Digital Commons Network^™

The Evaluation Of The Epic Epidural Assessment Event And The Effects Of The Conversion Of Epidural To General Anesthesia For Cesarean Sections, Rebecca Turney, Bridget Shinnick

Doctor of Nurse Anesthesia Practice (DNAP) Manuscripts

Unplanned conversion from labor epidural analgesia to general anesthesia (GA) for cesarean delivery is associated with increased maternal and neonatal risk and may occur when inadequate epidural function is not recognized before operative delivery. This Doctor of Nursing Anesthesia Practice quality improvement project evaluated implementation of the Epic Epidural Assessment Event, a structured electronic medical record documentation tool designed to standardize epidural assessment during labor at a high-acuity obstetric referral center in Western Pennsylvania. Using a Plan-Do-Study-Act framework, the project compared pre- and post-implementation epidural-to-GA conversion trends, reviewed Epic audit data for documented tool utilization, and collected anonymous anesthesia provider …

A Quality Improvement Project On Maternal Hemorrhage Protocol Adherence, Cyrus Masih, Richard Zapata

Doctor of Nurse Anesthesia Practice (DNAP) Manuscripts

Postpartum hemorrhage is a leading cause of preventable maternal morbidity and mortality and requires rapid, coordinated response among obstetric, anesthesia, nursing, and blood-bank teams. This quality improvement project implemented and evaluated a California Maternal Quality Care Collaborative (CMQCC)-based Code OB maternal hemorrhage intervention at a western Pennsylvania hospital. The project aimed to improve anesthesia provider knowledge, confidence, and readiness to recognize, stage, and respond to maternal hemorrhage using standardized guidance, quantitative blood loss (QBL) measurement, and point-of-care cognitive support. Guided by the Institute for Healthcare Improvement Model for Improvement and a Plan-Do-Study-Act cycle, the intervention included a focused educational presentation …

North Country Career Expo Student Brochure, Cooperative Extension, Coos County, Ray Berthiaume

UNH Cooperative Extension

No abstract provided.

A Stochastic Nonlinear Dynamical System For Smoothing Noisy Eye Gaze Data, Thoa Thieu, Roderick Melnik

School of Mathematical & Statistical Sciences Faculty Publications

In this study, we address the challenges associated with accurately determining gaze location on a screen, which is often compromised by noise from factors such as eye tracker limitations, calibration drift, ambient lighting changes, and eye blinks. We propose the use of an extended Kalman filter (EKF) to smooth the gaze data collected during eye-tracking experiments and systematically explore the interaction of different system parameters. Our results demonstrate that the EKF significantly reduces noise, leading to a marked improvement in tracking accuracy. Furthermore, we show that our proposed stochastic nonlinear dynamical model aligns well with real experimental data and holds …

Kenilworth Holdings Llc V. New York City Rent Guidelines Board

All Decisions

In this Article 78 proceeding, landlords and owners of rent-stabilized homes sought a judicial order annulling the Rent Guidelines Board's (RGB) Apartment & Loft Order #58, claiming it was arbitrary and capricious. The court granted the City of New York's motion to transfer venue from Richmond County to New York County, holding that under CPLR 506(b), venue turns on where the material events took place — i.e., where the RGB deliberated, voted, and arrived at the challenged decision — which was New York County. The court rejected petitioners' argument that Richmond County was proper because rent-stabilized apartments exist there, finding …

Spiral & Wheel, Red Audiss

Graduate Student Portfolios, Professional Papers, and Capstone Projects

No abstract provided.

Sample 2, Author Two

General Documents

No abstract provided.

Report Card On The Status Of Women 2025-2026, Leah Ward

Women's Center Reports, Commentaries and Other Resources

In this eighth iteration of the Report Card on the Status of Women, the University of Dayton’s Women’s Center maintains our Report Card annually, continuing to be aimed at increasing institutional diversity and promoting equity for underrepresented staff and faculty. In doing so, the report identifies areas where progress is being made and areas where more work is needed. The Report Card is also a space to share progress on gender equity initiatives led by the Women's Center and other units across campus.

Data presented in this Report Card was provided by the Office for Decision Support and represents data …

Rejection Of Fe (Iron) And Kmno4 (Organic Substance) Parameters In Peat Water Using Organic Membranes, Muhamad Rafli Sakti Mulia Gonera, Siti Umi Kalsum, Sarah Fiebrina Heraningsih

Journal of Materials Exploration and Findings

Peat water is a surface water source widely used by people in swampy and lowland areas, but it has poor quality characteristics such as high organic matter content, low pH, and dissolved metal levels such as iron that exceed the threshold. These conditions can cause health problems and reduce the quality of clean water so that effective treatment technology is needed. This study aims to analyze the effectiveness of ultrafiltration membranes made from chitosan from shrimp shell waste in rejecting iron (Fe) and organic substances in peat water, and to determine the effect of pressure on separation performance. This study …

Alumni Correspondence For Homecoming 1949, Pearl Sparks, Executive Secretary Of Alumni Association, Fstc And Mr. Earl Young, Chariman

Documents

Correspondence letter from Ms. Pearl Sparks to Alumni committee members/Response in writing from Mr. Earl Young, Chairman, 1949.

Feasibility And Patient-Reported Outcomes Of Full-Body Red And Near-Infrared Photobiomodulation For Musculoskeletal Pain In A Predominantly Hispanic/Latino Population: A Single-Arm Pilot Study, Robson Dias Scoz, Frida Garza, Ivana Burberg, Isabella Moreno, Melissa Espinosa Cantu, Mia Dominguez, Juan Gonzalez

Physical Therapy Faculty Publications

Objective: To characterize feasibility, tolerability, and patient-reported outcomes after a 10-session full-body red and near-infrared photobiomodulation (PBM) protocol for musculoskeletal pain in a predominantly Hispanic/ Latino community sample.

Background: PBM is a non-pharmacological intervention with potential analgesic and anti-inflammatory effects. Evidence from community-based and Hispanic/Latino populations remains limited, and full-body LED protocols are incompletely standardized.

Methods: This single-arm observational pilot study included 40 adults with self-reported acute or chronic musculoskeletal pain. Participants completed baseline and post-protocol Qualtrics surveys. The intervention used a full-body LED panel emitting 630, 660, 830, and 850 nm light in continuous-wave mode for 20 min per …

The George-Anne Inkwell Edition, Georgia Southern University

The Inkwell

No abstract provided.

Dynamical Properties Of Proximal Group Spaces, Najlaa Adnan Hadi

Baghdad Science Journal

In this paper, we introduce a new class of dynamical systems, Proximal Dispersive Group Spaces (PDG - spaces), to study the structure of topological group actions. In these spaces, we observe a mixture of two different behaviors: points come close to each other (proximal convergence) under some group elements, while remaining separated (dispersive separation) under others. This framework generalizes the classical theory to allow for selective convergence without global asymptotic collapse. We give a formal definition of PDG - spaces and study some of their basic properties, like invariance under group actions and incompatibility with equicontinuous systems. Our results show …

Analytical Study On Unsteady Flow Of A Hyperbolic Tangent Fluid In Existence Of Porous Media Of An Exponentially Stretched Sheet With Heat Transfer, Nidhal M. Abd Alameer, Sundos Bader, Fatima K. Abdullah

Baghdad Science Journal

The unsteady flow of a tangential hyperbolic fluid with temperature in the presence of a sublimation medium and an exponential surface was discussed in this article. The law of conservation of mass, energy, and momentum is essential to the model of matter. To make it easier to identify solutions, the partial equations were converted into ordinary equations. We refer to this approach as the homotopic method. To explain the results, the Mathematica program was used to find the solutions and graphically depict them. The impact of the parameters on velocity, temperature was discussed, which are Random motion factor (Nb …

Early Immune Dysregulation In Mtb/Siv Co-Infection Resists Cart Treatment At The Single-Cell Level, Todd Bradley, Shabaana A Khader, Deepak Kaushal

Faculty, Staff and Student Publications

Using single-cell transcriptomics of bronchoalveolar lavage cells from Mtb/SIV co-infected rhesus macaques on cART, we reveal profound immune dysregulation during early SIV co-infection of latent tuberculosis. SIV induces a sharp decline in CD4+ T cells, NK, and NKT cells, with incomplete recovery of Mtb-specific TH1 effector responses despite viral suppression. Instead, a persistent TH17-skewed environment emerges, alongside sustained myeloid inflammation driven by Type I interferon signaling and pro-inflammatory regulators such as KLF6 and NFKB1. Ligand-receptor network analyses demonstrate expanded CD4+ T cell-macrophage crosstalk and loss of immune homeostasis that cART fails to fully restore. These findings expose …

Comparison Of Basketball-Related Injuries At Us Emergency Departments Between High School-Aged And College-Aged Athletes: A 10-Year Neiss Analysis, 2015-2024, John R. Tyler, Mark Gamadia, Nata Parnes, Hunter Czajkowski, Mitchell J. Christiansen, Mary K. Mulcahey

Student Publications

Background: Basketball is widely played in the United States, yet contemporary comparisons of basketball-related injuries between high school- and college-aged athletes using nationally representative emergency department (ED) data remain limited.

Purpose: To compare basketball-related injury epidemiology between high school- and college-aged athletes and characterize the burden of these injuries on US EDs.

Study design: Descriptive epidemiological study.

Methods: The National Electronic Injury Surveillance System (NEISS) was queried for basketball-related injuries in athletes aged 14 to 23 years from 2015 to 2024. Patients aged 14 to 18 years were categorized as high school-aged and those aged 19 to 23 years as …

"The Man Who Stopped Henry Ford", George Baker

Documents

Although American industrialist and business magnate Henry Ford planned a potential "super-city" in Muscle Shoals, Alabama, the actions of Senator George Norris of Nebraska were a contributing factor to its end.

Does Our Economy Cultivate Beauty?, Joshua Hollinger

Faculty Work Comprehensive List

"Wherever we’re failing to build and preserve beautiful places, the answer lies in fostering a society of people who have a taste for beauty and a loving desire to share it with others, and in finding mechanisms for cooperating and negotiating with each other amid our sin and finitude."

Posting about true beauty in an advertising-focused world ­­­­­­­­from In All Things, an online hub that offers insight into maintaining and faithful and orthodox Reformed Christian worldview while fearlessly engaging in every aspect of contemporary life – until all is made new.

Does Our Economy Cultivate Beauty?

Panitumumab-Based Egfr Blockade In Smarcb1-Deficient Renal Medullary Carcinoma: Preclinical Basis And Prospective Clinical Activity, Ritesh R Kotecha, Damian T Rieke, Bradley A Mcgregor, Pedro Pesquera, Zhiyuan Yu, Abha Grover, Najat C Daw, Emily Wang, Sze Wah Samuel Chan, Dorothea Douglas-Lindsay, Alice C Fan, Eric M Knoche, Christos E Kyriakopoulos, Aly-Khan A Lalani, Charlene M Mantia, Amartej Merla, Martin H Voss, Nicklas Pfanzelter, Sneha Ramakrishna, Neil M Reaume, Tianyi Tang, Davis R Ingram, Diana Shamsutdinova, Khalida M Wani, Wei-Lien Wang, Alexander J Lazar, Rahul A Sheth, Priya Rao, Sandra L Grimm, Cristian Coarfa, Rong He, Jing Qian, Fei Duan, Deepa Bisht, Pankaj K Chauhan, Luigi Perelli, Giannicola Genovese, Liuqing Yang, Chunru Lin, Jose A Karam, Ludovica La Posta, Eleonora Dondossola, Rafet Basar, Nadima Uprety, Katayoun Rezvani, Jianjun Gao, Linghua Wang, Luisa M Solis Soto, Bora Lim, Nizar M Tannir, Menuka Karki, Pavlos Msaouel

Faculty, Staff and Students Publications

Purpose: SMARCB1-deficient renal medullary carcinoma (RMC) is an ultra-rare, lethal malignancy refractory to therapies approved for other renal cell carcinomas, and its rarity makes randomized trials logistically unfeasible. We investigated whether wild-type epidermal growth factor receptor (EGFR) is a therapeutically actionable dependency in RMC and translated this insight into a deployable clinical regimen.

Experimental design: EGFR expression was assessed by CLIA-certified immunohistochemistry in RMC tumors and by integrated RNA- and chromatin immunoprecipitation-sequencing of primary tumors and adjacent kidney. Panitumumab was compared with erlotinib in patient- and cell line-derived xenografts, and its mechanism defined by immunoblotting, confocal colocalization, cell-cycle and apoptosis …

Physical Design Automation For Next Generation Ics: Graph And Machine Learning Based Approaches, Dr. Kritanta Saha

Doctoral Theses

Integrated Circuit (IC) technology has progressed significantly over the last six decades, culminating in billions of transistors on a chip. The widely used 193 nm immersion lithography process exceeds modern feature sizes, leading to layout pattern distortions and electrical violations. Mitigation techniques such as Multiple Patterning and Optical Proximity Correction become ineffective below 45 nm, prompting the development of several Next-Generation Lithography (NGL) methods such as Extreme Ultraviolet Lithography (EUVL), Multiple Electron Beam Lithography (MEBL). MEBL employs thousands to millions of e-beams in parallel to overcome throughput limitations. A 2D layout is partitioned into vertical stripes by stitch-lines (SLs), each …

Dual Immunomodulatory And Wound-Healing Effects Of 4-Aminopyridine And Electrical Stimulation, Caden P. Connealy, Ben Ravnsborg, Sangamesh Gurappa Kumbar, Sama Abdulmalik

Medical Student Research Showcase

Background: Post-traumatic soft tissue injuries cause pain, functional impairment, and long-term disability. Current treatments often lead to excessive fibrosis and scar formation, compromising tissue function and increasing the risk of re-injury. Therefore, therapies that accelerate wound healing while promoting regeneration and minimizing fibrosis are urgently needed.

To address this challenge, we developed an ionically conducting (IC) bandage that combines localized electrical stimulation (ES) with sustained delivery of the small molecule 4-aminopyridine (4AP). This multifunctional platform integrates biophysical and pharmacological cues to enhance the wound healing microenvironment. ES promotes cell migration, proliferation, angiogenesis, collagen remodeling, and extracellular matrix organization while …

Southern Adventist University Commencement Program Summer 2026, Southern Adventist University

Commencement Programs

Program for Southern Adventist University Summer 2026 graduation. The commencement service took place on August 21, 2025 at 10 am in Iles Physical Education Center.

Implementation Of A Discharge Planning Protocol, Sylvia Ngwikooh Forku

Walden Dissertations and Doctoral Studies

This doctoral project was a nursing led quality improvement initiative focused on standardizing discharge planning on an adult inpatient psychiatric unit. The goal of the project was to strengthen evidence-based, person-centered transitions of care to reduce readmissions and promote safer community reintegration for adults with serious mental illness. The practice focused question guiding this project was whether implementing an evidence based, standardized discharge planning protocol on an adult inpatient psychiatric unit would improve staff knowledge and adherence to best practice discharge elements and contribute to a favorable decrease in 30-day readmission rates. Analytical strategies included descriptive analysis of pre and …

Title I Middle School Mathematics Teachers’ Perspectives On Student Digital Distractions Related To Technological-Pedagogical Knowledge Interactions In Knowledge Spaces, Spencer Rebecca Ward Fraley

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is the gap in literature on Title I middle school mathematics classroom teachers’ perspectives on student digital distractions related to teacher technological-pedagogical knowledge (TPK) interactions in knowledge spaces. Grounded in the technology pedagogical content knowledge framework, the purpose of this basic qualitative study was to explore Title I middle school mathematics teachers’ perspectives on student digital distractions related to teacher TPK interactions in the Southeastern Coastal United States. Data were collected through semistructured interviews with six teachers and analyzed through two coding cycles and three analytical stages. Even though the results must …

Optical And Structural Characterization Of Sn@Zn And Sn Core-Shell Nanoparticles Synthesized By Plal: Evaluation Of Prostate Cancer, Aya K. Mahmoed, Sabah N. Mazhir

Baghdad Science Journal

In this study, Sn nanoparticles and Sn/Zn core-shell nanoparticles were synthesized using (PLA) techniques. Pulsed laser ablation with a (1064 nm) wavelength, (6 Hz) frequency, (300 mJ) energy, and (250 pulses) number of shots was used to subject colloidal dispersions of Sn and Zn, and bimetallic Sn@Zn core/shell nanoparticles were generated by the metal target in 15 mL of distilled water (DW). The investigation of nanoparticles was done by X-ray diffraction (XRD), atomic force microscopy (AFM), UV-VIS spectroscopy, FESEM, zeta potential, and transmission electron microscopy (TEM). The efficiency of the prepared nanomaterial was assessed for cytotoxicity, as the test was …

Mechanism Of Injury And Fracture Status Influence Outcomes After Central Cord Injury, Karlo M. Pedro, Mohammed Ali Alvi, Kathleen Zang, Christopher Lozano, Jetan H. Badhiwala, Jefferson R. Wilson, James Harrop, James D. Guest, Bizhan Aarabi, Christopher I. Shaffrey, Michael G. Fehlings

Department of Neurosurgery Faculty Papers

Central cord syndrome (CCS) is the most common form of incomplete cervical spinal cord injury (SCI), yet its optimal management remains controversial. We examined whether stratifying CCS by injury stability improves treatment assessment. CCS was defined as an American Spinal Injury Association Impairment Scale (AIS) C/D cervical SCI with a ≥5-point lower-upper extremity motor score difference and classified as CCS-stable (CCS-S) or -unstable (CCS-U) based on the absence or presence of fracture/dislocation. Functional recovery at 1 year was assessed using the functional independence measure (FIM) motor score. Among 291 patients, 131 (45%) had CCS-S. These patients were older and more …

Béla Király’S Tall Tale That Led To His Decoration As “Righteous” In Yad Vashem, Peter Pastor

Department of History Faculty Scholarship and Creative Works

In May 1993, General Béla Király was decorated Righteous among the Nations in Yad Vashem for protecting the lives of a Jewish labor company in the winter of 1943–1944 in the rear of the front in Proskurov, Ukraine. His recognition was based on false testimonies by veteran labor servicemen who were unaware that, during the winter of 1944–1945, Király, then a high-ranking official in the fascist Arrow Cross Ministry of Defense in Kőszeg, failed to respond to the suffering of 5,000 Jewish labor servicemen, of whom 2,500 died.

Social Work: Becoming An Integrated Advanced Practitioner, Cynthia Arnold

Graduate Student Portfolios, Professional Papers, and Capstone Projects

Masters of Social Work Portfolio

Msw Portfolio: Tributaries Of Growth, Madison Hergenrader

Graduate Student Portfolios, Professional Papers, and Capstone Projects

Tributaries of Growth reflects mastery in the field of Social Work; reflections on the five elements and ten competencies as seen through the academic and practicum experiences at the University of Montana.

Becoming A Social Worker, Sheyanne Marie Herron

Graduate Student Portfolios, Professional Papers, and Capstone Projects

This portfolio is a reflective overview of my journey toward becoming a social worker. It highlights how my education, professional experiences, practicum placements, and coursework have shaped my development as a clinician, advocate, and leader. The portfolio demonstrates growth across the core MSW competencies, including ethical practice, assessment, intervention, research, policy, advocacy, cultural humility, and leadership. It also emphasizes my person-centered, strengths-based, and trauma-informed approach to practice and my commitment to social justice and lifelong learning.