Digital Commons Network^™

Sc 4-H Presents Information Packet, Lynn Brewer

UNH Cooperative Extension

No abstract provided.

The Enduring Legacy Of Nuclear Tests: Barriers To Managing Type 2 Diabetes Among Marshallese Pacific Islanders In The United States, Bernard A. Muriithi

Occupational Therapy Faculty Scholarship

Introduction / Rationale: Nuclear tests conducted by the United States caused significant damage to the environment and traditional food sources in the Marshall Islands. The Marshall Islanders began to depend on imported processed food, but the change of diet resulted in significant increases in chronic diseases, in addition to cancers and birth defects associated with nuclear radiation. Since the 1986 Compact of Free Association, over 15,000 Marshallese have relocated to the United States, and the majority live in one U.S. state. This community of Marshallese has the highest prevalence rate for type 2 diabetes in the world.

Objectives: identify the …

Sandra Ann Collins

African American Funeral Programs

Program for the funeral of Sandra Ann Collins held at St. Phillip Monumental Ame Church

Psychiatric Nursing Staff Promoting The Use Of Long-Acting Injectables Antipsychotics, Yetunde Oloto

Walden Dissertations and Doctoral Studies

This project is a staff education aimed at improving psychiatric staff knowledge regarding the use of long-acting injectable (LAI) antipsychotics among patients with schizophrenia. The practice problem addressed was the limited use of LAIs among psychiatric nurses when treating schizophrenia patients, which contributes to medication non-adherence and subsequent relapse, hospitalization, increased healthcare costs, and diminished quality of life. In nursing practice, this problem is important because nurses are frontline practitioners who administer medications, provide education, and monitor patient adherence. The problem-focused question developed was “Among psychiatric nurses, does staff education on the use of long-acting injectable antipsychotics compared to oral …

Staff Education To Improving Patient Safety Outcomes Through Structured Staff Education, Imuetinyan Phillipa Ehondor

Walden Dissertations and Doctoral Studies

This staff education doctoral project was implemented to address inconsistent staff knowledge of patient safety principles, disproportionate adherence to safety practices, and underutilization of standardized educational resources in an acute care clinic setting. It was important to address this issue in the context of nursing practice because patient safety is foundational to high-quality health care, directly influencing patient outcomes, regulatory compliance, organizational performance, and workforce morale. The practice-focused question was the following: In an acute care clinic, how does the implementation of a standardized safety protocol education program, compared to existing practices, impact staff knowledge regarding a culture of safety? …

The Cowl - V. 89 N. 14 - February 12, 2026

The Cowl

The Cowl - student newspaper of Providence College. Vol. 89 No. 14 - February 12, 2026. 20 pages.

Pace O Matic Inc V. Eckert Seamans Cherin & Mellott Llc

2026 Decisions

USDC for the Middle District of Pennsylvania

Defense Distributed V. Attorney General New Jersey

2026 Decisions

USDC for the District of New Jersey

A Rare And Challenging Polymicrobial Pleural Infection Involving Cupriavidus Pauculus In A Patient With Rheumatoid Arthritis And Multiple Complications, Moiz Ahmed Khan, Syeda Samiya Kamal, Muhammad Muneeb, Summaya Zafar

The University of Louisville Journal of Respiratory Infections

A 58-year-old female with a 15-year history of rheumatoid arthritis (RA) and a history of treatment consisting of methotrexate, hydroxychloroquine, leflunomide, and chronic prednisolone therapy, presented with fever, productive cough, dyspnea, and left leg cellulitis. She developed septic shock complicated by tension pneumothorax requiring emergency thoracostomy and non-ST-elevation myocardial infarction (NSTEMI). Pleural fluid culture grew Cupriavidus pauculus, a rare environmental gram-negative bacillus, alongside Burkholderia cepacia and Candida parapsilosis, indicating polymicrobial infection which was most likely predisposed by patient's immunosuppressed state from RA and prolonged steroid use. Treatment consisted of trimethoprim/sulfamethoxazole, meropenem, fluconazole, and cardiopulmonary support, and culminated in …

Staff Education To Nurses To Lmprove Routine Foot Examinations For Diabetic Patients, Sarah Abrefi

Walden Dissertations and Doctoral Studies

Diabetes-related foot complications remain a significant cause of morbidity, hospitalization, and lower-extremity amputation, despite strong evidence supporting routine preventive assessments. In many outpatient settings, variability in nursing knowledge, skill, and documentation practices contributes to inconsistent implementation of comprehensive diabetic foot examinations. The purpose of this practice-focused quality improvement project was to evaluate the effectiveness of a structured staff education program designed to improve nurses’ knowledge and competency in performing comprehensive diabetic foot assessments in an outpatient diabetes clinic.A pretest–posttest evaluative design was used to measure changes in knowledge following the educational intervention. Ten registered nurses participated in a structured educational …

Strategies To Engage Physicians In Reforming Healthcare Administrative Policies And Processes, Sara Hunt

Walden Dissertations and Doctoral Studies

A lack of physician engagement in healthcare reform initiatives is a persistent problem that can negatively affect hospital performance and patient care outcomes. Hospital leaders and healthcare administrators are concerned with low levels of physician engagement because of its association with reduced organizational effectiveness and quality of care. Grounded in the distributed leadership framework, the purpose of this qualitative single case study was to explore strategies hospital leaders used to engage physicians in reforming administrative policies and processes to improve patient service delivery. Semistructured interviews were conducted with five hospital leaders from one hospital in the southeastern United States who …

Ethics Of Artificial Intelligence For Lawyers: That Is The Sound Of Inevitability: Legislatures And Regulators Step In, Cliff Mckinney

Arkansas Law Notes

In The Matrix, the evil artificial intelligence entity, Agent Smith, corners the human hero, Neo, on the subway tracks. Agent Smith says, “You hear that Mr. Anderson? . . . That is the sound of inevitability. . . .” And if there is one thing that is inevitable, it is that regulations will quickly develop around the way that we interact with and utilize artificial intelligence.

No matter how innovative or disruptive artificial intelligence may be, lawmakers and regulators will not allow it to operate unchecked. Congress recently elected not to impose a moratorium on state regulation, and California has …

Mapping Weaponized Drone Attacks Attributed To Mexican Drug Cartels, 2021-2025, Austin C. Doctor, Suat Cubukcu, Joel Elson, George Grispos, Mackenzie Harms

Reports, Projects, and Research

The exploitation of unmanned aerial systems (UAS) by Mexican drug cartels presents a growing threat to U.S. homeland security and defense. Several of the Mexican transnational criminal organizations designated as foreign terrorist organizations (FDTCOs) in 2025 employ drones in a wide array of tactical applications, including surveillance, smuggling, and weaponized attacks. Tactical innovation of UAS by FDTCOs has enhanced their capabilities to attack a range of targets including security forces within the law enforcement critical infrastructure sector. This report summarizes NCITE original analysis of publicly available information of weaponized drone incidents attributed to Mexican FDTCOs from 2021 through 2025.

Data And Code From: Rapid Scavenging Of Avian Carcasses In The Desert Southwest: Implications For Mortality Surveys Not Associated With Infrastructure, Thomas Huycke, Dylan M. Osterhaus, Kelley C. Boland, Fitsum Abadi, Martha J. Desmond

Fish, Wildlife, & Conservation Ecology: Datasets

No abstract provided.

Improving Blood Pressure Control In Home Care Patients Through Implementation Of Acc/Aha Hypertension Guidelines And Structured Blood Pressure Monitoring, Farrah Lynn Yuille

Walden Dissertations and Doctoral Studies

This clinical practice guideline addressed the practice problem of the lack of standardized and consistent hypertension management in the home setting. Addressing this practice problem is important within nursing practice, as uncontrolled blood pressure increased the risk of hospitalizations, emergency department visits, and long-term cardiovascular complications. The practice question focused on translating evidence-based hypertension guidelines into clinical practice and evaluating their impact on patient outcomes in the home care setting. The purpose of the project was to engage three voluntary participants in evaluating the clinical practice guideline per the American College of Cardiology and American Heart Association hypertension guidelines within …

Work-Life Balance And Occupational Stress: Moderating Factors Among African American Telecommunication Workers, Robert Charity

Walden Dissertations and Doctoral Studies

After the COVID-19 pandemic, remote call center employees faced intensified challenges in maintaining work-life balance (WLB) while experiencing elevated occupational stress (OS) levels. The purpose of this quantitative correlational study was to investigate the relationship between WLB and OS among African American (AA) call center professionals employed in the telecommunications industry, moderated by resilience (RS), gender, and generational age (GenAge). The theoretical framework included boundary theory, the job demands-control model, and resilience theory. The participants comprised 103 AA telecommunications call center professionals aged 28 to 65 in the southwestern United States. They completed the work-life balance scale, perceived occupational stress …

Staff Education Using A Workplace Violence Reduction Bundle, Julla Panneh

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) quality improvement project addressed the ongoing issue of workplace violence (WPV) among medical-surgical nurses in an acute care setting. WPV poses significant risks to staff safety, psychological well-being, and the overall care environment. Guided by current evidence and professional guidelines, the project implemented a structured educational intervention focused on the Workplace Violence Reduction Bundle, incorporating the Broset Violence Checklist (BVC) and evidence-based de-escalation strategies. Medical-surgical nursing staff participated in tailored educational sessions; knowledge was assessed through pre- and post-intervention surveys, and program acceptability was evaluated through staff feedback. Data analysis revealed modest improvements in …

Impact Of Workplace Ostracism, Moderated By Personality Traits On Psychological Safety, Aniko Rastovac

Walden Dissertations and Doctoral Studies

Psychological safety, an essential element for fostering collaboration, trust, and innovation, can be undermined by negative interactions in the workplace. Most importantly, a lack of psychological safety is a barrier to individual and organizational growth, development, and innovation, which is necessary for gaining a competitive organizational advantage. The present study examines the concept of workplace ostracism as a negative interaction in the workplace that affects psychological safety. Using the big five personality traits framework, Edmondson’s (1999) concept of psychological safety, and Tett et al.’s (2021) trait activation theory, this quantitative study examined how individual differences moderate the impact of workplace …

Fostering Healthy Work Environments With Nurse Manager Transition To Practice Program, Anastasia Y. Rose, Janelle Schira, Marja Ross

Creating Healthy Work Environments (CHWE)

Background: Healthy work environments need effective nursing leadership (Mabona et al., 2022). Many new nurse managers lack the skills and knowledge needed for leadership roles (Espinoza et al., 2009). Turnover of new nurse managers is high, which can have a negative impact on nurse retention and quality of care (Warden, 2021). Per a national survey, over 50% of nurse leaders intend to leave their positions within next 5 years (Warden, 2021). A new manager orientation and mentorship programs could impact their practice, retention, and quality indicators, improve job satisfaction, organizational culture, and patient outcomes, and foster a healthy work environment …

Creating Healthy Work Environments For New Bsn-Dnp Students Through A Student-Led Mentorship Program, Daniel W. Martin, Christopher H. Connors, Jocelyn Keaton, Todd Tussing

Creating Healthy Work Environments (CHWE)

Background: Graduate students experience unique stressors that affect the decision to complete their programs. These include acclimation to the graduate school environment, coursework, and life balance. Attrition rates between 2006-2015 for DNP (Doctor of Nursing Practice) programs were 13.3-23.8% and 19.2% for BSN-DNP students with most dropping within 2 years. A possible solution to increased attrition could be to help decrease feelings of isolation and support student acclimation. Literature shows mentorship is an effective strategy for graduate nursing programs that results in decreased stress and anxiety, improvement in self-confidence, and improved adjustment to the educational environment. A student led peer …

Francisco Merino-Angel V. Attorney General United States Of America

2026 Decisions

Agency

Prevalence And Factors Associated With Delayed Surgery Among Children With Wilms Tumor At Mulago Hospital: A Mixed-Method Study, Lule Daniel, Shamim Nabidda, Abraham Muhwezi, Ronald Naitala, Anne Akullo, Enid Kawala Kagoya, Ruth Namazzi, Nasser Kakembo, Joan N. Kalyango

School of Nursing & Midwifery, East Africa

Introduction:  Wilms tumor (WT) is a highly treatable form of childhood cancer, with five-year survival rates greater than 90% in high-income countries. In low- and middle-income countries, survival is still low. Delayed surgery is one of the leading factors for poor survival, as it leads to tumor complications, making subsequent treatment more complex. However, there is a paucity of information in Uganda on the prevalence and factors associated with delayed surgery. This study aimed to determine the prevalence and factors associated with delayed surgery, and to explore the barriers and facilitators of timely surgery among children with WT at …

Prevalence Of Gout In The Sincan District Of Ankara, Türkiye: A Primary Care-Based Cross-Sectional Study, Riza Can Kardaş, Yasemi̇n Ünsal, Derya Yildirim, Hakan Tüzün, Mustafa Necmi̇ İlhan, Hami̇t Küçük, Abdurrahman Tufan, M. Aki̇f Öztürk

Turkish Journal of Medical Sciences

Background/aim: Gout, the most prevalent form of inflammatory arthritis, has shown a global increase in prevalence; however, data from Türkiye remain scarce, inconsistent, and largely confined to western regions. This study aimed to estimate the prevalence of gout among adults in the Sincan district of Ankara, Türkiye, and to provide updated data from a previously understudied region.

Materials and methods: This cross-sectional, community-based study employed a multistage design. Adults aged ≥18 years who presented to selected family health centers in Sincan between February and June 2023 were screened using a structured questionnaire. Individuals with suspected gout underwent comprehensive clinical evaluation, …

Clinical Outcome Of Extremity Arterial Injuries In The Modern Era, Ali̇ Kuşsan, Selçuk Coşkun, Alp Şener, Ferhat İçme, Pinar Köksal Coşkun, Gülhan Kurtoğlu Çeli̇k

Turkish Journal of Medical Sciences

Background/aim: Extremity arterial injuries (EAIs) present a significant clinical challenge due to the risk of limb ischemia, amputation, and mortality. This retrospective cohort study aimed to delineate the clinical course, treatment strategies, and patient outcomes following trauma-induced EAIs, and to identify independent predictors of adverse outcomes.

Materials and methods: Retrospectively analyzed were data from 168 consecutive patients with traumatic EAIs who underwent computed tomography angiography at a tertiary care center between 2019 and 2025. Data extracted from electronic medical records included demographics, injury mechanisms, clinical presentation, laboratory findings, imaging results, treatment modalities (primary repair, grafting, endovascular intervention, conservative management), and …

The Perk Signaling Pathway As A Marker Of The Unfolded Protein Response In Patients With Acute Myeloid Leukemia, Nergi̇z Erkut, Turhan Köksal, Seli̇m Demi̇r, Ahmet Menteşe, Özlen Balta, Mehmet Sönmez

Turkish Journal of Medical Sciences

Background/aim: The protein kinase RNA-like endoplasmic reticulum kinase (PERK) pathway plays a critical role in preventing the accumulation of misfolded or unfolded proteins within the endoplasmic reticulum. In this study, the role of the PERK signaling pathway was evaluated in newly diagnosed, treatment-naïve patients with acute myeloid leukemia (AML).

Materials and methods: Plasma levels of eukaryotic translation initiation factor 2-alpha kinase 3 (eIF2AK3), glucose-regulated protein 78 (GRP78), activating transcription factor 6 (ATF6), CCAAT/enhancer-binding protein homologous protein (CHOP), hypoxia-inducible factor-1 alpha (HIF-1α), and caspase 3 were measured by enzyme-linked immunosorbent assay in peripheral blood samples obtained from AML patients and healthy …

Comment On “Survival Of Patients With 2014 Figo Stage Iiic High‑Grade Serous Ovarian Cancer Treated With Platinum‑Based Adjuvant Chemotherapy”, Abdullah Saad, Syeda Abeeha Hasan, Syeda Aki̇fa Sajid

Turkish Journal of Medical Sciences

No abstract provided.

Creating A Healthy Workplace Culture With A “Steps To Wellness” Initiative, Jennifer M. Clifton, Michael Caserta, Cheryl Armstrong, Katarina Friberg-Felsted, Jennifer Macali, Sara Simonsen

Creating Healthy Work Environments (CHWE)

Purpose: The aim of this project was to promote the health and wellness of nursing academia faculty and staff by implementing a physical movement initiative.

Background: Promoting the health and wellness of faculty and staff working in nursing academia is an important and timely initiative (Amaya et al., 2019; Mabona et al., 2022). Researchers have noted that an individual's lifestyle behaviors directly affect their work productivity, physical activity, and stress levels (Labrague et al., 2022; Reif et al., 2020; Stanulewicz et al., 2020). Amaya et al. (2019) suggested that institutions of higher education could improve work-life balance by “creating campus …

The Olympics Part I, Richard C. Crepeau

On Sport and Society

Some Olympic events, especially those in which judges play a role, often end in controversy. National bias or style preferences can override technical skills in scoring by some judges. Sometimes none of these come into play, and the performances are at such a high level and differ technically only by an eyelash. In the figure skating dance competition that ended on Wednesday evening in Milan this, in my view, was the case.

Defense Distributed V. Attorney General New Jersey

2026 Decisions

USDC for the District of New Jersey

Keeping It Zen: In-Hospital Decompression Space For Employee Resiliency, Karen Richendollar, Caren E. Herring

Creating Healthy Work Environments (CHWE)

Research has shown that 33% (Ibrahim, 2022) of nurse's experience depression and posttraumatic stress within their job and that rate continues to grow each year. A member of the team survey sent out to all staff at an acute care hospital in Virginia Beach, Virginia, showed that staff members could not decompress emotionally and physically after their shifts. Staff members expressly indicated they could not leave work at work and continued thinking about work when they were at home. Literature has shown that implementing a decompression space to allow staff members to decompress away from clinical areas promotes staff resiliency, …