Digital Commons Network^™

A Quality Improvement Project: Improving The Clinical Practice For Assessing Hemoglobin A1c On Admission In Diabetic Ketoacidosis Patients Admitted To The Intensive Care Unit, Tiara Lawson

Doctor of Nursing Practice Projects

Background: Diabetic ketoacidosis (DKA) is a life-threatening problem that affects people with diabetes. Early treatment and adherence to guidelines are crucial in preventing DKA. The American Diabetes Association (ADA) publishes annual guidelines for effective DKA management, and the Education Recognition Program National Benchmarks program can help maintain adherence to the published guidelines. Improving the intensive care unit (ICU) admission process enhances the quality of care to DKA patients and improves progress towards national benchmarks.

Purpose: This quality improvement project aimed to improve Hemoglobin A1C (HbA1c) evaluations in DKA patients admitted to the ICU.

Methods: The intervention of triggering HbA1c orders …

Michigan's Youth Justice Reform: A Potholed But Sure Road To Change, Kimberly Thomas, Jason Smith

South Carolina Law Review

No abstract provided.

The Analysis Of Artificially Flavored Coffees, Hannah Knights

Longwood Senior Thesis Proposal

This project aims to determine the molecular components that give artificially flavored coffees their advertised flavor. Much work has been conducted to determine various characteristics such as antioxidant properties, phenolic compounds, flavors, and aromas found in natural coffees. In addition, there is ample literature on the results of sensory tests for a variety of commercial coffees. However, not much work has been conducted to determine the compounds found in artificially flavored coffees that give rise to their distinctive aroma and flavor. This is, perhaps, due to the proprietary nature of the flavoring process employed by commercial producers. The goal of …

In Their Voices: Kenyan Women's Experiences With Cancer Treatment–Related Side Effects, Tayreez Mushani, Dinah Kassaman, Sharon Brownie, Peterson Kiraithe, Margaret Barton-Burke

School of Nursing & Midwifery, East Africa

Objective This article reports on a secondary analysis of a qualitative study conducted in Nairobi, Kenya that reported several initial themes. In this article, the authors explore the theme of treatment-related side effect management by women receiving treatment for breast or cervical cancer.

Methods Women were interviewed at three points during their active treatment trajectory. Participants were purposefully selected and saturation was reached when interviews did not yield any new themes. The interviews were transcribed and analyzed for internal consistency, frequency, extensiveness, intensity and specificity. The Nvivo pro 12 software was used in organizing and managing the data to facilitate …

Green Finance Growth Prediction Model Based On Time-Series Conditional Generative Adversarial Networks, Aya Salama Abdelhady, Nadia Dahmani, Lobna M. Abouel-Magd, Ashraf Darwish, Aboul Ella Hassanien

All Works

Climate change mitigation necessitates increased investment in green sectors. This study proposes a methodology to predict green finance growth across various countries, aiming to encourage such investments. Our approach leverages time-series Conditional Generative Adversarial Networks (CT-GANs) for data augmentation and Nonlinear Autoregressive Neural Networks (NARNNs) for prediction. The green finance growth predicting model was applied to datasets collected from forty countries across five continents. The Augmented Dickey-Fuller (ADF) test confirmed the non-stationary nature of the data, supporting the use of Nonlinear Autoregressive Neural Networks (NARNNs). CT-GANs were then employed to augment the data for improved prediction accuracy. Results demonstrate the …

Interdisciplinary Perspectives On Multimorbidity In Africa: Developing An Expanded Conceptual Model, Justin Dixon, Ben Morton, Misheck Nkhata, Alan Silman, Ibrahim Simiyu, Stephen Spencer, Myrna Van Pinxteren, Edna Bosire, Christopher Bunn, Claire Calderwood

Brain and Mind Institute

Multimorbidity is an emerging challenge for health systems globally. It is commonly defined as the co-occurrence of two or more chronic conditions in one person, but its meaning remains a lively area of academic debate, and the utility of the concept beyond high-income settings is uncertain. This article presents the findings from an interdisciplinary research initiative that drew together 60 academic and applied partners working in 10 African countries to answer the questions: how useful is the concept of multimorbidity within Africa? Can the concept be adapted to context to optimise its transformative potentials? During a three-day concept-building workshop, we …

A Comparison Of Structure, Bonding And Non-Covalent Interactions Of Aryl Halide And Diarylhalonium Halogen-Bond Donors, Nicole Javaly, Theresa M. Mccormick, David R. Stuart

Chemistry Faculty Publications and Presentations

Halogen bonding permeates many areas of chemistry. A wide range of halogen-bond donors including neutral, cationic, monovalent, and hypervalent have been developed and studied. In this work we used density functional theory (DFT), natural bond orbital (NBO) theory, and quantum theory of atoms in molecules (QTAIM) to analyze aryl halogen-bond donors that are neutral, cationic, monovalent and hypervalent and in each series we include the halogens Cl, Br, I, and At. Within this diverse set of halogen-bond donors, we have found trends that relate halogen bond length with the van der Waals radii of the halogen and the non-covalent or …

The Prohibition Of Annexations And The Foundations Of Modern International Law, Ingrid Brunk, Monica Hakimi

Faculty Scholarship

The international legal norm that prohibits forcible annexations of territory is foundational to modern international law. It lies at the core of three projects that have been central to the enterprise: (1) to settle title to territory as the basis for establishing state authority; (2) to regulate the use of force across settled borders; and (3) to provide for people within settled borders collectively to determine their own fates. Prohibiting forcible annexations is integral to each of these projects independently, and by tying them together, has had a transformative effect on the legal system as a whole. However, its significance …

Wooster Magazine: Summer 2024, Caitlin Paynich Stanowick

Wooster Magazine: 2021-2030

In the summer 2024 issue of Wooster magazine students and alumni share what inspired their capstone scholarship at Wooster and where it led them. The Class of 2024 drew from their own interests to design scholarly research and creative expression unique to them; students featured include Athena Tharenos, Levi Gainer, Briana Mosley, Corey Knauf, and Tyara Thompson. For some students, I.S. uncovers a wonder and eagerness to further their study in the area. This issue also shares the stories of alumni who built upon the foundation of their I.S. for ongoing research, professional work, and everyday inspiration including John Trainor …

Toward Untangling Thunderstorm-Aerosol Relationships: An Observational Study Of Regions Centered On Washington, Dc And Kansas City, Mo, Mace Bentley, Tobias Gerken, Zhoujun Duan, Dudley Bonsal, Henry Way, Endre Szakal, Mia Pham, Hunter Donaldson, Lucie Griffith

School of Integrated Sciences - Faculty Scholarship

A multi-variable investigation of thunderstorm environments in two distinct geographic regions is conducted to assess the aerosol and thermodynamic environments surrounding thunderstorm initiation. 12-years of cloud-to-ground (CG) lightning flash data are used to reconstruct thunderstorms occurring in a 225 km radius centered on the Washington, D·C. and Kansas City Metropolitan Regions. A total of 196,836 and 310,209 thunderstorms were identified for Washington, D.C. and Kansas City, MO, respectively. Hourly meteorological and aerosol data were then merged with the thunderstorm event database.

Evidence suggests, warm season thunderstorm environments in benign synoptic conditions are considerably different in thermodynamics, aerosol properties, and aerosol …

Pharmacy Matters - July 2024, Umiversity Of Mississippi School Of Pharmacy

Pharmacy Matters Newsletters

Featured stories: "School of Pharmacy Lands Prestigious NIH Grant for University Graduate Students", "Faculty Members Honored at Annual Retreat", "Pharmacy Students, Faculty Give Back in Dominican Republic", "Pharmacy Professor Named UM's Top Online Instructor of the Year", "Researchers Urge Intervention to Save Coast's Oyster Reefs", "1908 Society: Wilbanks Family Lends Support to Students".

Characterization And Evaluation Of Bacteriophages Φpa-C And Φpa-Tc Infecting Pseudomonas Aeruginosa, Joanne Harrison

Master's Theses

Pseudomonas aeruginosa are prevalent opportunistic bacterial pathogens that cause nosocomial infections in at-risk individuals. The rise of multidrug-resistant P. aeruginosa poses an immense threat to hospitals. Additionally, P. aeruginosa are common food spoilage organisms that contribute to food waste. Alternative effective treatment methods are needed to improve public health and reduce food waste. Recent studies have shown that bacteriophages, viruses that only kill host-specific bacteria, are promising alternatives. This study characterizes two lytic P. aeruginosa phages, ΦPa-C and ΦPa-Tc, and evaluates their efficacy against P. aeruginosa in two model food systems. The morphology, genome, structural proteins, host range, growth kinetics, …

Book Review: The Mindful Body: Thinking Our Way To Chronic Health, Michele Hoffnung, Emily Stier Adler

Sociology Between the Gaps: Forgotten and Neglected Topics

No abstract provided.

Navigating Identity: An Examination Of Intersectional Discrimination And Suicidal Ideation Among Lgbq Latinx Individuals, Jaclyn Pachicano

Dissertations (1934 -)

Suicide is one of the leading causes of death in the United States, with LGBQ Latinx adults showing higher risk for suicidality and related mental health outcomes. Experiences of discrimination, including heterosexism and ethnic discrimination, are often connected to increased risk for suicidal ideation. In addition to intersectional experiences of discrimination, LGBQ Latinx people often feel an incompatibility between their sexuality and ethnic identity, known as conflicts in allegiances (CIA), possibly increasing risk of suicidal ideation. It remains unclear what mechanisms connect intersectional discrimination and suicidal ideation. The current study expands on intersectional research by utilizing the Interpersonal Theory of …

Synthetic And Mechanistic Studies Of Ruthenium Catalyzed C–N And C–H Bond Activation Reactions, Krishna Prasad Gnyawali

Dissertations (1934 -)

Transition metal catalyzed C–H and C–N functionalization methods have emerged as an innovative tool for designing efficient synthesis of fine chemicals by using readily available starting materials without the formation of wasteful byproducts. One of the paramount challenges in C–H functionalization research field has been to promote regio- and stereoselective C–H bond activation on saturated hydrocarbon substrates. While much progress has been achieved on promoting selective sp2 C–H activation reactions on unsaturated hydrocarbon substrates in the past decades, catalytic sp3 C–H bond and functionalization methods on saturates hydrocarbon substrates remain as the frontier topic of C–H functionalization research. The well-defined …

Predicting Critical Risks And Long-Term Impact Of Covid-19 Patients With Substance Use Disorder (Sud) Using Machine Learning, Jiawei Wu

Dissertations (1934 -)

The crisis of substance use disorder (SUD), a problematic pattern of substance use that causes significant impairment or distress, is one of the most devastating threats to the public health system in the United States and it is ongoing. Opioid dependency or opioid overdose is a common drug use disorder and the number of deaths due to opioid overdose is increasing significantly during the COVID-19 pandemic because opioid use impacts mostly human respiratory, increases vulnerability to COVID-19, and further leads to higher morbidity and mortality. Other substance use disorders, including alcohol, cocaine, cannabis, and tobacco, will also exacerbate both physical …

Enhancing Security In Modern Medical Devices: The Medicalharm Methodology And Cyberllama2, Emmanuel Kwarteng

Dissertations (1934 -)

With the rapid growth of Modern Medical Devices (MMDs) and their increasing connectivity to enhance patient care, concerns about security, privacy, and safety are paramount. If compromised, these devices can expose sensitive patient information and harm patients. Therefore, securing MMDs against cyber-attacks is critical. Threat modeling, mandated by the FDA as a premarket submission requirement in the MMD domain, serves as the first defense mechanism. However, our investigation of 119 participants from various MMD manufacturing companies revealed a need for a tailored threat modeling methodology that considers both patient safety and device complexity. To address this, we present MEDICALHARM, a …

Self-Authorship In Teacher Candidates Learning To Create A Classroom Of Respect And Rapport, Jacqueline Grajera

Dissertations (1934 -)

ABSTRACT SELF-AUTHORSHIP IN TEACHER CANDIDATES LEARNING TO CREATE A CLASSROOM OF RESPECT AND RAPPORT Jacqueline Grajera Marquette University, 2024 Positive classroom climates set a foundation for equitable educational opportunities and, ultimately, social change (Whipp, 2013). This multi-modal two-phase study examined teacher candidate orientation of knowledge authority in creating a classroom environment marked by respectful relationships and genuine rapport at differing thresholds of field experience. Results of an adapted variation of Baxter Magolda and King’s (2001) Self-Authorship Survey (SAS) indicated that overall, when learning to cultivate a positive and supportive classroom environment, junior cohort study participants trusted the academia perspective of …

Intense, Repeated, And Ever-Present: An Initial Investigation Of Traumatic Invalidation Among Sexual Minorities, Zane Browning Ballard

Dissertations (1934 -)

Lesbian, gay, bisexual, and queer individuals have been shown to experience significantly more negative health outcomes than do heterosexuals, commonly attributed to sexual minority stress. Research to date has insufficiently explained the processes by which stigma exposure becomes felt, internalized stigma and has not accounted for resemblance between presentation of mental health effects of sexual minority stress and of post-traumatic responses. Researchers have posited traumatic invalidation may partially explain the development and manifestations of reactions to sexual minority stress. The current study proposed and tested a measure of traumatic invalidation, conceptualized as instances of interpersonal, identity-based invalidation among sexual minorities. …

Outcomes Of The Emdataresource Cryo-Em Ligand Modeling Challenge, Catherine L Lawson, Andriy Kryshtafovych, Grigore D Pintilie, Stephen K Burley, Jiří Černý, Vincent B Chen, Paul Emsley, Alberto Gobbi, Andrzej Joachimiak, Sigrid Noreng, Michael G Prisant, Randy J Read, Jane S Richardson, Alexis L Rohou, Bohdan Schneider, Benjamin D Sellers, Chenghua Shao, Elizabeth Sourial, Chris I Williams, Christopher J Williams, Ying Yang, Venkat Abbaraju, Pavel V Afonine, Matthew L Baker, Paul S Bond, Tom L Blundell, Tom Burnley, Arthur Campbell, Renzhi Cao, Jianlin Cheng, Grzegorz Chojnowski, K D Cowtan, Frank Dimaio, Reza Esmaeeli, Nabin Giri, Helmut Grubmüller, Soon Wen Hoh, Jie Hou, Corey F Hryc, Carola Hunte, Maxim Igaev, Agnel P Joseph, Wei-Chun Kao, Daisuke Kihara, Dilip Kumar, Lijun Lang, Sean Lin, Sai R Maddhuri Venkata Subramaniya, Sumit Mittal, Arup Mondal, Nigel W Moriarty, Andrew Muenks, Garib N Murshudov, Robert A Nicholls, Mateusz Olek, Colin M Palmer, Alberto Perez, Emmi Pohjolainen, Karunakar R Pothula, Christopher N Rowley, Daipayan Sarkar, Luisa U Schäfer, Christopher J Schlicksup, Gunnar F Schröder, Mrinal Shekhar, Dong Si, Abhishek Singharoy, Oleg V Sobolev, Genki Terashi, Andrea C Vaiana, Sundeep C Vedithi, Jacob Verburgt, Xiao Wang, Rangana Warshamanage, Martyn D Winn, Simone Weyand, Keitaro Yamashita, Minglei Zhao, Michael F Schmid, Helen M Berman, Wah Chiu

Children’s Nutrition Research Center Staff Publications

The EMDataResource Ligand Model Challenge aimed to assess the reliability and reproducibility of modeling ligands bound to protein and protein-nucleic acid complexes in cryogenic electron microscopy (cryo-EM) maps determined at near-atomic (1.9-2.5 Å) resolution. Three published maps were selected as targets: Escherichia coli beta-galactosidase with inhibitor, SARS-CoV-2 virus RNA-dependent RNA polymerase with covalently bound nucleotide analog and SARS-CoV-2 virus ion channel ORF3a with bound lipid. Sixty-one models were submitted from 17 independent research groups, each with supporting workflow details. The quality of submitted ligand models and surrounding atoms were analyzed by visual inspection and quantification of local map quality, model-to-map …

Will Capturing Co2 Harm Local Plant Growth?, University Of North Dakota. Energy And Environmental Research Center

EERC Brochures and Fact Sheets

Capturing CO₂ will not harm local plant growth. The goal of CO₂ capture is to slow the increase of CO₂ levels in the atmosphere, not to reduce CO₂ to levels that could impact crop growth.

What To Know About Pipeline Safety, University Of North Dakota. Energy And Environmental Research Center

EERC Brochures and Fact Sheets

Fact sheet about carbon dioxide transportation via pipeline. Includes information on safety and reliability of CO₂ pipelines.

Premenstrual Dysmorphic Disorder/Premenstrual Syndrome Luteal Phase Treatment, Shelby Gawarecki

Physician Assistant Scholarly Project Posters

• PMS/PMDD symptoms affect many women's emotional and physical wellbeing.

• SSRIs, progesterone, and sepranolone are luteal phase treatment options.

• Studies were all peer-reviewed, including randomized control trials or a meta-analysis.

• SSRIs are a consistent primary treatment for symptom alleviation especially cognitive symptoms. SSRIs are the current mainstay, recommended for luteal phase treatment of PMS/PMDD.

• SSRIs, including citalopram, sertraline, escitalopram, and fluoxetine, were examined to determine their efficacy in relieving mood-related symptoms such as irritability, anxiety, and depression during the luteal phase.

• Data on progesterone treatment in the luteal phase is inconclusive. • Allopregnanolone levels and …

Legal Governance Of Artificial Intelligence In Healthcare Devices And Services In Singapore, Warren B. Chik, Haran Sugumaran

Research Collection Yong Pung How School Of Law

The use of artificial intelligence (AI) in healthcare applies across a spectrum of goods and services that support the industry. The main benefits of developing and applying AI to healthcare are: (a) the potential for it to perform functions beyond what can be done manually by the natural person; (b) the greater efficiency and accuracy that it can give to detection, diagnosis and medication/recovery; (c) the minimisation of risk and the possible lowering of cost (in the long term); and (d) in appropriate cases, minimal human intervention or involvement, especially in situations or conditions that may present a risk of …

Generative Artificial Intelligence: The Protection Of Personal Data And Countering False Narratives About The Person, Warren B. Chik

Research Collection Yong Pung How School Of Law

Generative artificial intelligence (“Gen AI”) has rapidly become ubiquitous on online platform services, from chatbots and virtual assistants to search engines and social media. This generated concerns over potentially harmful effects from its use in both social and professional settings, including the added threats to personal data privacy and accuracy of personal information. In this article, the author will explain how Gen AI operates and why it gives rise to these issues, examine the policy and law relating to Gen AI, both existent and anticipated, and suggest possible solutions to the problems in the form of legal and non-legal measures.

Legal Support For Local Election Officials, Rebecca Green

Washington and Lee Law Review

Local election officials (“LEOs”) face enormous pressure. They must administer elections when a wide swath of the American public has grown mistrustful of their work; they increasingly face ominous personal attacks and threats; they cope with chronic underfunding of elections; and they must navigate frequent changes in the law governing elections. Lawyers provide a critical avenue of support for local election officials. They provide guidance on how to implement legislative mandates and judicial orders; they anticipate and prevent disputes from arising; and they represent election officials when they or their offices are sued—a more common occurrence today than ever. Although …

Efektivitas Blood Flow Restriction Exercise Dalam Peningkatan Quadricep Strength Pada Pasien Post Acl Rekonstruksi : Literature Review, Auvin Joe Ginting

Jurnal Fisioterapi Terapan Indonesia

This article aims to evaluate the Effectiveness of Blood Flow Restriction Exercise in Improving Quadriceps Strength in Patients with ACL Reconstruction. This project is a literature study in narrative form. The background for conducting this research is the high incidence of ACL tears, ranging from 78 to 81 cases per 100,000 population worldwide in a year. The most common surgical treatment provided is ACL reconstruction. Quadriceps strength reduction after 6 months post-operation reaches 20% compared to pre-operation. From the symptoms and clinical complaints of quadriceps muscle weakness, one of the interventions that can be performed is Blood Flow Restriction …

Finding Aid For The Robert L. Logan Collection (Mum00825)

Archives & Special Collections: Finding Aids (alphabetical)

Collection contains materials belonging and received by Robert L. Logan concerning his service as a Deputy U.S. Marshall at the Ole Miss Riots of 1962.

Rising Tides: An Analytic Modeling Code Of Tidal Effects In Binary Neutron Star Mergers, Alexander O'Dell, Maria Babiuc-Hamilton

Physics Faculty Research

Gravitational waves produced by binary neutron star mergers offer a unique window into matter behavior under extreme conditions. In this context, we analytically model the effect of matter on gravitational waves from binary neutron star mergers. We start with a binary black hole system, leveraging the post-Newtonian formalism for the inspiral and the Backwards-one-Body model for the merger. We combine the two methods to generate a baseline waveform and we validate our results against numerical relativity simulations. Next, we integrate tidal effects in phase and amplitude to account for matter and spacetime interaction using the NRTidal model and test its …

Financial Incentives For Smoking Cessation Among Socioeconomically Disadvantaged Adults: A Randomized Clinical Trial, Darla Kendzor, Michael Businelle, Summer Frank-Pearce, Joseph Waring, Sixia Chen, Emily Hébert, Michael Swartz, Adam Alexander, Munjireen Sifat, Laili Kharazi Boozary, David Wetter

Kimmel Cancer Center Faculty Papers

IMPORTANCE: Socioeconomically disadvantaged individuals (ie, those with low socioeconomic status [SES]) have difficulty quitting smoking and may benefit from incentive-based cessation interventions.

OBJECTIVES: To evaluate the impact of incentivizing smoking abstinence on smoking cessation among adults with low SES.

DESIGN, SETTING, AND PARTICIPANTS: This study used a 2-group randomized clinical trial design. Data collection occurred between January 30, 2017, and February 7, 2022. Participants included adults with low SES who were willing to undergo smoking cessation treatment. Data were analyzed from April 18, 2023, to April 19, 2024.

INTERVENTIONS: Participants were randomized to usual care (UC) for smoking cessation (counseling …