Digital Commons Network^™

Quality Improvement Project Improving Fall Risk Protocol Compliance Through A Structured Fall Prevention Program In A Skilled Nursing Facility, Lakeesha Jenkins

Doctor of Nursing Practice Projects

Falls remain a persistent patient-safety threat in skilled nursing facilities (SNFs). At a Dallas–Fort Worth SNF, a needs assessment identified rising unassisted falls and inconsistent protocol adherence. This quality improvement (QI) project examined whether a structured, evidence-based bundle could improve staff knowledge and fall-prevention processes and reduce falls over four weeks. Guided by Lewin’s Change Theory and implemented with Plan–Do–Study–Act (PDSA) cycles, the pre–post design engaged direct-care staff (registered nurses, licensed vocational nurses, certified nursing assistants; n = 20). The intervention included standardized risk screening with the Morse Fall Scale (MFS), targeted staff education, high-risk visual identifiers, and post-fall huddles. …

Quality Improvement Project Addressing Healthcare Provider Adherence To Diabetic Foot Exams In A Primary Care Clinic, Olaide Akinyinka

Doctor of Nursing Practice Projects

Healthcare providers performing foot examinations are a crucial component in assisting Type II diabetic patients to maintain their health. The purpose of this quality improvement project was to determine how the providers' implementation of Inlow’s 60-second Diabetic Foot screen, compared to current practice standards, impacts the number of foot exams among Type II diabetic patients at a primary care clinic over 12 weeks. Therefore, it was unknown if or to what degree the provider implementing Inlow’s 60-second Diabetic Foot Screen impacts the number of foot exams conducted compared to the current practice among Type II diabetic patients. Wiedenbach’s Helping Art …

Better Together: Including Students In High School English Language Arts Course And Curriculum Design, Katelin E. Held

Doctorate in Education

This qualitative action research study examined how having students cocreate secondary English Language Arts (ELA) curriculum alongside teachers influenced student engagement and ownership of learning and staff attitudes toward cocreation. Conducted in a Midwestern U.S. public high school ELA department, the study involved four student and four educator participants, all of whom engaged in restorative-style focus groups with a larger number of students and teachers to collaboratively generate ideas for new course offerings. The study students and adults then participated in small-group semi structured interviews. Data were collected through audio-recorded group discussions, individual interviews, and researcher memos and were analyzed …

Educating Correctional Nurses On The Use Of A Mindfulness Program To Reduce Work Stress, Victoria Ngozi Emelogu

Walden Dissertations and Doctoral Studies

Correctional nurses deliver care in environments marked by violent incidents, chronic understaffing, and moral distress. These conditions heighten occupational stress, jeopardize patient safety, and accelerate staff turnover, yet few U.S. jails provide evidence-based training in rapid self-regulation strategies. The purpose of this staff education project was to evaluate whether a 2-week curriculum could increase correctional nurses’ knowledge, attitudes, and self-reported skills (KAS) for on-shift mindfulness use. Pender’s health promotion model framed the intervention, Bloom’s taxonomy and Kirkpatrick’s evaluation model informed learning objectives and outcome levels. Five correctional nurses at a large urban jail completed an anonymous 10‑item KAS survey before …

Re: Comment Letter For Butte Priority Soils Operable Unit (Bpsou), Draft Preliminary (30%) Remedial Design Report, Blacktail Creek Riparian Actions (Dated July 28, 2025), Emma Rott

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Draft Final 2025 Residential Metals Abatement Program (Rmap): Cccs Gymnasium Soil Remedial Action Work Plan (Rawp), Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Glucodensity Functional Profiles Outperform Traditional Continuous Glucose Monitoring Metrics, Marcos Matabuena, Rahul Ghosal Ph.D., Javier Enrique Aguilar, Ayya Keshet, Robert Wagner, Carmen Fernández Merino, Juan Sánchez Castro, Vadim Zipunnikov, Jukka-Pekka Onnela, Francisco Gude

Faculty Publications

Continuous glucose monitoring (CGM) data have revolutionized the management of type 1 diabetes, particularly when integrated with insulin pumps to mitigate clinical events such as hypoglycemia. Recently, there has been growing interest in utilizing CGM devices in clinical studies involving healthy and diabetic populations. However, efficiently exploiting the high temporal resolution of CGM profiles remains a significant challenge. Numerous indices—such as time–in–range metrics and glucose variability measures–have been proposed, but evidence suggests these metrics overlook critical aspects of dynamic glucose homeostasis. As an alternative method, this paper explores the clinical value of glucodensity metrics in capturing glucose dynamics—specifically the speed …

Bromelain-Based Enzymatic Debridement Of A Third-Degree Burn To Skin-Grafted Bowel, Shengqing Wang, Janie Faris, Kareem Abdelfattah, Samuel Mandell, M Victoria Miles

School of Medicine Faculty Publications

Burn injuries over previously grafted tissue present a formidable challenge for excision and debridement, particularly when there are critical underlying structures such as bowel. Enzymatic debridement with the recently approved anacaulase-bcdb, a bromelain-based enzymatic debridement gel (Nexobrid), presents an additional method of burn excision that may be useful in such a situation. This brief report presents the management of a complex third-degree burn over a remotely skin-grafted bowel mass using anacaulase-bcdb gel. This report is written with documented patient consent and approval by the Human Research Protection Program office in compliance with institutional policy. A 52-year-old man presented to our …

Staff Education For Health Care Providers On Improving Health Care Outcomes For Lgbtq+ Youth And Adolescent Patients, Sheila Shafer

Walden Dissertations and Doctoral Studies

This project was focused on the significant challenges faced by LGBTQ+ adolescents and young adults, specifically those aged 12 to 25 years, who seek mental health care services. Research indicated that discrimination and stigma against this demographic contribute to disproportionately poorer mental health outcomes, underscoring the urgent need for culturally competent health care delivery. The purpose of this project was to educate professionals on the necessary skills and knowledge about the unique needs of LGBTQ+ patients. The question was the following: Would an educational intervention improve providers’ knowledge and confidence in diagnosing and treating the mental health needs of LGBTQ+ …

The Rider (2025-09-29), Daniela Martinez Salazar

The Rider Archives

Vol. 11, No. 5

Refining The Geochronologic Framework Of The Early Cretaceous Nonmarine Western Interior Basin, Usa, Jack Fekete

Graduate Theses and Dissertations

The Early to mid-Cretaceous marks a period of dynamic shifts in tectonism, depositional environments, climate, and biota across the mid-North American continent. However, despite their importance for understanding crucial biotic and geologic transitions during this period, nonmarine Early Cretaceous strata of the Western Interior Basin (WIB) remain poorly constrained geochronologically. Radiometric dating of syndepositional detrital minerals, such as ash-fall zircon, offers a solution to refining geochronologic frameworks. However, a magmatic lull in the Cordilleran magmatic arc during the Early Cretaceous limited the delivery of syndepositional zircon to the WIB, impeding such refinement. In this dissertation, I developed and tested new …

ความรับผิดทางแพ่งของบริษัทแม่ต่อผู้เสียหายที่ได้รับผลกระทบจากพื้นที่ปนเปื้อนสารอันตรายของบริษัทลูก (Parent Company’S Civil Liability To Victims Affected By A Subsidiary’S Hazardous Substance Contaminated Site), Patthanith Promarak

Chulalongkorn University Law Journal

งานวิจัยนี้มีวัตถุประสงค์เพื่อศึกษาความรับผิดทางแพ่งของบริษัทแม่ต่อผู้เสียหายที่ได้รับผลกระทบจากพื้นที่ปนเปื้อนสารอันตรายของบริษัทลูก โดยเป็นการศึกษาวิจัยเอกสารจากบทบัญญัติกฎหมาย คำพิพากษาศาล หนังสือตำรา และบทความเชิงวิชาการที่เกี่ยวข้อง ทั้งในประเทศและต่างประเทศ ผลการศึกษาพบว่า ปัจจุบันพระราชบัญญัติส่งเสริมและรักษาคุณภาพสิ่งแวดล้อมแห่งชาติ พ.ศ. 2535 ยังไม่มีบทบัญญัติให้บริษัทแม่เข้ามารับผิดชอบในความเสียหายจากพื้นที่ปนเปื้อนสารอันตรายของบริษัทลูก หากบริษัทแม่มีส่วนร่วมในแหล่งกำเนิดมลพิษหรือกำกับดูแลบริษัทลูก แต่ขาดการยึดถือแหล่งกำเนิดมลพิษทางกายภาพหรือเจตนาเพื่อตนอย่างใดอย่างหนึ่งไป อันไม่ครบองค์ประกอบของการเป็นผู้ครอบครองที่ต้องรับผิดตามมาตรา 96 หากบริษัทแม่มีการกระทำที่ไม่คำนึงถึงความเป็นนิติบุคคลของบริษัทลูกที่ไม่ใช่การกระทำละเมิด หากแต่เป็นการใช้โครงสร้างความเป็นนิติบุคคลของบริษัทลูกในทางมิชอบ อันได้แก่ การใช้นิติบุคคลเป็นเครื่องมือเพื่อหลบเลี่ยงหรือรับหน้าที่หรือความรับผิด และการมีทรัพย์สินปะปนกัน ดังนั้น จึงสมควรกำหนดบทบัญญัติที่เกี่ยวกับความรับผิดของบริษัทแม่ภายใต้พระราชบัญญัติดังกล่าว เพื่อให้ผู้เสียหายในคดีมลพิษจะได้รับความเป็นธรรมในการเยียวยา

Project #120: Preventing Workplace Violence: Implement A Behavioral Emergency Response Team Leveraging Existing Resources, Hannah Musgrove, Eman Chami, Katie Witherspoon, Denise M. Robinson, Patricia Wilborn, Rachel Eklund, Sarah L. Law, Megan Efremov, Barbara Kuszak, Aric D. Tosqui, Marcel I. Pop, Charles Kibirige, Katherine R. Flannery

Quality Expo 2025

No abstract provided.

Project #084: Zap Vap: A Quality Improvement Initiative To Decrease Ventilator Associated Pneumonia (Vap) In The Henry Ford Hospital Nicu, Faryal Durrani, Shelley Campbell, Daniel Rito, Ihab Jubran, Mustufa Boxwalla, Kamel M. Ghaben, Deepak Yadav, Lisa Vanacker, Christine Newman, Salvatore J. Morrone

Quality Expo 2025

No abstract provided.

Project #054: Safeguarding The Vulnerable: Streamlining Triage To Rooming In The Ed, Patrick Hanlon, Michelle Slezak, Gina Hurst, Hilja Compian, Georgia Scholl, Karra Robinson, Namita Jayaprakash

Quality Expo 2025

No abstract provided.

Project #034: Collaborative Approach To Length Of Stay Reduction In Complex Patients, Katherine R. Flannery, Jim Mcalpine, Hannah Musgrove, Phina Ross, Margot Tilley, Romina Bello, Jonathan Vono, Bruce Leaman, Nancy Price, Neil Khanna

Quality Expo 2025

No abstract provided.

Project #049: Forum-Beyond The Bedside: How Interdisciplinary Rounds Streamline Icu Care And Transitions, Kristina Boudreau, Sarah Beldin, Gillian Grafton, Paul S. Villalba

Quality Expo 2025

No abstract provided.

Project #080: Optimizing Neonatal Outcomes: Improving Early Hiv Detection And Intervention In Newborns. A Quality Improvement Initiative., Faryal Durrani, Eric J. Mcgrath, Indira Brar, Eileen M. Pokriefka, Uzma Shah

Quality Expo 2025

No abstract provided.

Project #151: Mobility Matters: Let’S Keep Moving Interprofessional Collaboration, Denise Robinson, Julia Quinto, Kelsey Hebel, Latoya Flint, Amandeep K. Kang, Nicole Kirk, Pam Johnson, Michelle L. Nastovski, Jennifer Rhames, Michael Ventura, Jessica M. Haeusler, Sal Lograsso, Adele Myszenski

Quality Expo 2025

No abstract provided.

Project #088: Increasing Access To Occupational And Physical Therapy For Postpartum Patients, Gabrielle Gibson, Caitlin Kik

Quality Expo 2025

No abstract provided.

Project #107: A Quality Improvement Project To Support Birth Person’S Choice To Exclusively Breastfeed Using Pasteurized Donor Human Milk (Pdhm) At Henry Ford Wyandotte Hospital, Lisa Fivecoat, Faryal Durrani, Sarah Miciura, Mary Desana

Quality Expo 2025

No abstract provided.

Navigating Identity In Digital Spaces: An Exploratory Study Of Social Engagement And Interactions, Shaniece Criss Scd, Hannah Kim, Yajie Xiong, Elizabeth Dennard, Dalmondeh D. Nayreau, Vaishnavi Bharadwaj, Erin Helsel, Vidur Jain, Sophia Lau, Amrutha Alibilli, Sarah M. Gonzales, Thu T. Nguyen

Health Sciences Publications

Introduction

Methods

Artificial Intelligence-Enabled Automated Analysis Of Transmission Electron Micrographs To Evaluate Chemotherapy Impact On Mitochondrial Morphology In Triple Negative Breast Cancer, Jiaqi Wang, Joseph Duraisingh, Alexander Zhurkevich, Antentor Othrell Hinton, Matthew D Meyer, Lacey E Dobrolecki, Michael T Lewis, Kourosh Zarringhalam, Gloria V Echeverria

Faculty, Staff and Students Publications

Advancements in transmission electron microscopy (TEM) have enabled in-depth studies of biological specimens, offering new avenues to large-scale imaging experiments with subcellular resolution. Mitochondrial structure is of growing interest in cancer biology due to its crucial role in regulating the multi-faceted functions of mitochondria. We and others have established the crucial role of mitochondria in triple-negative breast cancer (TNBC), an aggressive subtype of breast cancer with limited therapeutic options. Building upon our previous work demonstrating the regulatory role of mitochondrial structure dynamics in metabolic adaptation and survival of chemotherapy-refractory TNBC cells, we sought to extend those findings to a large-scale …

Plasmonic Nanoparticle Integration On Fiber Optic: Role Of Organic Linker And Functionalization Length In Refractive Index Sensing, Shela Ilmiyah, Mohamad Syahadi, Muflikhah Muflikhah, Yuwana Pradana, Zainul Arifin Iman Supardi, Iwan Darmadi, Lia Aprilia

Makara Journal of Science

Nanoplasmonic fiber optic sensors leverage the optical fiber’s inherent compactness and surface sensitivity via evanescent-field interactions with the localized surface plasmon resonance of the metallic nanoparticles. One of the popular approaches is self-assembly owing to its relatively low cost. Despite its low cost, the self-assembly technique has low reproducibility and exhibits low sensitivity because of low nanoplasmonic coverage on the fiber optic surface. In this study, several fabrication techniques were explored to assess the refractive index sensitivity by comparing three common organosilanes, i.e., (3-Aminopropyl)triethoxysilane (APTES), (3-Aminopropyl)trimethoxysilane, and (3-Mercaptopropyl)trimethoxysilane. Comparative analyses assessed the anchoring efficiency of the three silanes, sensor reproducibility, …

Adsorption Of Cu(Ii) Ions From Aqueous Solutions Using A Magnetite Biochar Composite Material, Widi Aprilia Ta'bi, Paulina Taba, Abdul Wahid Wahab, Maming Gappa, Muhammad Zakir, Nur Umriani Permatasari

Makara Journal of Science

Water contamination from heavy metals, such as Cu(II) ions, poses severe threats to human health and the environment. This necessitates the development of efficient and eco-friendly treatment methods. In this study, a magnetite–biochar composite (MBC) was developed as an effective adsorbent for reducing Cu(II) ions from liquid waste. Biochar was produced through the pyrolysis of water hyacinth at 500 °C, while magnetite was synthesized using FeSO₄·7H₂O and FeCl₃·6H₂O with molar ratio of 1:2. The MBC was formed using a co-precipitation method and characterized by Fourier transform Infrared (FTIR) spectroscopy, X-ray diffraction (XRD), Brunauer–Emmett–Teller, and vibration sample magnetometer instruments. FTIR analysis …

Sibling Species Differently Distributed Around A Co2 Vent Show Transplantation Proteomic Remodelling, While Displaying Metabolomic Signatures Associated With Their Origin, Lucy Turner

School of Biological and Marine Sciences

The cellular homeostatic response (CHR) and cellular stress response (CSR) work together to maintain homeostasis. Studying phylogenetically closely-related species inhabiting different environments can help investigate the interplay between the CHR and CSR. We conducted reciprocal in situ transplant experiments in a natural CO2 vent (Ischia, Italy), using the sibling annelid species Platynereis cf.. dumerilii and Platynereis cf.. massiliensis which have been shown to have different preferential distributions around the CO2 vent. Following transplantations, we characterised the response of each individual’s proteome, metabolome, and lipidome, to short or long-term exposure to different pCO2 regimes (i.e., high and low), and confirmed its …

Psychiatry Of Intellectual Disability In The Uk: Looking Back, Moving Forward, Rohit Shankar, Richard Laugharne

Peninsula Medical School

In this century, psychiatry for people with intellectual disability in the United Kingdom has undergone profound shifts, shaped by deinstitutionalization, legislative reform, a focus on psychotropic reduction, an increasing recognition of the premature mortality, and a growing recognition of rights-based, person-centred approaches. Despite progress, entrenched challenges remain, including fragmented services, inconsistent outcome measures, inappropriate psychotropic prescribing, and health inequalities. The coming decades promise transformative opportunities through genomics, digital health, and personalized interventions, through integrated management of co-occurring conditions, but risk deepening inequities if inclusion is not intentional. This paper synthesizes past developments, including the impact of abuse scandals, legal reforms, …

Re: Butte Mine Flooding Operable Unit Berkeley Pit And Discharge Pilot Project – August 2025 Monthly Discharge Monitoring Report, Mark Thompson, Dave Griffis

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Re: Condition Approval Letter For Bpsou Draft Final Phase I Design Investigation Evaluation Report, Blacktail Creek Riparian Actions (Dated May 2, 2025, Received July 28, 2025), Emma Rott

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Quantifying The Decay Timescale Of Volcanic Sulfur Dioxide In The Stratosphere, Paul A. Nicknish, Kane Stone, Susan Solomon, Simon Carn

Michigan Tech Publications

The injection of sulfur dioxide (SO2) into the stratosphere and its subsequent oxidation to form sulfate aerosols after large volcanic eruptions can have profound effects on Earth's climate. The removal of volcanic SO2 in the stratosphere is thought to be driven by its gas-phase oxidation by the hydroxyl radical (OH); once oxidized, it goes on to form sulfate aerosols. However, it has also been suggested that heterogeneous oxidation on ash could also be important or even dominant, which would imply the faster removal of SO2 and thus the faster formation of aerosols, at least in ash-rich plumes. Additionally, recent work …