Digital Commons Network^™

Standardized Infection Prevention Protocol To Reduce Surgical Site Infections In Pediatric Neurosurgery, Pisey Kareth

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Surgical site infections (SSIs) are a significant concern in the pediatric neurosurgical patient population and are associated with increased morbidity, longer hospital stays, and increased medical expenses. The absence of a standardized preoperative infection prevention process led to variability in perioperative care practices and infections at the practicum site.

Aim of the Project: The aim of the project was to reduce the incidence of SSIs among pediatric patients undergoing neurosurgical procedures who were initially evaluated in an ambulatory setting.

Review of the Evidence: Evidence supports the implementation of bundled infection prevention strategies as a more effective approach to reducing …

Increasing Referrals To The Lung Cancer Screening Program, Megan Randall

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Lung cancer is the leading cause of cancer-related deaths worldwide and is frequently diagnosed at advanced stages when treatment options are limited. A Veterans Administration (VA) primary care clinic demonstrated lower referral rates to the lung cancer screening (LCS) program than a comparable VA clinic despite having a higher prevalence of tobacco users. Existing electronic health record reminders focused on smoking cessation and did not systematically assess eligibility for LCS, contributing to underutilization of the screening program.

Aim of the Project: The aim of this quality improvement project was to increase referrals to the LCS program by improving identification …

Timing Matters: Safe And Timely Insulin Administration, Katlyn Lenox

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Timely insulin administration is essential for safe inpatient diabetes management and is strongly associated with improved glycemic control and fewer adverse events. Despite ADA recommendations to administer insulin within 30 minutes of point‑of‑care (POC) glucose testing, internal data showed only 44% compliance, with an average delay of 44 minutes. These delays increased the risk of hypo‑ and hyperglycemia and highlighted the need for workflow redesign and strengthened nursing processes.

Aim of the Project: To increase the percentage of insulin doses administered within 30 minutes of POC glucose testing, reduce adverse glycemic events, enhance patient safety, and align practice with …

Optimizing Daily Central Line Review: A High-Reliability Qi Project, Heather Khan

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Prolonged central line use increases the risk of infection. At baseline, central line utilization in a 21-bed medical intensive care unit exceeded organizational goals and the national median. Gaps in the central line review process and variation in staff knowledge contributed to overutilization.

 Aim of the Project: The project team aimed to improve patient outcomes by reducing the central line standardized utilization ratio (SUR) from 0.93 to the national median of 0.79 over 12 weeks.

Review of the Evidence: Evidence supports standardization, use of decision-support tools, measurement, and auditing to reduce central line utilization. Leadership engagement, safety culture, and …

Implementing The Walking Impairment Questionnaire For Peripheral Artery Disease Screening And Referral, Lisa Doyle

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Peripheral artery disease (PAD) is a leading cause of cardiovascular morbidity, mortality, and lower extremity amputation. At a Level 1 veterans medical center, the absence of a standardized screening and referral process contributed to delayed identification of symptomatic PAD and underutilization of supervised exercise therapy (SET). Between August 2024 and July 2025, only four veterans completed SET despite a large high-risk population, demonstrating a significant gap in evidence-based recommendations and clinical practice.

Aim of the Project: The aim of this project was to improve patient outcomes by standardizing screening for symptomatic PAD using the Walking Impairment Questionnaire (WIQ) to …

Purposeful Rounds: A Structured Fall Prevention Plan: Final Report, Cincerlyn Lewis

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Falls are the most frequently reported preventable events in hospitalized patients.  Falls in the project unit were increasing, and a gap analysis revealed variation in how nurses assessed fall risk and implemented interventions. Evidence indicated that inconsistent rounding undermined situational awareness and delayed identification of patient needs. This gap highlighted the need for a structured, evidence‑based rounding process to improve consistency and reliability.

Aim of the project: The Purposeful Rounds (PR) project aimed to implement a structured process to improve rounding consistency and staff responsiveness, while reducing fall rates over a 12‑week period.

Review of the Evidence: Evidence-based literature …

Owning The Al Revolution, George S. Georgiev

Articles

No abstract provided.

Keeping Place Through Craft And Care: Borris Lace As Living Heritage, Samantha Morris

Doctoral

To investigate how craft practices can help us understand meanings of place this study uses a case study of Borris Lace, a distinctive needle lace tradition associated with Borris, Co. Carlow. It begins from an understanding of place as shaped through materialities, meanings and practices, rather than location alone (Cresswell, 2015), while also drawing on relational approaches that understand place as open, multiple and continually in process (Massey, 2005). Craft scholarship has examined making as skilled, embodied and material practice (Ingold, 2013; Sennett, 2008), and feminist craft scholarship has shown how women’s textile labour has often been undervalued or treated …

Integrated Optimization Of Farmland Cultivation And Fertilizer Application: Implications For Farm Management And Crop Production, Onur Boyabatli, Lusheng Shao, Yangfang (Helen) Zhou

Research Collection Lee Kong Chian School Of Business

Motivated by the fresh produce industry, this paper studies a farmer’s joint cultivation and fertilizer (a representative farm input) application decisions facing uncertainties in yield, crop price, and harvesting cost where the latter two are yield dependent and yield is stochastically increasing in the fertilizer application rate. We develop a two-stage stochastic model of a farmer growing a commodity crop in a single season to maximize the expected profit. We then use the model to evaluate the optimal expected harvest volume (a measure of crop production). Our analytical analysis is complemented with numerical experiments calibrated to data. We characterize how …

Preface To Volume 17, Issue 2, Peter A. Carfagna

Articles

No abstract provided.

Robust Generator Maintenance Schedule For Frequency-Secure Power Systems, Yang Yang, Qiuzhuang Sun, Jimmy Chih-Hsien Peng, Loon Ching Tang, Zhisheng Ye

Research Collection College of Integrative Studies

Problem definition: Normal operations of a power system require that alternating current frequency be maintained at a nominal value, for example, 50 Hz, whereas severe deviation from this value due to power deficiencies can cause cascading generator trips. Maintaining the frequency requires adequate inertia and frequency regulation reserve, which are primarily provided by online generators. In daily operations, generators due for preventive maintenance must be taken offline, and thus an improper maintenance schedule could jeopardize frequency security, as exemplified by the recent Texas power blackout. However, this natural nexus between frequency security and maintenance has been over-looked largely in the …

Online Planning Of Power Flows For Power Systems Against Bushfires Using Spatial Context, Jianyu Xu, Qiuzhuang Sun, Yang Yang, Huadong Mo, Daoyi Dong

Research Collection College of Integrative Studies

A power station or transmission line can be affected due to bushfires, increasing operation costs. We study a fundamental but challenging problem of planning the optimal power flow (OPF) for power systems under bushfires. We develop a model to capture the stochastic nature of bushfire spread based on Moore’s neighborhood model and propose an online optimization modeling framework to sequentially plan power flows in the electricity network. Our framework assumes that bushfire spread is non-stationary over time and that the spread and containment probabilities are unknown. To address these challenges, we develop a contextual online learning algorithm that treats the …

Comparative Catalytic Pyrolysis Of Wheat Straw For Enhanced Bio-Oil Production, Nourhan H. Khashaba, Noura F. Abdelsalam, Hany A. Elazab, Mamdouh A. Gadalla, Thokozani Majozi, Fatma H. Ashour

Chemical and Biochemical Engineering Faculty Research & Creative Works

Catalytic fast pyrolysis of lignocellulosic biomass is a promising thermochemical route for producing renewable biofuels and value-added chemicals. Many African countries have abundant underutilized agricultural residues whose reuse can improve waste management while reducing reliance on fossil fuels. This study used wheat straw as a representative residue to examine how two catalysts—zinc oxide (ZnO) and cement kiln dust (CKD)—affect bio-oil yield and quality. Bench-scale experiments were performed in a fixed-bed reactor under an inert nitrogen atmosphere at 500–600 °C. Each catalyst was tested separately at loadings from 0 to 7 g per 500 g of biomass to evaluate impacts on …

Learning By Writing: Exploring Authentic Legal Learning Through Case Summaries, Ee-Ing Ong, Wei Yang Quek, Duan Ning, Magdeleine Lew

Research Collection Yong Pung How School Of Law

We use authentic learning as a pedagogical framework in a collaboration between our law school and the national Supreme Court of a Southeast Asian country, which facilitates law students’ development of their legal analytical and writing skills, and helps them better bridge the gap between existing legal curricula and the needs of legal practice. Akin to a writing apprenticeship, students write summaries on selected Supreme Court judgments, with their output reviewed by faculty as well as judicial law clerks from the court. The results are published on the court’s website and circulated to other stakeholders. In the post-exercise survey, participating …

Offshore Philanthropy: A Critical Look At Family Offices Using Hybrid Trusts, Hang Wu Tang

Research Collection Yong Pung How School Of Law

Family offices manage substantial wealth and often undertake philanthropic initiatives as part of their broader objectives. These offices may assume a variety of legal forms, ranging from corporations, partnerships, trusts administered by private trust companies or a combination of these forms. This article is concerned with family offices which use trusts administered by private trust companies in offshore jurisdictions. In response to competition for global wealth, several offshore jurisdictions have enacted trust laws that relax traditional doctrinal constraints to accommodate the needs of family offices. These include the creation of discretionary trusts for hybrid purposes in perpetuity ie trusts that …

Comparative Analysis Of Task Scheduling In Multi-Tier Fog-Cloud Computing: From Classical Approaches To Greedy Multi-Objective Optimization, Zafril Rizal M. Azmi, Najmul Haque, Saydul Akbar Murad

Faculty Publications

Fog computing extends cloud services to the network edge, enabling low-latency processing for time-sensitive applications. However, scheduling complexity significantly increases due to heterogeneous resources, dynamic workloads, and strict Quality-of-Service (QoS) constraints. Although numerous scheduling techniques have been proposed, existing studies often assess only a narrow subset of algorithms or rely on offline metaheuristics unsuitable for real-time environments. This paper presents a comprehensive comparative evaluation of twelve scheduling algorithms, including five classical, one heuristic, and six metaheuristic-inspired approaches, within a realistic 20-node multi-tier fog-cloud topology. Across 1,365 experiments spanning seven utilization levels, we analyze each algorithm’s deadline adherence, load distribution, and …

Mapping Minority Investigative Powers In Congress, David Rapallo

Georgetown Law Faculty Publications and Other Works

“Shut down the Senate . . .” “Roll over and play dead . . .” In the first hundred days of President Donald Trump’s second term, these were the rallying cries of two far ends of a debate among Democrats about how to respond to the administration’s unprecedented actions. This debate, which rages on today, has been marked by a lack of specificity about the various oversight tools available to members of the minority party in Congress, particularly when they investigate whether the Executive Branch is faithfully executing the laws Congress passes. Scholarship too has focused little on the full …

Functional Assessment Of A Convergent Gene Network Underlying Allergic Diseases And Ige., Pradeep Eranti, Raphaël Vernet, Christophe Linhard, Bing Ge, Laura Beaumier, Anne-Marie Madore, Sébastien Chanoine, Bénédicte L. Tremblay, Xiaojian Shao, Isabelle Pin, Mark Lathrop, Elin Grundberg, Valérie Siroux, Tomi Pastinen, Catherine Laprise, Emmanuelle Bouzigon, Florence Demenais

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: The relationships between allergic diseases (AD) and IgE levels are complex.

OBJECTIVE: We sought to identify genes associated with AD and IgE having close proximity in the interactome and to elucidate the associated biological mechanisms.

METHODS: We integrated a comprehensive interactome with data from genome-wide (GWAS) and epigenome-wide (EWAS) association studies of AD and IgE levels, respectively. We used the SigMod algorithm to identify gene modules enriched in AD- and IgE-associated signals. We performed a connectivity analysis of these two modules to characterize direct cross-trait connections. Finally, we conducted an in-depth functional analysis of the directly-connected AD and IgE …

The Critical Pediatric Obesity Window: Pre-Pubertal Metabolic Disease And The Fallacy Of Delayed Intervention., Matthew Lindquist, Brooke Sweeney

Manuscripts, Articles, Book Chapters and Other Papers

Despite increasing recognition of pediatric obesity as a chronic disease, many clinicians continue to rely on "watchful waiting," assuming pubertal growth will mitigate excess weight and metabolic risk. Current evidence contradicts this approach. Children under 12 years of age with obesity frequently demonstrate clinically significant metabolic disease, including insulin resistance, dyslipidemia, dysglycemia, and metabolic dysfunction-associated steatotic liver disease (MASLD), often before symptoms emerge. Puberty does not reverse these processes; rather, physiologic pubertal insulin resistance amplifies preexisting metabolic dysfunction and accelerates disease progression. Delayed intervention allows potentially irreversible injury during a critical period of metabolic plasticity. This article reviews contemporary biologic …

Accélérer Le Changement Pour Les Adolescentes D’Afrique De L’Ouest Et Du Centre Grâce À L’Autonomisation Économique, Mame Soukeye Mbaye, Sarah Engebretsen, Maty Dia, Karen Austrian

Adolescents and Young People

La série « L’avenir des filles en point de mire : données probantes d’Afrique de l’Ouest et du Centre » examine les défis auxquels font face les adolescentes de la région et met en lumière des approches éclairées par les données probantes pour améliorer leurs conditions de vie. Cette note résume les données disponibles sur l’autonomisation économique des adolescentes — revenus, moyens de subsistance, épargne, inclusion financière, capacité d’action, transition vers le monde du travail, ou l’ensemble de ces éléments — en Afrique de l’Ouest et du Centre, en s’appuyant notamment sur les données issues des pays prioritaires du GIRL …

Amplifying Change For Adolescent Girls In West And Central Africa Through Economic Empowerment, Mame Soukeye Mbaye, Sarah Engebretsen, Maty Dia, Karen Austrian

Adolescents and Young People

The Girls’ Futures in Focus: Evidence from West and Central Africa series examines the challenges facing adolescent girls in the region and highlights evidence-informed approaches to improving their lives. This brief summarizes the evidence on adolescent girls’ economic empowerment—income, livelihoods, savings, financial inclusion, agency, transition to work, or all of the above—in West and Central Africa, drawing in particular on evidence from the GIRL Center’s priority countries. The brief points to what shifts adolescent girls’ economic trajectories in the region, especially in fragile and low-resource settings.

State And Regional Variation In Access To Pediatric Extracorporeal Membrane Oxygenation., Allan M. Joseph, Andrew J. Lautz, Carlie N. Myers, Ranjit S. Chima, Juan P. Gurria, Shafee Salloum, Wendy Hasson, Matthew P. Malone, Jenna Miller, Reanna Smith, Maya L. Dewan

Manuscripts, Articles, Book Chapters and Other Papers

Extracorporeal membrane oxygenation (ECMO) is only available in specialized medical centers. We conducted a geospatial analysis and found state- and region-level variation in the supply of ECMO centers, and the number of children who had access to ECMO. These findings may help target areas for the development of new ECMO programs.

How To Assess Ventricular Function By Fetal Echocardiography: Expert Guidance From The Fetal Heart Society., S R Patel, Nitin Madan, L Eckersley, Z Roytman, M Perez, L Gindes, L K Hornberger

Manuscripts, Articles, Book Chapters and Other Papers

No abstract provided.

Current Practices And Variations Among Pediatric Severe Asthma Programs In The United States-The North American Severe Pediatric Asthma Consortium., Kristina Gaietto, Nadia Krupp, Avani V. Shah, Erhan Ararat, Samantha H. Averill, Sachin Baxi, Matejka Cernelc-Kohan, Jeffrey M. Chambliss, Heather De Keyser, Monica Federico, Bob Geng, Akilah A. Jefferson, Parisa Kaviany, Lila C. Kertz, Kirsten Kloepfer, Allyson Larkin, Sydney Leibel, Tanya Martinez-Fernandez, Samira Naime, Robert D. Pesek, Dinesh K. Pillai, Deepa Rastogi, Katherine Rivera-Spoljaric, Kristie R. Ross, Franziska J. Rosser, Tregony C. Simoneau, Jade Tam-Williams, Kelan G. Tantisira, William Anderson, Jonathan M. Gaffin, Theresa W. Guilbert, Erick Forno

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Severe and difficult to treat asthma in children is a complex condition causing significant morbidity and associated healthcare costs. While treatment guidelines exist for severe asthma, optimal treatment approaches for the pediatric population are less well established. Furthermore, best practices regarding real world management and implementation of guidelines for the severe pediatric asthma population are lacking. In order to provide care for this population, institutions around the United States have developed multidisciplinary severe pediatric asthma programs (SPAPs). In recent years, the North American Severe Pediatric Asthma Consortium (NASPAC) was established as a mechanism for SPAPs to collaborate and share …

Editorial Foreword Ijsls Volume 5 Number 2, Sulistyowati Irianto

The Indonesian Journal of Socio-Legal Studies

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Southeastern Librarian 74(2) Summer 2026 (Full Issue)

The Southeastern Librarian

Complete issue of the Southeastern Librarian, Volume 74 Number 2, Summer 2026

Proposed Constitution Of The Southeastern Library Association, As Amended

The Southeastern Librarian

Proposed Constitution of the Southeastern Library Association, as Amended (Effective October 2026 following election)

Christianity, Gender Identity, Parents’ Rights: Book Censorship Discourse In Tennessee Communities, Janet Kesterson Isbell, Shawn Hinkel

The Southeastern Librarian

Hate and hostility toward the lesbian, gay, bisexual, transgender, queer+ (LGBTQ+) community and people of color, inflamed in recent years by political extremism and radical conservatism, have permeated many areas of society. One context where hostilities have emerged in the past decade is public debate surrounding book challenges, which prompted a yearlong investigation into the polarizing phenomenon of book censorship in the United States. After extensive reading of media reports from around the nation, the authors focused on public discourse related to book challenges in Tennessee public and school libraries, where debate was contentious, librarians were threatened, and the state’s …

Library Anxiety: A Mixed-Methods Comparison Between Honors And University Learning First-Year College Students, Anthony L. Paganelli, Larry Sean Kinder

The Southeastern Librarian

This study examines the results from a mixed-methods comparison study that explored library anxiety between first-year Honors students and first-year students enrolled in a University Learning course. The study explores the levels of library anxiety, overconfidence, barriers, and behavioral factors. Findings indicate that Honors students had higher levels of library anxiety and associated perfectionism and self-esteem more closely with library use. University Learning students worked longer and more independently to use resources before seeking help. Knowing these results, teaching librarians could create tailored instruction sessions to address and alleviate library anxiety and its effects.

A Dynamical Realization Of Holography In Cosmology From Hyperbolic General Relativity: Explicit Dimensional Reduction Via Curvature-Generated Shock Relaxation, Kiperman Jack

Physics Faculty Publications and Presentations

Holography asserts that the dynamics of a gravitational system may be determined by degrees of freedom associated with a lower-dimensional structure, rather than by independent volumetric variables. While this principle is well established in boundary-based constructions, its realization in cosmology has remained elusive due to the absence of fixed asymptotic boundaries. In this work, we present an explicit realization of holography in cosmology arising directly from the hyperbolic structure of general relativity. We show that the nonlinear evolution of the Einstein equations coupled to a scalar field generically produces a global control structure identified with the cosmological apparent horizon. By …