Digital Commons Network^™

Improving Rsv Vaccination Uptake Through Nurse-Led Educational Intervention, Lawrence Onuorah

Walden Dissertations and Doctoral Studies

In this quality improvement project, the DNP scholar explored the impact of a nurse-led staff education approach on improving respiratory syncytial virus (RSV) vaccine uptake. RSV disease results in negative health outcomes and even death among vulnerable individuals. Despite the availability of U.S. Food and Drug Administration (FDA)-approved vaccines, uptake remains low due to limited provider knowledge and inconsistent vaccine recommendations. Therefore, the project question addressed whether a staff education program would increase providers’ perceived knowledge of RSV vaccine recommendation and confidence to engage in patient education. The purpose of this quality improvement project was to implement a nurse-led staff …

Strategies To Reduce Staff Shortages In A Freestanding Dialysis Clinic In Rural Georgia, Shayla Daniell Sanders

Walden Dissertations and Doctoral Studies

Vacancy rates are a current problem in a freestanding outpatient dialysis clinic in rural communities. From an administrative perspective, vacancy rates increase costs associated with recruitment, onboarding, training, overtime and compromise the quality and safety of patient care. The purpose of this integrative review was to identify evidence-based strategies to decrease vacancy rates in rural Georgia dialysis clinics. Donabedian’s framework of structure, process, and outcome was used for this integrative review. The integrative review question explored evidence-based strategies that can decrease vacancy rates in dialysis clinics in rural Georgia. Out of 50 articles reviewed using the John Hopkins Evidence-Based Practice …

Nursing Staff’S Perception Of The Implementation Of The Obstetric Emergency Code Pink, Mareena Johnson

Walden Dissertations and Doctoral Studies

The local nursing practice problem addressed by this DNP doctoral project was the inconsistent and uneven response to obstetric emergencies within the health care setting. The purpose of this project was to evaluate the current implementation of the Code Pink protocol, identify any gaps or barriers in its effectiveness, and gather insights from nursing staff to propose refinements that would enhance its reliability and impact., The perception of nursing staff regarding obstetric emergency codes represents a critical dimension in the domain of maternal and neonatal health care, significantly influencing the efficacy of emergency responses and patient outcomes. Obstetric emergencies, such …

Elementary Teachers’ Perceptions About Teaching Students With Disabilities In The General Education Classroom, Mackenzie Rathburn

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that elementary teachers encounter challenges to meet the diverse needs of students with disabilities (SWDs) in Georgia’s general education classrooms, despite policy mandates requiring inclusive education. Grounded in Ajzen’s theory of planned behavior, the purpose of this basic qualitative study was to explore elementary teachers’ perceptions of the challenges they face and the resources and supports recommended to teach SWDs in general education classrooms. Data were collected through semistructured interviews with 10 elementary general education teachers and analyzed using thematic analysis with the following six themes emerging: Teachers noted (1) instructional …

Best-Practice Patient Education On Glp-1, Low-Glycemic Diet, Intermittent Fasting, And Exercise For Weight Loss In Obese Nondiabetics, Clara Green

Walden Dissertations and Doctoral Studies

Executive Summary: Clinical Practice Guideline Best-Practice Patient Education on GLP-1, Low-Glycemic Diet, Intermittent Fasting, and Exercise for Weight Loss in Obese Nondiabetics by Clara Green MS, Walden University, 2020 BS, University of Texas at El Paso, 2014 Executive Summary Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University August 2026

Managerial Strategies For Increasing The Engagement And Retention Of Retail Employees, Dorothy Kelly Williams

Walden Dissertations and Doctoral Studies

A lack of employee engagement strategies to increase worker retention is a concern for managers in the retail industry. This problem is important because without such strategies, organizations may experience turnover, which undermines operational stability, customer experience, and profitability. Grounded in employee engagement theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective employee engagement strategies that retail managers use to increase employee retention. Participants were six retail managers in the southern United States, each with at least 3 years of experience managing employees. Data sources consisted of semistructured interviews, public documents, and related studies. Thematic …

State Legislatures: Guardians Of The Federal Balance, Practical Strategies For Monitoring, Strengthening, And Sustaining American Federalism (Remarks), Christian G. Fritz

Faculty Scholarship

My remarks today are drawn from my book, Monitoring American Federalism: The History of State Legislative Resistance, and from an essay I wrote this year for the Center for the Study of Federalism about the responsibility of state legislators to sound the alarm when the federal government overreaches its constitutional authority.

Anglada V. Bradford

All Decisions

In this action to quiet title, the Appellate Division, 2nd Department affirmed an order granting plaintiff leave to enter a default judgment, rejecting defendant's challenges to personal jurisdiction and request to serve a late answer. Defendant argued she was improperly served because she was residing in Aguilla with her husband and children at the time of service. The court found the process server's affidavit established prima facie proper service at the defendant's Brooklyn home. Respondent's evidence did not establish that she had ceased residing in Brooklyn. The court emphasized that a person may have more than one residence and concluded …

Telomere-To-Telomere Genome Assembly And A Pangenome For The Rat, Kai Li, Julia L Ciosek, Sergey Koren, Adam M Phillippy, Yaming Zhu, William A Lauer, Shelise Y Brooks, Gerard G Bouffard, Brandon D Pickett, Beth L Dumont, Melissa L Smith, Theodore S Kalbfleisch, Peter A Doris

The Brown Foundation: Institute of Molecular Medicine

We report a complete rodent telomere-to-telomere genome assembly from the brown rat, Rattus norvegicus. Annotation was enriched with multi-tissue long-read RNA sequencing and uncovered numerous novel genes. Assembly of both sex chromosomes reveals the absence of gene coding in the presumed pseudo-autosomal regions and the presence of centromeric satellite repeats on distal chromosome Y (chrY). We provide evidence of meiotic conjunction between Xp and Yq. The genome assembly reveals several expanded autosomal regions enriched for testis-expressed genes. Finally, we have generated a pangenome from recent high-quality assemblies of 8 distinct inbred rat strain genomes. This allows the strain-specific distribution of …

Race And Ethnicity And Overall Survival In Pediatric Acute Myeloid Leukemia, Daniel J. Zheng, Long Khuong, Catherine Aftandilian, Kira Bona, Emi H. Caywood, Caitlin W. Elgarten, Brian T. Fisher, Cody-Aaron L. Gathers, Taumoha Ghosh, M. Monica Gramatges, Gary Hettinger, Meret R. Henry, Yuan-Shung V Huang, Yimei Li, Kelly Maloney, Amir Mian, Tamara P Miller, Arunkumar Modi, Rajen Mody, Regina M. Myers, Haley Newman, Jose Ortiz, Alix E. Seif, Caroline Smith, Jamie Stokke, Naomi Winick, Jennifer J. Wilkes, Victor Wong, Richard Aplenc, Kelly D. Getz

Department of Pediatrics Faculty Papers

IMPORTANCE: Hispanic and non-Hispanic Black (hereafter, Black) children with acute myeloid leukemia (AML) have historically experienced worse survival outcomes compared with non-Hispanic White (hereafter, White) children. Understanding specific intermediate pathways underlying these outcome disparities is a critical step to directing interventional efforts and resources.

OBJECTIVE: To compare survival outcomes by race and ethnicity in a large contemporary cohort of pediatric patients with AML and to examine presentation acuity, frontline organ toxic effects, and relapse as potential mediators of any observed outcome disparities.

DESIGN, SETTING, AND PARTICIPANTS: This retrospective cohort study was analyzed from April 2025 to January 2026 and included …

Parental Thermal Environment Affects Offspring Resilience To Winter And Spring Weather Anomalies, Ruzhuo Chen, Mariel Dunn, Caroline A. Curtis, Mariana Abarca

Biological Sciences: Faculty Publications

Recent increases in the frequency and intensity of thermal anomalies can result in recurrent stressful weather events. Among annual insects, this phenomenon may expose parents and offspring to a succession of different weather anomalies (e.g. summer heatwaves and late spring frosts). Parental stress can alter offspring physiology and performance, potentially affecting their tolerance of environmental variation. We investigated the transgenerational effects of thermal anomalies on a univoltine wetland butterfly. We induced parental thermal stress by exposing pupae to a constant temperature, ranging from stressfully cold to stressfully hot (10 ◦C, 26 ◦C, 28 ◦C, 32 ◦C), for three days. Offspring …

Wilson Brito-Hidalgo V. Attorney General United States Of America

2026 Decisions

Agency

Draining The Risk, Holding The Line: A Nurse-Driven Approach To Catheter-Associated Urinary Tract Infection Prevention, Thy Nguyen

Master's Projects and Capstones

Catheter-associated urinary tract infections (CAUTIs) remain among the most common preventable healthcare-associated infections, with CMS eliminating reimbursement for hospital-acquired cases since 2008. Within a five-unit, high-acuity microsystem at an urban acute care hospital, four CAUTIs were documented between January and July 2026 despite established prevention protocols. Adherence gaps were identified in catheter necessity assessment, maintenance practices, and nurse-driven removal protocol use. This quality improvement project was guided by the Johns Hopkins Evidence-Based Practice framework and Lewin's Change Theory. A targeted nursing education intervention addressing bladder scanning, dependent loop identification, and catheter care bundle adherence was implemented across the microsystem over …

Pre-Implementation Factors For Active Music Engagement (Ame): Barriers And Facilitators To Integrating An Evidence-Based Dyadic Intervention Into Pediatric Oncology Care., Kristin M. Story, Elizabeth Harman, Kristin Stegenga, Jelena Golubovic, Sheri L. Robb

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Pediatric cancer treatment is a difficult and distressing experience that often results in sustained, interrelated distress in young children and parents, and traumatic stress symptoms for some parents. Few evidence-based interventions address this dyadic distress. Active Music Engagement (AME) is a manualized, evidence-based music play intervention that significantly reduces distress in child/parent dyads and mitigates traumatic stress and improves well-being among highly distressed parents and those experiencing sociodemographic risk. Successfully integrating AME into standard care requires a systematic understanding of implementation factors. This study aimed to identify site-specific barriers and facilitators that influenced successful AME delivery during a recently …

The Byu Advocate, J. Reuben Clark Law School

The BYU Advocate (& Annual Reports)

"Experiential learning opportunities in law school have expanded dramatically, but pressure remains for students to graduate ready to practice. Artificial intelligence (AI) is transforming education and legal practice, generating questions about how and what to teach and raising uncertainties about future employment. At the same time, big firms are interviewing students in their first semester and extending offers before or shortly after first-semester grades are out."

– David H. Moore

Dosimetric Comparison Between Geometric Centroid And Minimax Isocenter Placement In Single Isocenter Multitarget Stereotactic Radiosurgery Plans In Hyperarc, Matthew Gloudeman

Masters Projects

Single-isocenter multi-target (SIMT) stereotactic radiosurgery (SRS) utilizing Varian HyperArc streamlines clinical workflows but introduces geometric sensitivity for distant outlier lesions when rotational and setup uncertainties are taken into account. The default isocenter location in the HyperArc workspace is the geometric centroid, which is inherently biased toward clusters of lesions. This study evaluates the dosimetric plan quality of an alternative minimax isocenter strategy, which minimizes the maximum lesion-to-isocenter distance, shortening the rotational lever arm to enhance mechanical robustness. Two fractionated SRS (fSRS) plans were generated for ten patients with 3-5 brain metastases using identical beam configurations: one using HyperArc’s default geometric …

The Impact Of Scar Wires On Dose Distribution Of Electron Fields, Ahmad Nour

Masters Projects

Purpose: This phantom study looked at whether changing the Hounsfield unit (HU) value for radiopaque scar wires in Eclipse changed the calculated electron dose distribution. Methods and Materials: Radiopaque wires were placed in the same abdominal area on an anthropomorphic phantom. The wires were set up in a circle. The CT images were brought into Eclipse, the wires were contoured, and the planning target volume was made 1 cm inside the circle of wire. For every wire size and electron energy, two matching plans were made: one plan with no density override and one plan with a density override applied …

Cone Vs. Volumetric Modulated Arc Therapy (Vmat) Stereotactic Radiosurgery (Srs) Planning For Multiple (7) Brain Targets: Dosimetric Tradeoffs And Clinical Decision Guidance, Juan Garcia

Masters Projects

Purpose: This study compared cone-based stereotactic radiosurgery (SRS) and single-isocenter volumetric modulated arc therapy (VMAT) for multiple (7) intracranial targets to evaluate differences in target coverage, conformality, dose falloff, and normal brain exposure.

Methods: A phantom-based study was performed using progressively increasing configurations of 10-mm spherical targets, from one to seven targets. Cone-based SRS and VMAT plans were evaluated using D99, CI100, CI50, gradient index (GI), maximum dose, V12Gy, and V5Gy.

Results: Both planning techniques achieved similar target coverage. Cone based SRS produced a steeper dose gradient, with a mean GI of 2.99 compared with 4.66 for VMAT ( …

Documents From The August 12, 2026 Meeting Of The University Of Montana Staff Senate, University Of Montana--Missoula. Staff Senate

University of Montana Staff Senate Meeting Minutes

Agenda and minutes from the University of Montana Staff Senate August 12, 2026 Meeting. Highlights include a guest presentation from Internal Communications and Employee Engagement as well as senator reconfirmations.

Psychotropic Medication Prescribing To Children And Young People Mental Health Inpatient Services: An English National Study, David Branford, Anne Webster, Marinos Kyriakopoulos, Shermin Imran, Prathiba Chitsabesan, Tina Irani, Teresa Randon, Kirsten Peebles, Rohit Shankar

Peninsula Medical School

Background:Mental disorders frequently begin in childhood or adolescence. Worldwide, psychotropics are commonly prescribed for under-18s to stabilise behaviour, mood or thoughts. Psychotropics could cause long-term effects on children and young people (CYP) health, growth and development. There is a knowledge gap about psychotropic prescribing in CYP mental health inpatient units.Aims:To understand and compare psychotropic prescribing patterns in England mental health inpatient units for CYPs and to solicit CYP and their parents’ and carers’ views of it.Method:A national Quality Improvement programme authorised by National Health Service (NHS) England invited all English CYP mental health inpatient units to participate. The programme included …

Mccrea V. Crawford

All Decisions

Handwritten opinion. In this holdover proceeding, after trial, the court dismissed the petition because Petitioner's Good Cause Eviction Law notice under RPL § 231-c failed to disclose all of the properties owned by the landlord, as required for the small landlord exemption.

Pcmh 2950 Grand Concourse L.P. V. Wilson

All Decisions

In a nuisance holdover proceeding, tenant moved to dismiss and filed a subpoena; landlord moved to quash the subpoena. The court held that the Good Cause Eviction Law notice requirement under RPL § 231-c applies to nuisance holdover proceedings brought under RPAPL § 741, distinguishing prior authority to the contrary. Landlord's motion to quash the subpoena was denied and production of the subpoenaed records was ordered.

Alvarez V. Z&Y Llc

All Decisions

In this Housing Preservation (HP) action, the court granted petitioner's motion to amend the petition to add a harassment claim and to add the Department of Buildings (DOB) as a nominal respondent (the DOB addition had been opposed). The court held that the proposed pleading stated a cognizable claim sounding in landlord-tenant harassment under the Housing Maintenance Code, citing Berg v Chelsea Hotel Owner, LLC, 203 AD3d 484 [1st Dept 2022]. In adding DOB, the court held that given DOB's specialized role in enforcing regulations related to structural stability, joining DOB as a nominal party would promote the public interest …

Eastern 1090 Realty Llc V. Joseph

All Decisions

Landlord moved for leave to reargue the court's prior denial of a default judgment against pseudonymous respondents John Doe and Jane Doe. The court denied reargument, holding that a landlord seeking default judgment against unnamed respondents must still demonstrate due diligence in attempting to identify the individuals by name and provide a description sufficient to fairly apprise them that they are the intended defendants, and that a defaulting party's admission of traversable allegations does not relieve the petitioner of establishing a prima facie case.

210-212 East 87th Street, Llc V. Kaitz

All Decisions

Landlord commenced a lease-expiration holdover proceeding. The court dismissed the petition sua sponte under CPLR § 409(b), finding the annexed Good Cause Eviction Law notice fatally contradictory: it simultaneously indicated the premises was not subject to GCEL and that it was, and that the landlord both was and was not offering a renewal lease. The irreconcilably contradictory notice failed to meet the baseline requirement of a clear, unambiguous predicate notice.

Ai Cyber First Responders: Bottleneck Analysis Of Heterogeneous Cpu–Gpu Pipelines For Security Operations Center Triage, Christine Pierce

Harrisburg University Other Works

Abstract — Modern Security Operations Centers (SOCs) must continuously process massive volumes of heterogeneous security telemetry while meeting stringent throughput, latency, and operational continuity requirements. Although transformer-based artificial intelligence has significantly improved threat detection and alert prioritization, most cybersecurity research evaluates model accuracy rather than the end-to-end behavior of AI-enabled operational pipelines. Consequently, relatively little is known about how heterogeneous CPU–GPU coordination, scheduling overhead, memory movement, and synchronization collectively influence operational SOC performance. This paper presents the AI Cyber First Responder, a heterogeneous SOC triage architecture that integrates GPU-accelerated transformer inference with CPU-based doctrine-driven reasoning to investigate end-to-end pipeline behavior …

System Leadership For Sdg-Aligned Research Security In Ireland, Seán Lacey

Publications

What is new?

Research security has rapidly emerged as a priority in research governance across Europe and internationally. However, discussions frequently frame research security primarily in terms of national security or geopolitical risk, with limited attention to how security measures intersect with sustainable development objectives. This paper addresses this gap by exploring the relationship between research security and the Sustainable Development Goals (SDGs), using the emerging Irish research security framework as an illustrative context. It argues that research security and sustainable development are not inherently in conflict; however, aligning them requires coordinated system leadership to ensure that security measures protect …

Psychological Interventions For Children With Neurodevelopmental Disabilities In The Context Of Neurodiversity: A Systematic Review, Kalliopi Megari, Dimitra V. Katsarou, Evangelos Mantsos, Soultana Papadopoulou, Efthymia Efthymiou, Maria Theodoratou, Maria Sofologi, Eugenia Toki

All Works

Highlights What are the main findings? What is the implication of the main finding?Highlights What are the main findings? What is the implication of the main finding?Abstract Background/Objectives: This systematic review examines psychological interventions for children with neurodevelopmental disabilities within a neurodiversity framework, emphasizing that variations in cognition, behavior, and neurological functioning represent natural forms of human diversity rather than deficits. Methods: A systematic literature search was conducted across the PubMed, PsycINFO, and Google Scholar databases for studies published between 2010 and 2025. Studies were included if they focused on children with autism spectrum disorder (ASD), learning or intellectual disabilities …

Syllabus: Political Philosophy (Philo 24600 / Polsc 20401), Georgie Malone

Open Educational Resources

This syllabus was created for Political Philosophy (PHILO 24600) (POLSC 20401) at Hunter College. It is an intermediate/advanced introduction to key texts in the history of political philosophy. Course description: In this course, we will journey through the major contributions of those thinkers that have shaped the field we call political philosophy. We will begin with Plato and Aristotle, followed by the social contract theorists of the early modern period—Hobbes, Locke, and Rousseau—before turning to the critical perspectives of Fanon and Marx. We will then turn to the vastly influential work of 20th century liberal philosopher John Rawls and …

Generative Ai In Nursing Education: Opportunities, Challenges And Educator Preparedness, Elizabeth L. Woods, Desiree Mullis Clement, Kandice Pampuri, Maggie Pustinger, Quyen Phan

International Nursing Research Congress (INRC)

Background: Generative AI is transforming clinical nursing education, highlighting the urgent need to train nurse educators with the knowledge, tools, and confidence for practical use. AI tools are quickly impacting content, student preparation, and teaching methods, creating both opportunities and challenges. AI offers both advantages and obstacles in clinical content creation; however, advantages do not replace nursing experience. Due to its rapid integration into education, many educators remain cautious about responsible implementation because of ethical concerns.

Purpose: This study examines changes in participant knowledge and confidence in the use of AI tools in clinical education among clinical nurse educators from …