Digital Commons Network^™

Implementing Pain Reassessment Workflow To Improve Timely Pain Management In Hospice Patients: A Quality Improvement Project, Oluremi Omodara

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Timely pain reassessment is a vital component of hospice care, directly influencing the quality of life for patients. Despite the high prevalence of pain, which affects 55% of hospice patients due to disease progression or adverse drug reactions, only 51% of those reporting moderate to severe pain at admission receive a documented reassessment. The gap highlights an organizational issue in pain management stemming from the absence of a clearly defined period and workflow for reassessment.

Aim of the Project: The aim of the quality improvement (QI) project was to improve compliance with pain reassessment documentation within 48 hours …

Eccentricity In Binary Black Hole Mergers, Katelyn J. Wagner

Theses

Recent studies have shown that orbital eccentricity may serve as an important indicator of dynamical assembly as a formation channel for binary black holes. In contrast to binaries that evolve in isolation and circularize through long-term gravitational radiation, dynamically assembled binaries, such as those formed through gravitational encounters in dense stellar environments, may retain measurable eccentricity up to the point of merger. Because eccentricity leaves a distinct imprint on gravitational-wave signals, it provides a powerful observational handle on the astrophysical origins of compact binaries. Detecting this signature requires sensitive and accurate modeling of gravitational-wave signals, particularly as binaries enter the …

Noise Law, Joshua Ulan Galperin

Elisabeth Haub School of Law Faculty Publications

The rumble of traffic, the drone of air conditioners, the blast of construction equipment. These are the mundane sources of noise pollution that we all experience but rarely think about. Or, if we do think about noise pollution, we don't think of it as a central piece of federal environmental law. This Article, however, demonstrates that noise law is, or was, central to American environmental law, and it offers insights into how environmental protection and administrative governance work today.

In the 1970s, during the height of environmental activism and policymaking, lawmakers recognized noise as a serious pollutant alongside issues we …

Biomass Materials And Their Application In 4d Printing, Zhongda Yang, Jian Li, Yanling Guo, Yangwei Wang, Wen Zhao, Wei Zhao, Yanju Liu, Laichang Zhang

Research outputs 2022 to 2026

Four-dimensional (4D) printing technology is a revolutionary development that produces structures that can adapt in response to external stimuli. However, the responsiveness and printability of smart materials with shape memory properties, which are necessary for 4D printing, remain limited. Biomass materials derived from nature have offered an effective solution due to their various excellent and unique properties. Biomass materials have been abundant in resources and low in carbon content, contributing to the then-current global green energy-saving goals, including carbon peaking and carbon neutrality. This review focused on different sources of biomass materials used in 4D printing, including plant-based, animal-based, and …

Neuroleukemiosis Masquerading As Drug Toxicity In An Adolescent With Refractory Aml, Nia Choi, Deborah Schady, Tim Lotze, Jill Ann Jarrell, Alexandra Rodriguez-Hernandez, Sandra Aziz, Karen K Moeller, Joanna S Yi, Suzanne Woodbury, Andrea N Marcogliese, Zoann E Dreyer, Eric S Schafer

Faculty, Staff and Students Publications

No abstract provided.

Pfas Exposure And Postoperative Weight Regain In Adolescents After Bariatric Surgery: Findings From The Teen-Labs Study, Brittney O Baumert, Elizabeth Costello, Zhenjiang Li, Justin R Ryder, Thomas Inge, Todd Jenkins, Stephanie Sisley, Stavra A Xanthakos, Douglas I Walker, Nikos Stratakis, Damaskini Valvi, Scott M Bartell, Angela L Slitt, Rohit Kohli, Sarah Rock, Michele A La Merrill, Sandrah P Eckel, Max T Aung, Rob Mcconnell, David V Conti, Lida Chatzi

Faculty, Staff and Students Publications

Objective: Weight regain following bariatric surgery remains a clinical challenge, with limited understanding of contributing environmental factors. Per- and polyfluoroalkyl substances (PFAS), persistent chemicals linked to metabolic dysfunction, may influence long-term weight trajectories. This study aimed to evaluate associations between PFAS exposure and changes in BMI, percent weight loss, and waist circumference among adolescents after bariatric surgery.

Methods: We included 186 adolescents (mean age: 17.1 years; 76.3% female; 72.0% White) from the Teen-Longitudinal Assessment of Bariatric Surgery (Teen-LABS) cohort who underwent surgery between 2007 and 2012. Anthropometric measurements were collected at baseline and 6, 12, 36, and 60 months post …

October 2025 News Releases, University Of Montana--Missoula. Office Of University Relations

University of Montana News Releases, 1928, 1956-present

No abstract provided.

A Five-Country Comparison Of Midwifery Students' Confidence In Facilitating Normal Labor And Birth, Juliet Wood, Jalana Lazar, Barbara Baranowska, Clare Davison, Debora Dole, Cindy L. Farley, Jane Fry, Maria Healy, Felicity Agwu Kalu, Urszula Tataj-Puzyna, Emma Ritchie, Maria Wegrzynowska

Research outputs 2022 to 2026

Introduction: Midwifery students need confidence in recognizing and supporting normal birth, the backbone of the midwifery professional role. Developing this confidence in the face of decreasing rates of physiological birth worldwide is a critical challenge. Midwife researchers from Australia, England, Northern Ireland, Poland, and the USA investigated midwifery student confidence for supporting normal birth and explored enhancing and detracting factors. Methods: A cross-sectional survey design was undertaken with 570 midwifery students at 8 academic midwifery programs across 5 countries The Student Confidence for Supporting Normal Birth Questionnaire with free text and Likert-type questions on a 1 (least influential) to 4 …

Accelerating Precision Exercise Medicine In Cancer Patients Using Pooled Individual Patient Data: Polaris Experience, Laurien M. Buffart, Marlou Floor Kenkhuis, Robert U. Newton, Anne M. May, Daniel A. Galvão, Kerry S. Courneya

Research outputs 2022 to 2026

Numerous exercise oncology trials have been completed, greatly informing exercise recommendations for patients with cancer. Exercise medicine can be administered in various types, doses, and schedules at various time points. Advancing precision exercise medicine requires understanding of how the effects of different exercise interventions vary by characteristics of individual patients. The Predicting OptimaL cAncer RehabIlitation and Supportive care (POLARIS) study provides an international infrastructure and shared database to perform pooled analyses of individual patient data (IPD) from multiple randomized controlled trials. This commentary aims to highlight the value of pooled IPD analyses, summarize key findings from published pooled IPD analyses …

A Risk-Averse Data-Driven Distributionally Robust Optimization Method For Transmission Power Systems Under Uncertainty, Mehrdad Ghahramani, Daryoush Habibi, Asma Aziz

Research outputs 2022 to 2026

The increasing penetration of renewable energy sources and the consequent rise in forecast uncertainty have underscored the need for robust operational strategies in transmission power systems. This paper introduces a risk-averse, data-driven distributionally robust optimization framework that integrates unit commitment and power flow constraints to enhance both reliability and operational security. Leveraging advanced forecasting techniques implemented via gradient boosting and enriched with cyclical and lag-based time features, the proposed methodology forecasts renewable generation and demand profiles. Uncertainty is quantified through a quantile-based analysis of forecasting residuals, which forms the basis for constructing data-driven ambiguity sets using Wasserstein balls. The framework …

Healing Right Way: A Stepped Wedge Cluster Randomised Controlled Trial Aiming To Enhance Quality Of Life For Aboriginal Australian Survivors Of Stroke And Traumatic Brain Injury, Elizabeth Armstrong, Tapan Rai, Judith M. Katzenellenbogen, Sandra J. Thompson, Meaghan Mcallister, Natalie Ciccone, Deborah Hersh, Leon Flicker, Dominique A. Cadilhac, Erin Godecke, Graeme J. Hankey, Neil Drew, Colleen Hayward, Deborah Woods, Mel Robinson, Ivan Lin, Sanita Kratina, Jane White, Juli Coffin

Research outputs 2022 to 2026

Objective: To determine the effect of cultural security training (CST) for health professionals and access to an Aboriginal Brain Injury Coordinator (ABIC) for Aboriginal Australians with stroke or traumatic brain injury (TBI). Design: A stepped wedge cluster randomised controlled trial; the intervention package consisted of CST for hospital professionals and 6-month access to ABICs providing education, support, liaison and advocacy; the commencement order of the intervention phase was randomised. Setting: Four urban and four rural hospitals in Western Australia, 2018–2022. Participants: Aboriginal adults ≥ 18 years hospitalised with stroke or TBI. Main Outcome Measures: Primary outcome was quality of life …

Temporal Eating Patterns And Ultra-Processed Food Consumption Assessed From Mobile Food Records Of Australian Adults, Janelle D. Healy, Satvinder S. Dhaliwal, Christina M. Pollard, Amelia J. Harray, Lauren Blekkenhorst, Fengqing Zhu, Deborah A. Kerr

Research outputs 2022 to 2026

Background/Objective: Temporal eating patterns and ultra-processed food (UPF) consumption have independently been associated with obesity and non-communicable diseases. Little is known about the temporal patterns of UPF consumption, as data is challenging to collect. Temporal data can be extracted from mobile food records (mFRs). The aim of this study was to identify the temporal eating patterns of those consuming UPFs using an mFR. Methods: A combined sample of 243 young (18–30 years) and 148 older (>30 years) adults completed a 4-day mFR. The time of eating was extracted from the mFR image metadata. UPFs were identified using the NOVA …

The Consequences Of Habitual Rumination, Expressive Suppression, And Perceived Stress On Mental And Physical Health Among Older Adults, Eyal Gringart, Rodrigo Becerra, Andrea Smith

Research outputs 2022 to 2026

Background/Objectives: The current study aimed to investigate whether habitual rumination, suppression, and perceived stress predict poor mental and physical health as well as well-being in a group of older adults (aged 50 to 80 years) from a non-clinical community sample. Methods: The current study comprised a cross-sectional survey design with online self-report measures. It was predicted that higher levels of rumination, suppression, and perceived stress would predict lower levels of general health as well as well-being, and heightened levels of depression and anxiety. Results: Findings from the study indicated that both rumination and perceived stress significantly predicted heightened anxiety, heightened …

Lst At The Frontiers Of Theology: Mission, Milestones, And Future Directions, Renato R. Repole

Loyola Papers

This inaugural address reflects on the mission, achievements, and future directions of the Loyola School of Theology as it celebrates sixty years as a theological school and twenty-five years as an ecclesiastical faculty. It highlights institutional milestones, including internationalization, academic collaborations, research initiatives, and program expansion. The address emphasizes LST’s commitment to contextual theologizing in Asia, interdisciplinary engagement, and pastoral relevance. It also identifies emerging challenges, including artificial intelligence, integral ecology, synodality, and safeguarding. Ultimately, it calls the LST community to collaborative discernment in shaping a new strategic plan that strengthens theological formation for the Church’s mission.

Full Issue, Volume 6, Issue 2

Loyola Papers

No abstract provided.

Effects Of Chitosan Supplement On In Vitro Ruminal Methane Production And Fermentation Profile Using Ruminant Conventional Diet, Hani M. El-Zaiat, Hamza Y. Al Hattali

Journal of Agricultural and Marine Sciences

Chitosan is a nontoxic biopolymer with antimicrobial activities that can modify rumen fermentation patterns. The objective of this experiment was to investigate the effects of increasing levels of chitosan on in vitro ruminal fermentation profile, methane (CH4) production, and nutrient degradability. A control total mixed ration (TMR) was formulated as a 50:50 concentrate to forage ratio. This study employed gas production (GP) system in a completely randomized design with four treatment levels and six replications. Chitosan levels were included at 0 (control), 100, 200, or 300 g/kg of diet dry matter. After 24 h of fermentation, ruminal net GP (P …

A Pilot Study Of Seaweed Cultivation In Oman, Khalid Khalifa Nasser Al Subhi, Mohamed Khalfan Al Wahaibi

Journal of Agricultural and Marine Sciences

The global seaweed farming industry is experiencing rapid growth, driven by its capacity to address critical challenges such as climate change, biodiversity loss, and food security. This study assesses the feasibility of establishing a sustainable seaweed farming sector in Oman, where the industry is currently underdeveloped despite the country’s vast coastal resources. We identify optimal seaweed species for cultivation in Omani waters and evaluate advanced farming techniques using systems such as Recirculating Aquaculture Systems (RAS) and Integrated Multi-Trophic Aquaculture (IMTA). Our findings suggest that seaweed cultivation in Oman, using (RAS) and (IMTA), holds significant promise and demonstrates seaweed cultivation’s potential …

Detection And Prevention Of Water Inrush From Seam Floor During Coal Mining Above Confined Aquifer, Weidong Pan, Yupei Deng, Houlin Du, Shiqi Liu, Mingtao Xu, Xingjie Liu

Journal of Sustainable Mining

With the increasing intensity of coal resource exploitation in China, the geological conditions of the working face are becoming more and more complex, and the bottom plate breakage (bottom bulge) and water inrush disasters caused by pressurized water mining are becoming more prominent. This article is based on the 21605 working face of Xin’an Coal Mine in Zaozhuang Mining Group. Through theoretical analysis and numerical calculations, the characteristics and scope of coal seam floor failure in the working face are obtained. Especially, the electrode cable direct current detection system designed through self-optimization was used for actual testing. Research shows that …

The Suitability Of Advanced Geospatial Technologies In Monitoring Mine Surface Displacement, Long Quoc Nguyen, Tuyet Minh Dang, Lipecki Tomasz

Journal of Sustainable Mining

This study conducts a thorough review of the current scientific literature on the application of geospatial methods in the assessment of mining-induced displacement. The scope of research included technologies for determining deformation, subsidence, and landslide in mining areas. Global Navigation Satellite Systems, Unmanned Aerial Vehicles, Terrestrial Laser Scanners, Remote Sensing, and fusion methods are approaches used to solve the research objectives. Additionally, the paper also mentions some advantages, disadvantages, and scope of application of these methods. The investigation revealed that the displacement detection method most commonly used at the moment is satellite radar interferometry.

Towards Sustainable Mining: Ghg Considerate Open Pit Long-Term Planning Using Adaptive Large Neighborhood Search Algorithm, Bahar Amirmoeini, Martin Grenon, Ali Moradi Afrapoli

Journal of Sustainable Mining

Mine planning involves the systematic design and coordination of mineral extraction from the earth’s crust, integrating exploration, production, and various engineering considerations. With increasing emphasis on environmental responsibility, the mining industry is under pressure to incorporate environmental considerations into mine planning. This paper addresses the precedence-constrained production scheduling problem (PCPSP) within the context of green long-term mining planning, aiming to optimize extraction processes while restricting carbon emission. Given the NP-hard nature of the PCPSP, this study introduces an adaptive large neighborhood search (ALNS) algorithm tailored specifically for long-term mine planning. A range of computational experiments have been carried out, including …

Economic Viability And Environmental Sustainability: A Cost-Benefit Analysis Of Green Technologies In Mineral Extraction, Tshinkobo Bukasa Orphea, Agyingi Babaca Agyingib, Xiangrui Meng

Journal of Sustainable Mining

This research offers a novel approach to comparing green technologies’ economic profitability and environmental sustainability of their mineral extraction based upon econometric and life cycle assessment methodologies. Quantitative results show attractive results with an NPV of $2,014,001 and an IRR of 17%. In the third year, the project nets at $300,000, or 63%, at a 7% discount rate. However, soil protection remains challenging, but pollution coefficients are improved, as evidenced by environmental impact assessments (EIAs). The findings in the study further underscore how regulatory frameworks and market drivers dictate the use of green technology. The economic, environmental and regulatory costs …

A Case Study Comparing The Results Of A Copper Open-Pit Mine Scheduling Considering Two Different Approaches For Spatial Interpolation Of Comminution Geometallurgical Variables, Sílvia Martins, Pedro Campos, Douglas Mazzinghy

Journal of Sustainable Mining

The use of geometallurgical variables to improve the accuracy obtained in mine planning is an increasingly present reality in mining. However, the way these variables are interpolated to construct the block model is still a major challenge since they are non-additive variables. In this case study, a database from a copper mine located in Brazil was used to compare mining planning by Direct Block Scheduling using two spatial interpolation approaches. In the first approach, the geometallurgy block model was produced interpolating the comminution indexes Axb and BWI from the drill holes, and the specific energy was calculated at each block. …

Impact Of Multiple Mining Subsidence On Large Diameter Steel Pipelines: The Upper Silesian Coal Basin Case Study, Piotr Kalisz, Magdalena Zięba, Marcin Grygierek

Journal of Sustainable Mining

The article concerns the impact of multiple mining subsidence on pipeline expansion capacity based on the analysis of the field research results. The article presents a case study related to a water mains system that supplies drinking water to approximately 3.5 million consumers. These pipelines are made of steel with diameters of 1600 mm and 1400 mm. The water mains partly run through mining and post-mining areas in the Upper Silesian Coal Basin in Poland. These pipelines are equipped with expansion joints to protect them against the impact of ground deformations. The field research concerned the assessment of the position …

Recovery Of Magnesium Sulfate And Calcium Sulfate From Zinc Flotation Tailing, Raquel Húngaro Costa, Jonathan Tenório Vinhal, Tatiana Scarazzato, Denise Crocce Romano Espinosa

Journal of Sustainable Mining

Resource recovery is a process that has been used to obtain products from industrial waste. Mining tailings can be used as an alternative through ore beneficiation to create by-products for this type of waste. The work herein investigated the recovery of two products from a real tailing generated in the Zn beneficiation route in the flotation step. A non-magnetic fraction was submitted to a hydrometallurgical route to produce MgSO₄ and CaSO_4. Thermodynamic simulations using FactSage software were performed to evaluate the optimal leaching conditions varying the S:L ratio, the sulfuric acid concentration, and temperature. The best modeled conditions …

Tassel Turning Versus Tossing In The Towel: An Analysis Of Undergraduate Student Persistence And Challenges, Josie Ambur

Journal of the Symposium of University Research and Creative Expression

Project Mentor(s): Pamela McMullin-Messier, Bernadette Jungblut

Completing college is no easy feat. All higher education has barriers and obstacles students must face and overcome. Observations have been used to gather various student perspectives that have been compiled alongside research in the field to create a picture of what student barriers look like at Central Washington University specifically. Some of these barriers include navigating academic requirements, challenges with academic advisors, unique challenges first-generation students face, and financial challenges including balancing employment and academics. Within the personal lives of students, there are several internal factors that impact their success such as their …

Appropriate Blackness: Feminism, C.R.T, Marxism & Boxing, Olene Togiailua

Journal of the Symposium of University Research and Creative Expression

Project Mentor(s): Cynthia Pengilly, PhD

Black people of the Progressive era were concerned with how to regulate their behavior to better their position in society. This research will examine the synthesis of gender performativity, critical race theory, Marxism, and psychoanalysis to create an assimilation identity strategy called “Appropriate Blackness” and how it is demonstrated through the sport of Boxing. The case study subject of all these different frameworks is the first Black Heavyweight champion of the world, Jack Johnson, who was the premier Black celebrity during the Progressive Era and thus an example for a specific gender strategy many working-class …

Construction, Optimization, And Characterization Of An Undergraduate Cold Cathode Table-Top Electron Accelerator For Radiation Physics Education, Caitlin Balmer, Mason Skeath, Mehran M. Zaini, Peter Zencak, Erin M. Craig

Journal of the Symposium of University Research and Creative Expression

Project Mentor(s): Mehran Zaini, PhD; Peter Zencak

Rising cancer cases spurred advancements in radiation therapy modalities, including electron accelerators. In this report, descriptive and diagnostic analysis was utilized to develop and characterize a functional, low energy cold cathode table-top electron accelerator for radiation physics experimentation in Central Washington University’s (CWU) undergraduate radiation lab. The device features a tungsten cathode (TC), brass anode, and copper Faraday Cup (FC) in a vacuum, enclosed by blue-tinted polyvinyl chloride (PVC). TC electron emission was facilitated by applied electric fields from input voltages of 1000 V to 5000 V. FC collected electron current in the …

Examine Supreme Court Decisions That Have Influenced The Gender Salary Gap, Shinhae Hwang

Journal of the Symposium of University Research and Creative Expression

Project Mentor(s): Rodrigo Murataya, PhD

Despite significant advancements in gender equality policies and legal frameworks, women consistently earn less than men across various industries and job positions (Blau & Khan, 2017). As of 2023, median weekly wages of full-time women are 83.6 percent of the median weekly wages of men, an increase of just three percentage points since 2004 (BLS 2024). This stalled convergence in the gender gap in wages has led to a large and vibrant research literature that seeks to understand why change has been so slow (England 2010). This paper explores the impact of legislative acts such …

Effect Of Coniferous Trees And Water Availability On Soil Acidification, Jessica A. Cheever

Journal of the Symposium of University Research and Creative Expression

Project Mentor(s): Mary Poulson, PhD

Water availability and coniferous tree species can cause acidification and a change in soil fertility. Previous research in European forests found that rainfall, soil acidity, and conifer prevalence influenced soil quality and biodiversity. However, not much is known about these effects in the Pacific Northwest’s forests. Three forests were chosen based on a gradient of annual precipitation. The Hoh Rain Forest, the Tiger Mountain State Forest, and the Okanogan-Wenatchee National Forest were used for wet, mesic, and dry conditions, respectively. Each location had a three-by-six grid spaced 50 meters between each plot. The location was …

Building Career Pathways: Investigating The Potential For A Cooperative Education Program For Graduate Itm Students At Central Washington University, Liam J. E Holland

Journal of the Symposium of University Research and Creative Expression

Project Mentor(s): Susan Rivera, PhD

This research examines the feasibility of introducing a cooperative education (co-op) program at the master’s level in the Central Washington University (CWU) ITM Department. Methods included a review of existing co-op programs, analysis of interviews with past co-op students, and an examination of survey data on student interest in graduate-level cooperative education. The study aims to identify key elements of effective co-op programs and assess demand for such programs. The analysis of current co-op models offers insights into program structure, industry engagement, and student success. The 2019 NACE Internship & Co-op Survey found that 50.2% …