Digital Commons Network^™

Antibacterial Activities And Chemical Composition Of Essential Oils From Sweet Orange (Citrus Sinensis), Lemon Grass (Cymbopogon Citratus), And Lime (Citrus Aurantifolia) Peels, Olumide Omoboye, Toyosi Sotola, Olaoye Balogun, Ololade Bamigbade, Olusola Oluwole, Adebowale Odeyemi, Anthonia Oluduro

Makara Journal of Science

This study investigated the chemical composition and antibacterial activities of lime Citrus aurantifolia (Cc) and lemon grass Cymbopogon citratus (Ca) essential oils (EOs). Standard methods were used to determine their minimum inhibitory concentrations (MIC) and minimum bactericidal concentrations (MBC), and gas chromatography–mass spectrometry was used to determine their composition. Each EO and their combination showed promising results in treating test bacterial infections. Cc EO showed the largest inhibition zone diameter (43 mm) against Staphylococcus aureus and Serratia marcescens, and Ca EO showed the largest (30 mm) and smallest (12 mm) inhibition zone diameters against Bacillus stearothermophilus and S. marcescens …

Front-End Computational Modeling And Design For The Antarctic Demonstrator For The Advanced Particle-Astrophysics Telescope, Marion Sudvarg, Ye Htet, Roger Chamberlain, Jeremy Buhler, Blake Bal, Blake Bal, Corrado Altomare, Corrado Altomare, Davide Serini, Davide Serini, Mario Nicola Mazziotta, Mario Nicola Mazziotta, Leonardo Di Venere, Leonardo Di Venere, Wenlei Chen, Wenlei Chen, James H. Buckley, Roger D. Chamberlain

Computer Science Faculty Research & Creative Works

The Advanced Particle-astrophysics Telescope (APT) is a planned space-based observatory designed to localize MeV to TeV transients such as gamma-ray bursts in real time using onboard computational hardware. The Antarctic Demonstrator for APT (ADAPT) is a prototype high-altitude balloon mission scheduled to fly during the 2025–26 season. Gamma-ray-induced scintillations in CsI tiles will be captured by perpendicular arrays of optical fibers running across both tile surfaces, as well as SiPM-based edge detectors to improve light collection and calorimetry. Signal samples are captured by analog waveform digitizer ASICs then sent to the front end of the computational pipeline, which is designed …

Hawc Observations Of Microquasars As Powerful Particle Accelerators, Xiaojie Wang, Xiaojie Wang, Dezhi Huang, Dezhi Huang, Chang Dong Rho, A. Albert, R. Alfaro, C. Alvarez, A. Andrés, J. C. Arteaga-Velázquez, D. Avila Rojas, H. A. Ayala Solares, R. Babu, E. Belmont-Moreno, T. Capistrán, Y. Cárcamo, A. Carramiñana, F. Carreón

Physics Faculty Research & Creative Works

Micro quasars are one of the classes of powerful Galactic particle accelerators that emit gamma rays beyond multi-TeV energies. Recently, gamma-ray emission above tens of TeV has been detected from some of these objects. The High-Altitude Water Cherenkov (HAWC) observatory has previously reported gamma-ray emission with a median energy of 25 TeV from the micro quasar SS 433, suggesting that gamma-ray binaries can accelerate particles to above 100 TeV inside the jets. With 2,321 days of data and better reconstruction algorithms, the HAWC observatory detected emissions above 20 TeV from two other binaries, V4641 Sagittarii and LS 5039. The V4641 …

Searching For Tev Emission From Lhaaso J0341+5258 With Veritas And Hawc, P. Bangale, X. Wang, A. Acharyya, C. B. Adams, A. Archer, J. T. Bartkoske, P. Batista, W. Benbow, J. L. Christiansen, A. J. Chromey, A. Duerr, M. Errando, Q. Feng, G. M. Foote, L. Fortson, A. Furniss, W. Hanlon, O. Hervet

Physics Faculty Research & Creative Works

Galactic PeVatrons are astrophysical sources accelerating particles up to a few PeV (∼10¹⁵ eV) energies. The primary signature of 100 TeV γ rays may come from PeV protons or multihundred TeV (not PeV) electrons. The search for PeVatrons has been one of the key science topics for VERITAS and HAWC. In 2021, LHAASO detected 14 steady γ-ray sources with photon energies above 100 TeV, up to 1.4 PeV. This provides a clear list of PeVatron candidates for further study with VERITAS and HAWC. Most of these sources contain possible source associations, such as supernova remnants, pulsar wind nebulae, and …

Veritas And Hawc Observations Of Unidentified Source Lhaaso J2108+5157, Sajan Kumar, Michael Martin, Xiaojie Wang, A. Acharyya, C. B. Adams, A. Archer, P. Bangale, J. T. Bartkoske, P. Batista, W. Benbow, J. L. Christiansen, A. J. Chromey, A. Duerr, M. Errando, Q. Feng, G. M. Foote, L. Fortson, A. Furniss

Physics Faculty Research & Creative Works

Understanding the complete nature of Galactic sources that accelerate cosmic rays up to 10¹⁵ eV energy (Galactic PeVatrons) is still an unsolved problem in high-energy astrophysics. Although supernova remnants have long been considered as the best candidates for Galactic PeVatrons, a clear association of SNRs with PeVatrons needs further exploration. Recently, the LHAASO collaboration published its first catalog of 90 very high energy (VHE) gamma-ray sources, and a few of them have no obvious counterparts at other wavelengths. Here, we will present morphology and spectral analysis of one such unassociated source LHAASO J2108+5157 using VERITAS and HAWC data.

Recent Results From The High Altitude Water Cherenkov Observatory, Miguel Mostafá, A. Albert, R. Alfaro, C. Alvarez, A. Andrés, J. C. Arteaga-Velázquez, D. Avila Rojas, H. A. Ayala Solares, R. Babu, E. Belmont-Moreno, K. S. Caballero-Mora, T. Capistrán, S. Yun-Cárcamo, A. Carramiñana, F. Carreón, U. Cotti, J. Cotzomi, S. Coutiño De León, E. De La Fuente, D. Depaoli, C. De Leon, R. Diaz Hernandez, J. C. Diaz-Velez, B. L. Dingus, M. Durocher, M. A. Duvernois, K. Engel, C. Espinoza, K. L. Fan, K. Fang, N. I. Fraija, J. A. Garcia-Gonzalez, F. Garfias, H. Goksu, M. M. Gonzalez, J. A. Goodman, S. Groetsch, J. P. Harding, S. Hernandez, I. Herzog, J. Hinton, D. Huang, F. Hueyotl-Zahuantitla, P. Huntemeyer, A. Iriarte, V. Joshi, S. Kaufmann, D. Kieda, A. Lara, J. Lee, W. H. Lee, H. Leon Vargas, J. Linnemann, A. L. Longinotti, G. Luis-Raya, K. Malone, J. Martinez-Castro, J. A. J. Matthews, P. Miranda-Romagnoli, J. Montes, J. A. Morales, M. Mostaafa, L. Nellen, M. U. Nisa, R. Noriega-Papaqui, L. Olivera-Nieto, N. Omodei, Y. Perez Araujo, E. G. Perez-Perez, A. Pratts, C. D. Rho, D. Rosa-Gonzalez, E. Ruiz-Velasco, H. Salazar, D. Salazar-Gallegos, A. Sandoval, M. Schneider, G. Schwefer, J. Serna-Franco, A. J. Smith, Y. Son, R. W. Springer, O. Tibolla, K. Tollefson, I. Torres, R. Torres-Escobedo, R. Turner, F. Urena-Mena, E. Varela, L. Villasenor, Xiaojie Wang, I. J. Watson, F. Werner, K. Whitaker, E. Willox, H. Wu, H. Zhou

Physics Faculty Research & Creative Works

High energy γ-ray observations are an essential probe of cosmic-ray acceleration mechanisms. The detection of the highest energy γ rays and the shortest timescales of variability are the key to improve our understanding of the acceleration processes and the environment of the cosmic accelerators. The High-Altitude Water Cherenkov (HAWC) experiment is a large field-of-view, multi-TeV, γ-ray observatory continuously operating at 4100 m a.s.l. since March 2015. The HAWC observatory has an order of magnitude better sensitivity, angular resolution, and background rejection than the previous generation of water-Cherenkov arrays. The improved performance allows us to discover new TeV sources, to detect …

A Preliminary Look At The Construction Of The 4hwc Very High And Ultra High Energy Source Catalog Using The Multi Source Fit Method, Samuel Groetsch, Samuel Groetsch, A. Albert, R. Alfaro, C. Alvarez, A. Andrés, J. C. Arteaga-Velázquez, D. Avila Rojas, H. A. Ayala Solares, R. Babu, E. Belmont-Moreno, T. Capistrán, Y. Cárcamo, A. Carramiñana, F. Carreón, U. Cotti, J. Cotzomi, S. Coutiño De León, E. De La Fuente, D. Depaoli, C. De Leon, R. Diaz Hernandez, J. C. Diaz-Velez, B. L. Dingus, M. Durocher, M. A. Duvernois, K. Engel, C. Espinoza, K. L. Fan, K. Fang, N. I. Fraija, J. A. Garcia-Gonzalez, F. Garfias, H. Goksu, M. M. Gonzalez, J. A. Goodman, S. Groetsch, J. P. Harding, S. Hernandez, I. Herzog, J. Hinton, D. Huang, F. Hueyotl-Zahuantitla, P. Huntemeyer, A. Iriarte, V. Joshi, S. Kaufmann, D. Kieda, A. Lara, J. Lee, W. H. Lee, H. Leon Vargas, J. Linnemann, A. L. Longinotti, G. Luis-Raya, K. Malone, J. Martinez-Castro, J. A. J. Matthews, P. Miranda-Romagnoli, J. Montes, J. A. Morales-Soto, M. Mostafa, L. Nellen, M. U. Nisa, R. Noreiga-Papaqui, L. Olivera-Nieto, N. Omodei, Y. Perez Araujo, E. G. Perez-Perez, A. Pratts, C. D. Rho, D. Rosa-Gonzalez, E. Ruiz-Velasco, H. Salazar, D. Salazar-Gallegos, A. Sandoval, M. Schneider, G. Schwefer, J. Serna-Franco, A. J. Smith, Y. Son, R. W. Sprimger, O. Tibolla, K. Tollefson, I. Torrees, R. Torres-Escobedo, R. Turner, F. Urena-Mena, E. Varela, L. Villasenor, Xiaojie Wang, I. J. Watson, F. Werner, K. Whitaker, E. Willox, H. Wu, H. Zhou

Physics Faculty Research & Creative Works

The High-Altitude Water Cherenkov (HAWC) observatory is highly suitable for large-scale survey work. The high duty time (95%), large instantaneous FoV (2 sr), and sensitivity over the 300 GeV to more than 100 TeV energy range make it ideal for creating a catalog of very high energy (VHE) sources. Over the lifetime of the HAWC observatory, 4 catalogs have been produced 3 of which were constructed utilizing the full HAWC energy range while another used a restricted (>56 TeV) range. This talk will focus on the status of the planned 4HWC (full energy range) catalog including the newly developed …

2024-2025 Performance Forum - September 27, 2024, Caroline Dratnal, Sheng Yuan Kuan, Devin Salazar, Yu-Hsuan Feng, Yilian Concepcion, Jon Cruz, Juan Diaz Quijano, Paula Mora Alfaro

Performance Forum

No abstract provided.

A Dosimetric Comparison Of Treatment Techniques For Stereotactic Body Radiotherapy For Pancreatic Patients, Kameron Lemley

Masters Projects

Stereotactic body radiotherapy (SBRT) is utilized in radiation therapy to deliver ablative radiation doses to tumor volumes while achieving high conformity and minimal dose to surrounding critical structures. This treatment technique allows for faster dose fall-off which allows tighter treatment margins. SBRT for pancreatic cancer has been investigated for its efficacy and has proven to be an effective treatment choice for neoadjuvant radiation therapy. Since pancreatic cancer is extremely aggressive with a high mortality rate, it is important to have a treatment option that can reduce cost and increase convenience for the patient while simultaneously providing a conformal treatment plan. …

Re: Butte Mine Flooding Operable Unit Berkeley Pit And Discharge Pilot Project – August 2024 Monthly Discharge Monitoring Report, Mark Thompson, Dave Griffis

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

How Do You Like Your Books, Jessica Silbey

Faculty Scholarship

Do you ever wonder how it is that libraries can lend books repeatedly, while copyright owners (e.g., book authors) are granted the exclusive right to distribute their copyrighted works? Or how publishers make money selling books at retail prices when a person can resell books (or buy used books) for much less (hello Amazon Used Books for under a dollar!)? The reason is because of copyright’s “first sale” doctrine, 17 U.S.C. § 109, codifying the common law’s exhaustion principle, which says owners of lawfully made copies are allowed to dispose of those copies without regard to copyright law. In other …

Use Of Web-Based Decision Support To Improve Informed Choice For Chemoprevention: A Qualitative Analysis Of Pre-Implementation Interviews (Swog S1904), Ana Sandoval-Leon

All Publications

Background: Women with high-risk breast lesions, such as atypical hyperplasia (AH) or lobular carcinoma in situ (LCIS), have a 4- to tenfold increased risk of breast cancer compared to women with non-proliferative breast disease. Despite high-quality data supporting chemoprevention, uptake remains low. Interventions are needed to break down barriers.

Methods: The parent trial, MiCHOICE, is a cluster randomized controlled trial evaluating the effectiveness and implementation of patient and provider decision support tools to improve informed choice about chemoprevention among women with AH or LCIS. For this pre-implementation analysis, 25 providers participated in semi-structured interviews prior to accessing decision support tools. …

Consulting Ss, Inc. V. Faison

All Decisions

AT2 consolidated three appeals by the same landlord, who sought to evict tenants from a basement apartment and two SRO units, claiming the building was a two-family dwelling and not rent-stabilized. Each tenant argued the building had seven residential units—one apartment and six SROs—making it subject to rent stabilization. The lower court agreed with the tenants, granting summary judgment due to the landlord's failure to serve required statutory termination notices. The Appellate Term affirmed, ruling that the building’s rent stabilization status depends on the units’ function as residences, regardless of their legality under a certificate of occupancy.

The George-Anne Inkwell Edition, Georgia Southern University

The Inkwell

No abstract provided.

Molecular Targets For Breast Cancer Therapy, Hamidreza Montazeri Aliabadi

Pharmacy Faculty Articles and Research

"Breast cancer is by far the most common cancer in women, and for a while, it surpassed lung cancer as the most diagnosed cancer, regardless of gender, in 2020 [1]. Chemotherapy and hormone therapy are still the first line of treatment, despite extensive research in molecularly targeted drugs. Therefore, triple negative breast cancer (TNBC) is still known as the most challenging type for treatment due to the limited identified targets. Inherent and acquired resistance are still major hurdles in breast cancer therapy, which further highlights the importance of identifying new molecular targets in this battle. The inherent resistance of unresponsive …

“What Keeps Me In School”: Oregon Bipoc Learners Voice Support That Makes Higher Education Possible, Roberta Hunte, Miranda Mosier-Puentes, Gita Mehrotra, Eva Skuratowicz

School of Social Work Faculty Publications and Presentations

A growing number of college students are nontraditional learners (age 21–65) who are people of color. These students face unique challenges in a higher education system increasingly shaped by neoliberalism and the ongoing context of institutionalized racism. In Oregon, policymakers have established ambitious goals to address racial disparities in educational attainment. In this study, focus groups and interviews were conducted with 111 Black, Indigenous, and People of Color (BIPOC) adult learners in Oregon to better understand their perspectives and experiences in regard to educational and career pathways. Participants included currently enrolled students, adults who had enrolled and left, and adults …

Multi-Agent System-Based Framework For An Intelligent Management Of Competency Building, Fatma Outay, Nafaa Jabeur, Fahmi Bellalouna, Tasnim Al Hamzi

All Works

To measure the effectiveness of learning activities, intensive research works have focused on the process of competency building through the identification of learning stages as well as the setup of related key performance indictors to measure the attainment of specific learning objectives. To organize the learning activities as per the background and skills of each learner, individual learning styles have been identified and measured by several researchers. Despite their importance in personalizing the learning activities, these styles are difficult to implement for large groups of learners. They have also been rarely correlated with each specific learning stage. New approaches are, …

Exploring Parent/Child Peri-Anesthesia Anxiety And Anesthesia Effects On Children, Ann Johnson, Alejandra Lozano, Pauline Chen

2024

RESEARCH

Approximately four million children undergo procedures with anesthesia yearly. For children and parents, this can be anxiety-provoking. In extant literature, level and timing of pre-anesthesia anxiety in children are not adequately studied; associated factors are largely unknown in humans. Preparing for anesthesia and its effects may cause parental worry, and little is known about these effects on school-age children in the weeks following a procedure. The purpose of this study was to explore longitudinal peri-anesthesia factors of anxiety and behavior in children ages 7 through 12. Spanish and English-speaking dyads consented to four data collection points beginning at the …

Nurse Manager Hiring Practices And The Experience Of New Graduate Nurses, Tiffany Montgomery, Zara Sajwani-Merchant

2024

RESEARCH

Purpose
/="/">Hiring decisions have implications for the hiring unit and the healthcare organization, including nursing retention, orientation costs, and organizational culture. Despite available literature, hiring practices, and diversity, equity, and inclusion practices are unknown within nurse residency programs. This study explores the experiences of nursing hiring managers and newly hired nurse candidates with the interview and hiring process into residency programs within the DFW metroplex.
/="/">Methods
/="/">A qualitative phenomenological study was conducted to describe the nursing manager experiences and thoughts through the hiring process and how they compare to nurse candidate’s perspective hired into an established …

Fall Prevention Strategies In A Pediatric Epilepsy Monitoring Unit, Bailey Cochrum

2024

EBP

Practice Problem: In 2023, our Epilepsy Monitoring Unit (EMU) had 8 falls, 5 with injuries, up from zero falls with injury in 2022. Enhancing patient and family education on fall risks and prevention is crucial for improving safety and reducing falls.

Literature: Falls in an EMU are common adverse events. Patients with epilepsy are at increased risk of falls due to seizures. In the EMU, seizures are provoked by changing medications, sleep patterns, and stimulation, increasing fall risk and possible injury.

Practice Change(s): For planned EMU admissions, we developed additional seizure-specific education for patients and families, sent prior …

Improving The Lactation Journey: Empowering Moms’ Utilization Of Breast Milk From Admission To Discharge In A Level Iv Neonatal Intensive Care Unit, Rebecca Palmer, Jerithea Tidwell, Traci Hankins, Sharetha Hollier, Nicole Jenkins, Dawn Schindler, Jeanne Gaines

2024

INNOVATION

Background
The benefits of MBM is well-known in literature, especially for infants admitted to the NICU. There is difficulty in engaging and empowering NICU mothers due to multiple barriers including holding limitations, inability to feed orally, and separation of mother and infant for extended periods. Opportunities for improving MBM utilization throughout admission include oral immune therapy (OIT) and/or oral care with MBM, skin to skin (STS), and non-nutritive attempts at breast. Access to lactation education, support, and resources throughout admission is imperative.

Methodology
Utilization of the plan-do-study-act (PDSA) cycle of quality improvement (QI) has improved our overall lactation processes …

Reducing The Burden Of Tracking Age Of Majority (Aom) Research Participant Consents, Beena Pappen, Lindsay Therrian, Bobby Lawrence

2024

QUALITY

Background
/="/">Reconsenting research participants when they reach Age of Majority (AOM) – age 18 in the state of Texas – is a vital responsibility of the pediatric research world. It requires tracking and planning for an activity that may not happen until months, years, or over a decade later. Not obtaining AOM consent may violate the rights of the research participant, as well as impede the ongoing collection and usage of their research data. At the Center for Cancer and Blood Disorders (CCBD) Clinical Research Office (CRO), a very manual process was being used to identify and notify …

Bridging The Gap: Leveraging Cnap To Enhance Professional Development, Align With Organization Goals And Create A Culture Of Safety, Marissa Crosley, Brooke Harris, Gwenetta Hicks, Cornelius Metili

2024

INNOVATION

Abstract: As our organization strives for its fifth Magnet designation, enhancing nurse professional development has become a clear priority. Currently, only half of our nursing staff participate in the Clinical Nurse Achievement Program (CNAP), highlighting a need for increased engagement. Additionally, feedback from the latest Experience, Inclusion, and Engagement (EIE) Survey identified an opportunity to improve nurse recognition within our department. These insights prompted an exploration of how the Team Lead role, uniquely positioned between frontline nurses and leadership, could be more effectively utilized.

A key challenge identified is the time-consuming process of documenting CNAP achievements. Nurses often defer …

A Transformative Leadership Approach To Reducing Nursing Turnover In A Pediatric Cardiac Intensive Care Unit, Deniro Brown, Lindsey Daigle, Brandi Brown, Julia Gerstmann, Emily Hernandez, Delaney O’Brien, Casey Conrad, Christina Whittington, Lindsey Wren, Gustavo Barbero

2024

INNOVATION

Introduction/Objective:
Retention of nurses in the pediatric cardiac intensive care unit (CICU) is essential for optimal patient outcomes, as nurse experience significantly impacts patient mortality and hospital-acquired conditions. In April 2022, our CICU faced high voluntary turnover among direct bedside nurses. Our immediate goal was to reduce this turnover, with a longer-term objective of improving overall nurse retention.

Methods:|
We established global and SMART aims by comparing organizational benchmarks for nurse turnover with unit-specific data from human resources. Co-managers and eight nurse team leaders conducted stay interviews with direct bedside nurses during the first half of 2022. These …

Ready, Set, Code! Investigating The Use Of Two Standardized Resuscitation Algorithms To Improve Outcomes In Patients In A Level 4 Nicu, Lauren Ayala, Grace Farina, Shelby Hudson, Anna Nguyen, Mireya Ortiz, Luke Wuesthoff

2024

EBP

Background:
Resuscitation efforts can be challenging in a Level IV NICU. Most Heath Care Providers in pediatric hospitals are Pediatric Advanced Life Support (PALS) certified. Some NICU providers are certified in both Neonatal Resuscitation Program (NRP) & PALS. There is concern regarding use of NRP vs PALS for Level IV NICU patients who are up to one year of age. Strategies need to be identified to assist nurses in determining which resuscitation algorithm (PALS or NRP) to utilize during a code/peri-arrest event involving patients in a Level IV NICU.

PICO:
Will designing a resuscitation tool improve outcomes and effectiveness …

Cease The Alarms: A Nurse-Led Bundled Approach To Alarm Management, Annie Tolliver

2024

EBP

Practice Problem:The use of audible alarms to monitor pediatric patients is crucial to patient care. Alarms notify nurses of potentially life-threatening situations. However, increasing non-actionable alarms can cause desensitization. This leads to ignoring and mismanaging alarms, ultimately putting patients at serious risk. For those caring for the sickest pediatric patients, strategies for reducing non-actionable alarms to mitigate alarm fatigue are needed to enhance patient safety.

Literature/Evidence:A review of the literature highlighted emerging evidence-based practice supporting the use of the CEASE bundle for nurse-led alarm management, as outlined in a quasi-experimental research study. Multiple systematic reviews substantiate the …

Little Lungs, Big Care: Prevent Unplanned Extubation, Leslie Huntington, Emily Jordan Ressman, Carmen Yearego

2024

QUALITY

Background: The pediatric critical care unit in a large medical center benchmarks a variety of quality metrics to ensure we are providing our patients with the best care. At the end of 2023, the unit rate of 0.58 was higher than the national benchmark rate of 0.33 for unplanned extubation (UE). Additionally, the unit was lower for failed extubation rate than the national benchmark which led to questioning if the unit was too conservative with when patients are deemed ready to extubate.

Objectives: The primary goal is to lower the rate of UE while maintaining a failed extubation rate …

Improving Sepsis Response, Awareness, And Engagement In The Emergency Department, Virginia Elizondo, Nicole Bizzack, Amber Dayton, Angie Rodick, Ashley Collins, Georgina Hernandez, Amber Albiar

2024

QUALITY

Sepsis background:
Sepsis is the leading cause of death in children² and a global health problem³. The primary source of infection is often not apparent¹, making early patient identification, initiation of sepsis protocols, and continued awareness crucial to improve outcomes and prevent mortality in patients at risk for sepsis.

Purpose:
An emergency department (ED) Sepsis Response Team (SRT) and other initiatives were designed to enhance workflow efficiency, improve time to antibiotic administration (TTA) tominutes, improve sepsis recognition, and uphold standards by maintaining staff engagement.

Implementations:
Once a patient screens positive for sepsis risk, an …

Ironing Out The Details: Early Detection And Treatment Of Iron Deficiency In A Level 4 Nicu, Rachel Mills

2024

EBP

Practice Problem: In a level 4 neonatal intensive care unit (NICU), no standardized method existed for identifying and treating iron deficiency (ID) in preterm or low birth weight (LBW) infants. Common practice was to adjust iron supplementation based on hematocrit levels, though this was not based on any formal protocol or guideline. ID of the brain in neonates may be associated with neurologic and developmental deficits. Thus, it is prudent to identify and treat early. In a recent survey, providers reported a lack of familiarity with biomarkers for early identification of ID.

Literature/Evidence: A comprehensive review of the literature …

Standardization Of Adult Transition Across Ambulatory, Virginia Vecchio, Monica Fuller

2024

QUALITY

Background:

Historically, at Children’s Health initiatives involving patient transition to adult care have been focused on the clinics which are ranked in U.S. News & World Report’s Best Children’s Hospitals. Other clinics had no process for transition and were unaware of available resources.

Purpose:

A subgroup from the Ambulatory Clinical Practice Council identified the need for a standardized framework and EPIC documentation that every clinic could utilize.

Methodology:

The Office of Patient Transition (OPT) was onboard with revamping the current program and allowing nurses to drive the changes. A knowledge assessment was performed with nurses in 2022. The results …