requested and submit the form, is inconsistently followed internally and externally and results in very long process time of 40+ days. This step is frequently overlooked due to the …

Zambia's Poor Septic Waste Management: A Disaster In Waiting, Andrew Mwape

School of Natural Resources: Faculty Publications

In the shadows of Zambia’s rapidly growing urban and peri-urban communities lies an invisible but mounting threat, the mismanagement of septic waste. While national dialogue often focuses on economic development, climate change, or energy, the sanitation crisis receives little public attention, yet it poses an equally severe risk to public health, environmental integrity, and sustainable urbanization. Zambia’s poor septic waste management, if left unaddressed, is a disaster in waiting.

Septic waste refers to the wastewater and solid waste that flows from toilets, sinks, and other domestic plumbing fixtures into on-site sanitation systems such as septic tanks or pit latrines. This …

Older Adults’ Digital Technology Experiences: A Qualitative Study, Lina Emmesjö, Jenny Hallgren, Catharina Gillsjö

College of Nursing Faculty Publications

Background

Older persons’ use of digital technology is becoming more prominent due to society’s heavy reliance on mobile and web applications. A positive attitude has been detected among older persons regarding the use of mobile solutions. Digital technology is increasingly used in the provision of health and social care, which can help older persons continue to be independent, and in turn can contribute to older persons’ overall well-being and sense of safety. However, current digital technology has been found to be difficult for older persons. Additional explorations into older persons’ experiences using digital technology are therefore relevant.

Method

A qualitative …

Oncology Nurse Self-Assessment Of Caring Behaviors Following Telehealth And In-Person Visits, Maryann Connor

Walden Dissertations and Doctoral Studies

Oncology nurses coordinate care, ensure the safe administration of treatments, manage symptoms, and support those newly diagnosed with cancer. Traditionally, oncology care included in-person visits, but the COVID-19 pandemic accelerated the adoption of telehealth, transforming how oncology care is delivered. The purposes of this study, guided by Watson’ theory of human caring, were to determine (a) if there is a difference in oncology RNs’ self-assessments of applying caring behaviors during in-person visits compared to oncology RNs’ self-assessments of applying caring behaviors of telehealth visits with newly diagnosed cancer patients, and (b) if there is a difference in self-assessment of caring …

Reasons For Former Teachers To Change Employment Or To Depart The Profession, Vicki Renfroe

Walden Dissertations and Doctoral Studies

Teacher turnover adversely affects students’ academic performance and the educational community. The problem that was addressed through study is the approximately 18% teacher turnover at a local Title I school district in southeast Texas. This purpose of this study was to explore why teachers within a local souteast Texas Title I school district left their positions. The conceptual framework was Maslow’s hierarchy of needs. The study was guided by a research question centered on recurring reasons for teachers considering retiring, leaving the profession, or changing locations. A basic qualitative study employing semistructured interviews with 14 former teachers who had left …

Predicting Dietary Behavior In Obese Adult Diabetics Using Social Cognitive Theory, Precious Mueller

Walden Dissertations and Doctoral Studies

Predicting Dietary Behavior in Obese Adult Diabetics Using Social Cognitive Theory by Precious Mueller MA, University of Phoenix, 2009 BS, University of Iowa, 2006 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Public Health Walden University November 2024 “ Diabetes mellitus Type II is a prevalent and serious condition affecting millions globally, particularly among obese adults. The association between dietary behaviors and diabetes management is critical, as it directly impacts health outcomes and quality of life for affected individuals. This study aims to identify the determinants of dietary behaviors that influence Type II …

Type Of Intimate Partner Violence And Association With Perpetrator Demographics, Katrisha Williams

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is a public health concern because of its long-term impact on health and well-being with 1 in 4 American women experiencing some form of IPV. To help understand how age, gender, and race of both, the perpetrator and victim, impact the type of IPV, multiple regression analysis was performed with secondary data from the National Intimate Partner and Sexual Violence survey (N=541). This study used Raewyn Connell’s Theory of Masculinity as a conceptual framework. This theory states that males have a need to show dominance, strength, and suppress emotion, which can inform patterns of violence in …

Brexit And The Devolution Of Uk Settlements: A Qualitative Case Study Of The Socio-Political Factors And Consequences Of Brexit On Scotland, Deborah Erioluwa Adeniji

Masters Theses

This paper takes a real in-depth look at the United Kingdom’s position in the geopolitical landscape before and after one of the most crucial votes in the nation’s history, namely the Brexit vote of 2016. To bring clarity to those who may be new to UK politics, it is important to note that Brexit is an abbreviated term for Britain’s exit, or departure, from the European Union (EU). This paper explores the position of the United Kingdom, or Britain, in the world before and after its departure from the European Union. Throughout the course of this paper, the following questions …

Templating Of Monomeric Alpha-Synuclein Results In Inflammation And Snpc Dopamine Neuron Death In A Genetic Mouse Model Of Induced Synucleinopathy, Matthew D. Byrne, Peyman Petramfar, Jae-Kyung Lee, Richard J. Smeyne

Department of Neuroscience Faculty Papers

While the etiology of most cases of Parkinson's disease (PD) are idiopathic, it has been estimated that 5-10% of PD arise from known genetic mutations. The first mutations described that leads to the development of an autosomal dominant form of PD are in the SNCA gene that codes for the protein alpha-synuclein (α-syn). α-syn is an abundant presynaptic protein that is natively disordered and whose function is still unclear. In PD, α-syn misfolds into multimeric b-pleated sheets that aggregate in neurons (Lewy Bodies/neurites) and spread throughout the neuraxis in a pattern that aligns with disease progression. Here, using IHC, HC, …

Impact Of Posttransplant Cyclophosphamide-Based Gvhd Prophylaxis In Patients 70 Years And Older: An Update From Bmt Ctn 1703., Sameem Abedin, Michael J Martens, Javier Bolaños-Meade, Monzr M Al Malki, Qinghua Lian, Lyndsey Runaas, Hany Elmariah, Mahasweta Gooptu, Karilyn T Larkin, Brian C Shaffer, Alison W Loren, Melhem Solh, Amin M Alousi, Omer H Jamy, Miguel-Angel Perales, Andrew Rezvani, Ami Bhatt, Najla El Jurdi, Janny M Yao, Kristy Applegate, Leslie S Kean, Yvonne A Efebera, Ran Reshef, William Clark, Eric Leifer, Wael Saber, Mary M Horowitz, Richard J Jones, Shernan G Holtan, Mehdi Hamadani

Oncology Articles

Allogeneic hematopoietic cell transplant (allo-HCT) is underutilized in adults aged ≥70 years. Morbidity, often driven by graft-versus-host disease (GVHD), is considered a major barrier to its use. The BMT CTN 1703 trial (ClinicalTrials.gov identifier: NCT03959241) randomly assigned adults with hematologic malignancies undergoing allo-HCT after reduced intensity conditioning to receive either posttransplant cyclophosphamide, mycophenolate mofetil, and tacrolimus (PTCy) or tacrolimus and methotrexate (Tac/MTX) for GVHD prophylaxis. Overall study results revealed superior GVHD-free, relapse-free survival (GRFS) with PTCy-based prophylaxis. This analysis explored the impact of PTCy in patients aged ≥70 years enrolled in BMT CTN 1703. We analyzed outcomes for 96 patients …

Corecivic Inc V. Governor Of New Jersey

2025 Decisions

USDC for the District of New Jersey

Policy Review Of The Aha Clinical Practice Guideline For Congestive Heart Failure: Evaluating Best Practices, Brenda E. Garcia

Student Scholarly Projects

Practice Problem: Congestive heart failure (CHF) is a significant public health challenge that impacts various populations and contributes to rising hospital admission rates.

PICOT: The PICOT question that guided this scholarly project was: For healthcare policymakers and interprofessional teams (P), how does a policy review of the American Heart Association’s Clinical Practice Guidelines for Heart Failure (I), guided by the CDC’s Polaris Framework (C), conducted over a 12-week period (T), evaluate alignment with evidence-based practices and potential for adoption in the care of patients with congestive heart failure (O)?

Evidence: This scholarly project focused on reviewing the current clinical guidelines …

Molly M. Patrick V. W. Roger Miers, Order On Motion To Dismiss, John J. Goger

Superior Court of Fulton County: Metro Atlanta Business Case Division Opinions

No abstract provided.

2025 Student Research Fellowship Program: Serf Abstract Booklet, Isabella Bailey, Megan Keen Do, Mindy Flanagan Phd, Noah Bergsma, Jimmy Yen Phd, Joshua Dippold, Jared Lee, Benjamin Bower, Micah Smith Md, Peyton Clouse, Joseph Mccollom Do, Madeline Ku, Molly Jain Md, Nnemka Kiki Iloani, Amy Souers Md, Facep, Lisa Hollister Dnp, Jacob Jones, John Morton Ccp, Asim Mohammed Md, Meghana Nalamolu, Cecelia Hale Do, Scott Yen Md, Xintong Lu Mph, Abigail Nita, Jovan Simakoski, Christopher N Johnson Md, Roy Small Do, Jaishna Sivakumar, Zineb Ammous Md, Juan Carlos Vazquez, Barbara Schroeder, Noah Wilder, Thomas Gutwein Md, Jana Sanders Men, Grant Yager, Jonathan Lynch Md, Michelle Drouin Phd, Amanda Coupe Ms, Christopher N. Johnson

Medical Student Research

2025 Student Research Fellowship Program: Abstracts included:

Baseline Data Assessment to Support Implementation of Enhanced Recovery After Surgery (ERAS) Protocol

Identifying 8-11B as a Novel Anti-Inflammatory Compound on Attenuating Neuroinflammation and Disease Severity in MS

Mid-Term Outcomes of 3D-Printed Custom Pelvic Implants for Acetabular Bone Loss and Pelvic Discontinuity: A Single-Surgeon Retrospective Review.

Radiographic Outcomes of 1 and 2 Level TLIF’s Based on Type of Cage Utilized.

Integrating Palliative Care into Oncology and its Effects on Patient Outcomes

Feasibility of Carrying Whole Blood in Northeast Indiana

Red Cell Distribution Width as a Prognostic Indicator of Mortality in Extracorporeal Life Support …

Act With Nmosd: A Targeted, Telehealth-Delivered Mental Health Intervention For Patients & Caregivers, Darcy C. Esiason, Patrick J. Smith, Charles L. Peppers, Emily Wakschal, Leigh Andrews, Chelsi N. Nurse, Hallie M. Kushner, Christopher F. Drescher, Heather Bruschwein, Wendy Erler, Tom Hattrich, Ankita Deshpande, Michael Levy, Thomas P. Leist, C. Virginia O'Hayer

Department of Psychiatry and Human Behavior Faculty Papers

PURPOSE: The rare, unpredictable, debilitating nature of neuromyelitis optica spectrum disorder (NMOSD) constitutes a unique psychological burden. This single-arm, pilot clinical trial examined the effectiveness of Acceptance and Commitment Therapy (ACT) tailored to meet the psychological burden of NMOSD, a brief telehealth-delivered intervention, targeting this burden.

METHODS: Forty-three adults with NMOSD (76 % aquaporin-4 seropositive (AQP4+)) in USA, with elevated anxiety and/or depression completed 6-weeks of an experiential talk therapy designed to increase psychological flexibility and valued action, specifically tailored to address the psychological burden of NMOSD: Acceptance and Commitment Therapy (ACT) w NMOSD. Patients attended via Zoom, along with …

Assessing Climate Vulnerabilities In Rural And Low-Income Regions: A Case Study Of The Western Upper Peninsula, Mercedes Asamani, Chelsea Schelly

Michigan Tech Publications

Low-income and rural regions may be more vulnerable to the impacts of climate change because they face challenges in accessing resources and systemic exclusion from climate planning coupled with other geographical, geological, and social factors. Climate vulnerability assessments (CVAs) offer a logical framework for assessing the potential impacts of climate change on socio-ecological systems and provide a scientific basis for developing adaptation strategies. Using secondary data from scholarly papers, online publications, government documents, official reports, and relevant news items, the study investigates Michigan’s Western Upper Peninsula’s (WUP) vulnerability to climate change and climate variability. The study is guided by a …

Leading Through Critical Incidents: A Phenomenological Study Of K–12 School Leaders’ Responses To Critical Incidents, Terry-Ann Griffin

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to explore how K–12 school leaders respond to critical incidents in schools. A critical incident is any actual or alleged event or situation that creates a significant risk of substantial or severe harm to physical or mental health, safety, or well-being. The study focused on three major critical incidents: school shootings/gun violence, the COVID-19 pandemic, and racial unrest. The research was guided by Bandura’s Social Cognitive Theory, which explains human behavior through reciprocal interactions between personal, environmental, and behavioral factors. The central research question was: How do K–12 school leaders respond to …

The Relationship Between Attitude Toward Suicide And Related Sociodemographic Factors That Influence The Use Of Mental Health Resources Among Undergraduate College Students: A Predictive Correlational Study, Floydena S. Smith

Doctoral Dissertations and Projects

The purpose of this quantitative, predictive, correlational research study was to identify the relationship between attitude toward willingness to intervene against suicide scores and the linear combination of sex and age among undergraduate students. Higher education institutions must now determine if these sociodemographic variables prompted undergraduate college students to seek out interventions and use mental health services in case of suicide. The target undergraduate population included 93 full-time students between the ages of 18-45 from a postsecondary institution. A convenience sample was used to obtain 93 students, but only 80 participants in the study completed the survey in its entirety. …

Using Statistical Modeling To Help Improve The Work Environment For Nurses, Malcolm S. Demery

Doctoral Dissertations and Projects

This study aims to investigate if statistical modeling can help to improve the nurse’s work environment by identifying and solving basic workplace stresses. The major problem addressed is the stressful situation of burnout and high turnover levels for nurses, which affects the patient and the quality of care. Therefore, this research is important since it can enhance nurse job satisfaction and retention which subsequently can result in better healthcare outcomes, lower operational costs, and better patient safety. The central research questions guiding this study are: (1) How can statistical modeling aid in the discovery and correction of underlying factors that …

Rene Hernandez-Garcia V. Attorney General United States Of America

2025 Decisions

Agency

A Caffeine And Theacrine Combination Improves Cognitive Performance In Tactical Personnel Under Physically Fatiguing Conditions, Blaine S. Lints, Adam T. Harrison, Sten O. Stray-Gundersen, Gianna F. Mastrofini, Riccardo F. Romersi, Noah K. Nakagawa, Mackenzie B. Yonder, Chimaobim E. Martin-Diala, Alexa J. Chandler, R. Davis Moore, Shawn M. Arent Ph.D., Cscs*D, Fissn, Facsm, Fnak

Faculty Publications

Background

Optimizing human performance under stressful physical and cognitive conditions is paramount during high-stakes military operations. As such, interventions to improve warfighter performance by mitigating task-induced cognitive performance deficits are necessary. While caffeine is the most widely consumed psychoactive substance in the world, common side effects (i.e. anxiousness, micro-saccades, irritability) may be detrimental to warfighter operations. Theacrine, a purine alkaloid similar in structure to caffeine but with a longer half-life, less habituation, and fewer side effects, is proposed as a caffeine-alternative to enhance cognitive resilience.

Methods

Tactically trained participants (n = 20; F = 5; M = 16; age …

The Tales Of A Countryman, Aubrei Foreman

ENGL 1102 Showcase

This essay was inspired by the profile project assignment. This was an assignment given to allow students the opportunity to further investigate a person, picture, or place, then create a blog site and an essay, detailing what we learned during said investigation. My essay was based on an interview I conducted with a person that is very special to me, my Pop-Pop Clyde Foreman Sr. I wanted to receive a first-hand account of the effects of growing up in an environment in which he not only experienced Jim Crow laws, but also experienced sharecropping in the deep rural south. It …

Perspectives And Experiences Of Clinicians Who Treat Incarcerated Youth In Florida, Rose-Lissa Meline Regnier

Walden Dissertations and Doctoral Studies

This study explored the experiences and perceptions of social workers, human services professionals, and mental health counselors, psychologists, or psychiatrists who treat youth with mental health issues within the criminal justice system in Florida. Using a qualitative research method, this study was framed by relational theory. Ten participants were interviewed regarding the perspectives, challenges, successes of clinicians and how they incorporate the needs and perceptions of youth into their treatment approaches. After coding and thematic analysis, five key themes emerged from the data. First, systemic challenges and inefficiencies in service delivery were evident, highlighting gaps in execution, resource shortages, and …

In Lieu Of The Nlra, Gali Racabi

Cornell Law Faculty Working Papers

The National Labor Relations Act (NLRA) deteriorates from constitutional attacks and political sabotage. As labor law buckles, its preemption regime, a keystone of U.S. labor governance, has become unsustainable. This Article argues that labor law must flip its federal default by empowering and expanding state-level labor institutions and expanding gaps in NLRA preemption doctrine. Eighteen states already maintain NLRA-like statutory frameworks, and fourteen more recognize workers’ rights to unionize and act collectively as a state public policy. These under-examined laws hint at an alternative labor governance model in lieu of the NLRA.

Building on emerging preemption challenges, weaknesses in federal …

A Whole-Brain Voxel-Based Analysis Of Structural Abnormalities In Ptsd: An Enigma-Pgc Study, Cheryl R Z See, Evan M Gordon, Et Al.

2020-Current year OA Pubs

BACKGROUND: Patients with posttraumatic stress disorder (PTSD) exhibit smaller regional brain volumes in commonly reported regions including the amygdala and hippocampus, regions associated with fear and memory processing. In the current study, we have conducted a voxel-based morphometry (VBM) meta-analysis using whole-brain statistical maps with neuroimaging data from the ENIGMA-PGC PTSD working group.

METHODS: T1-weighted structural neuroimaging scans from 36 cohorts (PTSD

RESULTS: PTSD patients exhibited smaller GM volumes across the frontal and temporal lobes, and cerebellum, with the most significant effect in the left cerebellum (Hedges'

CONCLUSIONS: PTSD patients exhibited widespread, regional differences in brain volumes where greater regional …

Design And Investigation Of Triarylamine Functionalized Luminophores For Multi-Functional And Stimuli-Responsive Applications, Sasikala R

Theses and Dissertations

Organic solid-state fluorescent materials have garnered attention over many decades in virtue of their contribution in the development of LED devices and biomedical applications. Nevertheless, the potential of fluorescent molecules in device applications was underused due to aggregation-caused quenching (ACQ) effect. The ACQ effect commonly quenches the organic molecules fluorescence intensity in the aggregated or condensed state, which can significantly influence their performance in practical applications.

The organic polyaromatic fluorophores exhibit strong fluorescence in the solution state. After culmination of years of work, Prof. Tang’s research group discovered a new phenomenon of aggregation-induced emission (AIE) in the fluorescence molecules constructed …

Rooted In Justice: International School Teachers’ Perceptions Of Professional Development, Joseph Weatherby-Teague

LMU Theses and Dissertations

Research has shown a characteristic of effective teachers in international schools (ISTs) is cultural awareness and responsiveness (Grant et al., 2024), but there is a lack of research on ISTs and social justice development and ISTs in Qatar. This qualitative study (Smith et al., 2022) analyzed the perceptions of ISTs in Qatar about social justice professional development they participated in between 2019 and 2024 and how they implemented professional development in their practice. Using frameworks on justice as praxis and teacher education for social justice (Bondy et. al, 2017; Cochran-Smith, 2010), this study used an interpretive phenomenological analysis to conduct …

Staff Education On Early Diagnosis And Management Of Hypertensive Crisis, Sharon Fairweather

Walden Dissertations and Doctoral Studies

Summary This project is a Doctor of Nursing Practice initiative to educate healthcare professionals at a primary healthcare clinic. The focus was on improving staff knowledge of hypertensive crises in African American patients aged 20 to 40. The project included face-to-face training sessions and educational resources to empower providers and enhance patient outcomes. Hypertensive crises are a significant health risk, especially in African Americans. This group has higher rates of hypertension, leading to serious health complications. Addressing this issue is crucial in nursing practice. Early diagnosis and timely interventions can significantly improve care. Equipping nurses with the necessary skills is …