Digital Commons Network^™

A Complex Eprescribing Antimicrobial Stewardship-Based (Epams+) Intervention For Hospitals: Mixed-Methods Feasibility Trial Results, Rona Sharp, Holly Ennis, Andrew Heed, Robin Williams, Kathrin Cresswell, Omara Dogar, Sarah Pontefract, Jamie Coleman, Richard Lilford, Neil Watson, Ann Slee, Antony Chuter, Jillian Beggs, Sarah Slight, James Mason, David W Bates, Aziz Sheikh

Faculty, Staff and Students Publications

Background: Antibiotic resistant infections cause over 700,000 deaths worldwide annually. As antimicrobial stewardship (AMS) helps minimise the emergence of antibiotic resistance resulting from inappropriate use of antibiotics in healthcare, we developed ePAMS+ (ePrescribing-based Anti-Microbial Stewardship), an ePrescribing and Medicines Administration (EPMA) system decision-support tool complemented by educational, behavioural and organisational elements.

Methods: We conducted a non-randomised before-and-after feasibility trial, implementing ePAMS+ in two English hospitals using the Cerner Millennium EPMA system. Wards of several specialties were included. Patient participants were blinded to whether ePAMS+ was in use; prescribers were not. A mixed-methods evaluation aimed to establish: acceptability and usability of …

Effective Financing Strategies For Small And Medium Enterprises In Sub-Saharan Africa, Samsideen Niyi Adegboyega

Walden Dissertations and Doctoral Studies

Limited access to finance is a significant cause of failure of small and medium enterprises (SMEs), impeding their ability to reach their full potential and contributing to a high business failure rate, a significant concern of SME leaders. Grounded in resource-based theory, the purpose of this qualitative case study was to identify and explore effective financial strategies some sub-Saharan African SME leaders use to access capital to grow and sustain their business beyond 5 years. The participants were eight SME owners in Lagos, Nigeria, who effectively used financial strategies to grow and sustain their businesses over 5 years. Data were …

Meson Spectroscopy From Spectral Densities In Lattice Gauge Theories, Ed Bennett, Luigi Del Debbio, Niccolò Forzano, Ryan C. Hill, Deog Ki Hong, Ho Hsiao, Jong Wan Lee, C. J.David Lin, Biagio Lucini, Alessandro Lupo, Maurizio Piai, Davide Vadacchino, Fabian Zierler

School of Engineering, Computing and Mathematics

Spectral densities encode nonperturbative information that enters the calculation of a plethora of physical observables in strongly coupled field theories. Phenomenological applications encompass aspects of standard-model hadronic physics, observable at current colliders, as well as correlation functions characterizing new physics proposals, testable in future experiments. By making use of numerical data produced in a Sp(4) lattice gauge theory with matter transforming in an admixture of fundamental and 2-index antisymmetric representations of the gauge group, we perform a systematic study to demonstrate the effectiveness of recent technological progress in the reconstruction of spectral densities.To this purpose, we write and test new …

Minimal Mindfulness For Maximum Impact: Mandalas, Positivity, Self-Compassion, And Gratitude In The Higher Education Classroom, Jennifer M. Joy Phd,Ncsp, Kendra K. Fox Ed. S., Ncsp, Lauren A. Shepherd Ed. S

Journal of Educational Research and Practice

Numerous mindfulness-based interventions have demonstrated significant increases in users’ overall physical and emotional well-being. Often, however, graduate-level instructors believe it would be too time-consuming to incorporate these worthwhile self-care strategies into their curriculum. The aim of this study was to evaluate whether participating in a day of mindfulness-based activities could increase overall mindfulness in graduate students. Intervention activities were focused on creating a safe and focused space, as well as instilling self-compassion, positivity, and gratitude. Twelve female graduate students completed short activities utilizing mandalas, prompts for self-compassion and positivity, and a forgiveness practice. Paired-samples t-tests showed the intervention significantly …

How Christian Dominionism Threatens U.S. Democracy, Julie Ingersoll

Department of Religion Events

Part I of "God and Country: The Rise of American Theocracy". Video is unavailable for this installment.

As the rising tide of Christian nationalism continues to spread across the country and imperils American democracy, understanding the origins and impact of the movement has become increasingly urgent. This installment of the Department of Religion's webinar series examines the rise of Christian theocracy within the far-right ranks of American Evangelicalism. Dr. Julie Ingersoll, a leading national expert on extremist forms of American Christianity, discusses how Dominionism grew to such a dominant and influential movement within U.S. politics today and why it poses …

La Vida Rica, Angel Vilchis

First-Gen Voices: Creative and Critical Narratives on the First-Generation College Experience

Through a first-person perspective, we travel along to Costa Rica with LMU’s First To Go students. Utilizing a long format, home video style, the goal is to communicate the authentic experiences that occurred during the trip. It’s one thing to be a young adult getting the chance to explore new parts of the world, but it’s a different privilege to get to do it with others that you can connect with. So much so that in the couple months preceding the trip, I found myself dealing with that post-trip depression. However, in that state, I found the beauty of being …

On My Heart, Chaylah Williams

First-Gen Voices: Creative and Critical Narratives on the First-Generation College Experience

I never thought that when I would start traveling internationally that it would be alone I always imagined it with my family, but never did I imagine traveling to really interact with the communities either I always thought of traveling as leisure. I guess I could say this impression was not implemented when OI started traveling as I started to notice how I didn’t want to do touristy things and I really just wanted to be. To be there to be present to be aware and I think that is what I enjoyed the most about my trip to Costa …

A Worthwhile Perspective, Delaney Rendon

First-Gen Voices: Creative and Critical Narratives on the First-Generation College Experience

Opening your mind to a new wide perspective can shed light onto the knowledge and culture that another country can show you. There is much beauty in Costa Rica but also struggles that need to be shared.

“Feel The Rain On Your Skin”, Alexia "Lexie" Pineda

First-Gen Voices: Creative and Critical Narratives on the First-Generation College Experience

In the face of immense social and global crises, from genocides to overlapping racial, political, and environmental struggles, 19 students chose connection and healing through artistry. This shared experience in Costa Rica was a transformative journey aimed at reigniting hope, compassion, and responsibility.

Leading With Love, Xion Nelson

First-Gen Voices: Creative and Critical Narratives on the First-Generation College Experience

The travel experience to Costa Rica, how love is important in these travel experiences. Community is something to be thankful for, being able to learn to protect your communities.

Cries Of Injustice, Isabella Madrid

First-Gen Voices: Creative and Critical Narratives on the First-Generation College Experience

The injustices that occur in Costa Rica, the life that Costa Rica is filled with. Testimonies and tragedies that inspire and stick with you.

Costa Rican Culture Of Love, Melissa Johnson

First-Gen Voices: Creative and Critical Narratives on the First-Generation College Experience

This collection of photographs explores how the collectivist and vibrant culture of Costa Rica manifests as a profound sense of love, shared among humans, animals, and the land. This project celebrates the spirit of Costa Rica as a whole, where human connection, respect for the environment, and a genuine sense of community intertwine.

A Story To Tell: My Unforgettable Experience, Isabela Jimenez

First-Gen Voices: Creative and Critical Narratives on the First-Generation College Experience

A personal reflection about an unforgettable, eye-opening experience in Costa Rica. Meeting locals in different destinations, learning new lessons.

Global Parallels: A Reflection On Civil Rights And Ethical Consumerism In Costa Rica, Anonymous

First-Gen Voices: Creative and Critical Narratives on the First-Generation College Experience

This reflection on the First to Go trip to Costa Rica examines the civil rights issues faced in the country. In particular, it highlights the significant parallels with the United States, especially concerning immigrant communities. During our time there we specifically talked about the exploitation of immigrant labor on pineapple plantations by corporations like Del Monte. This trip underscored my understanding of ethical consumerism and a new approach to mindful purchasing.

What Is A "Pure Life"?, Ailani Anglin

First-Gen Voices: Creative and Critical Narratives on the First-Generation College Experience

A personal reflection about encountering new experiences in Costa Rica. The comparision between living in Costa Rica and the U.S, how fortunate we are to have many opportunities in this country.

Costa Rica, Costa Rica, Natalia Zevallos

First-Gen Voices: Creative and Critical Narratives on the First-Generation College Experience

Short poem about the unique experiences while in Costa Rica.

Esa Mariposa, Carolina Hernandez

First-Gen Voices: Creative and Critical Narratives on the First-Generation College Experience

This free-write poem was written with a purpose of making meaning of the Blue Morpho butterfly I continuously saw abroad in Costa Rica. Being able to have captivating conversations with locals all while being comforted by the country’s blanket of communal love was an unforgettable experience. As a metaphor for change, growth, and transformation, I found this remarkable butterfly to be a highlight of my time in Costa Rica. As a symbol of my late father, it called for reflection and sitting with suppressed emotions. For that reason, I wanted to depict how its reappearing presence became a hopeful reminder …

Radical Love: Embracing Connection And Dismantleing Shame, Lisette Gonzalez

First-Gen Voices: Creative and Critical Narratives on the First-Generation College Experience

It is essential to maintain love, care, and connection in the face of oppressive systems. There needs to be a call for bravery to get through the challenges that many face, Costa Rica being one of them.

Introduction

First-Gen Voices: Creative and Critical Narratives on the First-Generation College Experience

Inside the introduction of "Pure Vida: Reflections from Costa Rica", readers will find an illustration by Leyna Tran, “Meet the Team” section and a detailed table of contents, guiding readers through this edition.

State V. Cloutier: Implied Invitees, Pretext And Plain View Under The Fourth Amendment, Dennis M. Doiron

Maine Law Review

Law enforcement officers often have occasion to follow the path to the front door of a residence in order to speak to its occupant. Upon answering the door, the occupant may hear a complaint about his barking dog, a query as to whether he witnessed the burglary next door, or a plea seeking support for the police department's Christmas charity drive. Occasionally, a police officer follows the path to a person's door and unexpectedly observes incriminating evidence or activities. In such cases, the police officer's conduct generates the issue of whether his observation implicates the fourth amendment's prohibition against unreasonable …

Legal Standards Governing Modification Of Child Custody Orders, Christian T. Chandler

Maine Law Review

Child custody is an area of the law where the courts have tread cautiously. Bitter disputes between separating parents often erupt into court struggles over which parent will gain custody of the minor children. As a result of this discord, and the terrible toll it can take on both the parents and the children, the courts are wary of modifying the original custody decree and moving a child from one parent to another. Courts must vigilantly deter custody suits brought purely for vengeance or harassment. The court acts as the child's legal protector when a change of custody issue is …

Editorial Board Vol. 41 No. 2 (1989), William L. Dawson, Jr. Editor-In-Chief

Maine Law Review

No abstract provided.

Libby V. Calais Regional Hospital: Contracting Out Of Maine's Employment-At-Will Doctrine, Russell Goldsmith

Maine Law Review

In Libby v. Calais Regional Hospital, Elizabeth Libby, a medical technologist at Calais Regional Hospital, brought suit against her former employer claiming breach of contract for improper discharge and alleging that the hospital failed to honor the terms of their mutually binding employment agreement. In particular, the plaintiff maintained that the hospital did not follow the termination procedures that had been set forth in her employee handbook and that were incorporated as terms of her employment contract. The trial court granted defendant's motion for a directed verdict, concluding that the plaintiff did not present sufficient evidence to show that her …

Cameras In Maine's Courts: Has The Time Come? Will It Ever?, Joseph M. O'Connor

Maine Law Review

Should television cameras be allowed in Maine's courtrooms? The answer to this question implicates policies involving the rights of parties, witnesses, the media, and the public. Nearly ten years ago, the Supreme Court ruled conclusively that there is no constitutional impediment to allowing television coverage of trials in state courts. Since then, the majority of states have promulgated rules, with greater or lesser degrees of restriction, allowing television coverage of proceedings in their courts. This trend has not abated; with the adoption of audio-visual coverage rules by the Vermont Supreme Court in 1989, Maine is now the only New England …

Jurisdiction Of The Land Use Regulation Commission Within Baxter State Park, Benjamin P. Townsend

Maine Law Review

Baxter State Park is a 200,000 acre preserve located in north-central Maine that contains, among other natural features, Maine's highest mountain, Katahdin. The park was created through the efforts of a former Governor of Maine, Percival Proctor Baxter, who bought the land himself and then donated it to the people of the State of Maine. His Deeds of Gift, which were accepted by the Maine Legislature, created a trust, under the terms of which the Park is to remain "forever wild." The park is supervised by the three-member Baxter State Park Authority, which is composed of the Attorney General, the …

In Pursuit Of The Appropriate Standard Of Liability For Defective Product Designs, Christina M. Moylan

Maine Law Review

Since the advent of strict products liability with the holding in Greenman v. Yuba Products Co. in 1963 and the promulgation of section 402A of the Restatement [Second] of Torts ("Restatement") in 1965, courts have struggled to strike an appropriate balance between competing social policies with respect to liability for defective products. On the one hand, those injured by defective products should not be burdened by the contractual intricacies of the law of sales or the onerous (virtually insurmountable in products cases) evidentiary obstacles of negligence. On the other hand, most courts agree that manufacturers and distributors should not be …

Solicitation By Lawyers: Piercing The First Amendment Veil, Louise L. Hill

Maine Law Review

Historically, the legal profession has considered the solicitation of business inappropriate. The profession has articulated this condemnation of solicitation, which developed as a principle of good taste among a small and homogeneous group of practitioners, in the form of specific rules prohibiting its members from engaging in certain forms of conduct. In recent years, the United States Supreme Court has considered various rules that restrict the commercial speech of lawyers. Reviewing these proscriptive rules, the Court struck down categorical bans on lawyer advertising and targeted, direct mail solicitation as violative of the first amendment. Because the free flow of information …

Legislative Ethics: Improper Influence By A Lawmaker On An Administrative Agency, Mark W. Lawrence

Maine Law Review

Moral and ethical dilemmas are inherent in the legislative process. Representative democracy raises a fundamental ethical conflict for lawmakers: choosing between representing constituent views or following personal convictions. Recent moral crises of elected officials have demonstrated the complex, diverse, and problematic nature of political ethics, yet the belief that these guardians of the public trust must successfully distinguish among the subtle distinctions of political ethics remains an integral tenet of American political thought. One of the most perplexing moral dilemmas a legislator faces is deciding what degree of influence can be exerted on an administrative agency to obtain a result …

The Child Witness In Sexual Abuse Cases In Maine: Presentation, Impeachment, And Controversy, Kermit V. Lipez

Maine Law Review

In any sexual abuse trial, the entry of the child into the courtroom is a dramatic moment. The large door to the courtroom opens. A small child enters, accompanied by a victim advocate who walks with the child toward the witness stand. At the end of the public seats, the child is turned over to a court officer who escorts the child to the witness stand. In the typically high-ceilinged, expansive courtroom where we conduct our jury trials, the small child looks even smaller. Some children slouch in the witness chair, as if they were trying to hide. The jurors …

With Thanks From A Student And Alumna, Nancy Diesel Mills

Maine Law Review

On the first day of orientation for my law school class, we sat in the Moot Courtroom. After introductory remarks, the Dean was announced. He wore a button down collar shirt, Rep tie, gray suit, and Bean boots. He welcomed us and he told us how great we were. Mostly, he cracked jokes, some about himself, and rattled whatever it is he keeps in his pockets. It was classic Kinvin; and I knew, then, that I had chosen the right place.