Digital Commons Network^™

Constitution Law: Illegitimate's Intestate Succession And Equal Protection's Intermediate Standard, Leslie S. Haswell

Florida Law Review

No abstract provided.

Development Of A Tailored Digital Health Psychoeducational Intervention For Individuals With Inherited Pancreatic Cancer Risk, Meghan L. Underhill

General Submissions: Community and Population-based Materials

The primary aim of this study is to develop and evaluate the acceptability of targeted digital health psychoeducational materials for individuals with a high risk for pancreatic cancer.

Implementing A Schematic Word Problem Process In A Fourth-Grade Classroom, Anna R. Vidlak

Journal of Curriculum, Teaching, Learning and Leadership in Education

Abstract Word problems represent a culmination of mathematical skills which often pose significant challenges for students who struggle with logical reasoning. The purpose of my study was to determine if implementing a word problem process in my math whole group would increase students’ ability to solve multistep math word problems. The word problem process implemented in this study was a schematic process called FOPS. In this process, students learned to identify three word problem types and their respective schematic diagrams in order to organize and solve word problems. This action research took place in a 4th-grade classroom. Students underwent a …

Small-Groups To Enhance Student Achievement And Confidence In Mathematics, Catie Tangeman

Journal of Curriculum, Teaching, Learning and Leadership in Education

The purpose of this study was to focus on enhancing math instruction for a group of second-grade students. I saw a large gap in students’ skills at the beginning of the year and wanted to identify a way to strengthen instruction for their success. This study specifically focused on implementing differentiated small groups in math instruction to see if student achievement and confidence would increase. Data was collected in these small-groups through a pre/post-test, exit tickets, and surveys. The surveys helped measure confidence. All three methods helped progress monitor and track the effectiveness of small-group instruction for students. When the …

Building Early Phonemic Awareness, Tessa K. Sutfin

Journal of Curriculum, Teaching, Learning and Leadership in Education

Alphabet knowledge and phonemic awareness skills are strong predictors of later reading ability (Stanley and Finch, 2018). Therefore, phonemic awareness and letter-sound relationships are skills that Kindergarteners have a limited amount of time to master. As a result, educators must think critically about the strategies and forms of assessment implemented to ensure they are setting young readers up for lifelong success in reading. The purpose of my study was to determine if explicit instruction in phonemic awareness and letter-sound correspondence would increase student ability to isolate, segment, blend, and decode grade-level text. Strategies included kinesthetic movements of the hands and …

Fostering Critical Thinking In The World Language Classroom, Madeline Sossi-Jones

Journal of Curriculum, Teaching, Learning and Leadership in Education

In education, the lack of critical thinking (CT) in students has become increasingly evident in classrooms of all contents. There are a multitude of factors that have contributed to this issue over the last ten years, so just one is not solely to blame. This study examines the prevalence of a CT deficit in world language classrooms. Data from Integrated Performance Assessments (IPAs) and classroom observations proposed a need for students to increase their CT skills in the Spanish language. The study consisted of 21 students in a Spanish 2 course in grades 9-12 throughout 6 weeks. The research analyzed …

Implementation Of Social-Emotional Learning, Jordyn Rippe

Journal of Curriculum, Teaching, Learning and Leadership in Education

Social-emotional learning has shown distinction as strengthening students' social and emotional competencies, as well as enhancing the academic experience. The purpose of this study was to determine if the implementation of a social-emotional curriculum would improve competencies in social-emotional development and self-regulation skills. Students need adequate social and emotional instruction that will assist in being able to manage relationships, identify emotions, as well as regulate them. The focus of social-emotional learning is to create a fair learning environment for all students (Cipriano et al., 2022). Lack of social and emotional skills instruction in the classroom can severely impact the development …

Teaching Engaging Grammar Instruction In The High School English Classroom, Emily A. Erlbacher

Journal of Curriculum, Teaching, Learning and Leadership in Education

Grammar is a fundamental component in the content area of English Language Arts. Having a strong foundation in grammar is a critical stepping stone to writing clearly and communicating with success. Despite its importance, grammar is historically not the most engaging topic for high school students. My study, consisting of a seven week action plan involving the ninth graders in an English Language Arts classroom, sought to recognize this disengagement and work to combat it in order to improve students’ writing capabilities. More specifically, the purpose of my action research was to evaluate different grammar instructional strategies recommended in existing …

Introduction: Action Research In The Pk-12 Classroom, Julie Bell, Amanda L. Steiner, Christina L. Wilcoxen

Journal of Curriculum, Teaching, Learning and Leadership in Education

This is an introduction to the special issue of the Journal of Curriculum, Teaching, Learning and Leadership in Education on action research in PK-12 classrooms. The editor and guest editors provide commentary and describe each article in the issue.

God And Psychology: How The Early Development Of Famous Psychologists Influenced Their Work, Chris Dinwiddie

Salubritas: International Journal of Spirit-Empowered Counseling

No abstract provided.

Beyond The Clinical Hour: How Counselors Can Partner With The Church To Address The Mental Health Crisis, Michelle Taylor

Salubritas: International Journal of Spirit-Empowered Counseling

No abstract provided.

A Theology Of Hope For Missing Persons And Lost Causes, Joelle Yanko

Salubritas: International Journal of Spirit-Empowered Counseling

This paper explores how unresolved tragedies—particularly missing person cases and lost causes—serve as profound reflections of the human condition and reveal the necessity of Christian eschatological hope. Missing person cases touch the deepest questions of the human soul and reveal a deep, universal longing for justice and resolution—longings that cannot be fully met within the bounds of this present life. Drawing from theological reflection, the paper argues that both suffering and miraculous resolution ultimately point toward a greater hope found in the Christian vision of union with God. This future-oriented hope, grounded in the resurrection of Christ, invites believers to …

Exploring Biblical Language In Trauma Processing, Kathy B. Hoppe

Salubritas: International Journal of Spirit-Empowered Counseling

Clients may often find themselves struggling with accessing traumatic experiences in therapy, thereby developing an avoidance of trauma that impedes healing. Strategies for reducing trauma processing may be difficult to identify effectively. This project suggests several means by which therapists can utilize the language of scripture, including scriptural narrative, metaphor, and poetry, as a therapeutic intervention with conservative Christian clients who are pursuing trauma processing. The proposed approach assists clients in explaining their traumatic events in a secure setting, hence preventing the common hyperarousal symptoms that are upsetting. The treatment can enhance the effectiveness of evidence-based practices. It incorporates several …

Walking In Promise, Living In Reality: Exploring The Mental Health Implications Of The Pentecostal Discourse Of Divine Calling, Robert D. Mcbain

Salubritas: International Journal of Spirit-Empowered Counseling

Pentecostalism places a strong emphasis on the discourse of divine calling, where individuals believe they are purposefully created, guided, and empowered by God to fulfill a specific mission. This sense of calling profoundly shapes Pentecostals’ sense of identity and purpose. Using Grounded Theory, this study analyzes open, in-depth interviews with Pentecostals in the U.S. to explore the impact of the Pentecostal discourse of divine calling on their mental health. The metaphor of ‘walking in’ one’s calling emerges as the central theme used by participants to explain the interaction between their perception of divine calling, their lived realities, and their mental …

I Am My Body: Post-Traumatic Embodying And The Unexpected Disinterring Of Childhood Spiritual Neglect, Cathy Rowan

Salubritas: International Journal of Spirit-Empowered Counseling

This autoethnographic paper investigates how an embodying approach (Focusing) unexpectedly impacts the author’s spiritual formation in the undoing of childhood relational trauma, which had resulted in a dissociative embodiment reaction. This enlivening and deepening spiritual formation process is described by means of a five-step metaphor, moving from “no-body” (dissociative disembodiment) to “I am my body” (the experience of the bodily indwelling) as her spiritual formation evolves from just intellectual belief to an embodying, experiential Christian spirituality. This life-long process is viewed through various lenses, including children’s spirituality research, trauma theology, faith development models, the writings of Thomas Merton and the …

Hoping Forward, Haley R. French

Salubritas: International Journal of Spirit-Empowered Counseling

No abstract provided.

Front Matter Salubritas 4 (2025), Editors Salubritas

Salubritas: International Journal of Spirit-Empowered Counseling

No abstract provided.

Full Issue Salubritas, Editors Salubritas

Salubritas: International Journal of Spirit-Empowered Counseling

No abstract provided.

Detection Of Chromosomal Mosaicism- The Importance Of Karyotyping And Fish, Allison Kalinousky, Jennifer L. Roberts, Madeeha Alikhan, John Herriges, Lei Zhang, Elena Repnikova

Research Days

This project evaluates the prevalence of chromosomal mosaicism in constitutional samples using conventional cytogenetic techniques evaluated at Children's Mercy Hospital during a 20-year period.

Effects Of Genetic Polymorphisms On The Oct1 And Oct2-Mediated Uptake Of Atenolol, Mollie Margaret Walton Md, Jonathan Wagner Do, Ceclia E. Villanueva Phd, Bruno Hagenbuch Phd

Research Days

This project characterizes the role of OCT1 and OCT2 on cellular uptake of atenolol and tests the hypothesis that OCT1 and OCT2 proteins with genetic polymorphisms, when expressed in vitro, will result in altered cellular uptake of atenolol relative to the reference genotype. This approach utilizes transiently transfected OCT1 and OCT2 cell assays to perform time-dependent atenolol uptake experiments to generate kinetics information. The goal is to provide a better understanding of polymorphisms associated with OCT1 and OCT2 expression and function as a means to individualize pharmacologic therapy for atenolol.

Exploring Anticoagulation Trends As Early Infection Markers In Pediatric Ecmo And Crrt Patients, Samantha Davidson, Jay Rilinger, Jenna Miller, Caroline Holton, Joshua Herigon, Brian Lee

Research Days

This retrospective cohort study at a tertiary pediatric hospital included ICU patients who developed infections after 72 hours on extracorporeal support from 2017-2023. We assessed whether the number of anticoagulation dose changes are linked to acquired infections.

Opioid Use In Third Trimester Of Pregnancy And Neonatal Morbidity And Mortality, Aleysh A. Ayala Md

Dept. of Obstetrics & Gynecology Resident Research Day

No abstract provided.

Diagnostic And Clinical Utility Of Oncoscan Microarray And Ngs-Based Sequencing In Pediatric Solid Tumors: Children’S Mercy Hospital’S Experience, Aravindh Nagarajan, Lisa Lansdon, Midhat Farooqi, Lei Zhang, Elena Repnikova

Research Days

This papers attempts to evaluate the diagnostic and clinical utility of microarray-based OS+ in detecting clinically relevant genetic alterations in FFPE solid tumor samples and to compare the yield of somatic mutation detection by WGS/WES in pediatric solid tumors at Children’s Mercy Hospital - Kansas City.

Maternal Obesity And Its Impact On Successful Induction Of Labor, Jonte Ellison Md

Dept. of Obstetrics & Gynecology Resident Research Day

No abstract provided.

Effect Of Residential Location And Natural Disaster Experience On Adverse Pregnancy Outcomes, Jordan Spencer Md

Dept. of Obstetrics & Gynecology Resident Research Day

No abstract provided.

A Novel Surgical Technique For The Management Of Recurrent Thyroglossal Duct Cysts Using Dakins Solution Packing, Jay Szekely, Meghan Tracy, Janelle R. Noel-Macdonnell, Elie Khalifee

Research Days

Background: Thyroglossal duct cyst (TGDC) is the most common congenital midline neck anomaly occurring in 7% of the population more commonly in infants or adolescents with no predilection to sex. [1] This anomaly consists of epithelial remnants due to failure of obliteration of the thyroglossal duct, a structure that forms as the thyroid gland originates at the foramen cecum of the tongue and is displaced caudally, anterior to or through the hyoid bone, towards its final position in the lower neck. Successful surgical management of TGDCs requires complete removal of the cyst and the duct. Initial surgery for these lesions …

Decreasing Time To Antibiotics In Febrile Oncology Patients With Central Line In The Pediatric Emergency Department; A Quality Improvement Initiative, Abbigayle Carlson, Leslie Hueschen, Stephanie Clark, Christopher Kaberline, Joel Thompson

Research Days

Background: Oncology patients are at a high risk for sepsis, due to chemotherapy-induced immunosuppression and neutropenia as well as presence of a central venous catheter. Due to the high risk of sepsis, these patients require antibiotics within 60 minutes of Emergency Department (ED) arrival. During our baseline period, Sept 2022-May 2023, we only achieved this 38% of the time at Children’s Mercy ED.

Aim: By April 30th, 2024, we will increase the percentage of ED febrile oncology patients receiving antibiotics < 60 min of arrival from 36.6% to 80%, stratifying by race and ethnicity, to monitor for inequities.

Methods: Our outcome measures were the percentage of ED febrile oncology patients with antibiotics given < 60 min of arrival and the median time to antibiotic administration. Our process measures were the percentage of standard order-set usage and percentage of patients with critical information notes. Our balance measure was time from arrival to ED triage. We created a process map and fishbone diagram and identified several delays in antibiotics administration. We performed interventions with Plan-Do-Study-Act methodology. First, we implemented standing nursing orders to decrease the time spent waiting for a provider to order antibiotics (June 2024). Next, the outpatient oncology providers created a Critical Information Note, which directed prompt antibiotic administration prior to labs or consultation (August 2024). To engage physicians, we made this a Maintenance of Certification (MOC) project, with monthly review of run charts (Oct 2024). Next, we prioritized timely access of the patients’ central line, with a nursing script to communicate with families the importance of accessing their child’s central line as soon as possible (Oct 2024). We created a Central Line Note, identifying the type of central line and needle size required to access the line (March 2024).

Results: With the implementation of …

Examining Learner Preferences Of Teaching Techniques By Phm Attendings And Fellows On Multilevel Teaching Rounds, Sian Best, Jacqueline M. Walker

Research Days

This study describes the teaching techniques used on morning rounds by pediatric hospital medicine faculty and fellows at an academic institution, and describes reported effectiveness by learners of the various teaching strategies.

Switching Lanes: Leaving Behind Discharge Antibiotics And Laboratory Testing In Perforated Appendicitis, Seth Saylors, Cory Nonnemacher, Meredith Elman, Pablo Aguayo, Richard Hendrickson, David Juang, Irene Isabel P. Lim, Rebecca Rentea, Charles Snyder, Shawn St. Peter, Tolulope Oyetunji

Research Days

Purpose: Appendicitis is the most common surgical emergency in children with approximately 30% of patients presenting with perforation, defined as a hole in the appendix or a fecalith found in the abdomen, at time of surgery. Our previous protocol at time of discharge, with an 11% intraabdominal abscess (IAA) rate, included checking a white blood cell count (WBC) on day of discharge, with a value ≥10 serving as a trigger for additional outpatient oral antibiotics course. Beginning in May, 2023 we changed our protocol to no longer obtain WBC or prescribe outpatient antibiotics at time of discharge. The purpose of …

Time From Triage To Imaging In Stroke Activations At Children’S Mercy Hospital, Annie Altschul, Marcie Files, Jennifer Flint, Brooke Fridley Phd

Research Days

Background: Stroke affects 2-3 per 100,000 children annually. Timely diagnosis is vital to provide the highest quality care to pediatric stroke patients. Features that contribute to delays in diagnosis of pediatric stroke include complex or subtle signs and symptoms, limited exams in young children, broad differential and frequent stroke mimics, low awareness in the community, and sedating or paralytic medication use in critically ill children. The establishment of stroke activation protocols for children has led to improvements in care for pediatric stroke across numerous centers, expediting time to imaging and treatment.

Objective: We aimed to quantify the time …