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Reinforcing Nurse Leadership Rounding in Pediatric Float Pool Through Use of a Checklist Tool
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If It Doesn\u27t Fit, You Must Acquit : The Perception of Evidence
Get PDFThe legal process of the criminal justice system may be rooted in facts, but how a jury interprets those facts is inherently subjective. Their perception is influenced by how the case is framed, who is speaking, and how compelling the story is, not just by the evidence alone. This paper explores how psychological factors impact the perception of evidence in court by comparing the People v. Simpson murder trial and the Depp v. Heard defamation lawsuit. Both trials involved large amounts of forensic or digital evidence, expert witness testimony, and media attention, but produced very different outcomes.
In the Simpson trial, the prosecution’s weak delivery, questionable chain of custody, and unreliable witnesses raised significant doubt in the jury despite the strong forensic evidence, ultimately resulting in an acquittal. In contrast, the Depp trial featured clearly presented arguments, professional expert testimony, and organized evidence that gave the jury confidence in Depp’s claims. These cases highlight how jury perception can be shaped by more than just facts alone. Presentation, clarity, demeanor, and perceived credibility and integrity can all influence how evidence is interpreted.
Additional factors, such as confirmation bias and the CSI effect, further impact how jurors process and evaluate information during a trial. Strong evidence can be ignored or deemed invalid in the eyes of the jury if it is mishandled, poorly explained, or comes from a seemingly untrustworthy source. By analyzing these two high-profile cases, this paper emphasizes how psychological perception often determines the outcomes in a courtroom, rather than factual validity. These findings suggest that how evidence is delivered can be just as important as what the evidence actually proves
Enhancing Patient Safety: Protocol for Early Identification and Prevention of High-Dose Methotrexate Toxicity
No full textComparing Oyster Condition and Prevalence/Intensity of Oyster Macroparasites between Aquaculture Grow-Out Methods
No full textComparing oyster condition and prevalence/intensity of oyster macroparasites between aquaculture grow-out methods
Amanda J. Smentkowski1, Loretta A. Fernandez2, Jonathan H. Grabowski2, A. Randall Hughes2, David L. Kimbro2, Olivia A. Griffin1, and Torrance C. Hanley1
1Sacred Heart University, Department of Biology, Fairfield, CT
2Northeastern University, Department of Marine and Environmental Sciences, Nahant, MA
Oyster aquaculture provides numerous ecosystem functions and services and is an economically-valuable component of seafood production in the United States. However, parasite exposure and infection can impact the short- and long-term sustainability of oyster aquaculture. Aquaculture practitioners use multiple farming techniques, such as on-bottom cages and floating bags, to optimize oyster condition and marketability. These different methods expose oysters to a variety of micro-and macro-parasite species that can independently and interactively affect oyster health, but the relationship between grow-out methods and single and multiple parasite infections - and the consequent effects on oyster condition - require further study. Here, we compared condition of oysters grown on-bottom vs floating at four aquaculture sites in Massachusetts, and measured prevalence and intensity of multiple common macroparasites (boring sponge and mud blister worm) from July to December in 2023 and 2024. We found that oysters grown in on-bottom cages had consistently worse condition than oysters grown in floating bags, though the magnitude of these differences varied across aquacultures sites. Similarly, macroparasite prevalence and intensity varied across site x depth combinations. Our findings can be used to inform aquaculture practice in New England, specifically how parasite exposure depends on farming methods and the consequences for oyster condition and marketability
Lactate Limits: A Comparative Analysis of Cycling vs. Running
Get PDFObjectives: 1. To apply Scientific analysis techniques to a PPC service.2. To apply Business analysis techniques to a PPC service.2. To create meaningful visualizations that convey insights from your work, research, and analysis.3. To present your findings through an academic poster format.4. To improve your research and presentation skills
Implementing Home Blood Pressure Monitoring to Identify Essential Hypertension: A Quality Improvement Project
No full textBackground White coat hypertension (WCH) affects around 12-15% of the population and may lead to a misdiagnosis of hypertension (HTN) and unnecessary treatment. The American College of Cardiology (ACC) and the American Heart Association (AHA) recommend home BP monitoring (HBPM) to aid in differentiating between WCH and HTN. A HBPM program was implemented in a primary care office.
Project Goals
1. Educate providers about the ACC/AHA guidelines promoting HBPM to assist in differentiating between WCH and HTN in patients with elevated office blood pressures (BP).
2. Implement a HBPM algorithm for patients presenting with a BP \u3e 130/80 mmHg.
Methods The DNP student received a donation of over 40 Braun BP machines. Patients with an in-office BP \u3e 130/80mmHg were provided a BP machine and instructed to track BP at home for several weeks. An educational sheet and BP logs were distributed to ensure proper technique. Based on home readings, patients were diagnosed with either WCH or essential HTN.
Results Sixteen participants (48%) returned completed BP logs. Four (25%) were diagnosed with WCH. Twelve patients (75%) fit the essential HTN criteria. Of those 12 patients, 8 (66%) had anti-hypertensive medications initiated, or an additional anti-hypertensive added to their regimen.
Conclusion
Home BP monitoring enhanced diagnostic accuracy and supported shared decision-making between providers and patients. This approach should be standard for patients with office BP readings \u3e 130/80mmHg
Optimizing Care for Heart Failure Patients with Reduced Ejection Fraction: A Quality Improvement Project on Guideline Directed Medical Therapy Adherence
Get PDFSignificance and Background: Heart failure with reduced ejection fraction (HFrEF) remains a major cause of hospital readmissions, increasing both healthcare utilization and patient morbidity. Guideline-Directed Medical Therapy (GDMT) has been proven to reduce mortality and hospitalizations; however, adherence to these evidence-based guidelines remains inconsistent (Yancy et al., 2022).
Purpose: This quality improvement project aimed to evaluate whether enhancing GDMT adherence in an outpatient heart failure clinic could reduce emergency room (ER) admissions among patients with HFrEF.
Methods: A structured intervention was implemented at a local healthcare system Cardiology Clinic, focusing on optimizing adherence to GDMT in 60 patients with HFrEF. The project incorporated provider education, standardized medication titration protocols, and systematic medication reconciliation. Baseline and post-intervention data were collected over a 6-month period, assessing ER admission rates and compliance with GDMT.
Outcome: The intervention led to a 5% reduction in ER admissions, though the limited timeframe restricted the ability to observe long-term trends. Significant improvements were observed in the prescription rates of the four core GDMT drug classes (ARNI/ACEi/ARB, beta-blockers, MRAs, and SGLT2 inhibitors), aligning with current heart failure guidelines (McDonagh et al., 2021). Key barriers identified included patient noncompliance, medication cost constraints, and provider hesitancy in titration.
Discussion: While the reduction in ER admissions was modest, the project successfully demonstrated the feasibility of integrating structured GDMT adherence strategies in an outpatient heart failure setting. Future efforts should focus on extending the evaluation period, addressing patient-specific adherence challenges, and reinforcing provider adherence to GDMT protocols. These findings underscore the importance of sustained quality improvement efforts in optimizing heart failure management and reducing preventable hospital visits
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