Digital Commons Network^™

Strategies To Improve Nurse Staffing And Workforce Management In Home Health Agencies, Kelechi Lillian Wabeke

Walden Dissertations and Doctoral Studies

Home health agencies continue to grapple with challenges in nurse staffing and workforce management. This integrative review explored effective strategies to address these challenges and improve operational efficiency. The review focused on identifying best practices for enhancing nurse recruitment, retention, and scheduling processes within home health settings. Guided by the transformational leadership framework, the study examined 30 empirical and theoretical articles published over the past 5 years. The selected articles were further assessed for relevance and quality using the Johns Hopkins evidence-based practice model. Through an in-depth thematic analysis, five primary themes and 10 supporting subthemes emerged. The key themes …

Effectiveness Of Seca Skin Public Relations Marketing Through Live Streaming On Tiktok, Mochamad Alvansa, Margareta Manalu

Journal of Indonesian Tourism and Policy Studies

This study examines the utilization of TikTok's live streaming feature as a public relations marketing strategy in the beauty industry. Using a qualitative descriptive method, the research is grounded in public relations marketing and live streaming theories. Through in-depth interviews, it explores how the beauty brand Seca Skin optimizes this feature to expand market reach, increase sales, and enhance consumer engagement. The findings reveal that Seca Skin successfully meets four key aspects of live-stream selling: Attractiveness, Trustworthiness, Expertise, and Purchase Convenience. These factors contribute to higher audience engagement, strengthened customer loyalty, and more effective purchasing decisions. Moreover, the study highlights …

Our Lady Of Peace: John Joseph Lynch’S Pilgrimage To Niagara Falls, Amelia Gallagher

Vincentian Studies

This article relates how John Joseph Lynch established Niagara Falls as a pilgrimage site, which he envisioned as being the first such site in the United States. In the nineteenth century, Niagara was viewed as such a spectacular natural wonder that it frequently inspired religious devotion, a history that Lynch encouraged and continued. The evolution of nineteenth- and twentieth-century views of Niagara and of pilgrimage in general are discussed. Niagara's role in American history is also explored.

Saint Elizabeth Ann Seton As A Mystic, Sung-Hae Kim

Vincentian Studies

Sung-Hae Kim describes how three key spiritual experiences in Elizabeth Seton’s life confirm her identity as a mystic according to William James’s four characteristics of the mystic state. These traits are ineffability, noetic quality, transiency, and passivity, and such experiences must lead to union with God. Elizabeth wrote about these experiences, which occurred when she was fourteen in New Rochelle, New York; twenty-nine in the lazaretto of Livorno, Italy; and sometime near her death at the age of forty-six in Emmitsburg. As Kim says, these “purify[ied] her ability to love, leading to serene peace and union with God and his …

How Would Reduced Indirect Costs Affect Unh Research?, Beth Potier

UNH Today Archive

No abstract provided.

The Parthenon, June 25, 2025, Baylee Parsons, Kaitlyn Fleming, Ashton Pack, Nate Harrah, Soleil Woolard

The Parthenon

No abstract provided.

Hypotension-Specific Rapid Response Team Nurse-Geared Protocol, Quennie Xserenity

Walden Dissertations and Doctoral Studies

This doctor of nursing practice (DNP) project was conducted to develop a clinical practice guideline (CPG) to address a gap at a southeastern hospital where frontline nurses often call rapid response teams for severe hypotension without a standard guideline for necessary interventions. Therefore, the practice gap identified at the project site was the lack of a CPG geared for rapid response nurses (RRNs) to use when responding to a call to intervene on a patient with hypotension. RRNs are nurses with advanced clinical training who provide immediate medical care to rapidly hemodynamically declining patients. The guiding question for this DNP …

Law Enforcement Officers’ Perceptions About Antipolice Sentiment And Social Media As A Force Multiplier, Edward Peter Pope

Walden Dissertations and Doctoral Studies

As a newly emergent form of mass communication, social media platforms can act as a force multiplier in fomenting negative and critical attitudes or viewpoints toward law enforcement officers and agencies. The purpose of this qualitative study was to examine the perceptions and lived experiences of law enforcement officers about antipolice sentiment and social media as a force multiplier. Amid growing concerns regarding public opinion and the impact of social media on law enforcement practices, more research was needed on how officers navigate and interpret these challenges. Data from in-depth interviews with 10 law enforcement officers were thematically analyzed to …

Staff Education To Educate Healthcare Providers On Effective Communication And Support Strategies For Child Sexual Abuse Victims, Njideka Ajemba

Walden Dissertations and Doctoral Studies

With this project, I sought to enhance the quality of care provided to child sexual abuse (CSA) survivors by improving healthcare providers’ skills in trauma-informed communication and support strategies. The project was undertaken at a large, private behavioral health facility located in the mid-Atlantic region of the United States, where an assessment of the practice environment revealed a critical gap in provider training. This gap often resulted in missed indicators of abuse, limited emotional support, and poor therapeutic outcomes for children affected by sexual abuse-related trauma. To address this, the project implemented a targeted educational intervention grounded in current evidence …

Effective Strategies To Leverage Organizational Culture To Enhance Employee Retention, Tavares E. Scott

Walden Dissertations and Doctoral Studies

Employee retention is a critical issue for healthcare organizations, with the average tenure in the U.S. being only 3.8 years. High turnover contributes to staffing shortages, increased costs, and compromised patient care. Hospital administrators and healthcare leaders are particularly concerned, as sustained turnover threatens organizational sustainability, care quality, and long-term profitability. Identifying strategies to retain employees is essential to improving workforce stability, maintaining service excellence, and securing financial viability. Grounded in Herzberg’s motivation-hygiene theory, the purpose of this qualitative pragmatic inquiry was to explore strategies healthcare managers in private medical healthcare systems used to leverage organizational culture to enhance employee …

Probation Officers’ Perspectives Of Outside Services In Reducing Recidivism, Karla Murguia

Walden Dissertations and Doctoral Studies

Research has underscored the critical role of probation officers in improving rates of recidivism. However, the literature on the comprehensive impact of outside services on recidivism was sparse and underdeveloped. The purpose of this qualitative study was to explore how probation officers in court services and a community corrections agency in Garden City, Kansas perceived the utility of outside services in reducing adult recidivism for probationers. Ecological systems theory was used to guide the study. Eight probation officers recruited via purposive sampling participated in semistructured interviews. Transcribed data were analyzed using a six-step thematic analysis protocol. Findings revealed that probationers …

The Borehol Wall Image Digital Description Method Of The Overlying Rock Structural Planes Evdution Process In Deep Mining, Wang Jinchao, Zou Junpeng, Li Shenghai, Wang Chao, Li Xiaobin

Coal Geology & Exploration

Objective In China, as mineral resource mining is increasingly expanding towards the deep parts of the Earth, the safe and efficient exploitation of deep resources has become a major strategic and technological challenge at the national level to be addressed urgently. Understanding the movement patterns of mining-affected strata in deep environments will assist in improving the intelligent prevention and control of mine disasters, thereby ensuring the safe and efficient exploitation of deep resources. Methods Targeting the complex and diverse forms of the overburden’s structural planes in deep mining, as well as a lack of characterization methods tailored to the evolutionary …

A Review Of Plant–Microbe Interactions In The Rhizosphere And The Role Of Root Exudates In Microbiome Engineering, Anagha Wankhade, Emma Wilkinson, David W. Britt, Amita Kaundal

Biological Engineering Student Research

Microbial interactions within the rhizosphere are fundamental to plant health, influencing nutrient availability, stress tolerance, and pathogen resistance. Beneficial microbes, such as plant growth-promoting microbes (PGPMs), including bacteria and mycorrhizal fungi, enhance plant resilience through mechanisms like nutrient solubilization, phytohormone production, and pathogen suppression via antimicrobial compounds and siderophores. Root exudates, composed of sugars, organic acids, and secondary metabolites, act as chemoattractants that shape the rhizosphere microbiome by recruiting beneficial microbes. Microbial metabolites can, in turn, modulate plant physiology and exudate profiles, thereby reinforcing mutualistic interactions. Stress conditions alter exudate composition, enabling plants to attract specific microbes that aid in …

Pharmaceutical Innovation Through Computational Drug Design: A Comprehensive Exploration, Manasa Chandramouli, Madhusudhan Heggadadevanakote Surendra

Makara Journal of Science

Chemical biology and computer-aided drug design (CADD) are crucial for identifying and optimizing lead molecules in drug development. Chemical biology is employed to determine the biological function of the target and the mode of action of a chemical modulator. At the same time, in CADD, promising candidate medications are identified based on the structure of the target or known bioactive ligands. Structure-based and ligand-based drug designs should be used in tandem, and their integration with experimental methods can considerably accelerate drug design. Furthermore, the use of CADD along with conventional experimental approaches increases the efficiency and accuracy of the discovery …

Ai-Driven Emi Mitigation For Smart Healthcare: Generative Adversarial Networks And Edge Computing For Reliable Medical Systems, Mona Esmaeili

Electrical and Computer Engineering ETDs

Electromagnetic interference (EMI) from radio frequency (RF) sources poses a major challenge to digital systems, especially in high-electromagnetic environments. Tradi- tional electromagnetic compatibility (EMC) analysis often focuses on continuous wave (CW) interference and overlooks the effects of waveform modulation on EMI coupling. This thesis explores how modulated waveforms influence EMI coupling and introduces a Generative Adversarial Network (GAN)-based classification framework to distinguish between harmful and non-harmful EMI signals. The study extends conventional EMC analysis using machine learning (ML), showing that modulated EMI waveforms can in- crease coupling by up to 27% compared to CW signals. This highlights the need for …

Anti-Transforming Growth Factor-Β Treatment Shows Increased Bone Mass And Strength In A Novel Mouse Model For Osteogenesis Imperfecta Type I, I-Wen Song, Emily Busse, Alexis Castellon, Oscar Ruiz, Nicole Meyers, Yangjin Bae, Catherine Ambrose, Brendan Lee

Faculty, Staff and Students Publications

Anti-transforming growth factor beta (TGF-β) is a promising approach for the treatment of osteogenesis imperfecta (OI). To date, preclinical and clinical studies for the use of anti-TGF-β therapy have focused on moderate to severe OI caused by qualitative defects in collagen. However, the majority of OI patients are represented by type I OI. Mutations resulting in the haploinsufficiency of type I collagen is the cause of OI type I in the majority of patients. To study the effect of anti-TGF-β therapy in type I OI, we generated a novel mouse model for OI type I. CMV-CRE mice were crossed to …

Author Correction: Beta Activity In Human Anterior Cingulate Cortex Mediates Reward Biases, Anusha B Allawala, Raissa K Mathura, Victoria Pirtle, Ricardo Najera, Nicole R Provenza, Eleonora Bartoli, Andrew J Watrous, Denise Oswalt, Ron Gadot, Adrish Anand, Ben Shofty, Sanjay J Mathew, Wayne K Goodman, Nader Pouratian, Xaq Pitkow, Kelly R Bijanki, Benjamin Hayden, Sameer A Sheth

Faculty, Staff and Students Publications

No abstract provided.

Mapping Mave Data For Use In Human Genomics Applications, Kori Kuzma, Anika Paul, Tierra Farris, Benjamin J Capodanno, Sally B Grindstaff, Kevin Riehle, Nuno Saraiva-Agostinho, Jordan F Safer, Jonathan Casper, Maximilian Haeussler, Aleksandar Milosavljevic, Julia Foreman, Helen V Firth, Sarah E Hunt, Sumaiya Iqbal, Melissa S Cline, Alan F Rubin, Alex H Wagner

Faculty, Staff and Students Publications

Background: Experimental data from functional assays have a critical role in interpreting the impact of genetic variants. Assay data must be unambiguously mapped to a reference genome to make it accessible, but it is often reported relative to assay-specific sequences, complicating downstream use and integration of variant data across resources. To make multiplexed assays of variant effect (MAVE) data more broadly available to the research and clinical communities, the Atlas of Variant Effects Alliance mapped MAVE data from the MaveDB community database to human reference sequences, creating an extensive set of machine-readable homology mappings that are incorporated into widely used …

Multimodal Imaging Directs Decision Making In Intraseptal L-Aaoca, Edward J Hickey, Silvana Molossi

Faculty, Staff and Students Publications

Background: Congenital coronary artery abnormalities represent an uncommon class of congenital heart disease with an associated risk of sudden cardiac death. There is a paucity of data for the evaluation and management of affected patients with an intraseptal course.

Case summary: A 27-year-old woman was found to have a single coronary trunk arising from the right sinus with a 2.7 cm intraseptal course of the left main coronary artery. She underwent stress cardiac magnetic resonance and catheterization, to assess for inducible ischemia before surgical repair with transconal unroofing. Her recovery was uneventful, and she remains free of symptoms.

Discussion: Management …

Chemotype- And Target-Driven Genome Mining For A New Natural Product Inhibitor Of Bacterial Peptide Deformylase

Faculty, Staff and Students Publications

Antibiotics are essential for modern medicine, but their use drives the evolution of antimicrobial resistance (AMR) that limits the long-term efficacy of any one drug. To keep pace with AMR and preserve our ability to treat bacterial infections, it is essential that we identify antibiotics with new structures and targets that are not affected by clinical resistance. Historically, most developmental candidates for antibiotics have come from microbial natural products, as they feature chemical structures and biological activities that have been honed over millions of years of evolution. Unfortunately, as classical bioactivity screens for natural product discovery are blind to the …

Impact Of Antimicrobial-Impregnated Dressings On The Rate Of Periprosthetic Joint Infections In Primary Joint Arthroplasty Surgeries Of The Hip And Knee, Michael Critelli, Janae Rasmussen, Sydney Shindler, Collin Reasch, Aaditya Patel, Mihir Patel, Jesua Law

Student Publications

Periprosthetic joint infections (PJIs), are a serious complication following total joint arthroplasty (TJA) of the hip and knee. Antimicrobialimpregnated dressings (AMIDs) are emerging as an adjunct measure to reduce microbial growth at the surgical site. This literature review examines the evidence regarding iodine and silver AMIDs in primary TJA of the hip and knee. Evidence indicates that use of AMIDs can be highly beneficial in high-risk infection patients, especially silver-based AMIDs to reduce the incidence of PJIs. Studies showed silver- and iodine-based AMIDs have comparable effects on healing wounds colonized by Staphylococcus aureus. There remains debate regarding the appropriate clinical …

Medical Populism And Epistemic Rights, Kurt Christian B. Tubera, Mark Anthony Dacela

Asia-Pacific Social Science Review

Medical populism, a performance-based political style that orchestrates antagonistic relations between the people and medical establishments, has served as a concept for analyzing the politicization of healthcare. With its four fundamental features, that is, invoking knowledge claims contrary to medical experts’ advice, simplifying discourse, dramatizing responses to public health crises, and forging divisions, medical populism compromises our access to accurate medical or public health information. Populist leaders abuse their epistemic authority and betray public trust when they propagate false information, medical or otherwise. And insofar as accurate medical or public health information is an epistemic good that we have the …

Systematic Review: Recent Developments In Magnetic-Nanoparticle-Based Dna Extraction, Stanley Evander Emeltan Tjoa, Mudasir Mudasir, Edi Suharyadi, Budi Setiadi Daryono

Makara Journal of Science

Deoxyribonucleic acid (DNA) is a research object for various molecular fields of study, and DNA extraction is a basic procedure in molecular biology laboratories. DNA extraction methods are evolving, from several steps using organic solvents to recent technology using magnetic nanoparticles as adsorbents for the purification step. The use of magnetic nanoparticles for DNA extraction is magnetizing because it is simple without heavy machinery, such as centrifugation and organic solvents. The application of this method is extensive and diverse. This systematic review summarizes current development trends for some aspects of this DNA extraction system from the magnetic nanoparticle synthesis method, …

Porous Calcium Carbonate-Poly-2-Acrylamido-2-Methylpropanesulfonic Acid Microspheres Embedded With Silver-Based Nanoparticles As Potential Antibacterial Carriers For Bone Infections, Novi Dwi Widya Rini, Adinda Asmoro, Systi Adi Rachmawati, Husaini Ardy, Akfiny Hasdi Aimon, Akihiro Kishimura, Yoshiki Katayama, Arie Wibowo

Makara Journal of Science

Implant-associated infections (IAIs) are a significant complication following orthopedic surgeries and are mainly caused by Staphylococcus aureus. In this study, microspheres based on hybrid calcium carbonate–poly-2-acrylamido-2-methylpropane sulfonic acid (CaCO₃-PAMPS) embedded with silver-based nanoparticles (AgNPs) were developed as potential antibacterial drug carriers for IAIs. AgNPs were prepared via a green synthesis approach, which employed Indonesian wild honey as a reducing and capping agent. PAMPS concentrations (0.025%, 0.050%, and 0.075% w/v) and silver ion (Ag⁺) concentrations in solution (0%, 2.5%, and 4% w/v) were varied. Scanning electron microscopy images showed that samples with 0.050% w/v PAMPS and …

Phylogenetic Analysis Of Ftsz In Wolbachia: Implications For Host Specificity, Anwar Rovik, Ayu Rahayu

Makara Journal of Science

Wolbachia are the most prevalent and successful endosymbiont in invertebrates and are categorized into 21 supergroups based on genetic phylogeny. The filamenting temperature-sensitive Z (FtsZ) protein is essential for bacterial cell division and is hypothesized to play a role in Wolbachia's control of host reproduction. However, despite FtsZ's importance, little is known about its diversity and function within Wolbachia. This study investigated the variability of the FtsZ-encoding gene among Wolbachia strains and their hosts. FtsZ gene sequences were retrieved from the National Center for Biotechnology Information database, and representative sequences were randomly selected from each host species and analyzed …

Synthesis Of Carboxymethyl Cellulose From Nypa Fruticans For Coating Metformin On Zn-Based Metal-Organic Framework Nanohybrid As A Bionanocomposite Drug Delivery System, Delviani Delviani, Viola Giary Rizkillah Maharani, Putri Nur Shadrina, Tri Warni, Regina Wan Azizah, Indra Lasmana Tarigan, Madyawati Latief

Makara Journal of Science

Diabetes is a common and rapidly spreading disease that affects 6.6% of the world’s population. Metformin hydrochloride (HCl) is an effective oral pharmacological treatment for type 2 diabetes mellitus (T2DM) patients because of its capability to reduce glucose levels and the risk of hypoglycaemia. However, gastrointestinal sensitivities to this drug can cause diarrhoea, nausea, vomiting and stomach ache. An alternative is controlled release technology by coating metformin with carboxymethyl cellulose (CMC) and zinc-metal-organic framework (Zn-MOF) through the encapsulation method. Therefore, this study aimed to coat metformin formulations using CMC in a Zn-MOF to control release into the body and minimise …

Removal Of Heavy Metals From Motorcycle Washing Wastewater Using A Zeolite-Embedded Sheet, Noverita Dian Takarina, Hanies Ambarsari, Sekar Arum Pramudyawardhani, Maria Fatima Niken Kris Rahmawati, Erni Johan, Naoto Matsue, Mohammad Afdhal Adidharma

Makara Journal of Science

The increased use of motorcycles for transportation has heightened environmental challenges related to their washing, particularly the discharge of untreated wastewater containing heavy metals, such as copper (Cu) and lead (Pb), into drainage systems. This study explored the effectiveness of zeolite-embedded sheets (ZESs) in the removal of these pollutants from motorcycle washing wastewater. ZESs were prepared through treatment of nonwoven sheets with Linder Type A (LTA Zeolite) powder and heat treatment, washing, and drying. Characterization was performed via scanning electron microscopy with energy-dispersive X-ray spectroscopy, and Fourier transform infrared spectroscopy. Over a 60 min adsorption period, the ZES achieved removal …

Isolation And Selection Of Bacillus Spp. As Candidate Probiotics For Use In Chickens, Adilah Adawiah, Komang Gede Wiryawan, Anja Meryandini

Makara Journal of Science

The growth rate of chickens can be improved by using probiotics as alternatives to antibiotics. Bacillus spp. as probiotics are particularly beneficial due to ability to form spores, which remain stable as commercial products over extended periods. This study aimed to isolate and select Bacillus spp. from Jasinga soil as probiotic candidates for chickens. A total of 15 isolates obtained of these, 12 were identified as Bacillus spp based on microscopic observations and screening test including ascertaining hemolysis, protease, amylase, and cellulase activities. Only six isolates exhibited gamma hemolysis and the ability to hydrolyze proteins, starch, and cellulose. Isolates BTJ1.1, …

Democracy, Expertise, And The Disinformation Problem, Richard Randall Frohock Iv

USF Tampa Graduate Theses and Dissertations

Experts are an essential part of our social epistemology. They grant us access to knowledge that would otherwise be inaccessible. Because of this, experts are also typically seen as invaluable political contributors. Without expert contributions, public policy risks being ill-informed and therefore incapable of addressing society’s needs. Recently, however, the extent to which expertise should inform public policy has come into question. Fueled largely by disinformation, there is a growing movement against traditional experts. Those within this movement argue that experts have overstepped their bounds and are working against the societies they are meant to be helping. Fearing that that …

Penyalahgunaan Kekuasaan Dan Viktimisasi Proyek Strategis Nasional Di Pulau Rempang, Dandi Jayusman, Annarentika Faajra Shakhila, Benedikta Wewieta Li Pena, Elly Saskia, Esterlita Nova Yaser Rantung, Heni Nur Febriyanti, Athifah Danika Pramesti

Jurnal Hukum & Pembangunan

Implementing the National Strategic Project (PSN) on Rempang Island caused controversy over the abuse of power that harmed some local communities. This research aims to analyze the conception of victims of abuse of power in the implementation of PSN, the structural victimization of PSN, the impact of PSN victimization, and the regulation of the rights of people affected by PSN. The research method used is doctrinal research with statutory regulations, victimology, and case approaches. The study shows that communities who experienced repression and violence during the implementation of PSN on Rempang Island are victims of abuse of power. Structural victimization …