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Rvit-Fusionnet: A Local Cross-Attention Feature Fusion-Based Hybrid Framework For Brain Tumor Classification, Naima Islam, Sajeeb Kumar Ray, Md Anwar Hossain, Syed Mohammed Shamsul Islam Jun 2026

Rvit-Fusionnet: A Local Cross-Attention Feature Fusion-Based Hybrid Framework For Brain Tumor Classification, Naima Islam, Sajeeb Kumar Ray, Md Anwar Hossain, Syed Mohammed Shamsul Islam

Research outputs 2022 to 2026

Accurate brain tumor classification via MRI is essential for diagnosis and treatment. This study introduces RViT-FusionNet, a hybrid deep learning model that integrates convolutional and transformer architectures for enhanced tumor detection. The model utilizes ResNet-50 to capture textural details and a Vision Transformer for extracting global context. A Local Cross-Attention (LCA) module is proposed to align and merge these features, allowing the network to model local structures and long-range dependencies concurrently. To enhance generalization across varied imaging conditions and tumor types, a domain discriminator is included to discern spatial and domain-specific patterns, fostering the learning of domain-invariant representations. The approach …


Spatiotemporal Dynamics Of Riparian Land-Cover Change And Impervious-Cover Expansion In A Rapidly Urbanising Himalayan Capital City, Karma Jamtsho, Tashi Dorji, David Blake, Mark A. Lund, Eddie Van Etten Jun 2026

Spatiotemporal Dynamics Of Riparian Land-Cover Change And Impervious-Cover Expansion In A Rapidly Urbanising Himalayan Capital City, Karma Jamtsho, Tashi Dorji, David Blake, Mark A. Lund, Eddie Van Etten

Research outputs 2022 to 2026

Urbanisation and impervious-cover expansion are reshaping riparian landscapes, particularly in mountain cities where steep terrain concentrates development along valley floors. This study examined spatiotemporal land-cover change within the regulated riparian corridors of Thimphu City, Bhutan, over a 25-year period from 1997 to 2022 using Landsat imagery, Random Forest classification and Google Earth Engine. Results show substantial transformation of riparian land cover, with impervious cover increasing from 26.14% to 32.63%, equivalent to an overall increase of 24.83%, while agriculture/barren/low-vegetation declined from 30.59% to 26.01%, equivalent to an overall decrease of 14.98%. A modest increase in detectable vegetation cover was also observed, …


The Crossroads Between Osteosarcopenia And Intrinsic Capacity—A Narrative Review, Nailton J. Neto, Guy Hajj-Boutros, Wayne Lok Ok Choo, Miguel G. Borda, Konstantinos Prokopidis, Hassan Rammal, Daniel Rivas, Hussein Samhat, Ivan Baltasar-Fernandez, Mahdi Imani, Cristiano Dos Santos Gomes, Oscar Rosas Carrasco, Marc Sim, Julie A. Pasco, Julia Chabot, Ana M. Ayala-Copete, Francisco J. García-García, Claire Godard-Sebillotte, Raman Agnihotram, Lana J. Williams, Anna Andrianova, Robinson Ramirez-Vélez, Emma Connolly, Harmehr Sekhon, Hidenori Arai, Liang-Kung Chen, Andréa Faust, Howard Bergman, Alexandra Papaioannou, Pierrette Gaudreau, Tiago Alexandre, Leocadio Rodriguez-Mañas, Ricardo Oliveira Guerra, Gustavo Duque Jun 2026

The Crossroads Between Osteosarcopenia And Intrinsic Capacity—A Narrative Review, Nailton J. Neto, Guy Hajj-Boutros, Wayne Lok Ok Choo, Miguel G. Borda, Konstantinos Prokopidis, Hassan Rammal, Daniel Rivas, Hussein Samhat, Ivan Baltasar-Fernandez, Mahdi Imani, Cristiano Dos Santos Gomes, Oscar Rosas Carrasco, Marc Sim, Julie A. Pasco, Julia Chabot, Ana M. Ayala-Copete, Francisco J. García-García, Claire Godard-Sebillotte, Raman Agnihotram, Lana J. Williams, Anna Andrianova, Robinson Ramirez-Vélez, Emma Connolly, Harmehr Sekhon, Hidenori Arai, Liang-Kung Chen, Andréa Faust, Howard Bergman, Alexandra Papaioannou, Pierrette Gaudreau, Tiago Alexandre, Leocadio Rodriguez-Mañas, Ricardo Oliveira Guerra, Gustavo Duque

Research outputs 2022 to 2026

Intrinsic capacity (IC) is defined as the composite of physical and mental abilities an individual possesses, encompassing 5 domains: cognition, psychological health, sensory function, vitality, and locomotion. This construct is central to the World Health Organization’s framework for assessing functional ability in older adults. Growing evidence highlights the critical role of the musculoskeletal system in maintaining these domains, while conditions such as sarcopenia, osteoporosis, and their coexistence as osteosarcopenia (OS) are increasingly associated with IC decline. This narrative review compiles current evidence on the modulatory role of muscles and bones in IC and the impacts of sarcopenia, osteoporosis, and OS. …


The Effect Of Boosting Dietary Lactobacillus And Phytochemical Rich Foods On Biomarkers Of Longevity—A Phase Ii Randomised Placebo Controlled Trial, Robert J. Thomas, Madeleine Williams, Jeffrey W.F. Aldous, Stacey A. Kenfield, Robert U. Newton Jun 2026

The Effect Of Boosting Dietary Lactobacillus And Phytochemical Rich Foods On Biomarkers Of Longevity—A Phase Ii Randomised Placebo Controlled Trial, Robert J. Thomas, Madeleine Williams, Jeffrey W.F. Aldous, Stacey A. Kenfield, Robert U. Newton

Research outputs 2022 to 2026

As men age, systemic inflammation increases, whereas grip strength (GS) and testosterone levels tend to fall. This rate of decline is known to be influenced by gut microbial health, lifestyle and diet but the role for interventions to slow this decline are less well established. This double-blind randomised controlled trial evaluated the impact, and explored the synergistic potential, of boosting phytochemical rich foods and Lactobacillus probiotics on these physical and biological markers. Two hundred and eight men with untreated early prostate cancer managed with observation only (average age 74 years) received a phytochemical rich supplement (PRS) containing concentrated broccoli, green …


Algorithmic Tax Ownership, Young Ran (Christine) Kim, Dmitry Erokhin Jun 2026

Algorithmic Tax Ownership, Young Ran (Christine) Kim, Dmitry Erokhin

Articles

Tax ownership is a crucial concept for determining tax liabilities, compliance, and enforcement. However, neither the courts nor the IRS has provided clear guidance on how to analyze it. Since the Supreme Court first outlined a twenty-six-factor test for determining tax ownership in Frank Lyon Co. v. United States in 1978, this multifactor test has remained largely unchanged, and there has been no further guidance from the courts or the IRS to this day. Even tests with shorter lists of factors only add to the confusion regarding compliance and enforcement, as there is no clarity on which factors are most …


Repurposing Electrical Waste Materials For Developing Corrosion-Resistant Medium Entropy Alloys, Iman El-Mahallawi, Shaza Raji Eng, Shimaa El-Hadad Prof., Mahmoud Tash Prof., Lamiaa Zaki Dr. Jun 2026

Repurposing Electrical Waste Materials For Developing Corrosion-Resistant Medium Entropy Alloys, Iman El-Mahallawi, Shaza Raji Eng, Shimaa El-Hadad Prof., Mahmoud Tash Prof., Lamiaa Zaki Dr.

Mechanical Engineering

Reusing electrical waste as a sustainable metal source is a promising approach for producing next-generation alloys. In this work, vacuum arc melting (VAM) was used to produce three aluminum-based medium-entropy alloys (AlCuFeCrSi MEAs) from recycled electrical waste. The alloys contained Al in the range 36-46%; Cu in the range 28-35%; Fe in the range 11-18%; Cr in the range 5-6%; and Si in the range 3-6%, with variations in elemental composition resulting from the use of different recovered electrical waste components. Their corrosion performance was evaluated at room temperature, in a 3.5% NaCl solution with and without 1 g/L Mn …


On The Right To Obscurity, Woodrow Hartzog, Evan Selinger Jun 2026

On The Right To Obscurity, Woodrow Hartzog, Evan Selinger

Faculty Scholarship

Tragically, U.S. privacy law has neglected to address a significant dimension of privacy. While lawmakers and judges have routinely recognized intrusions into our secluded spaces and breaches of our confidentiality and secrecy, they have largely failed to protect our most common yet also our most underappreciated form of privacy: the practical obscurity that allows us to live freely and with dignity. Obscurity, which is the state of protection that arises when personal information is difficult for some people to obtain or correctly interpret, serves several vital interests: (1) it safeguards our ability to express ourselves without fear that everything we …


Golden Hour Open Conceptual Architecture For Citizen-Initiated Structured Urgency Signaling, Jaime Gerardo Figoni Him May 2026

Golden Hour Open Conceptual Architecture For Citizen-Initiated Structured Urgency Signaling, Jaime Gerardo Figoni Him

Defensive Publications Series

Abstract Golden Hour proposes a minimalist, open, and low-bandwidth emergency signaling architecture that enables any citizen to transmit structured urgency information during the critical first hour (“Golden Hour”) of a disaster. The system combines a single-tap severity code (Red / Yellow / Green), a brief guided question sequence, and resilient transmission paths (including SMS/USSD fallback) to generate a live, color-coded situational heat map for emergency responders.

By treating emergency response as a problem of controlling informational entropy, Golden Hour enables a near-instantaneous reduction in chaos while fostering voluntary human solidarity. It is designed as a supplement to — not a …


Gci Diagnostics & Bioprocess Acceleration Architecture (Open‑Hardware, Conceptual Only), Michael Victor Caldwell Mr. May 2026

Gci Diagnostics & Bioprocess Acceleration Architecture (Open‑Hardware, Conceptual Only), Michael Victor Caldwell Mr.

Defensive Publications Series

This disclosure describes an open‑hardware, physics‑based architecture for accelerating diagnostic workflows and bioprocess engineering using vortex‑acoustofluidic modules. The system integrates vortex‑induced lysis, acoustic particle isolation, micro‑lattice thermal control, and continuous‑flow kinetic refinement to reduce the time required for molecular analysis and biomolecule purification. No biological agents, reagents, or clinical claims are included. All components are conceptual and released under CERN‑OHL‑P to support global research, prototyping, and humanitarian engineering.


Electronic Device Placement Via Three-Dimensional Space Reconstruction, Ruofei Du, Mahdi Tayarani Najaran May 2026

Electronic Device Placement Via Three-Dimensional Space Reconstruction, Ruofei Du, Mahdi Tayarani Najaran

Defensive Publications Series

Difficulties are encountered when determining placements for electronic devices to ensure coverage of a physical space. A framework for visualizing coverage and suggesting device quantities through three-dimensional space reconstruction is described. Live camera and depth data from portable electronic devices are utilized to generate a digital representation of an environment. A transformer-based neural network is employed to determine device poses and quantities based on the reconstructed space and semantic attributes. Coverage areas, areas without coverage, and unmonitored hazard zones are depicted in real-time, maintaining alignment as a device is physically reoriented. A data-driven approach for deploying equipment such as cameras, …


Set Lists For Conversations On Necropolitics, Antiblackness, And Colonialism, Noah Morton May 2026

Set Lists For Conversations On Necropolitics, Antiblackness, And Colonialism, Noah Morton

Black Educology Mixtape "Journal"

In lieu of a traditional syllabus, the following setlist uses the form of an academic syllabus to unsettle ideas around knowledge production and includes six sets with multimodal resources (films, songs, articles) to engage conversations on necropolitics, antiblackness, and colonialism. The setlists come from engaging in genealogies of resistance and liberation and are attentive to recognizing (re – again | cogn – to know | ize – to make) and acknowledging various technologies of domination while witnessing anachoreographies, or spirits of refusal. Each setlist flows from a check-in song, continues to the main set of readings/videos/podcasts, and ends with an …


“Hip-Hop Permeates Everything I Do:” The Intersections Of Global Politics, Hip-Hop, And Education, Mecedes Lindsay May 2026

“Hip-Hop Permeates Everything I Do:” The Intersections Of Global Politics, Hip-Hop, And Education, Mecedes Lindsay

Black Educology Mixtape "Journal"

This qualitative study examines how the absence of Critical Hip-Hop Pedagogy (CHHP) within academic institutions shapes students’ sense of belonging, motivation, and engagement by regulating which forms of cultural capital are deemed legitimate. Drawing on semi-structured interviews and focus groups with students, educators, scholars, and members of the hip-hop generation, this research adopts an interpretivist framework to center participants’ lived experiences within educational spaces. Informed by Freirean critical pedagogy and Yosso’s theory of community cultural wealth, the study situates schooling as a site where America’s soft power operates through curriculum design, disciplinary norms, and definitions of deviance. Findings reveal that …


Purposefully Black Interactional Systems: Disrupting Punitive School Discipline Models Through Banter, The Funk, And The Black Aesthetic, S. M. Wilson May 2026

Purposefully Black Interactional Systems: Disrupting Punitive School Discipline Models Through Banter, The Funk, And The Black Aesthetic, S. M. Wilson

Black Educology Mixtape "Journal"

This empirical study seeks to understand the narratives of four Black men teachers and two Black women teachers about how they implement school discipline and classroom management in their K–12 contexts. This track draws on interdisciplinary perspectives from education, linguistic anthropology, and African American studies to understand how banter and ritual insults function as alternatives to traditional discipline. Phenomenology and thematic analysis of six semistructured interviews demonstrated Black teachers’ beliefs that outdated and punitive orientations should be challenged. These teachers enacted discipline through talk—particularly banter, ritual insults, and what I call “purposefully Black interactional systems,” which embed discipline within them, …


Remixing The Academy Through Backyard Spaces: The Making Of Black Educology, The Mixtape, Dre Carter, Eghosa Obaizamomwan-Hamilton May 2026

Remixing The Academy Through Backyard Spaces: The Making Of Black Educology, The Mixtape, Dre Carter, Eghosa Obaizamomwan-Hamilton

Black Educology Mixtape "Journal"

As Black academics, researchers, and educators, we navigate the twin topographies of the academy and the open territories of possibility. Connecting these realms, we construct “backyard project” spaces—semi-enclosed areas linking academic spaces and liberated spaces. We use our creation of the backyard as a locality wherein we challenge oppressive, antiquated academic systems and anti-Blackness without waiting for reform. For example, our collective project, the Black Educology Mixtape “Journal,” exemplifies this concept. This track discusses the “backyard” as an extension of both third and fugitive spaces and, through material culture and fugitivity as method, highlights the backyard as a site for …


Uplifting Black Pedagogical Rituals Of Purpose Through Portraits Of Toni Morrison’S Humanistic Education, Darion A. Wallace, Natalie Hibdon, Gabriela Lopez May 2026

Uplifting Black Pedagogical Rituals Of Purpose Through Portraits Of Toni Morrison’S Humanistic Education, Darion A. Wallace, Natalie Hibdon, Gabriela Lopez

Black Educology Mixtape "Journal"

No abstract provided.


So Great A Cloud Of Witnesses: A Critical Race Counterstory On Teacher Preparation And Repair, La Mont Terry May 2026

So Great A Cloud Of Witnesses: A Critical Race Counterstory On Teacher Preparation And Repair, La Mont Terry

Black Educology Mixtape "Journal"

Selective liberal arts colleges (SLACs) are traditionally undergraduate institutions that focus on providing a broad education in the arts, sciences, and humanities rather than the professional training for the workforce typically available at other institutions of higher education. Despite their comprehensive curriculum, many SLACs have a decades-long commitment to teacher preparation as recognition of the connected nature of K–12 schooling and higher education. This track examines the closure of one such teacher preparation program at an urban liberal arts college and its impact on the faculty who taught in it. Using the critical race theory method of counterstorytelling, I position …


Black Boys And The New Media Mixtape: Ownership, Aspiration, And Hustle In A Digital Age, Kareem Edouard, Taquan S. Stewart May 2026

Black Boys And The New Media Mixtape: Ownership, Aspiration, And Hustle In A Digital Age, Kareem Edouard, Taquan S. Stewart

Black Educology Mixtape "Journal"

In this track, we explore how “new media” platforms become modern “mixtape” tools for Black boys to remix identity and cultural narratives in the digital age. As Audre Lorde reminded us, “The master’s tools will never dismantle the master’s house.” Still, we aim to interrogate whether these tools can be repurposed for empowerment. This framework unfolds in three parts: examining ownership and the gatekeeping of cultural narratives, exploring how new media platforms shape aspirations and identities for Black boys, and identifying the tools and pathways for Black boys to both see themselves as creators and access content that reflects them. …


Embodied Archives: The Body As Technology Of Black Sustainability, Felicia Rutledge May 2026

Embodied Archives: The Body As Technology Of Black Sustainability, Felicia Rutledge

Black Educology Mixtape "Journal"

This track develops the concept of embodied archives as technologies of Black sustainability in apocalyptic times. Building from Diana Taylor’s distinction between the archive and the repertoire, and in conversation with Hortense Spillers, Saidiya Hartman, Christina Sharpe, Sami Schalk, Tiffani Marie and Kenjus Watson, and Ruha Benjamin, I argue that Black bodies function as living repositories of knowledge. Long before schools claimed authority over learning, communities preserved memory in movement, rhythm, oral and signed languages, tactile practices, and everyday rituals of care. Disabled Black bodyminds, through practices such as braille literacy and augmentative and alternative communication, further illustrate how assistive …


Dancing In The Wake | Like Moss Over Modernity, Simple Ant May 2026

Dancing In The Wake | Like Moss Over Modernity, Simple Ant

Black Educology Mixtape "Journal"

This offering is a meditation on existing and thriving in the wake of civilization. For centuries, we have educated one another to believe in, and glorify, the insatiable desires of our modern way of life. I begin with the premise that what we call “civilization” is a system predicated on death, violence, and exploitation, because it requires the endless extraction and consumption of the living Earth. Living in this way guts the Earth to feed our ideas of “progress” and “prosperity.” The effect now is that our civilization, our society, our way of life is rotting—bringing with it decay and …


Remote Hr-Guided High-Intensity Interval Training With Weekly Health Monitoring In Breast Cancer Patients During Chemotherapy: A Moderation Analysis Of Physiological Predictors, Madara Ketlīna Štarka-Rantiņa, Rudolfs Ceseiko, Martins Campa, Maksims Zolovs, Greta Franceska Jermolenko, Kristaps Eglitis, Alicia Llorente, Aija Linē, Aija Klavina May 2026

Remote Hr-Guided High-Intensity Interval Training With Weekly Health Monitoring In Breast Cancer Patients During Chemotherapy: A Moderation Analysis Of Physiological Predictors, Madara Ketlīna Štarka-Rantiņa, Rudolfs Ceseiko, Martins Campa, Maksims Zolovs, Greta Franceska Jermolenko, Kristaps Eglitis, Alicia Llorente, Aija Linē, Aija Klavina

Baltic Journal of Health and Physical Activity

Background: The study aimed to investigate the effects of a six-month remotely monitored heart rate – guided high-intensity interval training (HIIT) program on aerobic capacity, functional performance, and weekly self-reported health outcomes in women with stage II–III breast cancer undergoing neoadjuvant chemotherapy. Materials and methods: Fifty-six women (mean age 47 ± 8 years) were randomly assigned (1:1) to a HIIT group or a control group (CG). Thirty-five participants were included in analyses (HIIT group = 17; CG = 18). HIIT group performed 4 × 4-minute HIIT sessions at the intensity of 85–95% of the peak heart rate, two to three …


Ibn Battuta's New Journey And Crossing The Boundaries Of The Semiosphere, Abdelhafid Mechkouri May 2026

Ibn Battuta's New Journey And Crossing The Boundaries Of The Semiosphere, Abdelhafid Mechkouri

SOROUD: The journal of Literacy Criticism

This article addresses the symbolic semiotic representations expressed in Ibn Battuta's New Journey, focusing on cultural space in relation to the self, the traveler, and the other. Drawing on Yuri Lotman's theory of the semiosphere, the study examines how the traveler-narrator moves within the Islamic semiosphere and across neighboring cultural spaces. It shows that cultural representations are organized around three major oppositions: similarity and difference, us and them, and the sacred and the profane. The article argues that the journey divides the other into internal and external figures and organizes space into familiar, safe, and sacred zones on the one …


Shrinking Sovereignty: By Land, Sea, And…Air?, Cynthia R. Harris May 2026

Shrinking Sovereignty: By Land, Sea, And…Air?, Cynthia R. Harris

Pace Environmental Law Review

Atlantis was a mythical State destroyed by the gods as an object lesson to humanity. The complete destruction of a State, as a political entity, does have precedent in historical reality. The complete and permanent loss of a State’s physical territory, however, is a problem humanity has never faced—until now. Today, climate change-driven sea level rise is bringing the future sovereign status of Small Island Developing States (SIDS) in question. A growing body of legal scholarship argues for maintaining these States’ maritime jurisdictions but has not yet extended the question skyward to SIDS’ jurisdiction over airspace.

This Article addresses that …


Municipality Of Bayamón V. Exxon Mobil Corp. (2025): Bringing Racketeering Charges For Climate Justice, Ilinca C. Johnson May 2026

Municipality Of Bayamón V. Exxon Mobil Corp. (2025): Bringing Racketeering Charges For Climate Justice, Ilinca C. Johnson

Pace Environmental Law Review

Environmental justice communities should have their climate change damages heard in the courtroom. One means to increase environmental justice claims is through claims under the federal Racketeer Influence and Corrupt Organizations (RICO) Act. Using Municipality of Bayamón v. Exxon Mobil Corp. (2025) as a model, this Article suggests a novel RICO case strategy to pursue climate damages for marginalized communities. Fundamentally, environmental justice RICO claims involve careful case design based on the climate-related damages a marginalized community has faced because of the long-term deception by fossil fuel actors upon those communities. Pursuing such claims forwards the intersectional issues faced by …


Effects Of Garden Exposure On Physician Assistant Students, Richard Gilbert Jr., Anne Schempp, Daniel Martin May 2026

Effects Of Garden Exposure On Physician Assistant Students, Richard Gilbert Jr., Anne Schempp, Daniel Martin

Inquiry: The Journal of the Virginia Community Colleges

Introduction: Stress and burnout within the physician assistant student population has been an evolving topic in physician assistant education. Greenspaces have been utilized for the reduction of stress and improvement of overall well-being.

Methods: Using a mixed methods survey methodology, participating physician assistant students were evaluated on their perceived stress levels both pre and post-exposure to a garden area. Both quantitative and thematic qualitative data was synthesized to evaluate the garden’s effect on the physician assistant student stress levels.

Results: A linear mixed effects model revealed that participants significantly improved stress outcomes from pre-test to post-test (ꞵ = 3.83, CI95% …


Nineteenth Century Deaf Education In The United States: A Survey Of The Schools, Styles Of Instruction, And The Events That Led To The Dark Ages Of Deaf Education, Christopher Arra May 2026

Nineteenth Century Deaf Education In The United States: A Survey Of The Schools, Styles Of Instruction, And The Events That Led To The Dark Ages Of Deaf Education, Christopher Arra

Inquiry: The Journal of the Virginia Community Colleges

The present study reviewed 19th-century deaf education in the United States and investigated controversial curriculum changes that led to the Dark Ages of Deaf Education. Two pedological approaches to deaf education were discussed: oralism and manualism, and a brief review of the 19th-century deaf education schools in the United States was also conducted. Readers are also made aware of the specific events that led to the Dark Ages of Deaf Education, and implications for Instructors are also discussed.


Improving Antihypertensive Medication Adherence Through Education And Follow- Up Phone Calls In A Primary Care Setting, Sarah Peterson May 2026

Improving Antihypertensive Medication Adherence Through Education And Follow- Up Phone Calls In A Primary Care Setting, Sarah Peterson

Doctor of Nursing Practice Final Manuscripts

Hypertension affects nearly half of adults and significantly increases the risk of stroke and cardiovascular disease; however, poor medication adherence remains a primary barrier to effective blood pressure management. The purpose of this evidence-based practice (EBP) project was to improve antihypertensive medication adherence among adult patients in a primary care setting. Guided by the Iowa Model of Evidence-Based Practice to Promote Quality Care, the project utilized a pre-test/post-test design at a private practice clinic. The sample included adults with a hypertensive diagnosis and active prescriptions. Medication adherence was defined as the Morisky Medication Adherence Scale (MMAS-8) scores, measured before and …


Reducing Preoperative Anxiety In Patients Undergoing Gynecologic-Oncology-Related Surgeries, Iman Sean Lavine-Richardson May 2026

Reducing Preoperative Anxiety In Patients Undergoing Gynecologic-Oncology-Related Surgeries, Iman Sean Lavine-Richardson

Doctor of Nursing Practice Final Manuscripts

Elevated levels of preoperative anxiety are associated with adverse effects in the postoperative period. Evidence demonstrates the effectiveness of incorporating multimedia into preoperative education to alleviate preoperative anxiety. This project aims to decrease preoperative anxiety levels and increase satisfaction and feelings of preparedness in patients scheduled to undergo gynecologic-oncology-related procedures through the implementation of an evidence-based practice (EBP) informational video. The San Diego 8A’s EBP model was utilized to guide this project. Data was collected, anonymously, through online questionnaires which included the Anxiety Specific to Surgery Questionnaire (ASSQ) to assess anxiety levels and Likert-scale questions to assess satisfaction and feelings …


Enhancing Emergency Preparedness In California High Schools: A Policy Framework For Implementing Nata-Compliant Emergency Action Plans Through Multidisciplinary Task Forces, Jennifer Lu May 2026

Enhancing Emergency Preparedness In California High Schools: A Policy Framework For Implementing Nata-Compliant Emergency Action Plans Through Multidisciplinary Task Forces, Jennifer Lu

Doctor of Nursing Practice Final Manuscripts

Abstract

Background: Sudden cardiac arrest (SCA) is the leading cause of death in young athletes, yet it is highly survival with proven measures: a structured emergency action plan (EAP), cardiopulmonary resuscitation (CPR) training, and access to an automated external defibrillator (AED) within 3 minutes can raise survival rates to 90%. Despite this, high schools show inconsistent compliance, largely due to the lack of fragmented oversight and lack of standardized practices

Purpose of Project: This proposal advocates for multidisciplinary task forces to enforce venue-specific, National Athletic Trainers Association (NATA)-compliant EAPs across California high schools, with the goal of improving emergency response …


Implementation Of Comprehensive Checklist For Opioid Use Disorder Treatment In Primary Care, Sophia R. Madden May 2026

Implementation Of Comprehensive Checklist For Opioid Use Disorder Treatment In Primary Care, Sophia R. Madden

Doctor of Nursing Practice Final Manuscripts

Background: The escalating opioid crisis demands a comprehensive approach to Opioid Use Disorder (OUD) management. Patients often face comorbid mental illnesses, infectious diseases, concurrent substance use, and social determinants of health (SDOH)—all of which increase the risk of treatment attrition. Standardizing care through evidence-based clinical practice guidelines and tools is essential for improving treatment quality and consistency.

Purpose: This project aimed to increase comorbidity screenings and improve resource access for OUD patients at a San Diego Internal Medicine primary care office by implementing a comprehensive care checklist based on the American Society of Addiction Medicine (ASAM) guideline.

Methods: The ASAM …


Empowering Healing And Recovery: Adverse Childhood Experiences Screening In A Cognitive Behavioral Therapy Intensive Outpatient Program, Serena C. Lee May 2026

Empowering Healing And Recovery: Adverse Childhood Experiences Screening In A Cognitive Behavioral Therapy Intensive Outpatient Program, Serena C. Lee

Doctor of Nursing Practice Final Manuscripts

Purpose: This evidence-based practice project implemented Adverse Childhood Experiences (ACEs) screening in an adult Cognitive Behavioral Therapy Intensive Outpatient Program (COG IOP) at San Diego's largest behavioral health hospital to identify ACE exposure, deliver supportive interventions, and enhance clinician competency in trauma-informed care.

Background: ACEs are potentially traumatic experiences occurring before age 18 that are associated with toxic stress and worsening health outcomes. Despite evidence linking ACEs to adverse outcomes and substantial healthcare costs, routine ACE screening is not standardized in behavioral health settings.

Methods: Guided by the San Diego 8A's Evidence-Based Practice model, eligible patients were offered ACEs screening …