Does The Impact Of Volunteering On Health Differ By Wealth? [Research In Brief: Volunteering], Seoyoun Kim, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

Volunteering among older adults has many potential health benefits; however, older adults with more wealth are also more likely to volunteer in the first place, raising the question of whether they are the ones reaping the most benefits. This study asked two questions: (1) Does formal volunteering improve self-reported health and reduce depressive symptoms in older adults? (2) Does the impact of volunteering on these outcomes differ between older adults in the lowest and highest wealth quintiles?

Understanding The Labor Behind Library-Published Scholarly Journals In The U.S., Karen Bjork, Annie Johnson, Johanna Meetz

VCU Libraries Faculty and Staff Presentations

University libraries in the United States play a critical and growing role in supporting open access (OA) scholarly journals, yet the labor required to sustain these publications—who performs it, how much time it demands, and how it is compensated—remains underexamined.

Recent research by Lange & Severson examined labor in Canadian non-commercial independent journals, providing valuable insights into editorial structures and compensation models in that national context. However, their study did not include journals hosted or published by U.S. university libraries. To expand this conversation and develop evidence to support local decision-making, the presenters conducted a complementary research study focused specifically …

Implementing A Nurse Re-Education Program To Promote Timely Use Of The Jada® System In The Postpartum Hemorrhage Cascade: A Quality Improvement Project, Maegan E. Doody

Master's Theses and Capstones

Background: Postpartum hemorrhage (PPH), defined as blood loss greater than 1,000 mL after delivery, is a leading cause of maternal morbidity in the United States. Identification of risk factors and timely intervention are critical to improving maternal outcomes after delivery. First-line interventions include manual uterine massage, uterotonic medications, and antifibrinolytic medications; however, when bleeding is not well controlled, the Jada® System (Jada) is a newer vacuum-induced hemorrhage control device with a high efficacy and safety profile, particularly when implemented earlier in the hemorrhage cascade.

Local Problem: In 2025, the annual rate of PPH within the microsystem was 7.29%, …

Reducing Readmissions For Copd Through Improved Education: A Gap Analysis, Raphael Gaughan

Master's Theses and Capstones

No abstract provided.

Enhancing Patient Safety And Team Communication Via Standardized Unit Handoff Tools In Inpatient Rehabilitation, Julia Rae Before

Master's Theses and Capstones

Abstract

Background: Interdisciplinary safety huddles in healthcare are used to facilitate staff communication, voice patient safety concerns and identify high acuity patients, as well as identify current unit issues that need resolution. Using characteristics of safety huddles, revising patient report sheets to include pertinent safety information often shared during huddles may lead to an increase in staff perception of communication as well as awareness to patient safety concerns. Within an in-patient rehabilitation hospital, anonymous staff reports indicated dissatisfaction with interprofessional communication and microsystem data revealed increased events of adverse patient outcomes and safety concerns. Baseline data indicated inconsistent patient handoff …

A Patient-Centered Approach To Improving Patient And Family Education On Perioperative Processes To Reduce Anxiety: A Quality Improvement Initiative, Ashley Lauren Doherty

Master's Theses and Capstones

Background: Perioperative anxiety is common among surgical patients and their family members. Anxiety may be increased by uncertainty and limited understanding of the surgical experience. Improving perioperative education may enhance understanding, reduce anxiety, and support a more patient and family centered surgical experience.

Local Problem: A Post-Anesthesia Care Unit (PACU) identified knowledge gaps in patient and family education about the perioperative process. The existing waiting room bulletin board was outdated and provided limited information. PACU nurses observed anxiety-related behaviors and confusion among patients and family members about the perioperative process. Patient satisfaction surveys routinely collected by the hospital also demonstrated …

Enhancing Safety And Efficiency In Cardiac Admission Handoffs Through Implementation Of An I-Pass Checklist: A Quality Improvement Project, Soraia D. Barros

Master's Theses and Capstones

Abstract

Background: Effective care handoff is a necessary step for maintaining patient safety during hospitalizations. The goal of this quality improvement project was to improve the completeness of information, particularly cardiac-related, provided by the ED staff to the CSSU nurses. The implementation involved the creation of a cardiac checklist and applying it to the pre-existing I-PASS forms used during asynchronous handoff.

Local Problem: The macrosystem implemented an updated system for handoffs between the ED and CSSU by substituting an over-the-phone report with a faxed I-PASS sheet. The result, as identified by the CSSU staff, is that reports contain undetailed patient …

Improving Operating Room First-Case On-Time Starts And Reducing Turnover Times: A Quality Improvement Project, Ashley Cote

Master's Theses and Capstones

Abstract

Background: Delays in first case on-time starts (FCOTS) contribute to decreased operating room (OR) efficiency, increased healthcare costs, workflow disruptions, and reduced staff and patient satisfaction. Evidence suggests that standardized workflows, improved communication, and Lean Six Sigma methodologies can improve perioperative efficiency and reduce delays.

Local Problem: Baseline data from a local OR microsystem demonstrated an FCOTS rate of 77%, below the organizational benchmark of 80%. Root cause analysis identified inconsistent preoperative workflows, communication gaps, and variable staff adherence to standardized processes as primary contributors to delayed first-case starts.

Methods: A quality improvement project utilizing the Define, Measure, Analyze, …

Increasing Patient Feedback Survey Completions Through Patient-Centered Nursing Communication: A Quality Improvement Project, Lindsey E. Pawlowski

Master's Theses and Capstones

Background: Patient feedback is essential to providing the best possible nursing care. Positive patient experiences can impact overall patient satisfaction, loyalty, and trust.

Local Problem: On a pediatric unit at a New England hospital, an assessment of the microsystem revealed that there was a low number of monthly patient feedback survey completions, which limited insight into patient experiences.

Aim Statement: The primary aim of this project was to increase the number of monthly National Research Corporation (NRC) surveys to ten by June 30, 2026.

Methods: This quality improvement project was guided by the Plan-Do-Study-Act (PDSA) model. The first stage of …

Improving Telemetry Alarm Fatigue By Reducing Perception Of Noise Through Education: A Quality Improvement Project, Emma Bergeron

Master's Theses and Capstones

Background: The perception of excess telemetry noise has a negative impact on nursing staff workflow, emotional stress, physical stress, and alarm fatigue. This can create a distressing workplace, interrupt the ability to answer telemetry alarms in an appropriate amount of time, and further worsen alarm fatigue in nursing staff.

Local Problem: The local problem identified was the perception of telemetry noise and alarm fatigue. The purpose of this study was to assess the extent of alarm fatigue and perception of telemetry noise on the unit.

Methods: The study consisted of an assessment of the microsystem itself and the observed impact …

Promoting Safe And Effective Ciwa-Ar Protocol Adherence On An Inpatient Psychiatric Unit Through An Educational Reference Poster: A Quality Improvement Project, Kenan J. Gray

Master's Theses and Capstones

Abstract

Background: Alcohol withdrawal syndrome (AWS) can progress to seizures, delirium tremens, and autonomic instability. The Clinical Institute Withdrawal Assessment for Alcohol–Revised (CIWA-Ar) supports symptom-triggered AWS management, but safe use depends on timely nursing assessment, reassessment, and documentation.

Local Problem: On an adult inpatient psychiatric unit, chart audits identified CIWA-Ar protocol adherence gaps, including missed four-hour assessments and one-hour reassessments after lorazepam.

Methods: This quality improvement project used the Plan-Do-Study-Act model. Three educational reference posters were placed in high-visibility staff areas with QR-linked access to the facility’s AWS protocol and CIWA-Ar scoring guidelines. Outcomes were evaluated using pre- and post-intervention …

Improving Nurse Well-Being And Patient Safety Through A Structured Break Buddy System: A Quality Improvement Project, Elizabeth Harrington

Master's Theses and Capstones

Abstract

Background: Nursing burnout has become an increasing concern due to heavy workloads, staffing shortages, and the inability of nurses to consistently take uninterrupted rest breaks during their shifts. Missed breaks contribute to fatigue, emotional exhaustion, decreased job satisfaction, and an increased risk of patient safety events. Evidence suggests that structured break interventions may improve opportunities for recovery during the workday.

Methods: A quality improvement (QI) project was conducted on a respiratory care unit at a midsized hospital in central New Hampshire using the Plan-Do-Study-Act (PDSA) framework. A microsystem assessment identified inconsistent break-taking as a significant gap. A five-question anonymous …

Implementing A Standardized Patient Report Sheet To Improve Timeliness And Efficiency Of Patient Handoff Reports: A Quality Improvement Project, Brian F. Mclaughlin

Master's Theses and Capstones

Abstract

Background: A successful patient handoff report is a foundational element of nursing care, it encompasses the patient's medical history, current treatment plan, patient-centered goals, and notes of consideration. Blazin et. al. (2020) identified unsuccessful patient handoff reports as the root cause of many medical errors. Improving the patient handoff report process provides opportunities for increased registered nurse job satisfaction, reduced medical errors, and increased time efficiency.

Local Problem: Anecdotal discussions with nursing staff on an adult medical-surgical unit  revealed frustration with the patient handoff reporting process. Nursing staff cited interruptions, lengthy patient handoff report times, and the need to …

The Retrograde Pendulum: Reversing Course On Standards-Based Grading, Jay C. Percell

Faculty Publications - College of Education

This commentary details one large, suburban school district that, after a decade-long commitment to implementing standards-based grading (SBG), reversed course, abandoned the initiative, and returned to traditional grading. This article provides a postmortem of the ambitious reform effort, drawing upon previous research and recent district survey data from teachers and parents. Among the factors leading to the reform's reversal are that, despite a carefully planned, multi-year rollout, the initiative was unable to resolve persistent concerns about implementation inconsistency, student motivation, and the technology reporting platform. Internal pressures were exacerbated by external turmoil, including personnel turnover and the COVID-19 pandemic, and …

Exploring The Research Landscape On Single-Case Design Methodology Using Technology Through Text Mining And Large Language Models, Mikyung Shin, John William Mckenna

Faculty Publications - College of Education

The use of technology within single-case design research has expanded exponentially across disciplines, which necessitates a better understanding of global scientific knowledge and patterns. We aimed to empirically map the evolution of knowledge in single-case design methodology using technology. In the semi-automated screening process, we identified 3,637 publications from the Web of Science, spanning the years 1970 to 2025. The Journal of Applied Behavior Analysis was ranked highest in h-index and g-index, and Behavior Analysis in Practice had the highest m-index. The United States was the country with the most authors affiliated. A total of 15 topics …

Making Sense Of Cuba's National Literacy Campaign: A Reflexive Study Of Lra Delegates’ Engagement With The Museo De La Alfabetización, Erin Quast, Brooke Ward Taira, Deborah M. Sanchez, Grace Pigozzi, Marco Bravo, Dorothy Shapland Rodriguez, Crystal N. Wise

Faculty Publications - College of Education

In December 2024, as part of the Literacy Research Association (LRA) Advancing Reading and Literacy Education Delegation to Cuba, delegates visited the Museo de la Alfabetización in Havana, which documents the 1961 Cuban Literacy Campaign. This collaborative reflexive self-study examines how delegates—literacy scholars and educators—collectively interpreted and negotiated national literacy narratives through engagement with the museum. Data sources included a transcript of a post-visit critical conversation, individual reflexive memos, and artifacts gathered during the museum visit. Iterative thematic analysis identified four sensemaking processes: shifting from pedagogy to shared purpose; holding inspiration and discomfort together; questioning narrative ownership and erasure; and …

Framing Migration And Legitimizing Power: A Critical Discourse Analysis Of Suella Braverman’S Illegal Migration Bill, Darren Pullen, Andy Brown, Gui Ying Annie Yang-Heim

Faculty Publications - College of Education

Language plays a crucial role in shaping public perceptions, reinforcing ideological dominance, and legitimizing government policies. The purpose of this paper is to analyze how linguistic and rhetorical strategies are used as a means to legitimize government authority and construct migrant identities.  This is achieved through an examination of the rhetorical strategies employed by the former UK Home Secretary, Suella Braverman in her speech on the Illegal Migration Bill. Using Critical Discourse Analysis (CDA) and the Sociolinguistic concepts of ideological positioning and social actor representation, this research investigates word choice, lexical framing, and ideological positioning to reinforce dominant migration narratives. …

They Don't Talk Very Good: Attending To Raciolinguistic Socialization In Early Childhood, Erin Quast

Faculty Publications - College of Education

In this article, I share experiences from my roles as a teacher, researcher, and parent to show how raciolinguistic ideologies take hold in early childhood. Specifically, I illustrate how children come to uphold English superiority, map language to belonging, and make judgments about whose language counts. In sharing these experiences, I call on educators and caregivers to attend to raciolinguistic socialization and work toward disruption so that all children's languages are valued in literacy learning. I suggest centering multiple languages, cultivating curiosity, and questioning curricular assumptions as ways to work alongside children in challenging hierarchies and creating learning spaces that …

Supporting The Cognitive, Emotional, Social, And Physical Development Of Adolescent Students Through Dance, Anne C. Holdren

Faculty Publications - College of Education

The transition to middle school during early adolescence presents a range of challenges for students, which can negatively impact both academic performance and overall development. Involvement in dance and incorporating dance into the middle school curriculum can provide opportunities for academic, emotional, social, and physical growth and success. Through dance, adolescent learners adapt to new ways of acquiring skills and new pedagogical approaches for learning and development. Dance offers students from diverse backgrounds an opportunity to build community and work toward a common goal. Dance is a universal art form that transcends cultural boundaries, providing a rich platform for self-expression …

Investigations Toward A Unified Reaction Pathway Of Thermal And Tbsotf-Mediated Oxidopyrylium-Alkene (5 + 2) Cycloadditions, Adam J. Youman, Samantha N. Rokey, Wentao Guo, Jacob P. Grabowski, Susanna N. Angles, Jacob J. Bulandr, Qing Sun, John R. Goodell, Dean J. Tantillo, T. Andrew Mitchell

Faculty Publications – Chemistry

Oxidopyrylium-based (5 + 2) cycloadditions are crucial reactions to construct seven-membered carbocycles containing an ether bridge (i.e. oxabicyclo[3.2.1]octanes). Intramolecular silyloxypyrone-based (5 + 2) cycloadditions were investigated and revealed several features: (1) the TBDPS thermal process proceeds via a zwitterionic oxidopyrylium intermediate similar to previously reported TBS variants; (2) the TBSOTf-mediated reaction proceeds through a cationic oxidopyrylium intermediate; (3) quantum chemical calculations predict a stepwise process for an electron-rich dipolarophile for each set of conditions. The thermal silyloxypyrone-based (5 + 2) cycloadditions were extremely dependent on the nature of the dipolarophile and the silyl transfer group. The TBDPS enhances the …

Front Matter

SMU Law Review

No abstract provided.

Front Matter

SMU Law Review

No abstract provided.

Asymmetric Synthesis Of The Hiv Protease Inhibitor Tmc-126, A Pmx Antimalarial Protease Inhibitor, And A Putative Covid-19 Inhibitor Using A Highly Stereoselective Glycolate Aldol Addition Reaction Pathway, Kweku Amaning Affram, Austin Carter, April Breede, Alexandra Kimsey, Godson Hemeson, Bader Semakieh, Moses Martinez, Emmanuel Ayim, Joy Odeh, Shawn R. Hitchcock

Faculty Publications – Chemistry

An asymmetric glycolate aldol addition pathway was developed for the synthetic preparation of a series of protease inhibitors based on the hydroxyethylamine structural motif. A single glycolate aldol adduct derived from a highly diastereoselective (≥95:5 d.r.) asymmetric aldol reaction served as the starting point for the synthesis of the inhibitors. The starting material is easily prepared and purified via recrystallization on multigram scales. This work describes the synthesis of the HIV protease inhibitor TMC-126, the Plasmepsin X (PMX) inhibitor 49c for the treatment of malaria, and a computationally derived inhibitor for the 3CLpro of the SARS-CoV-2 from a single common …

Varying Dna Methylation Patterns In The Florida Sand Skink (Plestiodon Reynoldsi) In Relation To Fire Histories, Victoire Hj Litre

College of Graduate Studies: Theses & Dissertations

Epigenetics is the study of changes in phenotype not caused by changes in DNA sequence. DNA methylation is the most well-studied epigenetic mechanism in an ecological context. Reptiles use DNA methylation to respond to environmental stressors and differences among habitats. The Florida Sand Skink (Plastidome reynoldsi) is federally listed as a threatened species. They are endemic to the threatened, fire-dependent Florida scrub habitat. As they persist in burned habitats, the Florida Sand Skink must be able to rapidly respond to wildfires. To better understand how the Florida Sand Skink adjusts to fire-driven habitat changes, it is important to …

The Effects Of Membrane Structure And Filtration Conditions On Virus Filtration, Wenbo Xu, Xianghong Qian, Hironobu Shirataki, Daniel Strauss, Sumith R. Wickramasinghe

Biomedical Engineering Faculty Publications and Presentations

Virus filtration is used for validation of virus clearance in the manufacture of monoclonal antibodies. Requirements for this size exclusion process include 10,000-fold reduction of virus particles and at least 95 % recovery of the monoclonal antibody in the permeate. The size difference between the rejected parvovirus particles, 25 nm, and monoclonal antibody, 10-12 nm, is about two. Membranes are designed with pore sizes around the average size of the parvovirus. Given the polydispersity in membrane pore size and virus particles, filter performance is dependent on membrane properties, feed and operating conditions. Compromised performance usually occurs due to product related …

The Effect Of In-Game Cervical Exercises On Shoulder Internal Rotation Range Of Motion And External Rotator Strength In Baseball Pitchers, Vincent Ceasrine, Christine Ferraro, Jason K. Grimes

Physical Therapy Faculty Publications

Background

Consensus is lacking regarding the underlying cause of two prevalent risk factors for shoulder and elbow pain in overhead throwing athletes: loss of shoulder internal rotation (IR) range of motion (ROM) and strength of the external rotators (ER). Consideration of cervical spine contribution may have important implications for rehabilitation and coaching of overhead throwers.

Purpose

The purpose of this study was to investigate the effect of performing active cervical retraction and retraction with extension exercises between innings of pitching a simulated game on shoulder IR ROM and ER strength following completion of the game.

Study Design

Randomized controlled study …

Planning A Clinical Practice Guideline Revision For A Core Set Of Outcome Measures In Adults Undergoing Neurologic Physical Therapy, Part 1: Assessing Dissemination And Scholarly Uptake, Jennifer Moore, Jane E. Sullivan, Marghuretta D. Bland, Wendy Romney, Elizabeth Anderl, Zeynep Gulen Erkoc, Kristen Potter

Physical Therapy Faculty Publications

Introduction

Clinical Practice Guidelines (CPGs) facilitate evidence-based decision-making and standardising care, yet their dissemination and scholarly uptake vary widely. The Core Set of Outcome Measures for Adults With Neurologic Conditions Undergoing Rehabilitation CPG (Core Set) has been broadly referenced within neurologic physical therapy. As the next revision approaches, understanding its scholarly influence, citation patterns, and published feedback is essential. This study evaluated the dissemination and use of the Core Set across the peer-reviewed literature and identified areas for refinement.

Methods

A medical librarian conducted comprehensive searches of Web of Science, CINAHL, and Scopus to identify peer-reviewed English-language articles citing the …

Literature Review On The Effectiveness Of Surgical Vs Non-Surgical Management In Elderly Patients With Distal Radius Fractures, Robert A. Weinberg

MEDI 9331 Scholarly Activities Clinical Years

Distal radius fractures are common in patients aged sixty years and older. The best management strategy remains debated, particularly in elderly patients where complications risk, radiological outcomes and functional recovery need to be considered. Several studies have compared surgical interventions including open reduction and internal fixation with conservative management including closed reduction and immobilization. The aim of this literature review is to synthesize current evidence on these outcomes for elderly patients with a distal radius fracture who were treated with surgical treatment or non-surgical treatment.

Your Left Or Mine: A Journey To Accessibility For Learning Disabilities And Neurodivergence In Stage Combat Pedagogy, Ambria Campbell

Theses and Dissertations

This thesis examines stage combat pedagogy from its inception to the present day through the lens of accessibility for learning disabilities and neurodivergence. Relevant research in education as it relates to disability is analyzed and applied to the field of stage combat pedagogy. What follows is a deconstruction and reconstruction of beginning level stage combat pedagogy to increase accessibility. These ideas are then tested and the results reflected on. This thesis focuses on college level and aged students who are the most likely demographic for beginning stage combat students. The completion of this thesis does not represent an endpoint in …

Development Of A Practical Lu-177 Activity Calibration Protocol For Clinical Nuclear Medicine: Dosimetric Impact Analysis And Implementation Tools, Azam Almolaiki

Theses and Dissertations

Lutetium-177 (Lu-177) is widely used in radionuclide therapy, where accurate activity measurement prior to administration is essential for safe and effective treatment delivery. However, variability in dose calibrator response due to measurement conditions and source geometry remains a practical challenge in routine clinical settings. This study presents a practical clinical calibration strategy under real-world constraints for Lu-177 activity measurement using standard nuclear medicine instrumentation. A vial-based approach was implemented using a well-type ionization chamber (Capintec CRC-15R) to evaluate measurement repeatability, temporal stability, and geometry dependence. All measurements were performed under consistent conditions with appropriate decay correction applied using the physical …