Digital Commons Network^™

Fall Prevention Education Among Older Adults At Townson Assisted Living Facility (Talf), Yolana Farrell-Williams

Walden Dissertations and Doctoral Studies

Falls in the elderly are a significant cause of injury, disability, and preventable medical expenditure; thus, fall prevention is an issue to assisted living homes like Townson Assisted Living Facility (TALF). The internal incident reports showed that persistent fall incidents were associated with inconsistent knowledge among the staff and unequal observed compliance with fall-prevention guidelines, indicating a practice gap in the systematized education of nurses. Educational interventions are effective in achieving high-quality staff, adherence to protocols, and outcomes concerning falls. Consequently, the current project was conducted to determine whether a specialized falls-prevention education program would enhance the knowledge and competency …

Licensed Social Workers’ Perceived Structural And Systemic Treatment Barriers For Clients With Severe Mental Illness, Myron Curtis White

Walden Dissertations and Doctoral Studies

There was a gap in the existing strategies in social work practice regarding the structural and systemic barriers to health care treatment for clients with serious/severe mental illness (SMI). The Centers for Disease Control and Prevention documented that addressing mental health destabilization in the United States is important and requires an understanding of the mental illness to be addressed, including its causal factors, the relationships between the mentally ill and their community/environment, and the methodology for effecting care. This general qualitative study explored what licensed social workers perceived as structural and systemic barriers to health care treatment access for their …

Strategies To Prevent The Development Of Dependence Among Head Start Beneficiaries, Shira Stallworth

Walden Dissertations and Doctoral Studies

Head Start programs provide educational, health, nutritional, and family support services to children from low-income families. Despite these benefits, concerns remain regarding factors that may contribute to dependency among some beneficiaries. Understanding these factors is important because public administrators seek to promote family self-sufficiency while ensuring support programs effectively address community needs. The purpose of this qualitative case study was to explore the perceptions of Head Start teachers and an education specialist regarding factors that may contribute to dependency among beneficiaries and to identify strategies that promote family self-sufficiency. The practice-focused research question was: What potential issues may contribute to …

The Ppp Model In Action: Empowering Tertiary Vocational Students Through Digital And English Training, Hüsem Korkmaz, Ali Geris, Cenk Yoldaş

Higher Learning Research Communications

Objectives: This study aimed to explore the stakeholder perspectives in a public–private partnership project as a remarkable initiative to enhance quality education at the tertiary level in Turkey. In this regard, the motivations behind participating in the partnership, perceived benefits and challenges, significant outcomes, and recommendations for similar prospective partnership programs were investigated empirically.

Method: The study employed a qualitative phenomenological research design, which relies on semi-structured interviews and focus group discussions with the key stakeholders of a public–private partnership project to empower vocational higher education. The data were collected from the representatives of Enerjisa Üretim Company (n = …

4-H At The Hopkinton State Fair 2026, Alison Coleman

UNH Cooperative Extension

No abstract provided.

Services For The Underserved-Mental Health Programs, Inc. V. Nettels

All Decisions

In this holdover in a supportive housing unit alleging objectionable conduct, the court ordered the petitioner to comply with the respondent's demand for a verified bill of particulars. The court rejected the petitioner's argument that a list of the names of people allegedly impacted by the tenant's conduct is evidentiary material beyond the scope of a bill of particulars, applying an important distinction between mere witnesses and content that constitutes the petitioner's prima facie case. The court also held that a bill of particulars is an appropriate vehicle to obtain dates and times of alleged incidents of misconduct.

Comparative Analysis Of “Silver Education” In Kazakhstan, Europe, Asia, And The United States, Diana Abetova, Albina Dossanova, Mehmet Cuneyt Birkok

Higher Learning Research Communications

Objectives: The study aimed to compare “silver education” policies in Kazakhstan, several European countries (Germany, Finland, France, the United Kingdom, Italy, and Spain), countries in Asia (China, Japan, South Korea and Thailand), and the United States to identify the strengths and weaknesses of the Kazakh model and to suggest improvements.

Methods: Methods included synthesis, comparative and system analysis, and structural-functional analysis.

Results: The findings show that Kazakhstan is in the early stages of developing silver education, lacking a dedicated legal framework and offering limited educational opportunities for older adults (aged 65 and over). In contrast, other countries examined have well-established …

Antropometri Tangan Penduduk Kota Ambon Sebagai Dasar Perancangan Ergonomis, Puan Maryam Leaongso, Wilma Latuny, Aminah Soleman

National Journal of Occupational Health and Safety

The limited availability of hand anthropometric data for the Indonesian population, particularly for the residents of Ambon City, may affect the accuracy of designing ergonomic products, work equipment, and public facilities. This study aimed to measure and analyze 25 hand dimensions of the Ambon City population based on gender and age, and to compare the measurement results with national anthropometric data. This research employed a quantitative method with a descriptive design through an anthropometric approach. Data were collected directly from 200 respondents, consisting of 100 females (aged 18–40 years) and 100 males (aged 20–40 years). Data analysis was performed using …

Effectiveness Of Organic Amendments In Enriching Nitrogen In Compost Produced From Organic Fractions Of Market Waste Generated In Dar Es Salaam, Tanzania, Amani Bilula, Ally Mahadhy, Anthony Manoni Mshandete, Amelia Kivaisi

Tanzania Journal of Science

Low nitrogen (N) content remains a key limitation of compost derived from urban organic waste. This study evaluated the effectiveness of selected plant-based organic amendments in enhancing nitrogen content and improving compost quality. Four plant- based organic amendments, Leucaena leucocephala (BN01), Commelina benghalensis (BN02), Morus alba (BN03), and Helianthus annuus (sunflower) cake (BN04), were incorporated into market waste compost at ratios of 1:0.06:0.04, 1:0.06:0.25, and 1:0.06:0.5 (organic waste: sawdust: amendment). Composting was conducted using a 4 × 3 factorial design with three replicates per treatment (n = 36). Temperature, moisture, and pH were monitored throughout the composting period. Total nitrogen, …

Nutritive Values Of Three Edible Green Seaweeds Collected From Dar Es Salaam Coast, Tanzania, Amelia S. Buriyo, Denis Gahunde, Kristian M. Kitali, David C. Simiyu

Tanzania Journal of Science

Tanzania is endowed with different seaweed (macroalgae) species, found abundantly along the coastline. Most of these hold a great potential as nutritious food sources with promising applications in food industry. These seaweeds could be highly utilized for effective management of the high levels of malnutrition in the country. Nonetheless, the nutritional potential of most seaweeds occurring in Tanzania is still unknown. Understanding the nutritional value of the commonly available edible seaweeds, could be an important step towards promoting them as food supplements in the country. In this study, the nutritive values (crude proteins, total carbohydrates, lipids, crude fibre, vitamins, and …

Preoperative Considerations For Cervical Cerclage (Part 1), Ilaria Paladino, Moti Gulersen, Amanda Roman, Rupsa C. Boelig, Vincenzo Berghella

Department of Obstetrics and Gynecology Faculty Papers

Transvaginal cervical cerclage remains a central strategy for preventing spontaneous preterm birth in appropriately selected pregnancies. Although decades of research have clarified which patients benefit most from cerclage, substantial heterogeneity persists in pre-, intra-, and postoperative management. This article, the first in a series on cerclage technique, synthesizes the evidence guiding preoperative decision-making. Cerclage is classified by indication as history-indicated cerclage, ultrasound-indicated cerclage and physical examination-indicated cerclage. History-indicated cerclage is recommended for patients with ≥3 prior early spontaneous preterm births or second-trimester losses < 28 weeks, prior ultrasound-indicated cerclage with delivery at< 32 weeks, or prior physical examination-indicated cerclage; twin gestation alone is not considered an indication. Ultrasound-indicated cerclage should be considered in singletons without prior spontaneous preterm birth with transvaginal ultrasound cervical length ≤20 mm and is recommended in singletons with prior spontaneous preterm birth when cervical length is ≤25 mm before 24 weeks' gestation; in twins, it may be considered when cervical length ≤15 mm before 24 weeks' gestation. Physical examination-indicated cerclage is recommended in singleton or twin gestations with asymptomatic cervical dilation ≥1 cm before 24 weeks' gestation. Timing varies by indication: history-indicated cerclage is typically placed at 12 to 14 weeks' gestation and is not urgent, whereas ultrasound-indicated cerclage and physical examination-indicated cerclage are usually performed between 16 and 23 6/7 weeks' gestation in response to cervical changes, ideally within 72 hours and 24 hours of diagnosis of short transvaginal ultrasound cervical length or dilated cervix, respectively. Preoperative evaluation should include a detailed anatomic ultrasound examination and appropriate genetic screening. Routine urogenital cultures are not indicated in the absence of symptoms. Amniocentesis is not recommended for history-indicated cerclage or ultrasound-indicated cerclage but should be considered before physical examination-indicated cerclage to evaluate for intra-amniotic infection. Adjunctive management remains variable. Progesterone is recommended for a short cervical lenght < =25mm before 24 weeks. Outpatient cerclage appears safe, with no clear benefit to routine inpatient management. Perioperative indomethacin and antibiotics are likely unnecessary for history-indicated cerclage but may be considered in ultrasound-indicated cerclage and are suggested for physical examination-indicated cerclage.

Power, Policy, And The Politics Of Censorship: A Critical Policy Discourse Analysis Of Lgbtq+ Inclusive Book Challenges, Talia M. Zito

Electronic Theses and Dissertations

This study is contextualized in the growing wave of book challenges targeting LGBTQ+ inclusive picture books in public schools, examining how these decisions are shaped by policy, language, and ideology. While national data document the scale of book bans, less is known about how these policies are interpreted and enacted at the local level, where their impact is most directly felt. This research addresses that gap by analyzing how one Florida school district, Escambia County Public Schools, responds to challenges under recent state legislation.

Using Critical Policy Discourse Analysis, this qualitative case study investigates how Florida’s state laws such as …

Uncovering Phenotypic Expansion In Axin2-Related Disorders Through Precision Animal Modeling, Nathalie M Aceves-Ewing, Denise G Lanza, Paul C Marcogliese, Di Lu, Chih-Wei Hsu, Hirokazu Hashimoto, Matthew Gonzalez, Audrey E Christiansen, Tara L Rasmussen, Alex J Ho, Angelina Gaspero, Cher Sha, Mary E Dickinson, Bo Yuan, Brian J Shayota, Stephanie Pachter, Xiaolin Hu, Debra Lynn Day-Salvatore, Laura Mackay, Oguz Kanca, Michael F Wangler, Lorraine Potocki, Jill A Rosenfeld, Richard Alan Lewis, Hsiao-Tuan Chao, Brendan Lee, Lauren Blieden, Barry N Wasserman, Dorine A Bax, Nicola K Ragge, Sukyeong Lee, Undiagnosed Diseases Network, Baylor College Of Medicine Center For Precision Medicine Models, Shinya Yamamoto, Hugo J Bellen, Lindsay C Burrage, Jason D Heaney

Faculty, Staff and Students Publications

Purpose: Heterozygous pathogenic variants in AXIN2 (HGNC 904) cause oligodontia-colorectal cancer syndrome (ODCRCS). We identified five individuals with de novo, heterozygous variants (NM_004655.4:c.196G>A p.(Glu66Lys), c.197A>G p.(Glu66Gly), and c.199G>A p.(Gly67Arg)) in AXIN2. Common phenotypes among these individuals included ectodermal dysplasia, global developmental delay, microcephaly, and limb, ophthalmologic, and genitourinary abnormalities.

Methods: Structural modeling was performed to predict the impact of these variants on AXIN2. A prime editing N1 screen of mouse embryos was performed to test whether the p.Glu66Lys variant produces a phenotype. Drosophila models were used to test the effect of this variant on Wnt signaling.

Results: …

Tips For Growing Garden Vegetables In Utah: Soil Preparation, Gastone Makalaya, Josh Martin, Milena Oliveira

All Current Publications

To help Utah gardeners maintain healthy soils and enhance early vegetable production, this fact sheet provides practical guidance and tips on soil preparation for vegetable gardening.

Healthcare Provider's Perceptions Of Family Values When Making End-Of-Life Care Decisions For Their Children: Developing And Implementing A Survey Tool., Nithya Sivakumar, Stephanie Kukora, Cherie Ginwalla, Satyan Lakshminrusimha, Jennifer Rosenthal

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Healthcare providers help families navigate end-of-life care decisions in the neonatal intensive care unit (NICU) and pediatric intensive care unit (PICU); however, limited studies exist regarding what values providers perceive families utilize when in these situations.

OBJECTIVE: To evaluate providers' perceptions of values that families considered when making end-of-life care decisions for their child.

DESIGN: Develop a novel survey tool to understand providers' perceptions of values families considered when making end-of-life care decisions for their children and distribute the survey tool to providers in a single quaternary care children's hospital within a university hospital.

METHODS: The novel survey tool …

Feasibility And Acceptability Of Automated Texts To Offer, Screen, And Enroll Patients In A Cancer Clinical Trial Financial Reimbursement Program: Mixed Methods Study, Ashley E Santaniello, Hena Patel, Sarah Milinski, Mohan Balachandran, Vivian Nguyen, E. Paul Wileyto, Robert H. Vonderheide, Dana Dornsife, Robert G. Johnson, Carmen E. Guerra

Student Papers, Posters & Projects

BACKGROUND: Out-of-pocket (OOP) costs pose a significant barrier to participating in cancer clinical trials (CCTs). Financial reimbursement programs (FRPs) that reduce the burden of OOP costs can support participation in CCTs if the information is readily available to participants at the time of enrollment. Prior studies have shown the importance and impact of FRPs, but despite improvements, significant barriers still remain.

OBJECTIVE: This study was designed to explore the feasibility and acceptability of automated texts designed to offer, screen, and enroll CCT participants in an FRP for OOP travel and lodging-related clinical trial costs.

METHODS: This study used a mixed …

Spontaneous Intracranial Hypotension With Negative Brain Mri Findings: A Systematic Review Of Diagnostic Strategies And Clinical Outcomes, Marina Romozzi, Giuseppe Garignano, Valid Rastegar, Francesco Onorati, Catello Vollono, Federico Tosto, Masahito Katsuki, Yasuhiko Matsumori, Francesco Signorelli

Student Papers, Posters & Projects

BACKGROUND: Spontaneous intracranial hypotension (SIH) is a debilitating syndrome typically characterized by orthostatic headache and classic brain MRI findings. However, brain MRI abnormalities are indirect manifestations of cerebrospinal fluid (CSF) volume depletion rather than direct evidence of the leak, and some patients may present with unrevealing or absent typical brain MRI findings, posing a considerable diagnostic challenge.

METHODS: A comprehensive search of PubMed/Medline, Web of Science, and Scopus was conducted to perform a systematic review, according to PRISMA guidelines, analyzing the available evidence on MRI-negative SIH (patients without typical SIH findings on their initial brain MRI), including its clinical features, …

Transjugular Intrahepatic Portosystemic Shunt (Tips) Outcomes For Variceal Hemorrhage During And After Covid-19: Racial, Payer, And Income Disparities - A National Retrospective Cohort Study With Stratified Sensitivity Analyses, Nakul Ganju, Shubham Gupta, Sahak Hovsepian, Samay Shah, Shaunak Ganju, Farshad Aduli

Student Papers, Posters & Projects

BACKGROUND AND AIMS: Transjugular intrahepatic portosystemic shunt (TIPS) reduces mortality in esophageal variceal hemorrhage. Whether the COVID-19 pandemic worsened existing disparities in outcomes among patients undergoing TIPS remains unclear. We aimed to characterize racial, payer-based, and income-based disparities in post-TIPS outcomes before and after the COVID-19 pandemic.

METHODS: Using the 2016-2022 National Inpatient Sample, we conducted a retrospective cohort analysis of 31,860 weighted hospitalizations of adults with cirrhosis and esophageal variceal hemorrhage who underwent TIPS. Admissions were stratified as pre-COVID (2016-2019) and post-COVID (2020-2022). Primary outcomes were in-hospital mortality, length of stay, and total hospital charges. Multivariable regression models with …

Decoding The Allosteric Grammar Of Protein Kinases: A Dual-Stream Framework Integrating Protein Language Models And Energy Landscape Frustration Analysis, Will Gatlin, Max Ludwick, Lucas Turano, Brandon Foley, Kamila Riedlova, Vít Škrhák, Marian Novotný, David Hoksza, Gennady M. Verkhivker

Mathematics, Physics, and Computer Science Faculty Articles and Research

The spatial and energetic encoding of allosteric regulatory sites remains a major challenge in structural biology, frequently representing a “blind spot” for sequence-based artificial intelligence (AI) models. We present a protein language model (PLM)-guided approach complemented by the energy landscape frustration analysis as a dual-stream framework to investigate the relationship between AI prediction of binding sites and biophysical organization of regulatory pockets across the human kinome. By probing a fine-tuned residue-level PLM classifier across 453 kinase structures, a clear performance gap is discovered between highly predictable orthosteric pockets (Types I, I.5, and II) and poorly resolved distal allosteric sites (Type …

Changes And Impacts Of American Open Science Policies Against The Background Of De-Globalization: With A Discussion On China's Responses And Actions, Mujun Li, Zheng Wang, Xingzhu Li, Wei Li

Journal of Scientific Information Research

[Purpose/significance] The wave of deglobalization has impacted the global development trajectory of Open Science, with U.S. Open Science policies undergoing a drastic contraction. It is necessary to understand this reconstructive trend of Open Science and identify the development opportunities therein. [Method/process] By introducing a "deglobalization" perspective and drawing on the policy tracking audit method, this study examines samples of U.S. Open Science policies and conducts an in-depth analysis of the underlying motivations and impacts. [Result/conclusion] During the era of deglobalization, the United States has significantly reduced the implementation and on-the-ground effectiveness of its Open Science policies through executive orders, funding …

A Glimpse Into Classrooms: Teachers’ Experiences Pre- And Post-Covid, Sam Hilbert, Katherine Wheeler, Robin H. Lock, Janna Brendle, Kassi Gregory

Journal of Educational Research and Practice

The COVID-19 pandemic forced many schools to pause in-person learning. Prior research indicates that these closures affected overall mental health and student academic performance. Mental health concerns, particularly anxiety and depression, were exacerbated for many school-aged children during these closures. Research has linked disorders, such as anxiety and depression, with changes in behaviors. Academic gaps have also been linked with negatively displayed behaviors in school settings. COVID school closures resulted in a 25% increased global prevalence of anxiety and depression diagnoses and an estimated 1-year academic loss in student learning. Although both variables have been shown to contribute to changes …

The Holy Trinity: Religion Clauses And Education Funding On The Roberts Court, Philip T.K. Daniel, Jeffrey C. Sun

ConLawNOW

The Supreme Court’s trinity of education subsidy cases have created an emergent pattern in education funding cases that extend much further than just emphasizing rules of neutrality and accommodation. These also potentially harm minoritized perspectives and identities by moving far beyond historic doctrinal groundings of separation of church and state. In three key cases all authored by Chief Justice Roberts, Trinity Lutheran Church of Columbia, Inc. v. Comer (2017),  Espinoza v. Montana Department of Revenue (2020), and Carson v. Makin (2022), the Court in this “Holy Trinity” of decisions moved from a theory of benevolent neutrality to policy abdication, relinquishing …

Book Review: Justice Breyer's Problematic Pragmatism, Mark S. Kende

ConLawNOW

Courts often face difficult questions of statutory interpretation and constitutional interpretation. Various judges take different approaches. This essay reviews the book, Reading the Constitution, Why I Chose Pragmatism Not Textualism, authored by former U.S. Supreme Court Justice Stephen Breyer, who used methods that were often in the Court minority. Justice Breyer argued in favor of relying on purpose in federal statutory interpretation cases, and in favor of pragmatic balancing in federal constitutional cases. He was anti-formalistic and therefore generally opposed to textualism or originalism. The essay argues that this trade publication, intended for a general audience, has strengths and …

Rearing Of Lambs On Intensively Managed Pastures In The Carpathian Region And Its Problems, Jozef Habovstiak

IGC Proceedings (1977-2023)

One of the patterns of utilizing the good pro­ductivity of grass stands in the Carpathian region consists in the intensive rearing of lambs in a pasture system. In the individual pasture farms, 350 to 700 kg of meat per ha were pro­duced over a grazing period of 130 to 150 days. A very important factor in this pasture system is the planning of technical equipment (fences, sheds, etc.). The most critical problem is, however, to keep the lambs in good health. In each pasture farm, therefore, periodical veterinary attendance and strict sanitary ar­rangements must be integral parts of the fight …

Exploring The High School Experiences Of Black Males With Their Considerations To Enroll In College, Maria Fernandes

Doctor of Education Program Dissertations

This qualitative study applied a phenomenological research approach to explore the high school experiences of black males with their considerations to enroll in college. The research was guided by social network theory as a lens to understand Black males’ considerations to enroll in college upon high school completion. Ten Black male college students participated in semi-structured interviews, and an analysis of the response data revealed two main themes: 1. socially influenced college enrollment considerations and 2. motivation rooted in self-confidence. The findings in this study highlighted the role authentic interpersonal relationships and self-determination play in Black males’ college enrollment considerations. …

Sfdda Newsletter Spring 2026

SFDDA Newsletter

SFDDA Newsletter includes regular columns with regional news impacting the South Florida District membership including: columns from the President and editor, feature articles relating to the field of dentistry, association events and upcoming activities, component news, continuing education opportunities, and classifieds.

A Scoping Review Of Information What’S The Benefit?, Ali Dubin, Barry Garst, Alexandra Claire Skrocki

CompassPoint

No abstract provided.

Why Nursing Students At Camp—Is It Worth It?, Beth Schultz

CompassPoint

No abstract provided.

A Camp Nurse’S Testimony To The Importance Of Nursing Assessments, Laura C. Butler

CompassPoint

No abstract provided.

Ach Health Hotline, Compass Point

CompassPoint

Each year, the Alliance for Camp Health (ACH) operates a health hotline providing a source of support and information for camps regarding health and wellness challenges. The questions span a diverse array of topics that can arise during the summer sessions and need timely attention. This report helps to summarize the types of calls received during the summer 2024 and highlights some key considerations when planning for summer 2025.