Digital Commons Network^™

10-Bed Medical-Surgical Telemetry Unit Expansion To Address Inadequate Inpatient Capacity, Sumitpal Kaur

Walden Dissertations and Doctoral Studies

Inadequate medical-surgical telemetry capacity contributes to emergency department (ED) boarding, patient transfers, decreased patient satisfaction, and operational inefficiencies. This systems-level organizational leadership project evaluated a proposed 10-bed medical-surgical telemetry unit expansion at a medical center in Northern California. The project addressed the question of how a 10-bed expansion would affect ED boarding, patient crossovers to a nearby medical center, patient satisfaction, and financial performance. Trend analysis of occupancy, ED boarding, and crossover data, regional benchmarking, and financial modeling using net present value (NPV) and internal rate of return (IRR) were used to evaluate the proposed expansion. The organization currently operates …

Standardizing Interfacility Transfer In And Out Processes Across The Local Va Setting, Petrice Robinson Brown

Walden Dissertations and Doctoral Studies

The quality improvement project focused on the inconsistent documentation and communication of the transfer of veterans in and out of a Veterans Affairs Medical Center. Lack of transparency in handoff knowledge and ineffective documents posed a risk of delayed care and patient injuries. The staff provided an audit tool with staff education to monitor completion of mandatory transfer steps, such as special mode travel approval, equipment needs, nurse-to-nurse handoff, transfer notes, consent, and physician correspondence. This method was based on the evidence found in literature indicating that structured checklists and handoff tools minimize missed information and facilitate safer care transitions …

Age Reassignment Using Luminescence Dating For The Mammoth Site, Black Hills, South Dakota, Usa, Shannon A. Mahan, Jim I. Mead, P.R. Hanson, Emma T. Krolczyk, Christopher N. Jass

School of Natural Resources: Faculty Publications

The Mammoth Site (MS) at Hot Springs, South Dakota, provides a unique opportunity to reconstruct paleoenvironmental conditions on the Northern Great Plains of the United States. Previous radiocarbon analyses of mammoth bone apatite suggested the MS sinkhole was deposited ∼42–23 cal ka BP. However, two U-series ages and one thermoluminescence (TL) age ranged between 150 and 101 ka, suggesting the bones were considerably older. We analyzed six samples from the bone bed using infrared-stimulated luminescence (IRSL) on feldspars, because the quartz luminescence was saturated; the ages ranged from approximately 232 to 160 ka, showing better agreement with previous U-series and …

Stemless Arthroplasty For Avascular Necrosis Of The Humerus: Implant Survival And Outcomes, Alyssa R. Henriquez, Damon V. Briggs, Eoghan T. Hurley, Samuel Lorentz, Christopher S. Klifto, Michael A. Moverman, Oke Anakwenze

Department of Orthopaedic Surgery Faculty Papers

BACKGROUND: Avascular necrosis (AVN) of the humeral head often affects younger patients and may lead to progressive pain and functional deficits. While stemmed hemiarthroplasty and total shoulder arthroplasty (TSA) are established treatments for advanced-stage AVN, stemless arthroplasty offers potential advantages including bone preservation and facilitation of future revision. However, the impact of bone necrosis on stemless humerus fixation is yet to be elucidated. Therefore, the purpose of this study was to evaluate the outcomes of stemless hemiarthroplasty and TSA in treating humeral head AVN and, further, to determine if stemless humeral fixation is appropriate in this population.

METHODS: This retrospective …

A Comparison Of Thirst Management Strategies In Patients In The Intensive Care Unit, Kathleen Diatta, Roberta Kaplow

International Nursing Research Congress (INRC)

Thirst is defined as an uncomfortable sensation associated with the desire or need to drink something (Çiftçi, et al., 2023). From a physiological perspective, it can occur from one of two pathways. Either there can be an intracellular fluid deficit with increased serum osmolality (osmotic thirst) or an extracellular fluid deficit (hypovolemic thirst) (Flim, et al., 2022). Signals of thirst may include dryness in the mouth or throat, or thirst sensation can be triggered by routine or longing for a drug in a beverage (e.g., caffeine, alcohol) or desire for a liquid that is either cool or warm (Puntillo et …

Purdue University School Of Nursing Guidelines For The Use Of Generative Ai Tools, Laura M. Moffat, Amanda Obourn, Courtney Henchon

Purdue School of Nursing Generative AI Toolkit

The Generative Artificial Intelligence Use and Disclosure Policy establishes School of Nursing expectations for the ethical, responsible, and transparent use of generative artificial intelligence (GenAI) in teaching and learning. The policy defines responsibilities for faculty and students, emphasizes alignment between GenAI use and course or learning activity requirements, and requires appropriate disclosure of GenAI-assisted work. It also addresses academic integrity, privacy, data security, intellectual property, accuracy, bias, and accountability. Used with the Generative AI Acceptable Use and Disclosure Scale, the policy provides a consistent framework for communicating permitted levels of GenAI use while supporting AI literacy, equitable learning, and …

Purdue University School Of Nursing Ai Level Designation And Student Disclosure: Level 1-5, Laura M. Moffat, Amanda Obourn, Courtney Henchon

Purdue School of Nursing Generative AI Toolkit

The Purdue University School of Nursing AI Level Designation and Student Disclosure: Levels 1–5 is a companion tool to the School of Nursing AI Use and Disclosure Scale. It allows faculty to clearly designate the permitted level of generative artificial intelligence (GenAI) use for a learning activity or assessment and provides standardized language for students to disclose their actual use of GenAI. The document includes disclosure options aligned with each of the five cumulative levels and reinforces student responsibility for the accuracy, integrity, and quality of submitted work. The tool supports consistent expectations, transparent communication, responsible GenAI use, and efficient …

Purdue University School Of Nursing Generative Ai Syllabus Statement, Laura M. Moffat, Amanda Obourn, Courtney Henchon

Purdue School of Nursing Generative AI Toolkit

The Purdue University School of Nursing Generative Artificial Intelligence Syllabus Statement provides standardized language for communicating expectations for generative artificial intelligence (GenAI) use in School of Nursing courses. The statement directs students to use GenAI only as permitted by the instructor and the designated level of the School of Nursing AI Use and Disclosure Scale. It addresses required disclosure, student accountability, use of Purdue-approved platforms, and protection of copyrighted, confidential, and otherwise protected information. The statement also connects inappropriate or undisclosed GenAI use with applicable School of Nursing and University academic integrity policies, promoting consistent and transparent expectations across courses.

Purdue University School Of Nursing Suspected Unauthorized Generative Ai Use: Faculty Review And Escalation Process, Laura M. Moffat, Amanda Obourn, Courtney Henchon

Purdue School of Nursing Generative AI Toolkit

The Purdue University School of Nursing Suspected Unauthorized Generative AI Use: Faculty Review and Escalation Process provides a structured, evidence-informed approach for responding to concerns about unauthorized or undisclosed generative artificial intelligence (GenAI) use in student work. The process guides faculty through an initial holistic review, student communication, documentation, and consideration of relevant course and assignment expectations. It includes a three-tier framework for determining proportionate, learning-focused, or formal responses based on the nature and severity of the concern. When evidence is inconclusive or concerns remain unresolved, consultation with the course coordinator and nursing leadership is recommended. The process promotes consistency, …

Usa V. Michael Bragg

2026 Decisions

USDC for the Middle District of Pennsylvania

Runx1+23 Enhancer Marks Erythro-Megakaryocyte Lineages In Early Waves Of Hematopoiesis In Human Esc Differentiation, Chika Nishida, Michihiro Kobayashi, Alina Syed, Philipp Kramer, Haizi Cheng, Pamela L Wenzel, Motomi Osato, Jason David Chobirko, Andrew Grimson, Igor I Slukvin, Brian R Davis, Momoko Yoshimoto

The Brown Foundation: Institute of Molecular Medicine

No abstract provided.

Belonging And Whole Person Formation In Graduate Education: A Conceptual Framework For Student Flourishing, Cynthia Hickman

Papers

Graduate students experience substantial academic, personal, and professional demands that can negatively affect well-being and persistence. For students enrolled in professional programs, belonging may develop within two overlapping communities: the academic institution and the emerging profession. Institutional and professional belonging can provide connection, support, engagement, and opportunities for identity and professional development. This paper synthesizes literature on these two forms of belonging and proposes a conceptual framework describing their potential relationship with whole-person formation and flourishing. Whole-person formation extends graduate education beyond knowledge acquisition and professional competence to include development across interconnected dimensions of the person. Within the proposed framework, …

Predictive Factors For Humeral And Ulnar Stem Loosening After Total Elbow Arthroplasty: A Retrospective Cohort Study, Akash Singh, James Satalich, Miguel Fiandeiro, Harrison S. Fellheimer, Matthew Ramsey, Surena Namdari

Rothman Institute Conference Posters

BACKGROUND: There has been a significant increase in the use of total elbow arthroplasty (TEA) in advanced osteoarthritis, post-traumatic arthritis, and complex distal humerus fractures. The purpose of this study is to determine the incidence of total elbow loosening and association with patient demographics, implant specifications, and cement mantle characteristics.

METHODS: A retrospective cohort study was conducted of patients who underwent primary TEA between 2013 and 2022 at a single institution. Revisions and conversions from prior open reduction and internal fixation were excluded. Pre-operative distal humeral cortical thickness and bone quality were assessed. Variables included anterior humeral flange contact with …

Power Play: The Ftc, Non-Compete Bans, And The Argument For Statutory Authority, Jonathan M. Huelsman

University of Dayton Law Review

No abstract provided.

The Ohio Oil And Gas Anti-Indemnification Statute: A Proposal, Reid Edwards

University of Dayton Law Review

No abstract provided.

Deferred Dreams: How Procedural Issues At The Border Restrict Cuban Nationals From Adjusting Status Under The Cuban Adjustment Act, David Urgilez

University of Dayton Law Review

No abstract provided.

What's The Big Deal? Why The Supreme Court's Recent Rulings Have Sparked Legislative Changes To Religion In Public Schools, Cathryn Massing

University of Dayton Law Review

No abstract provided.

After A Fire: Considerations Of Personal Safety When Visiting Fire-Damaged Property, Andrew J. Whelton, Todd Thalhamer, Eric Bollens

Resilience to Emergencies and Disasters

No abstract provided.

Through Her Lens: The Card-Based Storytelling, Daisy Elizabeth Morales-Zaragoza

McNair Summer Research Program

Women in male-dominated roles in military environments navigate complex institutional, cultural, and interpersonal barriers throughout their military careers. This qualitative study explores the lived experiences of women serving in the United States Navy. We can accomplish this by examining how institutional culture, power dynamics, and traditional leadership definitions shape their service and career progression. The inquiry is grounded in Eagly’s Role Congruity Theory of Prejudice Towards Female Leaders, Crenshaw’s Intersectionality, and hooks’ ethics of active care and behavior. Utilizing a qualitative design, data were gathered through a novel, interactive card-based interview method designed to transfer agency to participants and cultivate …

Transient Activation Of Potent Progenitor Cells Is Required For Spinal Cord Regeneration, Chase Alexander Weinholtz

Arts & Sciences Graduate Student Theses and Dissertations

Mammalian spinal cord injury is an intractable biomedical problem driven by interlocking maladaptive cellular responses that prioritize acute stabilization over long-term recovery. However, this deficient regenerative capacity is not an inherent limitation. The zebrafish, for example, capably regenerates and regains motor function with 2 months of a full transection injury. This ability is thought to rely on the transient expansion of stem cell-like progenitors marked by sox2 expression. Yet our understanding of the identities and contributions of this crucial population remains limited. Here, we determine the molecular identities and cellular contributions of sox2+ progenitors during innate spinal cord repair in …

Oregon State Rank Assessment For Deer-Cabbage (Nephrophyllidium Crista-Galli), Lindsey K. Wise

Institute for Natural Resources Publications

Oregon state conservation status assessment for Deer-cabbage (Nephrophyllidium crista-galli) using NatureServe methodology, 2026.

Identifying The Brain Circuits Involved In Religious Obsessive-Compulsive Disorder, Kiana Bunnell

Theses and Dissertations

Obsessive-compulsive disorder (OCD) is an often-debilitating psychiatric disorder involving a pattern of obsessive thoughts and compensatory compulsions. Symptoms tend to be chronic, leading to substantial emotional burden and significant impairment across multiple domains of daily functioning. Previous research has identified some consistency in the brain regions implicated in OCD. In particular, cortico-striato-thalamo-cortical (CSTC) circuitry has been linked to behavioral features commonly observed in OCD. Moreover, some studies suggest that distinct patterns of brain activation and functional connectivity may be associated with different OCD symptom dimensions, though findings have not been consistent. One symptom dimension of OCD (scrupulosity) is characterized by …

Is “No Change” Really No Change?: A Qualitative Analysis Of Clients With “No Change” On Routine Outcome Monitoring Who Report Improving In Therapy, Audrey Louise Stewart Parker

Theses and Dissertations

Routine outcome monitoring (ROM), the practice of tracking client progress in therapy by administering regular questionnaires to assess functioning, has demonstrated a significant positive effect on psychotherapy outcomes, especially for clients are who not improving as expected. However, some researchers argue the symptom-based measures and outcome classification criteria commonly used in ROM may not represent a complete picture of client change. A recent body of mixed-methods research has investigated these ROM-determined outcome categories to gain insight into client experiences and whether the category and client perception of therapy outcome align. In this investigation, researchers have found significant variety within outcome …

The Lived Experience Of Running Among Individuals With Anxiety, Emily Rice

Walden Dissertations and Doctoral Studies

Anxiety is among the most prevalent mental health concerns affecting adults, yet many individuals encounter barriers to traditional mindfulness-based interventions. Running is frequently described as promoting presence, mental clarity, emotional grounding, and relief from anxiety-related distress; however, little qualitative research has explored how adults with anxiety make meaning of their lived experiences of running. The purpose of this interpretative phenomenological analysis (IPA) study was to explore how adults with anxiety describe and make meaning of their lived experiences of running. Guided by embodied cognition and informed by mindfulness and flow theories, this study explored participants' lived experiences of running. Participants …

Decision Advantage In Cognitive Warfare, Part 1, John Murray, Elise Annett, James Giordano

Strategic Insights

This commentary considers how artificial intelligence and rapidly evolving information environments are changing the conditions for military decision advantage. Building on the OODA loop and the expanded dOODAc framework, the authors argue that effective decision-making depends not only on speed and accuracy, but also on maintaining alignment between institutional cognition and an operational environment that continues to change during the decision cycle. The article introduces temporal synchronization as an important dimension of decision advantage in cognitive warfare, highlighting the challenge of keeping military decisions relevant as informational, behavioral, psychological, and social conditions evolve.

Comparison Of Training Background And Characteristics Between Osteopathic And Allopathic Team Physicians In Professional Sports Leagues., Brandon D Rust, Ambika Singh, Matthew T Mckinley, Joseph Imler, Mackenzie Elting, Ryan Callahan, Christopher L Rennie, Leighann C Krasney

Orthopedic Surgery Resident Research

CONTEXT: Team physicians (TPs) play a critical role in professional sports, providing medical care for athletes under high-pressure conditions. These positions are highly competitive, influenced by previous affiliations, training pedigree, and institutional connections, with fellowship training increasingly essential. Although the number of osteopathic (Doctor of Osteopathic Medicine [DO]) physicians in the United States has grown substantially, TPs in professional sports remain predominantly filled by allopathic (Doctor of Medicine [MD]) physicians, and the training pathways of DO TPs are not well characterized.

OBJECTIVES: The objective of this study is to compare the training and demographic characteristics of DO and MD TPs …

What Do Children Think About Bouncy Bands: A Mixed Methods Examination Of Bouncy Bands' Influence On Attention And Physical Activity, Ken Murfay, Sarah Collins

International Journal of Physical Activity and Health

Purpose: To examine how bouncy bands put onto elementary students’ classroom desks influenced students’ physical activity and attention/concentration, in addition to exploring students’/teachers’ opinions of the bands. Methods: Students within both experimental and control groups wore pedometers to assess movement during instruction and completed the d2 test for attention. Results: The group with bouncy bands on the desks had significantly more movement compared to the control group. For d2 scores, there was no significant difference between the two groups, nor was there a significant linear relationship between movement and d2 scores. Interviews were conducted with the students in the experimental …

Ch North Realty Llc V. Desir

All Decisions

In this nonpayment proceeding involving a rent-stabilized apartment, Respondent Paulette E. Reid moved to amend her answer, serve discovery including interrogatories, and conduct pre-HSTPA rent overcharge discovery. The court granted the motion, finding the proposed amended answer not palpably insufficient and that there was ample need for limited discovery on the overcharge claim.

Cosmopolitan Associates Ii, Llc V. Milan

All Decisions

In this nonpayment proceeding involving a rent-stabilized apartment, Respondent moved to amend his answer to add overcharge defenses and counterclaims and to conduct discovery. The court granted the motion in part, permitting Respondent to add defective registration and overcharge claims dating to 2006 based on a colorable fraud indicia, and granted limited discovery, but denied the claim for discovery predating 2006 and certain other relief.

Perets, Llc V. Riche

All Decisions

Court dismissed holdover petition because landlord's GCEL notice under RPL § 231-c was defective: it indicated the apartment is exempt from GCEL but failed to check the applicable exemption provision box, instead checking the nonpayment box. As predicate notices are unamendable and the defective notice hindered respondent's ability to defend, the proceeding is dismissed.