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Quality Improvement Project The Impact Of Weekly Reminders On Clinician Adherence To Standardized Order Sets, Blair Robillard

Doctor of Nursing Practice Projects

Clinical decision support tools are commonly utilized in clinical practice to assist with decision making and encourage use of evidence-based practices. This quality improvement (QI) project addressed the problem of inconsistent use of CDS tools in clinical practice. Specifically, this QI project addressed suboptimal adherence to standardized order sets (SOS) for congestive heart failure (CHF) treatment by hospitalist providers in an inpatient setting. The purpose of this QI project was to evaluate the impact of weekly educational reminder emails, known as nudges, on CHF SOS utilization over six weeks. A pre- and post-intervention design compared SOS usage rates before and …

Nurses Confidence And Knowledge Improvement For Sleep In Sleep Hygiene Education, Rawda Nourain

Doctor of Nursing Practice Projects

The purpose of this DNP project was to increase the knowledge and self-confidence of nurses in relation to sleep hygiene practices for psychiatric patients to improve sleep quality and overall mental health. In this study, a pre- and post-intervention design was used for four nurses in a psychiatric unit. The intervention was comprised of teaching the patients about sleep hygiene practices, altering the environment (light and noise reduction), and using non-drug approaches. Knowledge assessments and self-confidence surveys were used to collect the data. All the participants were able to recall the correct sleep hygiene knowledge after the intervention, and all …

Improving Access To Mental Health Care Using Telehealth, Lavern Palmer

Doctor of Nursing Practice Projects

More than half of adults with mental illness in the United States live in mental health deserts—geographic areas with limited access to mental health services and persistent barriers to care. This study investigates the impact of telehealth implementation on patient no-show rates at a rural community clinic in Georgia. The aim was to determine whether the use of telehealth for psychiatric care would decrease the no-show rate of mental health appointments. A retrospective analysis was conducted using patient attendance logs collected 12 weeks before and after the implementation of telehealth services. Quantitative data were analyzed using a Pearson correlation to …

Congratulations, Library Graduates, University Of Dayton

University Libraries Blog Archive

The University Libraries held a ceremony on April 24 to celebrate student employees who will graduate in May or December 2025. Student employees are a vital part of the Libraries’ work and mission.

Table Of Contents, Cleveland State Law Review

Cleveland State Law Review

No abstract provided.

The Unwanted Child: A Historical Note, Lawrence M. Friedman

Cleveland State Law Review

Historically, the illegitimate child was unwanted: was "filius nullius," or nobody's child—a child without rights, and socially stigmatized. In many ways, both law and society conspired against these children. But both literature and the living law demonstrated that, in the 19th century, there were pockets of sympathy and understanding for these children. And the status of the illegitimate child changed over the years: both with regard to inheritance rights, and to position in society. Adoption law also made the unwanted, wanted—at least by the adopting parents. The marital status of parents became legally and socially more and more irrelevant over …

Her Bun + My Oven = Our Child: Protecting The Legal Parentage Of Lgbtq+ Mothers And Their Children Conceived Via Reciprocal In Vitro Fertilization In Ohio, Courtney Hutchinson

Cleveland State Law Review

This Note discusses legal parentage in Ohio for two-women couples who expand their families via reciprocal in vitro fertilization or egg-sharing, where one woman is the genetic parent and the other is the gestational parent. Currently, the gestational mother is guaranteed legal parentage at the time of the child’s birth, while the genetic mother must petition the court for a formal adoption to protect her legal rights. A thorough review of court precedent regarding same-sex marriage makes clear that the public policy of Ohio permits two women to share in the legal rights of parentage. Furthermore, Ohio courts have regularly …

Courting Oblivion Part Ii: How To Revive American Reconstruction By Feigning Forgetfulness, Joshua J. Schroeder

Cleveland State Law Review

This is the second part of the three-part Courting Oblivion series on the legal concept of oblivion, meaning legal forgetfulness, letting go of the past, or forgiveness usually to predicate a second chance, a restart, or even an era of reconstruction. This Article demonstrates how to apply the “right to move on” described in Part I to the law in the United States through acts of oblivion and amnesty. It describes the general uses of acts of oblivion and amnesty to the general framework of government in the United States, leading to the final discussion in Part III about the …

The Chemistry Of Decomposition: The Mechanisms To Decay The Human Body, Lydia J. Buxa

Senior Honors Theses

Taphonomic analysis separates decomposition into four major stages: fresh, early decomposition, advanced decomposition, and skeletonization. It is easy to demarcate the observable changes to the body, but it is far more difficult to know what underlying biochemical processes are occurring. Fresh decomposition begins with algor mortis, livor mortis, and rigor mortis, which sets the stage for the major workforces of decomposition: autolysis and putrefaction. The external signs of decomposition appear in early decomposition, which can be attributed to the breakdown of proteins, lipids, carbohydrates, and nucleic acids. This also leads to major changes in the moisture levels during advanced decomposition, …

Edra 56: Bibliography, Tamara Karr

Bibliographies

EDRA 56: Designing Communities for Climate Action and Resilience

Focus, 2025, Winter, Andrews University

Focus

FOCUS (ISSN 1077-9345) is published quarterly, free of charge, for alumni and friends of Andrews University, an institution owned and operated by the Seventh-day Adventist Church.

Determining The Bioaccumulation Of Minor Cannabinoids In Zebrafish Larvae, Kamdyn A. Holt

Honors Theses

Due to the increasing prevalence of cannabis product availability and usage in the modern United States, particularly among pregnant individuals, evaluating the bioaccumulation of minor cannabinoids to further understand the adverse effects of cannabinoids during early development is critical. This study quantitated the uptake of eight minor cannabinoids ((∆8-tetrahydrocannabinol (∆8-THC), ∆9-THC, ∆10-THC, cannabidiol (CBD), cannabigerol (CBG), cannabinol (CBN), tetrahydrocannabivarin (THCV), and hexahydrocannabinol (HHC)) in zebrafish larvae following water-borne 2 µM exposures from 6 to 96 hours post fertilization (hpf). Larvae were homogenized at 96 hpf and analyzed using a gas chromatography- mass spectrometry (GC-MS) method developed in this study. Bioconcentration …

Seeking Common Ground With A Conversational Chatbot, Judit Dombi, Tetyana Sydorenko, Veronika Timpe-Laughlin

Applied Linguistics Faculty Publications and Presentations

Conversational AI is advancing rapidly, enabling significant improvements in chatbots’ conversational abilities. Currently, available conversational chatbots (e.g., Snapchat’s MyAI) appear to generate fairly realistic, often human-like output. As collaboration between humans and machines becomes more common, and AI systems are increasingly viewed as more than just tools, understanding human communication in such contexts is crucial. Despite the vast array of applications and the increasing number of human-bot interactions, research on how humans interact with conversational chatbots is scarce. One possible reason for this gap is that studying human-computer communication may require adaptations of existing pragmatic frameworks, due to the unique …

Evaluating Nature-Based Versus Generic Physical Activity Programs To Address Chronic Health Conditions: Lessons From An Oregon (Usa) Pilot Study, Randall Bluffstone, Ma Chan, Cort Cox, Melinda M. Davis, Caitlin Dickinson, Sahan T. M. Dissanayake, Jeffrey D. Kline, Himani Ojha, Sterling Stokes, Srilakshmi Vedantam, Multiple Additional Authors

Economics Faculty Publications and Presentations

Evidence appears to be building that direct exposure to natural landscapes characterized by significant green cover, such as forests, can help to reduce chronic health conditions such as obesity, stress, hypertension, chronic cardiovascular conditions, depression, anxiety, cancer, and diabetes. One way to encourage greater exposure to nature may be through the use of nature prescriptions, whereby clinicians formally recommend (or prescribe) time in nature to their patients. Based on self-reported data, we describe the implementation and lessons learned from a pilot field experiment examining the clinical use of nature-based versus conventional exercise recommendations in rural Oregon. We discuss the potential …

Wound Ballistics With The Focus On Projectile Deformation, Nikita Khanov

D.U.Quark

Terminal ballistics, also called wound ballistics, is a field of ballistics that studies the projectile behaviour upon impact with a target. While the physical damage induced by the projectiles (typically bullets) and its medical treatment is well-researched, the deformation that the projectile itself undergoes is often underestimated in importance, and the research on this topic is lacking, although such changes can be a valuable source of forensic evidence. This review evaluates the deformation that occurs to non-fragmenting and various fragmenting bullets upon impact, as well as the effect that the body decomposition has on the bullets. The knowledge and understanding …

Travel Behavior Study On Shared Micromobility Service, Yixiang Teng

Lyles School of Civil Engineering Graduate Student Reports

This study investigates the travel behavior on the shared micromobility service around Purdue University West Lafayette campus area. It aims to understand the shared micromobility user patterns and identify the barriers of adoption. The study was enlightened by the influence of pandemic on transportation choices and the shift on transportation habits, and the gap identified was the understanding of the college related population. The research method was a constructed survey distributed among Purdue University’s students, faculties and staffs. A total of 143 valid responses were collected, comprising 73 current users and 70 non-users. Results indicate that shared micromobility is primarily …

Fluorescent Labeling And Size-Dependent Uptake Of Mesoporous Silica Nanoparticles In Ovarian Cancer Tumor Spheroids, Kimberly R. Berardis

Honors Scholar Theses

Ovarian cancer is the most lethal gynecologic malignancy, with most patients presenting at an advanced stage. While surgical debulking improves survival, nonresectable tumors (<1 cm) contribute significantly to morbidity and remain difficult to treat. Nanocarrier-based drug delivery systems offer an innovative approach to targeted therapy and palliation. In vivo models have demonstrated that intraperitoneally delivered mesoporous silica nanoparticles (MSNs) preferentially accumulate in tumors with low systemic exposure, enabling targeted chemo- and radiotherapy.

MSNs are particularly suited for radiotherapeutic delivery, as their strong interactions with tumor extracellular matrices drive selective uptake. Additionally, they exhibit excellent stability under neutron flux, allowing for loading with stable isotopes and irradiation immediately prior to administration. High radionuclide retention after dilution further minimizes systemic exposure and toxicity.

A key …

Design Solutions For Common Problems In Senior Living Facilities, Mary Schmidt

Senior Honors Theses

With the aging population of the United States, the prevalence of dementia rises along with its challenges for individuals in long-term care facilities. As cognitive function deteriorates, dementia patients face growing difficulties in performing daily activities. Common issues such as wayfinding, wandering, exit attempts, agitation, and a generally low quality of life plague most dementia patients at long-term care facilities. Design features can improve quality of life, safety, and coherence for residents with dementia at assisted living facilities. This paper examines existing research to present various design strategies that can enhance daily life for dementia patients in long-term care facilities. …

Intouch Week Of April 28, 2025, New York Medical College

InTouch

• School of Medicine Class of 2027 Takes Pivotal Step from Classroom to Clinic
• NYMC Takes Hard Hat Tour of Ellis Island
• NYMC Hosts 11th Annual Drs. Gabor and Harriette Kaley Endowed Lecture
• Students Celebrate Earth Day
• Holocaust Survivor and Former Sunshine Cottage TB Resident Visits NYMC
• NYMC Chapter of Building Next Generation of Academic Physicians Recognized with Chapter of the Year Award
• Student Spotlight: Rewan and Sewar Alrabadi Aspire to Make Double the Impact in Physical Therapy

The Geologic History Of The Chehalis Forearc Basin, Washington State, Usa, Rud Lamb Moe

Dissertations and Theses

The Chehalis Basin, in southwest Washington, is one of a series of forearc basins between the Cascade Arc and the Coast Range in the Pacific Northwest. While the Seattle basin to the north, and the Portland-Tualatin basins to the south are both relatively well studied, the geologic evolution of basins in between is poorly constrained. The Chehalis basin is underlain by accreted Eocene oceanic basalt of the Crescent Formation. The basin fill consists of sedimentary rocks and volcanic rocks deposited throughout the Cenozoic. It has undergone N-S shortening driven by transpressional stress from oblique subduction of the Juan de Fuca …

Compassion And Partnerships On An Interprofessional Team, Hannah E. Autenrieth

CAIEP Spring Showcase 2025

Person-Centered Care and Motivational Interviewing can enhance communication, collaboration, and acceptance when working on an Interprofessional Team. The Spirit of MI can help foster a nonjudgemental safe space for the consumer in healthcare and social services, and the team itself. MI can help meet the person where they are, and better recognize systems of power and oppression.

The Role Of Cognitive Theory In Designing Effective E-Learning Modules For Police Cadets, Ebtisam Yateem

Theses

The growing adoption of e-learning in police education underscores the need for instructional designs that are cognitively efficient, pedagogically grounded, and informed by data driven insights. This study integrates Cognitive Load Theory (CLT), Multimedia Learning Theory (MLT), and Learning Analytics (LA) to evaluate and improve the effectiveness of digital learning modules at the Dubai Police Academy. Using LMS behavioral data from 321 cadets, the research analyzes engagement patterns, performance indicators, and learner perceptions of instructional clarity, multimedia integration, and cognitive load. A Random Forest model was developed to examine whether pre-assessment behavioral metrics specifically logins, time spent on tasks, and …

How To Be Unique: A Guide To The Law School Admissions Process, Abigail E. Bjerke

Master's Projects

The law school admissions process can be a difficult thing to navigate, especially with updates that occur each year throughout the process. Therefore, this guide to law school admissions aims at making said admissions process easier to understand for all law school candidates. In the guide, there are several chapters regarding specific steps in the admissions process alongside an extended literature review of already existing guides or relevant articles.

“I Think Even In Challenging Times We Can Still Be Uplifting”: Indigenous Women’S Experiences Of Resilience To The Covid-19 Pandemic In Alaska, Marya Rozanova-Smith, Charlene Apok, Andrey N. Petrov

Faculty Publications

During the COVID-19 pandemic, Alaska communities faced an extremely challenging situation given their socioeconomic, cultural, and demographic characteristics, as well as issues related to remoteness and colonial legacy. This paper seeks to advance the understanding of the gendered impacts and implications of crises like the COVID-19 pandemic on Indigenous women in Alaskan urban and rural communities through a resilience lens. The paper addresses two primary research questions: (1) What are the impacts of the COVID-19 pandemic on Indigenous women in urban and rural Alaska, and specifically what are the gendered implications in the personal, sociocultural, and economic domains? (2) What …

Negotiating Perceived Employability As Sensemaking In The Context Of Undergraduate Work Integrated Learning, Sylvia Dempsey, Carol Linehan, Margaret Healy

Articles

As labour markets shift responsibility for navigating career transitions and employability from organisations to individuals, sensemaking around their own ‘perceived employability’ gains importance. Prior research suggests work integrated learning (WIL) experiences constitute a significant route to perceived employability for potential entrants to the accounting profession. The mechanisms through which this develops are less understood. Understanding of the impact of WIL on perceived employability, shaping individual career trajectories, augments efforts to attract new members to the profession. This study captures how representations of the world of professional accounting work are built, as entrants construct liminal places within that community. Through qualitative …

Savings Incentives And The Secure 2.0 Act: New Evidence On Employer-Sponsored Emergency Savings Accounts And The Saver’S Match, Stephen Roll, Mathieu Despard, Selina Miller

Center for Social Development Research

credit. Analyses drawn upon data from the Workforce Economic Inclusion and Mobility Survey, a survey experiment testing the appeal of employer-sponsored emergency savings accounts. The findings indicate that interest in employer-sponsored emergency savings programs is generally high and that, for low-wage workers, offers of matching contributions are more salient than automatic contributions.

IMPLICATIONS for SECURE 2.0 This is the first research brief in a series examining the implications of the SECURE 2.0 Act for the retirement security of low-wage workers in the United States. All briefs in the Implications for SECURE 2.0 series can be found at https://csd.wustl.edu/tag/secure-2.0/

Quantifying Treatment Response To A Macrophage-Targeted Therapy In Combination With Immune Checkpoint Inhibitors After Exposure To Conventional Chemotherapy, Shelby N. Bess, Gaven K. Smart, Timothy J. Muldoon

Biomedical Engineering Faculty Publications and Presentations

Background: Conventional chemotherapeutic agents, such as 5-fluorouracil (5-FU), can exert anti-tumor effects through immunogenic cell death (ICD) induction. Researchers have found hallmarks that quantify ICD (such as the translocation of HMGB1 and calreticulin). Although chemotherapeutic agents can induce ICD, they increase the expression of immune checkpoints, limiting their effectiveness. Studies have emphasized the importance of investigating the heterogeneous responses of cells co-localized in a solid tumor (macrophages, tumor cells, etc.) to ICD induction. However, these studies were performed in vivo, which limits the collection of information on cell-cell interactions due to model complexity.

Methods: In this study, we used a …

Stability Analysis Of Excessive Carbon Dioxide Gas Emission Model Through Following Reforestation Policy In Low-Density Forest Biomass, Furqan Nezar, Shireen Jawad, Matthias Winter, Anwar Zeb

Baghdad Science Journal

Carbon dioxide is the main greenhouse gas contributing to global warming risk. Forest biomass is crucial for the sequestration of atmospheric carbon dioxide; however, the rate of decline in worldwide forest biomass is concerning and can be attributed to anthropogenic activities. Reforestation is essential in this situation to decrease the amount of C O₂ in the atmosphere. Efforts at reforestation can be evaluated according to the financial investment required for their execution. This work presents a nonlinear mathematical model that examines the impact of reforestation and the implementation of reforestation initiatives on regulating atmospheric CO₂ levels. The critical …

Fractal Dimension And Entropy Analysis Of Medical Images For Knn-Based Disease Classification, Krishna Mahapatra, Selvakumar R

Baghdad Science Journal

The study of medical image-based disease detection has witnessed a notable surge in interest and success with computational methods. This work proposes a novel framework to detect diseases at earlier stages from medical images, using mathematical model and Machine Learning. Introduce two new quantitative measures for COVID-19 and Tumor disease detection: image uncertainty based on Shannon entropy and image complexity based on fractal dimension. Our result demonstrated that in COVID-19 positive images exhibited skewed pixel distribution due to the hazy regions resulting in lower entropy values for diseased cases compared to healthy ones. The second quantity, fractal dimension was measured …

Design Hybrid Architecture To Implement Aes Algorithm On Fpga For Iot Applications, Nada Qasim Mohammed, Amiza Amir, Muataz Hammed Salih, R. Badlishah Ahmad, Rima Matem, Nisrean Thalji, Qasim Mohammed, Jamal Kamil K. Abbas, Taha Raad Al-Shakhli

Baghdad Science Journal

High-security cryptography algorithms like AES require high computational capabilities to achieve information security. Therefore, it is necessary to use parallel computing architectures that exploit modern technologies in spatial parallelisms to obtain the most conceivable computational power. Various technologies have been introduced to achieve parallel processing. One of them is field-programmable gate arrays (FPGAs), which have good characteristics suitable for implementing parallel architectures with lower power consumption. The paper aims to design and implement an embedded computing processing engine architecture transceiver with high performance to obtain better throughput on FPGA technology to encrypt and decrypt images. In this design, two boards …