Digital Commons Network^™

Staff Education To Improve Detection And Treatment Of Adult Adhd In An Outpatient Psychiatric Clinic, Eveline Manyie Fohtung

Walden Dissertations and Doctoral Studies

Summary Adult attention-deficit/hyperactivity disorder (ADHD) remains significantly underdiagnosed in outpatient psychiatric settings despite its substantial impact on functioning and long-term mental health outcomes. At the project site, inconsistent screening practices, limited clinician familiarity with DSM-5-TR adult diagnostic criteria, and variable application of the Adult ADHD Self-Report Scale (ASRS) contributed to delayed or missed diagnoses, representing a clear practice gap. This Doctor of Nursing Practice (DNP) project implemented a structured, nurse-led staff education program to improve clinician knowledge, diagnostic accuracy, and standardized workflow adoption for adult ADHD screening using the ASRS. Guided by national evidence-based guidelines, the intervention emphasized DSM-5-TR criteria, …

Standardized Staff Education Project For Medication Adherence, Adebukola Kayode

Walden Dissertations and Doctoral Studies

Psychotropic medication nonadherence is a pervasive issue in psychiatric care and one of the leading contributors to relapse, symptom destabilization, and preventable behavioral‐health crises. At the outpatient psychiatric clinic project site, inconsistent medication-adherence education and the absence of a standardized, evidence‐based approach resulted in variable patient understanding and engagement. The purpose of this doctoral project was to implement and evaluate a structured staff education program to determine its effect on staff knowledge, confidence, and consistency in delivering standardized psychotropic medication-adherence education. I developed the intervention to engage clinical staff through a structured educational session grounded in Knowles’s adult learning theory …

Staff Education Project Staff Education To Improve Tobacco-Use Screening And Referral For Patients Without A Primary Care Provide, Candra Rich

Walden Dissertations and Doctoral Studies

This project is a quality improvement initiative conducted in a rural clinic in South Carolina, focused on staff education and implementation of practices to improve tobacco use screening and referral for patients without a primary care provider. The practice problem is inconsistent screening for tobacco use and identification of patients without a primary care provider, resulting in missed opportunities for prevention and continuity of care. Addressing this issue is vital, as nurses play a key role in health promotion and connecting patients to smoking cessation resources. The practice-focused question of the DNP project asks whether empowering clinic nurses and advanced …

Oncology Nurses’ Experience In Screening Informal Caregivers Of Colorectal Cancer Patients For Distress And Supportive Care, Nicole N. Feldleyfer

Walden Dissertations and Doctoral Studies

This study explored how informal caregivers of colorectal cancer (CRC) gain access to supportive care services at integrated cancer care institutions. Although supportive care aims to improve the quality of life for patients and caregivers, there is limited research on how informal caregivers participate in distress screening, and no standard process exists across settings. This study used a qualitative phenomenological approach to explore the lived experiences of 10 oncology nurses with screening informal caregivers for distress and referring them to supportive care within integrated cancer care institutions. The Global Supportive Care Framework for Cancer Care served as the theoretical framework …

Environmental Graphic Design Of The Great Mosque Ornaments For Strengthening Demak City Branding As The City Of Wali, Agus Setiawan, Ahmad Akrom, Khamadi Khamadi, Khairul Mustaqin, Auria Farantika Yogananti

Bahasa dan Seni: Jurnal Bahasa, Sastra, Seni, dan Pengajarannya

This study explores the role of Environmental Graphic Design (EGD) derived from the ornamental heritage of the Great Mosque of Demak in strengthening Demak’s city branding as the “City of Wali” (Kota Wali). Motivated by the need for culturally grounded urban identity amid rapid modernization, the research examines how religious and historical visual elements can be translated into contemporary environmental design. The study adopts a descriptive qualitative approach informed by place branding and visual communication theory. Data were collected through field observations, visual documentation, interviews, and a literature review, followed by an analytical process that involved identifying local wisdom, interpreting …

A Case Of Fulminant West Nile Virus Encephalitis Presenting With Non-St-Segment Elevation Myocardial Infarction (Nstemi) And Diagnostic Discordance, Jayanjali Bodavula, Mindi S. Garner

Student Publications

West Nile virus (WNV) is a mosquito-borne flavivirus that typically causes mild febrile illness but can progress to neuroinvasive disease and even death, particularly in older adults with comorbidities. We describe a 77-year-old male with coronary artery disease, carotid artery disease, hypertension, and hyperlipidemia, who was notified that his recent blood donation had tested positive for WNV by nucleic acid testing (NAT) on initial screening, with confirmatory testing pending. Shortly thereafter, he developed a fever, confusion, dizziness, and worsening gait instability. On admission, he was febrile to 103.6°F, hypotensive at 97/65 mmHg, and noted to have monocytosis, elevated troponin, and …

Human Aging And The Blue Zones, Andrew Rowan Dphil

WellBeing News

This article reviews the concept of Blue Zones — regions reportedly characterized by unusually high rates of long life — tracing their origin from the 2004 Sardinia study and the popular Power 9 lifestyle formula promoted by Blue Zones LLC, while highlighting both community adoption examples and significant scientific critique that questions age claim accuracy and calls for more peer-reviewed evidence on the health benefits of these lifestyle practices.

The Changing Fortunes Of The Fur Industry, Andrew Rowan Dphil

WellBeing News

This article traces the significant shift in the global fur industry, noting a steep decline in animals raised for fur and the dwindling market value for pelts as major fashion houses adopt fur-free policies and consumers increasingly reject animal cruelty; bolstered by regulatory bans in multiple countries and mounting public pressure, these combined forces suggest a long-term downturn that differs fundamentally from past cyclical fluctuations, even as advocates emphasize that meaningful progress still requires ongoing efforts to end suffering on fur farms.

The Indian Supreme Court Acts On The Stray Dog Issue: Is It A Crisis Or An Opportunity? Part 2, Andrew Rowan Dphil

WellBeing News

Part 2 of this article builds on the Supreme Court’s recent interventions in India’s stray dog issue by examining long-term data on dog bites and human rabies to assess whether reported crises align with scientific trends; it highlights a dramatic decline in both bite rates and rabies deaths over two decades, considers how effective implementation of Animal Birth Control and vaccination programs has contributed to this progress, and discusses how deeper engagement with evidence can inform more humane, structured approaches to stray dog management moving forward.

Intense Solar Radiation Constrains Plant Species Richness In Global Grasslands, Marie Spohn, Carlos Alberto Arnillas, Jonathan D. Bakker, Elizabeth T. Borer, Kari Anne Bråthen, Marc W. Cadotte, Erika I. Hersch-Green, Et Al.

Michigan Tech Publications

The search for predictors of plant diversity has challenged scientists for decades. Here we identify intense photosynthetically active radiation (PAR) as a major factor constraining plant species richness in global grasslands. We show that the strength of the negative relationship between species richness and PAR increases with increasing elevation and that species richness is more strongly correlated with intense PAR than with UV-B radiation, climate variables, and atmospheric nitrogen deposition. In addition to species richness, plant biomass was also negatively correlated with PAR at higher elevations, indicating that intense PAR also constrains plant biomass in montane grasslands. Furthermore, we show …

Wads 3d Object Detection Dataset (Wads-3d) - Sequence 22, Yiming Yang, Jeremy P. Bos

WADS-3D

WADS-3D is a standard KITTI-format dataset designed for analyzing 3D object detection robustness in severe winter weather. Addressing the need for granular analysis of perception failure in snow, the dataset includes 4,100 frames and over 30,000 labeled car instances captured during heavy snowfall and winter-storm conditions. Derived from the large-scale multimodal WADS dataset, WADS-3D enables researchers to move beyond qualitative weather assessments and systematically evaluate how varying heavy snowfall intensities impact a wide range of neural network detectors.

Wads 3d Object Detection Dataset (Wads-3d) - Sequence 24, Yiming Yang, Jeremy P. Bos

WADS-3D

WADS-3D is a standard KITTI-format dataset designed for analyzing 3D object detection robustness in severe winter weather. Addressing the need for granular analysis of perception failure in snow, the dataset includes 4,100 frames and over 30,000 labeled car instances captured during heavy snowfall and winter-storm conditions. Derived from the large-scale multimodal WADS dataset, WADS-3D enables researchers to move beyond qualitative weather assessments and systematically evaluate how varying heavy snowfall intensities impact a wide range of neural network detectors.

Renee Wolf V. Progressive Pain Management Llc

2026 Decisions

USDC for the District of New Jersey

Renee Wolf V. Progressive Pain Management Llc

2026 Decisions

USDC for the District of New Jersey

Characterizing The Effect Of Plasticity Index On Monotonic And Cyclic Shear Behavior Of Natural Low-Plastic Silt Mixtures, Amir Barati-Nia

Dissertations and Theses

Low-plasticity silts are "transitional" soils prevalent in many seismically active regions, including the Pacific Northwest. Most research in the literature has historically focused on sand materials or clay materials, while low plastic silt does not fit either traditional "sand-like" or "clay-like" frameworks, resulting in a knowledge gap regarding this type of soil. Knowing the behavior of this type of soil is more important because it is susceptible to liquefaction or cyclic softening. Existing research on low-plastic silts is mostly based on either intact soil, where some parameters, such as the overconsolidation ratio (OCR) and plasticity index (PI), cannot be accurately …

Message From The President, Georgia Southern University

Messages from the President

No abstract provided.

Green Technology: A Systematic Review Of Ai And Iot Solutions For A Sustainable Future, Nesma Abd El-Mawla, Mohamed A. Berbar, Nawal A. El-Fishawy, Mohamed A. El-Rashidy, Mahmoud Badawy

Mansoura Engineering Journal

Green technology offers a solution to the pressing environmental crisis. It can change the structure and generation of waste so as not to harm the earth, and people can become environmentally friendly. To address complex environmental challenges like climate change and pollution, innovative Artificial Intelligence (A.I.) and Internet of Things (IoT) solutions are essential. These technologies can help optimize resource use, reduce waste, and promote sustainable development. However, it's crucial to balance economic growth, social equity, and environmental protection when implementing green technologies. This survey paper systematically examines the landscape of Green Technology, focusing on its pivotal components: Measures of …

James Ingold ‘85 Receives Iwu’S Inaugural Legion Of Honor Award, Chris Francis

Press Releases 2020-2029

No abstract provided.

Fructosamine And Hba1c For Monitoring Diabetes In Pregnancy: Complementary Or Competing?, Yosra Htira, Chaima Jemai, Emna Fennira, Zohra Hadj Ali, Olfa Lajili, Imen Hedfi, Jihene Bettaieb, Faika Ben Mami

Sultan Qaboos University Medical Journal

Objectives: This study aimed to perform a comparative evaluation of glycaemic control using fructosamine and glycated haemoglobin (HbA1c) and to investigate the correlations between the means of these biomarkers and mean glycaemia in pregnant women. Methods: This prospective longitudinal study was conducted from January to December 2020 and included pregnant women with pregestational diabetes, recruited at the National Institute of Nutrition of Tunis, Tunis, Tunisia, before 12 weeks of amenorrhoea and followed-up until delivery. Results: A total of 71 pregnant women were included in this study. Glycaemic values decreased over the course of pregnancy and patients achieved …

Exploring The Landscape Of Ai In English Language Teaching: A Comprehensive Bibliometric Analysis, Zuliati Rohmah, Aura Bunga Tauhid

Bahasa dan Seni: Jurnal Bahasa, Sastra, Seni, dan Pengajarannya

This study provides a comprehensive bibliometric analysis of Artificial Intelligence (AI) applications in English Language Teaching (AI-ELT), focusing on global research trends, influential authors, and emerging themes from 1986 to 2024. The findings reveal a significant surge in AI-ELT publications since 2019, driven by technological advancements, the COVID-19 pandemic, and the growing integration of adaptive learning systems, natural language processing tools, and AI-driven chatbots. Notably, China leads in research output and citation impact, followed by contributions from Saudi Arabia, Indonesia, and the United States, underscoring regional disparities and opportunities for global collaboration. Key trends highlight the dominance of keywords like …

Finding Meaning In A Historical Fiction Of Cold War: A Case Study Of Pamuntjak’S Question Of Red, Margihon Bayu Putra Kaumpungan

Bahasa dan Seni: Jurnal Bahasa, Sastra, Seni, dan Pengajarannya

The Cold War and its legacy in Southeast Asia, has been considered as one of the darkest parts of the region’s history including in Indonesia. Efforts to capture the painful memory of the Cold War had been established through various means including fictional storytelling. Among many literature discussing the dark history of the era, Laksmi Pamuntjak “Question on Red” had its distinctive presence since it was written in English. The utilization of English as a medium opens the door for English speaking readers to be able to dwell into a literature work that is considerably unfamiliar to their cultural context. …

Umn Morris Recognized By Carnegie Elective Classification For Community Engagement, Communications And Marketing

Campus News Archive

No abstract provided.

Transient Protein Structure Guides Surface Diffusion Pathways For Electron Transport In Membrane Supercomplexes, Chun Kit Chan, Jonathan Nguyen, Corey F Hryc, Chitrak Gupta, Kevin Redding, William Dowhan, Matthew L Baker, Alberto Perez, Eugenia Mileykovskaya, Abhishek Singharoy

Faculty, Staff and Student Publications

The exact biological role of mitochondrial supercomplexes remains debated, particularly their role in guiding redox proteins across membranes during energy conversion. We integrate multiscale modeling and single particle cryo-electron microscopy (cryo-EM) to examine electron transfer in mitochondrial supercomplexes composed of complexes III and IV (CIII and CIV). Using bioinformatic and entropy-based methods, we generated structural ensembles capturing conformations of CIII's disordered QCR6 hinge within the yeast CIII2CIV2 supercomplex. Molecular and Brownian Dynamics simulations reveal that these negatively charged hinge states electrostatically couple with redox proteins, promoting their binding and directional diffusion across the membrane on millisecond timescales. Rather than hindering …

Evidence-Based Team Intervention To Reduce Diagnostic Errors In Anaemia And Ckd Diagnoses In Primary Care: Protocol For A Stepped-Wedge Cluster Rct, Zhanna Novikov, Nikhilesh Mehra, Xiao Li, Rebecca Wells, Madelene Ottosen, Kevin Hwang, Elenir B C Avritscher, Charles Green, Kyung Hyun Lee, Xochitl Oguin, Mariesa Janecka, Mary Espinoza, Bolanle Adebowale, Alejandro Araya, Amer Wahed, Eric Thomas

Faculty, Staff and Student Publications

Introduction: Diagnostic errors in primary care are common, particularly in the interpretation and follow-up of abnormal haemoglobin (Hgb) and estimated glomerular filtration rate (eGFR) results. These errors frequently result in missed or delayed diagnoses of serious conditions such as anaemia and chronic kidney disease. This protocol describes a stepped-wedge cluster randomised controlled trial designed to evaluate a novel, evidence-based, team-based intervention aimed at improving diagnostic safety and efficiency.

Methods and analysis: The study will be conducted across 12 University of Texas Physicians (UTPs) primary care clinics in Houston, Texas, USA. Adult patients (≥18 years) with newly identified abnormal Hgb or …

Comparative Analysis Of Ctdna Monitoring Strategies In Advanced Nsclc With Met Exon 14 Skipping Mutations Treated With Ensartinib, Mo Zhou, Yin Zhu, Xuqi Sun, Ying Han, Rui Jin, Panwen Tian, Jun Zhao, Yang Jin, Zhiyuan Guo, Yongchang Zhang, Yiran Meng, Fei Liu, Wen Li, Xiuning Le, Haifeng Shen, Yang Xia

Faculty, Staff and Student Publications

Mesenchymal-epithelial transition exon 14 skipping mutations (METex14) define a targetable molecular subset of non-small cell lung cancer (NSCLC), but optimal circulating tumor DNA (ctDNA) biomarkers to guide MET tyrosine kinase inhibitor therapy remain undefined. Within the EMBRACE trial of ensartinib, we conducted a prospective biomarker analysis with plasma collected at baseline (V0) and 4 weeks after treatment initiation (V1). ctDNA was profiled using a hybrid-capture next-generation sequencing panel covering 229 cancer-related genes, and mutations were classified into three monitoring paradigms: MET-specific alterations, canonical alterations (tier I/II), and pan-alterations (any variant in any gene on the panel). Baseline ctDNA positivity rates …

Phase I Study Of Bevacizumab And Temsirolimus Combination Therapy In Advanced Malignancies: Safety, Efficacy, And Ovarian Cancer Expansion, Sarina A Piha-Paul, Chieh Tseng, Emily Thompson, R Jason Stafford, Hung Le, Lei Kang, Siqing Fu, Apostolia Tsimberidou, George Blumenschein, Jordi Rodon Ahnert, John M Slopis, David Hong, Aung Naing, Funda Meric-Bernstam, Chaan S Ng, Shannon Westin, Anil K Sood

Faculty, Staff and Student Publications

Background: Bevacizumab and temsirolimus target angiogenic and mTOR pathways in cancer progression.

Methods: This phase I study enrolled 48 heavily pretreated patients with advanced solid tumors, including an ovarian cancer expansion cohort. Patients received bevacizumab biweekly plus temsirolimus weekly in a 3 + 3 design to assess safety, maximum tolerated dose (MTD) and dose-limiting toxicities (DLTs). Exploratory analyses included tumor genomic profiling and dynamic contrast-enhanced MRI (DCE-MRI).

Results: Patients had a median age of 59 and median four prior therapies. Common tumor types were ovarian (27%) and head and neck (15%). Treatment-related adverse events occurred in 93.8%, with 31.3% ≥grade …

Endothelial Oncogenic Kras Mutation Drives The Dynamics Of Microglia And Macrophages In Brain Arteriovenous Malformation, Hyejin Park, Jung-Eun Park, Bridger H Freeman, Bosco Seong Kyu Yang, Shun-Ming Ting, Alexander K Suh, Jude Pj Savarraj, Shuning Huang, Jakob Körbelin, Huimahn Alex Choi, Sean P Marrelli, Jaroslaw Aronowski, Peng Roc Chen, Eunhee Kim, Eun S Park

Faculty, Staff and Student Publications

Mutation of KRAS in endothelial cells (KRAS-EC) leads to intracerebral hemorrhage (ICH) in brain arteriovenous malformations (bAVM), resulting in severe disabilities or even death. However, it is unclear what causes this hemorrhagic conversion of bAVM. Here, using a locally established, clinically-relevant sporadic bAVM mouse model, created by overexpressing mutant KRAS (KRASG12V) in the brain EC, we demonstrate that KRAS-EC act as trigger for microglia (MG) activation and infiltration of macrophages (Mϕ). Using three-dimensional immunostaining approach with cleared human and mouse bAVM tissues, we demonstrate an abundance of MG/Mϕ around the bAVM nidus. The presence of MG/Mϕ are correlated to the …

The Setd2 L1609p Mutation Found In Leukemia Disrupts Methyltransferase Activity And Reduces Histone H3k36 Trimethylation, Christina Michail, Jérémy Berthelet, Ariel E Mechaly, Linh-Chi Bui, Haopeng Yang, Duo Cai, Amira Al Mahi, Aowei Xie, Valeria Bisio, Valentina Sirri, Jean-Marie Dupret, Fabien Guidez, Ximing Xu, Nicolas Joly, Leslie Regad, Mireille Viguier, Frédérique Deshayes, Nicolas Dulphy, Michael R Green, Ahmed Haouz, Fernando Rodrigues Lima

Faculty, Staff and Student Publications

SETD2 is the primary methyltransferase responsible for generating H3K36me3, an epigenetic mark that is essential for transcriptional regulation and chromatin integrity. SETD2 mutations are frequently observed in various cancers and tend to cluster within its catalytic SET domain. Despite the clinical relevance of SETD2 missense mutations in cancer, their biochemical and structural consequences remain insufficiently characterized. Here, we present the enzymatic and structural characterization of the SETD2 L1609P mutant enzyme identified in leukemia. The L1609 residue is located in the SET domain within a conserved hydrophobic pocket that is involved in substrate H3K36 recognition. Interestingly, site-directed mutagenesis of residues within …

Recommendations From The Blue Ribbon Panel On Fluoroscopy Safety, Dustin A Gress, M Mahesh, Kevin W Dickey, John F Angle, D Duane Baldwin, Stephen Balter, Wayne Batchelor, Lisa Bruedigan, Christopher Davis, Deirdre Elder, R Paul Guillerman, Maged N Guirguis, David Hardwick, Carrie M Hayes, Jeremy J Heit, A Kyle Jones, Melissa Kirkwood, Andrew Kuhls-Gilcrist, Bonnie Martin-Harris, William W Mayo-Smith, Sarah E Mckenney, Richard Miguel, Donald L Miller, Eric Monroe, Kristi Moore, Thomas L Morgan, Kari J Nelson, Kathryn Petrovic, Shellie Pike, Carlos A Pino, Travis Prowant, Jonathan W Revels, Vinil Shah, Andrew Y Wang, David B Weiss, Darcy J Wolfman, Kevin A Wunderle, Jessica Zarzour, Michael E Zychowicz, Alan H Matsumoto

Faculty, Staff and Student Publications

There are many challenges associated with the safe use of fluoroscopy. These challenges include but are not limited to highly variable regulatory requirements, scope of practice concerns, inconsistent education and training, and lack of staff empowerment. Challenges are further compounded by the increasing use of fluoroscopy across a wide range of medical specialties. To facilitate consensus on how to address the issues, the ACR convened the multidisciplinary Blue Ribbon Panel on Fluoroscopy Safety (BRP-FS), with 32 organizations represented. The goal of the BRP-FS is to establish multi- and interspecialty consensus standards for the safe use of fluoroscopy in health care, …

Zingiber Officinale-Mediated Zinc Oxide Nanoparticles: Antimicrobial Activity Against Multidrug-Resistant Bacteria, Maureen Bakor Tabe, Ovgu Isbilen, Jennifer N Walker, Ender Cinar

Faculty, Staff and Student Publications

Background: The fight against infectious diseases has transformed over the past century with the emergence of multidrug-resistant bacteria, where pathogens that exhibit resistance to multiple antibiotic classes leading to significant challenges to modern medicine. Zingiber officinale is well-documented to exhibit diverse biological activities, including strong antioxidant, antimicrobial, and anti-neuroinflammatory effects. Zinc oxide nanoparticles can be synthesized cost-effectively and are widely utilized in biomedical applications, including their use as anticancer agents and drug-delivery systems, as well as for their intrinsic antibacterial and anti-inflammatory properties. In this study, we aimed to take a combinatorial approach to investigate the antimicrobial effects of Z. …