Digital Commons Network^™

Staff Education Of Fall Prevention Intervention In The Emergency Department, Jonathan Jaramillo

Walden Dissertations and Doctoral Studies

Patient falls remain a significant patient safety concern in emergency departments (EDs) despite the routine use of fall risk screening tools. At the project site, continued fall events suggested a gap in staff knowledge, confidence, and consistent application of evidence-based fall prevention strategies. This Doctor of Nursing Practice (DNP) quality improvement project evaluated whether a targeted staff education intervention would improve ED nursing staff's knowledge, confidence, and intent to identify fall risk, implement prevention strategies, and respond appropriately to patient falls. Guided by the Analyze, Design, Develop, Implement, and Evaluate (ADDIE) instructional design model, an evidence-based educational intervention was developed …

Development Of An Evidence-Based Educational Intervention Designed To Increase Staff Knowledge And Competence In Comprehensive Fall-Prevention Practices, Jacqueline U. Becerra

Walden Dissertations and Doctoral Studies

Inpatient falls continue to represent a significant nurse-sensitive quality indicator associated with patient injury, extended hospital stays, and increased healthcare costs. Despite the presence of established fall-prevention protocols, inconsistent completion of fall-risk assessments and uneven application of prevention strategies contributed to ongoing fall events at the project site. The practice problem addressed in this Doctor of Nursing Practice (DNP) project was the lack of consistent staff knowledge and application of evidence-based fall-prevention practices. The purpose of this evidence-based quality improvement project was to implement and evaluate a structured fall-prevention staff education program to increase inpatient staff knowledge related to fall-prevention …

Staff Education To Enhance Phq-9 Depression Screening In A Mental Health Clinic, Constance Gawum Chingo

Walden Dissertations and Doctoral Studies

Doctor of Nursing Practice Project Summary Lack of standardization in the implementation and documentation of the Patient Health Questionnaire-9 (PHQ-9) was noted in this outpatient mental health clinic, impeding reproducible depression screening and evidence-based monitoring. The purpose of this Doctor of Nursing Practice (DNP) project was to examine whether staff education, enhanced by clinical workflow aids, could foster uniform PHQ-9 documentation in applicable patient encounters. Strategies employed included a systematic staff education session, a quick reference guide, an electronic health record (EHR) guide, and provision of prompt guidance and support during adoption. A pre- and post-quality improvement assessment was conducted …

Incarceration’S Impact On Young Adults’ Psychological Development, Well-Being, And Reintegration Into Society, Monica Murrell

Walden Dissertations and Doctoral Studies

This qualitative phenomenological study explored how individuals who experienced incarceration during emerging adulthood understood and made meaning of their developmental, emotional, and psychosocial experiences. Emerging adulthood, defined as ages seventeen through twenty-five, is a critical developmental stage, and incarceration during this period may disrupt identity formation and emotional maturation. The purpose of the study was to examine the perspectives and coping mechanisms of individuals incarcerated during this stage to better understand how early adult imprisonment shapes trauma responses, identity development, and reintegration. Social learning theory served as the conceptual framework. Data was collected through interviews with six formerly incarcerated adults …

Factors That Contribute To Lone-Wolf Terrorist Attacks In The United States, Kevin Klatte

Walden Dissertations and Doctoral Studies

Within the United States, current strategies aimed to prevent terrorism focus on terrorist organizations and international terrorism. The predominant literature on lone-wolf terrorism has focused mainly on quantitative data, and the qualitative studies that have been conducted do not uncover all factors that led to the individual committing the attack. Lone-wolf terrorism, while less frequent than international terrorism, has a significantly higher number of victims per attack and is extremely difficult to predict and prevent. The existing qualitative literature has heavily focused on the mental state, emotional status, and cognitive ability of the offender. This study explored why an individual …

Staff Education To Improve Accuracy And Consistency Of Depression Assessment Through Structured Education On The Zung Self-Rating Depression Scale, Janenita D. Chukwu

Walden Dissertations and Doctoral Studies

Inaccurate and inconsistent administration and interpretation of standardized depression screening instruments can destabilize clinical accuracy and patient safety. Despite routine administration of the ZSDS during nursing intake, informal observation and documentation review indicated a gap in nurses' understanding of how to compute raw scores, convert them to index scores, and define the severity levels. The aim of the project was to determine whether a structured staff education intervention would enhance nurses' knowledge of ZSDS administration, scoring, and interpretation. Informed by the Johns Hopkins Evidence-Based Practice model, an educational intervention based on existing evidence on the accuracy and implementation fidelity of …

Enhancing Provider Understanding Of Antidepressant Side Effects Through An Evidence-Based Educational Initiative, Karrylee Johnson

Walden Dissertations and Doctoral Studies

The purpose of this doctoral project was to implement a quality improvement educational initiative to strengthen provider understanding of antidepressant side effects in an outpatient behavioral health setting. The project was conducted to address gaps in staff knowledge related to identifying and managing antidepressant adverse effects, which are essential skills for safe medication practices in mental health care. Addressing this gap was significant because unrecognized antidepressant side effects can contribute to poor adherence, worsening symptoms, preventable complications, and negative patient outcomes. The results of the project demonstrated meaningful improvements in provider knowledge. Six staff members completed pre- and posttest assessments. …

Integrating Music Therapy Into Dental Clinics For Whole Person Care, Dana Osterling Benoit Mba, Mt-Bc, Nisreen Al Jallad Dds, Ms2, Shasha Cui Ed.D. Mba, Mandy Fraser, Gaelen Mccormick Mm1, Rosemary Oliva Obi Ms, Lcat, Mtbc1, Adela Planerova Dds, Ms2, Madeline Vinolus Mt-Bc1, Angela Valeria Perez Pita Dds, Ms2

Journal of the American College of Dentists

This case study describes the integration of a board-certified music therapist into two specialty dental clinics at the University of Rochester Medical Center’s Eastman Institute for Oral Health. Initiated in collaboration with the Eastman Performing Arts Medicine Center, the effort reflects a humanistic and biopsychosocial approach to dentistry that leverages music therapy to reduce anxiety, improve patient experience, and support better clinical outcomes.

Before implementation, monthly interdisciplinary planning meetings were held, bringing together dental faculty, research and administrative staff, and the music therapy team. These meetings built a shared understanding of each clinic’s unique patient population, workflow, and clinical priorities, …

Diurnal Rhythm In Chimeric Antigen Receptor T Cell Effectiveness In An Observational Study Of 715 Patients, Patrick G. Lyons, Emily Gill, Prisha Kumar, Melissa Beasley, Brenna Park-Egan, Zulfiqar A. Lokhandwala, Katie M. Lebold, Brandon Hayes-Lattin, Catherine L. Hough, Nathan Singh, Guy Hazan, Huram Mok, Janice M. Huss, Colleen A. Mcevoy, Jeffrey A. Haspel

2020-Current year OA Pubs

BACKGROUNDChimeric antigen receptor (CAR) T cells are a leading immunotherapy for refractory B cell malignancies; however, their effect is limited by toxicity and incomplete efficacy. Daily (circadian) rhythms in immune function may offer a lever to boost therapeutic success; however, their clinical relevance to CAR T cell therapy remains unknown.METHODSWe retrospectively analyzed CAR T cell survival and complications based on infusion time at 2 geographically distinct hospitals: Washington University School of Medicine in St. Louis, Missouri, USA (n = 384) and Oregon Health & Science University in Portland, Oregon, USA (n = 331) between January 2018 and March 2025. The …

“U’R-In(E)!- Urine-Albumin-Creatinine Ratio–The Old Kid On A New Block!, Yakubu Bene-Alhasan, Vijay Nambi, Christie Ballantyne

Faculty, Staff and Students Publications

No abstract provided.

Age Structure And Inflation Dynamics In Pacific Island Economies, August Letlet, Karan Rai, Bhavesh Garg

Bulletin of Monetary Economics and Banking

This study uses the panel of six Pacific Island Countries (PICs) to investigate the relationship between changing age structures and inflation. The findings suggest that both aggregated and disaggregated shares of the working-age population exert disinflationary pressure. This supports the life cycle hypothesis, which postulates that people in their productive years tend to save and produce more than they consume, fostering economic stability and managing inflation. Conversely, the findings indicate that old-age dependency contributes to inflationary pressures. These insights underscore the importance of demographic dynamics in shaping inflation trends and provide valuable guidance for policymakers aiming to maintain price stability.

Disaggregated Economic Complexity And Inflation In Oecd Countries, Raymond L. Aor, Afees A. Salisu

Bulletin of Monetary Economics and Banking

This study probes the intricate relationship between economic complexity and inflation dynamics, an area that has been relatively under-researched despite the potential for economic complexity to predict inflation. We focus on selected OECD countries and use panel data from 1998 to 2021. Utilizing a Panel Autoregressive Distributed Lag (PARDL) model, we analyze both short- and long-term dynamics across various components of inflation. Our analysis encompasses both aggregate and disaggregated indicators of complexity, including ECI-Trade, ECI-Technology, and ECI-Research. The results indicate that the impact of economic complexity on inflation differs depending on the type of inflation and the time frame considered. …

Green Banking Disclosure And Financial Trade-Offs: Evidence From Indonesia’S Banking Sector, Nafis Dwi Kartiko, Amrie Firmansyah

Bulletin of Monetary Economics and Banking

This study explores the relationship between green banking disclosure, firm performance, and firm value, with firm size and age as moderating variables. The study analyzed 578 observations from 43 banking companies in Indonesia. The findings reveal that green banking disclosure significantly negatively impacts firm performance and value, suggesting that green banking efforts may not always yield positive shortterm financial outcomes. However, firm size and age were found to moderate these relationships. Based on these findings, the study highlights the importance of carefully designed green banking strategies and a deeper understanding of their financial impacts by banking management. It also emphasizes …

Fear From Eating Outside? Assessing The Impact Of Covid-19 Pandemic On Consumer’S Willingness To Utilize Catering Services In China, Yunwei Li, Qiuping Ji, Vivian Valdmanis, Jingqi Li, Guanrou Deng, Rui Guo, Yu Hao, Zhi-Nan Lu

Bulletin of Monetary Economics and Banking

Since the onset of economic reforms, the catering industry has been playing a crucial role in China’s economic development. However, due to the outbreak of the COVID-19 pandemic, the Chinese government has implemented strict pandemic prevention policies such as (home quarantine and suspending work and production facilities) leading to losses for a variety of industries, especially catering industry. As the main driving force on the demand side, residents’ willingness to pay for catering can play an important role in the post-pandemic economic recovery. In this study, we employ primary data of 1,072 respondents from an online survey to investigate the …

Design And Economic Assessment Of A Sustainable Standalone Photovoltaic System For Hospital Lift Applications, Tasneem M. Abed, Saad S. Eskander, Mohamed A. Elsayes, Mohamed Zaki

Mansoura Engineering Journal

This study presents an optimized design and operation strategy for a stand-alone solar photovoltaic power system to drive a 4.5 kW elevator at Mansoura University Hospital, Egypt. The research aims to reduce the battery bank capacity and overall system cost while maximizing the utilization of solar panels. A novel "Optimum Operator System" is proposed, incorporating three power switches controlled by an Arduino microcontroller. The system's performance is analyzed through extensive modeling, simulation, and experimental validation. Results show a significant reduction in battery bank capacity, with 7 fewer 100 Ah batteries required compared to conventional systems. The proposed method significantly enhances …

Generalization Under Sub-Population Shift: Equitable Models For Imbalanced, Long-Tailed, And Fair Representation Learni, Faizanuddin Ansari

Doctoral Theses

Machine learning systems often experience performance degradation in real-world scenarios due to subpopulation shift defined as mismatches in the distribution of classes or attributes within datasets. This thesis investigates generalization failures arising from class imbalance, long-tailed distributions, and attribute-level biases (specifically, attribute-level biases that originate from demographic imbalances in sensitive domains, such as medical imaging). It proposes principled strategies to mitigate these effects in both classical and deep learning frameworks. Class imbalance and long-tailed distributions pose significant challenges, especially in real-world applications where minority classes are underrepresented yet critically important. To address these challenges, this work develops novel algorithms and …

Research Review: "Black Veterans' Insight On Racial Disparities In Military Administrative Separations", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

Military service provides a path toward the middle class by granting veterans benefits, including healthcare and compensation for disabilities acquired during service. Military characterization of service, assigned by the Department of Defense at separation, can qualify or disqualify veterans from benefits access. Black service members are 50% more likely than White service members to receive an Other Than Honorable rather than an Honorable discharge, resulting in disproportionate impediments to the benefits designed to facilitate re-entry into civilian life and prevent poverty. Yet, the Department of Defense provides little meaningful remedy for Black veterans to correct less than Honorable discharges, instead …

Ndls Communicator: Week Of 02.09.26, Notre Dame Law School

NDLS Communicator

The Latest News

• Notre Dame Law 3L Analli Torres Contributes to Successful UK Patent Validity Challenge
• Professor Paul Miller Named Sir Percy Spender Visiting Fellow

Student News

• Perla Khattar

Alumni News

• Ann Claire Williams '75 J.D.
• Chris Stewar '15 J.D.

Faculty Briefs

• Jimmy Gurulé
• Sadie Blanchard
• Emily Bremer
• Francisco Urbina
• Paul Miller
• Sherif Girgis
• Haley Proctor

The Education Law Project, Program on Church, State & Society, and Lindsay and Matt Moroun Religious Liberty Clinic filed an amicus brief in the U.S. Supreme Court

ND in the News

• Notre Dame law students provide free legal advice through the immigration clinic
• The …

Striation Characteristics In Atmospheric Pressure Ac-Driven Glow Discharge Operating In Monoatomic Gas, Ayuob K. Alwahaibi, Sang Hee Won, Tanvir Farouk

Faculty Publications

Striation in an atmospheric pressure AC-driven helium glow discharge operating at 25 kHz is experimentally characterized. Striation behavior is characterized by the visualization of discharges and voltage–current measurements over a range of plasma power. Voltage–current characteris tics reveal that striations form in the “normal” glow regime of operation, with a higher number of strata at low current, diminishing as dis charge current increases. The relative differences and similarities in the striation patterns during the positive and negative cycles are identified. High-speed imaging shows the striations to be traveling in time—“moving striations.” The spatial luminosity of the striations is tracked over …

Intouch Week Of February 9, 2026, New York Medical College

InTouch

• Shaun Desai, M.D., to Lead Department of Otolaryngology
• NYMC Supports National Heart Month
• NYMC Alums Share Marriage, Memories, and a Lifetime Together
• CDM Strengthens Emergency Response Skills Through TECC and RTF Courses
• TCDM Celebrates Match Day Success
• Student Spotlight: SOM Student Juliet Manu Named SEQUINS Scholar

Determinants Of Big Data Analytics Adoption Among Small And Medium-Sized Enterprises In Ghana, Seth Owusu

Walden Dissertations and Doctoral Studies

Big data analytics (BDA) has the potential to drive sustainability through improved decision-making, innovation, and competitiveness; however, small and medium-sized enterprises (SMEs) in Ghana face significant challenges in adopting this technology. The specific research problem is whether technological readiness, organizational support, and external pressures influence SMEs’ adoption of BDA in Ghana. Grounded in the technology-organization-environment framework, the resource-based view, and institutional theory, the purpose of this descriptive survey study was to examine whether technological readiness, organizational support, and external pressures influence SMEs’ adoption of BDA in Ghana. The participants comprised 120 SMEs registered with the Ghana Enterprise Agency. They completed …

Staff Education On Integrating Holistic And Herbal Therapies For Adults With Depression, Kettelene P. Mcmorris

Walden Dissertations and Doctoral Studies

Adults with depression frequently use or inquire about holistic and herbal therapies; however, inconsistent and non-standardized staff education regarding the safe, evidence-based integration of these therapies may contribute to variable counseling practices and potential patient safety risks. The purpose of this Doctor of Nursing Practice (DNP) quality improvement project was to implement and evaluate a structured staff education intervention focused on integrating holistic and herbal therapies for adults with depression in an outpatient behavioral health practice. The practice-focused question examined whether staff education would improve staff knowledge related to commonly used holistic and herbal therapies and associated safety considerations. A …

Multimodal Spatial-Omics Reveal Co-Evolution Of Alveolar Progenitors And Proinflammatory Niches In Progression Of Lung Precursor Lesions, Fuduan Peng, Ansam Sinjab, Yibo Dai, Warapen Treekitkarnmongkol, Sujuan Yang, Lorena I Gomez Bolanos, Tieling Zhou, Minyue Chen, Alejandra G Serrano, Avantika Krishna, Nastaran Karimi, Manvi Sharma, Akshay Basi, Guangsheng Pei, Jianlong Liao, Yunhe Liu, Jiping Feng, Zahraa Rahal, Yang Liu, Jiahui Jiang, Kai Yu, Tala Noun, Yuejiang Liu, Khaja Khan, Kyung Serk Cho, Jichao Chen, Luisa M Solis, Sarah Mazzilli, Steven Dubinett, Tina Cascone, Avrum E Spira, Stephen Swisher, Naoe Jimbo, Takuo Hayashi, Satsuki Kishikawa, Kazuya Takamochi, Tomoo Itoh, Takashi Yao, Kenji Suzuki, Neda Kalhor, Ignacio I Wistuba, Mingyao Li, Seyed Javad Moghaddam, Junya Fujimoto, Jared Burks, Jeffrey Myers, Kadir Akdemir, Linghua Wang, Humam Kadara

Faculty, Staff and Student Publications

The co-evolution of different cell subsets in the progression of precursor lesions to lung adenocarcinoma (LUAD) is incompletely understood. We generated spatial transcriptomic maps of 56 human precursor lesions and LUADs from 25 patients and of an independent cohort of 36 lesions from 19 patients, analyzing a total of 486,519 spots and 5.4 million cells. We identify region-specific programs that distinguish precursors from LUADs. Spatially resolved clonal architectures reveal patient-specific heterogeneity in evolution of precursors to LUADs. We find epithelial alveolar progenitors expressing tumor-associated meta-programs and residing in niches enriched with proinflammatory subsets including IL1B high macrophages. Epithelial-proinflammatory niches are …

Ex Vivo Microfluidic Model Identifies A Role For Shear Stress During Ovarian Tumor Cell Attachment To Peritoneal Mesothelial Cells, Vasilios A Morikis, Breanna Baker, Jillian A Martin, Angela Schab, Alessandra Dimauro, Gregory D Longmore, Whitney R Grither

2020-Current year OA Pubs

Ascites, or a pathologic accumulation of intra-abdominal fluid, is a key feature of intraperitoneally disseminating cancers, such as ovarian cancer. This pathological fluid buildup can influence the adhesive abilities of ovarian cancer cells, as they spread throughout the abdominal cavity to form metastatic implants on organs lined with a specialized monolayer of mesothelial cells. Robust methods for assessing the impact of fluid shear stress on this cell-cell interaction are lacking. Here, we develop and characterize a novel microfluidic device that allows for the determination of the attachment of ovarian tumor cells to mesothelial cells under the influence of fluid flow. …

Equal Chances Or Fewer Victims? Moral Judgments In Autonomous Vehicle Dilemmas, Alexander Matros, Eren Bilen, Leonid Matros

Faculty Publications

We examine the moral dilemma of how autonomous vehicles (AVs) should be programmed to act in unavoidable crash scenarios involving trade-offs between saving one life and saving many. We report results from three experimental studies that investigate individuals’ preferences over alternative AV decision rules in stylized crash scenarios. Across designs, we find robust support for a probabilistic decision rule that assigns passengers and pedestrians equal ex ante chances of survival (a 50:50 rule). This preference persists across different framings and remains salient even when additional probabilistic options are introduced.

J Am Coll Dent 2026 92 2a

Journal of the American College of Dentists

This special issue of the Journal of the American College of Dentists responds to a growing but long-underrecognized demand for humanities and ethics in dental education, practice, and scholarship. It emerges from the work of the National Collaborative on Humanities and Ethics in Dentistry (NCHED), a multi-institutional partnership formed in 2023 to address the persistent exclusion of dentistry from broader health humanities conversations. Through national webinars and scholarly collaboration, NCHED has demonstrated substantial interest in ethical reflection, historical analysis, narrative inquiry, and the arts as essential to understanding oral health and dental care. The unexpectedly strong response to the call …

Computational Investigation Of Cavitation Inception In Centrifugal Pumps, Mohamed Ibrahim Eldesouky, Asmaa Khater, Abdel-Rahim Dohina, Mohamed Rabie

Mansoura Engineering Journal

This study examines the effects of suction chamber baffle configurations on both hydraulic efficiency and cavitation characteristics in a low specific speed centrifugal pump. Four baffle configurations (zero, one, two, and three baffles) were tested at three different heights using refined computational fluid dynamics simulations. The Zwart-Gerber-Belamri cavitation model was enhanced by adjusting nucleation site radius and evaporation coefficient values to better align with previous research findings. Results revealed that the optimal baffle height is approximately one-third of the impeller suction eye radius, significantly improving cavitation resistance. Under non-cavitation conditions, all baffled configurations outperformed the no-baffle setup, with a single …

Enhancing Foam Concrete Performance: The Role Of Magnetized Water On Workability, Strength, And Microstructure Properties, Amr Elkazzaz, Mohamed M. Yousry Elshikh, Walid E. Elemam

Mansoura Engineering Journal

Conventional foam concrete suffers from low strength and heterogeneous pore structure due to its porous structure and incomplete hydration, limiting its structural applications. This study investigates the use of magnetized water (MW) as a mixing medium to enhance hydration efficiency and improve both fresh and hardened properties of foam concrete. Three density grades 620, 1300, and 1900 kg/m³, designated as Groups A, B, and C were prepared and tested. Compressive strength measurements indicated that MW enhanced performance across all densities. In Group A, 28-day strength increased slightly from 2.4 MPa with tap water (TW) to 2.8 MPa with MW. For …

Life-Cycle-Oriented Selection Framework For Solar Shading Devices In Hot–Arid Building Façades: From Traditional Precedents To Pv-Integrated Systems, Sameh Ahmed Qadry

Mansoura Engineering Journal

Abstract

This study proposes a life-cycle–oriented, computationally light framework for selecting solar shading devices in hot–arid building façades. While previous research has extensively analysed shading performance using detailed simulations, most studies focus on single systems or materials, rarely comparing traditional, modern, and PVintegrated solutions within a unified life-cycle and operation–maintenance perspective. The research addresses this gap by integrating three shading families—traditional local precedents (e.g. mashrabiya, rawshan), modern fixed and dynamic systems, and hybrid PV-integrated façades—into a comparative decision-support framework tailored to hot–arid climates. Methodologically, the study combines: (1) a structured descriptive–analytical literature review with analytical coding of key attributes (design …

Book Review: Assessing Autoethnography: Notes On Analysis, Evaluation, And Craft, Margaret Berg

Journal of Educational Research and Innovation

No abstract provided.