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Effect Of Resin Restorative Material Type And Layering Techniques On The Fracture Resistance Of Maxillary Premolars, Hend Sayed Ahmed, Mohamed Fouad Haridy, Radwa Nagy, Shimaa Elsayed Elhusseiny Jan 2025

Effect Of Resin Restorative Material Type And Layering Techniques On The Fracture Resistance Of Maxillary Premolars, Hend Sayed Ahmed, Mohamed Fouad Haridy, Radwa Nagy, Shimaa Elsayed Elhusseiny

Dentistry

Abstract

Objectives: This study aimed to evaluate the fracture resistance of premolar teeth with standardized mesio-

occluso-distal (MOD) cavities, restored using various techniques (layering techniques and composite-resin

restorations)

Materials and Methods: Seventy intact maxillary premolars with standardized MOD cavities were randomly

divided into seven groups (n=10): G1 control intact teeth; G2: MOD cavities left unrestored; G3: restored using an

incremental technique with nanohybrid resin composite (Neo Spectra TM ST, Dentsply Sirona); G4: restored in

bulk using a flowable composite (SDR Flow+, Dentsply Sirona); G5: bulk-filled with a multihybrid composite

(Tetric N Ceram, Ivoclar); G6: restored using an incremental technique with …


Fracture Resistance Of Maxillary Premolars Restored With Different Dentin Replacement Protocols, Hend Sayed Ahmed, Shadwa Hatem Kabil, Maha Elbaz Jan 2025

Fracture Resistance Of Maxillary Premolars Restored With Different Dentin Replacement Protocols, Hend Sayed Ahmed, Shadwa Hatem Kabil, Maha Elbaz

Dentistry

Aim: The aim of this research was to investigate the fracture resistance of premolar teeth with standardized

mesioocclusodistal (MOD) cavities restored with different dentin replacement protocols.

Subjects and methods: Sixty sound maxillary premolar teeth with standardized MOD cavities were assigned

to six groups (n=10): G1: sound teeth (positive control); G2: unrestored premolars with MOD cavities

(negative control); G3: restored incrementally with nanohybrid resin composite; G4: restored by bulk fill

flowable followed by nanohybrid resin composite; G5: restored with packable fiber-reinforced composite

followed by nanohybrid resin composite and G6: restored with flowable fiber-reinforced composite followed

by nanohybrid resin composite. After being …


Effect Of Load Removal On Bonding Of Resin Cement To Cad/Cam Composite, Sara Adel Botros, Farid Sabry El-Askary, Nader Maher Tadros, Abdallah Hassanien, Salvatore Sauro Jan 2025

Effect Of Load Removal On Bonding Of Resin Cement To Cad/Cam Composite, Sara Adel Botros, Farid Sabry El-Askary, Nader Maher Tadros, Abdallah Hassanien, Salvatore Sauro

Dentistry

No abstract provided.


Evaluation Of Marginal And Internal Fit In Cad/Cam-Fabricated Indirect Restorations, Mohamed Salama, Sara Adel Botros, Hend Sayed Ahmed Jan 2025

Evaluation Of Marginal And Internal Fit In Cad/Cam-Fabricated Indirect Restorations, Mohamed Salama, Sara Adel Botros, Hend Sayed Ahmed

Dentistry

Objectives: This study investigated the effect of marginal adaptation and internal fit of premolar teeth restored with indirect overlays, fabricated from different CAD/CAM materials (lithium-disilicate and composite blocks). Materials and Methods: Twenty-two intact premolars with standardized concave chamfer overlay preparation were divided into two groups (n= 18) Group (A): lithium disilicate blocks and Group (B): composite blocks. All groups cemented with dual cured resin cement. After 24h of storage at 37°C followed by thermocycling. Marginal gap evaluation evaluated using a stereomicroscope at x50 magnification at 4 points at each surface. Specimens were then sectioned mesiodistally to assess internal fit. Statistical …


Evaluation Of Skeletal And Dentoalveolar Effects Of Miniscrew-Assisted Rapid Palatal Expansion In Young Adults, Noha Ibrahim Abdelrahman Professor, Islam Hassan Prof Jan 2025

Evaluation Of Skeletal And Dentoalveolar Effects Of Miniscrew-Assisted Rapid Palatal Expansion In Young Adults, Noha Ibrahim Abdelrahman Professor, Islam Hassan Prof

Dentistry

No abstract provided.


Diseños Curriculares Mejorados Mediante Psicofisiología Computacional Para El Aprendizaje Del Desarrollo De Videojuegos En Educación Primaria, David Antonio Rosas Espín, Natalia Padilla-Zea, Alberto Ramos Serrano, Daniel Burgos Jan 2025

Diseños Curriculares Mejorados Mediante Psicofisiología Computacional Para El Aprendizaje Del Desarrollo De Videojuegos En Educación Primaria, David Antonio Rosas Espín, Natalia Padilla-Zea, Alberto Ramos Serrano, Daniel Burgos

Capítulos de libros

No abstract provided.


Seahorse Motel. Restauración Simbólica Y Diseño De Ecosistemas Noveles Como Estrategias Para Una Arquitectura Y Un Urbanismo Hidraúlico Post-Antropocéntricos, Elisa Fernández Ramos, Eva Hurtado Torán, Andrés Jaque Ovejero, Oz Sahin Jan 2025

Seahorse Motel. Restauración Simbólica Y Diseño De Ecosistemas Noveles Como Estrategias Para Una Arquitectura Y Un Urbanismo Hidraúlico Post-Antropocéntricos, Elisa Fernández Ramos, Eva Hurtado Torán, Andrés Jaque Ovejero, Oz Sahin

Capítulos de libros

No abstract provided.


Innovación Docente Mediante Tarea Integrada Para La Formación Artística En Grado De Videojuegos: La Divina Comedia De Dante Y Los Círculos Del Infierno, Noelia Báscones Reina, Rafael Conde Melguizo, Miguel Rejas Del Hoyo Jan 2025

Innovación Docente Mediante Tarea Integrada Para La Formación Artística En Grado De Videojuegos: La Divina Comedia De Dante Y Los Círculos Del Infierno, Noelia Báscones Reina, Rafael Conde Melguizo, Miguel Rejas Del Hoyo

Capítulos de libros

No abstract provided.


Estrategias Adaptativas Y Metodologías Colaborativas Para El Diseño Circular: Un Estudio Multicaso En La Industria Textil Y De La Moda Desde La Perspectiva Del Ciclo De Vida, María Tamames Sobrino, Adriana Cagigas Gil, Daniel De Las Heras Jan 2025

Estrategias Adaptativas Y Metodologías Colaborativas Para El Diseño Circular: Un Estudio Multicaso En La Industria Textil Y De La Moda Desde La Perspectiva Del Ciclo De Vida, María Tamames Sobrino, Adriana Cagigas Gil, Daniel De Las Heras

Capítulos de libros

No abstract provided.


Smart Garments Y Videojuegos: Una Nueva Experiencia En El Diseño De Interacción, Carolina García Vázquez Jan 2025

Smart Garments Y Videojuegos: Una Nueva Experiencia En El Diseño De Interacción, Carolina García Vázquez

Capítulos de libros

No abstract provided.


Estrategias Para Preservar La Autoría En El Diseño Gráfico Ante La Inteligencia Artificial Generativa, Angel Serrano Valverde, Marta De Miguel Zamora Jan 2025

Estrategias Para Preservar La Autoría En El Diseño Gráfico Ante La Inteligencia Artificial Generativa, Angel Serrano Valverde, Marta De Miguel Zamora

Capítulos de libros

No abstract provided.


La Transformación Estética Del Qr Como Manifestación Gráfica: Tendencias Y Oportunidades, Raquel Ávila Muñoz, Gema Bonales Daimiel Jan 2025

La Transformación Estética Del Qr Como Manifestación Gráfica: Tendencias Y Oportunidades, Raquel Ávila Muñoz, Gema Bonales Daimiel

Capítulos de libros

Los códigos QR, creados en 1994 para optimizar procesos de inventariado, cumplen ya tres décadas de existencia. Lo que comenzó como una herramienta funcional ha evolucionado hasta convertirse en un elemento omnipresente en estrategias de marketing y publicidad. La estilización visual de la icónica matriz de cuadros blancos y negros amplía el alcance de los códigos QR, transformándolos en manifestaciones gráficas que combinan funcionalidad y creatividad. A través de estrategias como la incorporación de elementos visuales de marca, la integración con imágenes o la creación de diseños personalizados, los QR pueden asumir un papel destacado en la composición. La manipulación …


Cfd Analysis Of Hydrodynamic Cavitation Through An Orifice: Influence Of Different Inlet Pressures And Number Of Orifice Holes, Lemthong Chanphavong, Vongsavanh Chanthaboune, Keophousone Phonhalath Jan 2025

Cfd Analysis Of Hydrodynamic Cavitation Through An Orifice: Influence Of Different Inlet Pressures And Number Of Orifice Holes, Lemthong Chanphavong, Vongsavanh Chanthaboune, Keophousone Phonhalath

ASEAN Journal on Science and Technology for Development

Hydrodynamic cavitation (HC) is considered an energy-efficient process with high potential for utilization in many chemical processes. This study presents a computational fluid dynamics (CFD) analysis of cavitating flow through an orifice with a constant flow area. The Reynolds-Averaged Navier-Stokes (RANS) equations, coupled with turbulence and cavitation models, are employed to capture the complex flow behaviors. The effects of inlet pressures and number of orifice-holes on cavitation behavior are investigated. Result of the numerical simulation is validated with the existing experimental data from the literature. The CFD study revealed that cavitation initiates just behind the inlet edge of the orifice …


Analysis Of The Sustainability Management Of Coral Reef Ecosystem In The Marine Protected Area Of Wediombo, Gunungkidul, Nabilah L. Rohmah, Rika Harini, Sudrajat Sudrajat Jan 2025

Analysis Of The Sustainability Management Of Coral Reef Ecosystem In The Marine Protected Area Of Wediombo, Gunungkidul, Nabilah L. Rohmah, Rika Harini, Sudrajat Sudrajat

ASEAN Journal on Science and Technology for Development

The Wediombo Coastal Area is a Marine Protected Area (MPA) with highly potential in coral reef ecosystems. According to the Millennium Ecosystem Assessment (MEA), coral reefs play a vital role in supporting human life by providing provisioning, supporting, regulating, and cultural services. However, the utilization of this area as a tourist destination and suboptimal management practices have led to the degradation of its coral reef ecosystems. Efective management strategies for the sustainability of coral reefs can have positive impacts across ecological, economic, social, technological, and institutional dimensions. Therefore, this study aims to analyze the sustainability management of coral reef ecosystem …


Kadysnet: A Novel Approach To Dyslexia Prediction In Children: Combining Handwritten Text Recognition With A Hybrid Cnn-Bilstm-Ctc Model And Personalized Learning Strategies, Shailesh Prabhakar Patil, Ravindra Sadashivrao Apare, Ravindra Honaji Borhade, Parikshit Narendra Mahalle Jan 2025

Kadysnet: A Novel Approach To Dyslexia Prediction In Children: Combining Handwritten Text Recognition With A Hybrid Cnn-Bilstm-Ctc Model And Personalized Learning Strategies, Shailesh Prabhakar Patil, Ravindra Sadashivrao Apare, Ravindra Honaji Borhade, Parikshit Narendra Mahalle

ASEAN Journal on Science and Technology for Development

This study introduces a novel approach for early dyslexia detection in children through automated handwriting analysis, integrating a hybrid CNN-BiLSTM-CTC architecture with personalized learning strategies. Our method combines a custom CNN-BiLSTM-CTC model with tailored educational interventions to support dyslexic learners. We analyzed children's handwritten text images in English, collected from specially designed tests involving word rewriting, sentence reconstruction, and paragraph composition, particularly challenging tasks for dyslexic individuals. Notably, our CNN-BiLSTM-CTC model achieved the best result with an accuracy of 97.67%, outperforming other architectures. Compared to pre-trained models like EfficientNetB7, DenseNet121, and MobileNetV2, our custom CNN-BiLSTM-CTC model demonstrated superior performance. Key …


Research On Data Organization Methods And Key Technologies For Product-Oriented Smart Steel Bar Processing Systems, Peijun Zhang, Lianxia Ma, Chunlei Zhang, Xinwu Zan Jan 2025

Research On Data Organization Methods And Key Technologies For Product-Oriented Smart Steel Bar Processing Systems, Peijun Zhang, Lianxia Ma, Chunlei Zhang, Xinwu Zan

ASEAN Journal on Science and Technology for Development

This paper addresses the issues in the data organization logic of existing intelligent steel bar processing systems, which are centered on construction projects. It investigates product-oriented data organization methods and the key technologies of logical correspondence between steel bar product identification codes and physical entities. The paper analyzes the product-oriented data organization logic and presents the corresponding data organization architecture. It also examines the feature extraction of steel bar product information classification and coding, as well as the dynamic completeness of the coding rule system. The paper provides a construction method for steel bar product identification codes and designs partial …


Macro-Ergonomic And Organizational Behavior Mapping For Organic Waste Management Using Hofstede Culture In Semarang, Indonesia : Pca & Sem Analysis Using Smart Pls, Ratih Setyaningrum, Sahana Pramukti, Ravindran Balasubramani Jan 2025

Macro-Ergonomic And Organizational Behavior Mapping For Organic Waste Management Using Hofstede Culture In Semarang, Indonesia : Pca & Sem Analysis Using Smart Pls, Ratih Setyaningrum, Sahana Pramukti, Ravindran Balasubramani

ASEAN Journal on Science and Technology for Development

Waste management has a very close and complex relationship with community behavior and culture . This relationship is two-way: community culture influences how waste is managed, and conversely, waste management practices can shape or change culture. This study to assess the organizational behavior related to organic waste management. Employing a quantitative methodology, data were gathered using the Hofstede Values Survey Module 13 (VSM 13) - closed questionnaire, with 109 Semarang city Community participants responding via a Google Form. The collected data were analyzed utilizing Hofstede's prescribed formula. The next stage is PCA (Principal Component Analysis) and SEM (Structural Equation Modeling) …


Experimental And Finite Element Analysis On Seismic Performance Of Composite Shear Walls With Embedded Cold-Formed C-Shape Steel Section, Mohamed F. Abd El-Wahed, Sameh Moustafa Gaawan, Mohamed M. Yehia Jan 2025

Experimental And Finite Element Analysis On Seismic Performance Of Composite Shear Walls With Embedded Cold-Formed C-Shape Steel Section, Mohamed F. Abd El-Wahed, Sameh Moustafa Gaawan, Mohamed M. Yehia

Trends in advanced sciences and technology

The composite shear wall with embedded cold formed steel-braces (ECFSB) is a revolutionary pattern of composite wall. It involves of a cold formed steel (CFS) braced frame that is fully immersed within reinforced concrete. The purpose of this configuration is to develop the lateral resilience of the shear wall. The CF steel columns, which are embedded the walls, boost the wall's capability to augment bending forces. Additionally, the steel braces, which are enclosed within the web, enhance the wall's efficiency to resist shear forces. This study investigates the cyclic shear behaviour of compact embedded cold formed steel (ECFS) walls by …


Synthesis And Characterization Of A High Entropy Alloy By Powder Metallurgy Technique, Aya Fawzy, Mohamed Bhlol, Osama Dawood, Ayman Elsayed Jan 2025

Synthesis And Characterization Of A High Entropy Alloy By Powder Metallurgy Technique, Aya Fawzy, Mohamed Bhlol, Osama Dawood, Ayman Elsayed

Trends in advanced sciences and technology

Synthesis of CuCoFeNiW alloy has been realized by powder metallurgy. Mechanical alloying was used to prepare a high-entropy alloy consisting of Cu, Co, Fe, Ni with and without 10 wt.% W particles. The mixed samples were compacted by a uniaxial press under pressures ranging from 340 to 840 MPa. Green samples were sintered in a vacuum sintering furnace from 1150 and 1300 C. The results have shown that the proposed synthesis route could be used to obtain the alloy with proper transformation and metallurgical properties. Hot forging has effectively increased the hardness of the alloy at all preparation conditions.


Molecular Docking And Adme Calculations Of Structurally Similar Compounds To Anastrozole, Habiba Abd-Rabbo, Somaia Abdel-Rahim, Maha Bakr, Manar Mohammed, Ola Nosseir Jan 2025

Molecular Docking And Adme Calculations Of Structurally Similar Compounds To Anastrozole, Habiba Abd-Rabbo, Somaia Abdel-Rahim, Maha Bakr, Manar Mohammed, Ola Nosseir

Trends in advanced sciences and technology

Aromatase inhibitors prevent the conversion of androgens into estrogens, leading to decreased levels of circulating estrogens. Thus, they are significantly used for the treatment of breast cancer, particularly, in postmenopausal women. Anastrozole, an approved aromatase inhibitor, has gained interest due to its remarkable activity and pharmacokinetics. In this work, small molecules of structural similarity to anastrozole were identified, their ADME-related properties were calculated, and their binding modes to the human aromatase enzyme were evaluated. The calculated properties of the compounds with the highest similarity scores were comparable to those of anastrozole. Six compounds were also predicted to exhibit higher binding …


Repair And Regeneration Of Low Dose Ionizing Radiation To Injured Muscles Using Barium Chloride In A Rat Model, Esraa A. Aboelfadl, Hesham Haffez, Soheir S. Koraa, Ahmed E. Abdel Moneim, Ola H. El-Habit, Rasha S. Elbeltagy Jan 2025

Repair And Regeneration Of Low Dose Ionizing Radiation To Injured Muscles Using Barium Chloride In A Rat Model, Esraa A. Aboelfadl, Hesham Haffez, Soheir S. Koraa, Ahmed E. Abdel Moneim, Ola H. El-Habit, Rasha S. Elbeltagy

Trends in advanced sciences and technology

The biological consequences of low dose ionizing radiation (LDIR) are strongly debated. While most studies confirm its detrimental effects, several studies suggest beneficial (hormetic) effects of LDIR as an anti-inflammatory agent on musculoskeletal injuries. The present study aimed to investigate the bio-stimulatory effects of LDIR (direct and indirect) in healing the musculoskeletal injuries induced by barium chloride (BaCl2). Thirty adult male Albino rats were used in this study and were divided into five groups as follows: control, BaCl2, g-rays (direct), g-rays (indirect), BaCl2 and g (direct), and BaCl2 and g (indirect) group. Muscle injury was induced using 50 ml of …


Adme Predicted Molecular Intervention Aiming At Assessment Of An Alternative Means Of Phyto-Based Pest Control Of Cotton Leaf Roller, Haritalodes Derogata Using Diluted Ethanolic Extract Of Nux Vomica, Arnob Chakrovorty, Avidipta Hazra, Banani Bhattacharjee, Debarsi Das, Anisur Rahman Khuda-Bukhsh, Asmita Samadder Jan 2025

Adme Predicted Molecular Intervention Aiming At Assessment Of An Alternative Means Of Phyto-Based Pest Control Of Cotton Leaf Roller, Haritalodes Derogata Using Diluted Ethanolic Extract Of Nux Vomica, Arnob Chakrovorty, Avidipta Hazra, Banani Bhattacharjee, Debarsi Das, Anisur Rahman Khuda-Bukhsh, Asmita Samadder

Trends in advanced sciences and technology

The leaf roller moth, Haritalodes (=Sylepta) derogata (Fabricius, 1775) (Lepidoptera) is a common pest of many economically important plant species including cotton (Gossypium spp.) and okra (Abelmoschus esculentus). This study was designed to investigate mainly the insecticidal/pesticidal efficacy of diluted ethanolic extract from seeds of native deciduous Indian tree, Strychnos nux-vomica Linn. (Nux Vom 2X - prepared by diluting raw extract or mother tincture 100 times in 91% ethanol by following homeopathic procedure) known to contain the main toxic ingredient, Strychnine and to elucidate the toxicity related cellular and physio-chemical effects inflicted by it on larva of H. derogata. Present …


To Explore Potential Targets And Their Natural Inhibitors To Combat Diabetes, Rishita Dey, Sisir Nandi, Asmita Samadder Jan 2025

To Explore Potential Targets And Their Natural Inhibitors To Combat Diabetes, Rishita Dey, Sisir Nandi, Asmita Samadder

Trends in advanced sciences and technology

Diabetes is a chronic metabolic disorder that affects millions of people around the globe. Prolonged hyperglycemia, abnormal metabolism of fats and carbohydrates, oxidative damage, and a high incidence of microvascular diseases are the common hallmarks of diabetes and its complications. This condition has been shown to hasten the onset of several other disorders, including peripheral neuropathy, nephropathy, and cardiomyopathy, pulmonary arterial disease, and coronary artery disease, thereby necessitating exploration of different avenues of medicinal regimen to address / delineate the complications. The subject matter for this review has been gathered from a range of research publications, review papers, and book …


Thermal Performance Of A Vapor Compression Refrigeration Cycle Utilizing A Heat Pipe As A Heat Exchanger, Wael I. A. Aly, Islam S. Hassan, Mo’Men I. Radwan Jan 2025

Thermal Performance Of A Vapor Compression Refrigeration Cycle Utilizing A Heat Pipe As A Heat Exchanger, Wael I. A. Aly, Islam S. Hassan, Mo’Men I. Radwan

Trends in advanced sciences and technology

The present study experimentally investigates the performance of a vapor compression refrigeration cycle (VCRC) integrated with a heat pipe functioning as a heat exchanger. The heat pipe was developed to enhance heat transfer between the suction and liquid lines of the VCRC. The integration of the heat pipe heat exchanger (HPHE) aims to decrease the compressor duty cycle, which consequently enhances system longevity and reduces energy consumption. The effects of different working fluids and filling ratios in the HPHE on the system performance were examined. Specifically, the impact of these parameters on the refrigeration effect (RE), and overall coefficient of …


Field-Validated Load Modelling And Prediction-Driven Bess Sizing For Oil Drilling Microgrids, Omar H. Abdalla, Alaa A. Afifi, Amr Kassem, Ismail M. Mosaed Jan 2025

Field-Validated Load Modelling And Prediction-Driven Bess Sizing For Oil Drilling Microgrids, Omar H. Abdalla, Alaa A. Afifi, Amr Kassem, Ismail M. Mosaed

Trends in advanced sciences and technology

Diesel-based microgrids serving oil drilling operations are subject to sharp and unpredictable load fluctuations that lead to generator underloading, elevating specific fuel consumption (SFC), and reducing system reliability. Conventional battery energy storage system (BESS) sizing methods typically depend on long-term field measurements and static load assumptions, which fail to capture the real transient nature of drilling processes. This paper develops a framework for BESS sizing that directly integrates a measurement-based machine learning (ML) load prediction model. The adopted model, built using the exponential Gaussian process regression (GPR) technique, has been trained and validated on six months of high-resolution field measurements …


The Impact Of The Intellectual Methodologies Of The Four Sunni Legal Schools On Islamic Jurisprudence And Its Legal Theory: A Critical Analytical Study In The Contemporary Context, Dr. Abdulkerim Mustafa Jan 2025

The Impact Of The Intellectual Methodologies Of The Four Sunni Legal Schools On Islamic Jurisprudence And Its Legal Theory: A Critical Analytical Study In The Contemporary Context, Dr. Abdulkerim Mustafa

Faculty Peer-Reviewed Papers | بحوث هيئة التدريس المحكمة

No abstract provided.


The Impact Of Hip Fracture Multimodal Pain Management On Mobilization And Length Of Stay For Hospitalized Older Adults, Donna Mangruen Jan 2025

The Impact Of Hip Fracture Multimodal Pain Management On Mobilization And Length Of Stay For Hospitalized Older Adults, Donna Mangruen

Doctor of Nursing Practice (DNP)

Over 95% of hip fractures are related to falling, which equates to approximately 300,000 hip fractures annually in the United States. Poorly managed pain and immobility are risk factors predisposing patients to prolonged hospitalization, permanent disability, and mortality. At an academic medical center, low adherence to the use of a multimodal pain management order set contributes to the sequelae of unfavorable outcomes. Through stakeholder education, this quality improvement project sought to improve adherence to an MPM order set to promote effective pain management, early mobilization, and decreased length of stay. On a surgical unit, surgeons (n=6; 100%) and nurses (n=46; …


Increasing The Uptake Of Arteriovenous Fistulas In Hemodialysis Patients Through A Patient Navigator Pathway, Aderonke Badejogbin Jan 2025

Increasing The Uptake Of Arteriovenous Fistulas In Hemodialysis Patients Through A Patient Navigator Pathway, Aderonke Badejogbin

Doctor of Nursing Practice (DNP)

International research has shown that central venous catheters (CVCs) perform worse than arteriovenous fistulas (AVFs) in critical outcomes. The National Kidney Dialysis Outcomes Quality Initiative (NKDOQI) guidelines discourage using CVCs for chronic hemodialysis (HD) and recommend that fewer than 10% of patients undergoing HD for over 90 days use CVCs. AVFs are considered superior to other vascular access methods, offering better longevity, lower infection risk, and reduced mortality and morbidity in most patients. However, a large Veterans Affairs Medical Center Dialysis clinic reported that over 50% of patients were dialyzed via CVCs since January 2022. A literature review conducted from …


Implementation Of A Nurse-Led Service To Improve Venous Ulcer Healing Time And Access, Amaka Akinade Jan 2025

Implementation Of A Nurse-Led Service To Improve Venous Ulcer Healing Time And Access, Amaka Akinade

Doctor of Nursing Practice (DNP)

Venous leg ulcerations (VLUs) commonly affect older adults, rural residents, and those with multiple health conditions, leading to high healthcare costs and significant physical and social challenges. The gap between demand for VLU management and available advanced practice providers (APPs) extends healing time and delays access to specialized care, increasing the risk of complications and patient dissatisfaction. This quality improvement project was designed to understand the effect of implementing a nurse-led service using the TIME tool and the Wound, Ostomy, Continence Nurses Association (WOCN) guidelines in VLUs healing time and time to access care over twelve weeks as compared to …


How Sweet It Is : Implementation Of A Web-Based Application To Assist With Adherence To Diabetes Treatment And Improve Glycemic Control, Jennifer Rohrborn Jan 2025

How Sweet It Is : Implementation Of A Web-Based Application To Assist With Adherence To Diabetes Treatment And Improve Glycemic Control, Jennifer Rohrborn

Doctor of Nursing Practice (DNP)

This was a new program implementation that used evidence-based guidelines to implement the use of mHealth technology via text messages to improve patient adherence to treatment plans and ultimately improve glycemic control. Patients were selected from within an established Internal Medicine practice based on a diagnosis of diabetes and HbA1c greater than 7.5%. Participation in the study was voluntary. Using the self-care of diabetes inventory, self-care was also measured. Baseline HbA1c, BMI, and SCODI scores were collected. Patient education was provided following the American Diabetes Association’s recommendation for patient education. The patients downloaded and utilized the application one drop, and …