Digital Commons Network^™

Reducing Attrition In Medication-Assisted Treatment: Strategies From Behavioral Health Leaders, Tony Shaw

Walden Dissertations and Doctoral Studies

This qualitative case study explores strategies to reduce attrition rates in medication-assisted treatment programs, drawing on the perspectives of behavioral health leaders and guided by the principles of the Baldridge Excellent Framework. It aims to implement effective strategies to enhance client retention and improve treatment outcomes. Drawing from 18 years of professional experience in behavioral health, this research analyzes current practices and identifies interventions to improve program effectiveness. Data collection includes case studies, surveys, and interviews with behavioral health leaders, providing a comprehensive view of the challenges and opportunities within these programs. The study revealed several key factors affecting retention …

Strategies Small Business Leaders Use To Retain Employees To Reduce Turnover Costs, Karla Gilchrist-Saunders

Walden Dissertations and Doctoral Studies

Failure to retain employees negatively affects organizational financial sustainability. Small business leaders become concerned when their organizations fail to retain employees, resulting in increased costs and decreased competitiveness, organizational knowledge, team dynamics, and valuable human resources. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry study was to identify and explore leadership strategies some small business leaders use to retain employees to reduce turnover costs. The participants were six small business leaders in the Washington, DC, metropolitan area with successful strategies used to retain employees to reduce turnover costs. Data were collected from semistructured interviews and publicly …

The Psychological And Physical Impact Of The Opioid Crisis On Families, Adrienne Antoinette Hunter Wells Green

Walden Dissertations and Doctoral Studies

Many rural areas in the United States have experienced an opioid crisis. Social support programs could be created to address social support for the families affected by opioid addiction. The purpose of this non-experimental, cross-sectional research study was to examine the possible relationship between (a) prescription or non-prescription addiction; (b) opioid addiction or another addiction; (c) the amount of family social support of a family member who has ongoing interactions with the individual struggling with addiction; and (d) stress of the family member in a rural area. Bowen’s family systems theory provided the theoretical framework for the study. A non-probability …

Noel Smith

African American Funeral Programs

Noel_Smith.pdf - Funeral program for Noel Smith

Targeting Corticotropin-Releasing Hormone Receptor Type 1 (Crhr1) Neurons: Validating The Specificity Of A Novel Transgenic Crhr1-Flpo Mouse, Mason Hardy, Yuncai Chen, Tallie Z Baram, Nicholas J Justice

Faculty, Staff and Student Publications

Corticotropin-releasing hormone (CRH) signaling through its cognate receptors, CRHR1 and CRHR2, contributes to diverse stress-related functions in the mammalian brain. Whereas CRHR2 is predominantly expressed in choroid plexus and blood vessels, CRHR1 is abundantly expressed in neurons in discrete brain regions, including the neocortex, hippocampus and nucleus accumbens. Activation of CRHR1 influences motivated behaviors, emotional states, and learning and memory. However, it is unknown whether alterations in CRHR1 signaling contribute to aberrant motivated behaviors observed, for example, in stressful contexts. These questions require tools to manipulate CRHR1 selectively. Here we describe and validate a novel Crhr1-FlpO mouse. Using bacterial artificial …

Recent Trends And Biases In Mesophotic Ecosystem Research, Veronica Z. Radice, Alejandra Hernández-Agreda, Gonzalo Pérez-Rosales, Ryan Booker, Jessica Bellworthy, Manon Broadribb, Gaby E. Carpenter, Clara Diaz, Ryan J. Eckert, Nicola L. Foster, Johanna C. Gijsbers, Erika Gress, Jack H. Laverick, Valerio Micaroni, Miriam Pierotti, Héloïse Rouzé, Angela Stevenson, Alexis B. Sturm, Pim Bongaerts

School of Biological and Marine Sciences

Mesophotic ecosystems (approx. 30-150 m) represent a significant proportion of the world's oceans yet have long remained understudied due to challenges in accessing these deeper depths. Owing to advances in underwater technologies and a growing scientific and management interest, there has been a major expansion in research of both (sub)tropical mesophotic coral ecosystems and temperate mesophotic ecosystems. Here, we characterize the recent global trends in mesophotic research through an updated release of the 'mesophotic.org' database (www.mesophotic.org) where we reviewed and catalogued 1500 scientific publications. In doing so, we shed light on four major research biases: a gross imbalance in (a) …

Amorfe: An Ai-Integrated Interactive Brainstorming Interface, Ipshita Pal

Theses

Amorfe is an interactive multi-touch digital interface that reimagines brainstorming and collaboration using artificial intelligence (AI). Designed to make ideation more dynamic, the platform allows participants to explore, merge, and refine ideas in real time. AI is a creative catalyst, offering unpredictable outcomes and streamlining the brainstorming process. This makes Amorfe engaging, intuitive, and inclusive, encouraging active participation. The platform’s potential was demonstrated through a hypothetical scenario: “How do we create more green spaces on the RIT campus?” Four participants explored various brainstorming phases through touch interaction, leading to the creation of a prototype simulation video and a promotional video. …

Considering The Impact Of Ai On The Professional Status Of Teaching, Benjamin D. Parker

Educational Studies

The purpose of this perspective essay is not to dissect the merits or deficits of AI in practice in classrooms, nor is it intended to approach the topic from a technical standpoint. Rather, this manuscript begins from a place of acceptance, recognizing that AI in education is already here and the adaptive and evolutionary nature of the technology positions it to maintain a presence in schooling spaces for the foreseeable future. From there, assuming AI will become further integrated into the fabric of schooling experiences, it seems necessary to take a step back and look holistically at the potential impact …

Social Learning And Cultural Enrichment For Fish Welfare, Chiawen Chiang, Becca Franks

Animal Sentience

This commentary examines how understanding animal culture—shared behaviors and knowledge transmitted through social learning—plays a role in advancing welfare practices for captive fishes. Despite extensive evidence of fishes' complex sociocultural capacities, their psycho-social needs remain underestimated and unmet in zoos and aquaria. We explore what considering fish culture might mean for welfare practices: diverse social learning opportunities, cultural development, and thoughtful group management. More knowledge about wild fishes' lives will help bridge the gap between their full, complex lives and current captive welfare practices.

How Do Female Arab International Students Negotiate Their Identities In The Esl Classroom In The Mid-Southern United States?, Sinaria Elmardi Hassan

Electronic Theses and Dissertations Archive

This dissertation explores how women of Islamic faith, as international students, negotiate their identities within the ESL classrooms in the mid-southern United States. Students in such categories face singular challenges at each juncture of gender, religion, and cultural background, especially in an educational system that does not always recognize or accommodate particular needs and experiences. The qualitative research design involved in-depth interviews with female Muslim students from various countries. This study aimed to determine how these students balanced their cultural and religious lives amidst the demands of the American academic environment, particularly in ESL settings where language acquisition was a …

Development Of New Controller And Associated Cybersecurity Issues With Battery Energy Storage Integrated With Microgrid, Syeda Afra Saiara

Electronic Theses and Dissertations Archive

Battery energy storage system (BESS) plays a crucial role in integrating renewable sources in microgrids. However, robust BESS controllers are needed to carry out this function properly. Existing controllers suffer from overshoots and slow convergence issues. This thesis proposes a novel Sigma Delta Modulation (SDM) controller for BESS in solar photovoltaic (PV) connected microgrids to address the limitations of existing controllers. The performance of SDM has been compared with that of the Proportional Integral (PI) and Fuzzy Logic based controllers. Also, the thesis addresses the cybersecurity issues in solar PV based microgrids. The Ensemble Learning technique and an Improved Ensemble …

Beyond The Surface: Understanding Temperature Polarisation In Dcmd Membranes Through Varied Operational Parameters, Hiras Ahamed Hijaz, Masoumeh Zargar, Abdellah Shafieian, Amir Razmjou, Mehdi Khiadani

Research outputs 2022 to 2026

Conventionally, a single Temperature Polarisation Coefficient (TPC) value is calculated to quantify Temperature Polarisation (TP). In this research, the extent of polarisation is investigated by capturing temperature profiles at specific points along a MD membrane using miniature thermocouples, eliminating the need for TPC calculations. The extent of polarisation at a point is affected by two contributory factors, namely the proximity of flow inlets and the difference in vapour pressure across the membrane at that point. Under this direction, this work examined the influence of permeate temperature, feed salinity, and flow direction on the development of the temperature profiles. Our analysis …

Schedulability Analysis Of Multi-Phase Limited-Preemption Tasks, Benjamin Standaert

McKelvey School of Engineering Graduate Student Theses & Dissertations

This work addresses hard real-time systems, in which tasks must be scheduled so that they are guaranteed to meet deadlines. In particular, when tasks execute across multiple domains with high preemption costs, the combined cost of these preemptions can cause the system to become unschedulable. The number of preemptions must therefore be bounded to limit the overall task execution time, while ensuring that task blocking times are small enough to allow the system to be schedulable. Prior work introduces the Multi-Phase Secure model, which describes a more exact version of this scenario, and an algorithm to determine schedulability of sporadic …

Codifying Domesticity: The Story Of The Recommended Minimum Requirements For Small Dwelling Construction Of 1923, The Housing Policy Of The Hoover Secretariat, And The Impact On American Residential Architecture, Noah Morris

Graduate School of Architecture & Urban Design Theses & Dissertations

During the nineteenth and twentieth centuries, fire disasters and health-safety issues led to the widespread adoption of building codes. While the National Board of Fire Underwriters published the National Building Code in 1905, the code did not maintain regulatory consistency across the nation. This lack of consistency across the nation and socio-economic factors contributed to a nation-wide housing shortage of a million units by 1919. During World War I, the government addressed the housing crisis through the United States Housing Corporation and Emergency Fleet Corporation, building public housing based on the ideals of the Garden City Movement.[1] Following the …

Brazilian Instrumental Music, U.S. Jazz, And Transnationalism: A Study Of National Identity In The Twentieth Century And Present, Felipe Guz Tinoco

Arts & Sciences Graduate Student Theses and Dissertations

This dissertation considers the relationship between Brazilian instrumental music, U.S. jazz, and Brazilian national identity from the early twentieth century to the present. Though the time frame is broad, the present work uses nationalism as an anchoring point through which I analyze multiple musical genres. Previous works have primarily examined songs and lyrics, particularly during the military dictatorship (1964-85), when words against the regime were censored and songwriters persecuted. However, listeners and musicians of instrumental music also engaged with discourses of national identity in profound terms before, during, and after this period, posing ideals of Brasilidade against cultural productions abroad, …

Long-Term Measurements Of Seasonal Snowpacks Indicate Increases In Mid-Winter Snowmelt And Earlier Snowpack Disappearance In The Northeastern U.S., Geoff Wilson, Mark Green, John Campbell, Alexandra R. Contosta, Nina Lany, Amey Bailey

Faculty Publications

Snowpacks are changing in northeastern North America as the regional climate warms, yet the relative influence of changes in precipitation compared to changes in ablation on snowpacks is poorly understood. We use 56 years of weekly snow water equivalent (SWE) measurements from three locations within a study site which vary in elevation and aspect, paired with adjacent daily climate measurements, to investigate relationships between climate and snowpack onset, maximum, and disappearance. Maximum snowpack size and snowpack duration are shrinking at all sites, at rates ranging from 4.3 days/decade at the coldest site to 9.6 days/decade at the warmest site. The …

Utility Of Colposcopy For The Screening And Management Of Cervical Cancer In Africa: A Cross-Sectional Analysis Of Providers’ Training And Practices, Joël Fokom Domgue, Issimouha Dille, Freddy Gnangnon, Sharon Kapambwe, Celine Bouchard, Nomonde Mbatani, Elodie Gauroy, Nathalie Ledaga Ambounda, Robert Yu, Fatoumata Sidibe, Joseph Kamgno, Bangaly Traore, Pierre-Marie Tebeu, Gregory Halle-Ekane, Mohenou Isidore Diomande, Jean-Marie Dangou, Fabrice Lecuru, Isaac Adewole, Marie Plante, Partha Basu, Sanjay Shete

Faculty, Staff and Student Publications

Introduction: Cervical cancer is a public health issue in Africa with devastating socioeconomic consequences due to the lack of organized screening programs. The success of screening programs depends on the appropriate investigation and management of women who test positive for screening. Colposcopic assessment following positive screening results is a noteworthy issue in Africa. This study aimed to assess the utilization of colposcopy by providers in the region.

Methods: A cross-sectional study was conducted in 2021-2022 among healthcare providers involved in cervical cancer prevention activities in Africa. They were invited to report prior colposcopy training, whether they performed colposcopy and the …

Characterization Of An Inorganic Powder-Based Scintillation Detector Under A Uhdr Electron Beam, Daline Tho, Sam Beddar

Faculty, Staff and Student Publications

Background: Ultra-high dose rate (UHDR) radiation therapy needs a reliable dosimetry solution and scintillation detectors are promising candidates. In this study, we characterized an inorganic powder-based scintillation detector under a 9 MeV UHDR electron beam.

Methods: A mixture of ZnS:Ag powder and optic glue was coupled to an 8 m Eska GH-4001-P polymethyl methacrylate (PMMA) optical fiber. We evaluated the dependence of the detector on dose per pulse (DPP), pulse repetition frequency (PRF), and pulse width (PW). Additionally, we determined the stability and the reproducibility of the detector.

Results: The signal ratio between the PMMA clear optical fiber and the …

Functional Properties Of Corticothalamic Circuits Targeting Paraventricular Thalamic Neurons, Guillermo Aquino-Miranda, Dounya Jalloul, Xu O Zhang, Sa Li, Gilbert J Kirouac, Michael Beierlein, Fabricio H Do Monte

Faculty, Staff and Student Publications

Corticothalamic projections to sensorimotor thalamic nuclei show modest firing rates and serve to modulate the activity of thalamic relay neurons. By contrast, here we find that high-order corticothalamic projections from the prelimbic (PL) cortex to the anterior paraventricular thalamic nucleus (aPVT) maintain high-frequency activity and evoke strong synaptic excitation of aPVT neurons in rats. In a significant fraction of aPVT cells, such high-frequency excitation of PL-aPVT projections leads to a rapid decay of action potential amplitudes, followed by a depolarization block (DB) that strongly limits aPVT maximum firing rates, thereby regulating both defensive and appetitive behaviors in a frequency-dependent manner. …

Suicide Risk Assessment And Student Competency In Cacrep-Accredited Master's Counseling Programs, Meghan Kyle O'Meara

Walden Dissertations and Doctoral Studies

Suicide remains a public health issue, demanding proficient training of future counselors in suicide risk assessment (SRA). However, concerns persist regarding the competency of counselors-in-training (CITs) in this crucial area. This study explored the predictive relationship between theory of planned behavior (TPB) constructs and students’ perceived competency in SRA. Grounded in the TPB, the research addressed how attitudes (ATT), subjective norms (SN), and perceived behavioral control (PBC) influence intentions and subsequent behavior, using a nonexperimental survey design to collect data from students in Council for Accreditation of Counseling & Related Educational Programs (CACREP)–accredited master's counseling programs via a comprehensive questionnaire. …

Examining The Internet Hunting Styles Of Violent Sexual Predators Who Rape And Murder Their Victims, Rebecca Meyers

Walden Dissertations and Doctoral Studies

The proposed study sought to explore the impact of the internet on the hunting styles of sexual predators who sexually assault and kill their victims. A sample of 32 cases, divided equally among offenders who used the internet to target adult females and those who did not use the internet, was used for the study. The findings showed that various internet-based platforms were used for targeting, including dating apps such as Grindr, Match.com, Meetme.com, Tinder, Craigslist, Sex chat rooms, Kik Messenger, and BDSM sites. Three themes emerged about the impact of the internet on the hunting styles of sexual predators …

Connections Between Household Socioeconomic Status, Modifiable Risk Factors, And Diabetes Status Among Adults In Jamaica, Sheriann Elizabeth Reid

Walden Dissertations and Doctoral Studies

Globally, diabetes is one of the most prevalent and challenging disorders. In Jamaica, the prevalence of the disease has increased by 42% since 2001. This study explored the connection between household socioeconomic status, modifiable risk factors, and diabetes status among adults in Jamaica using the social-ecological model. The study explored whether household socioeconomic status and modifiable risk factors were associated with diabetes and whether they predicted diabetes among Jamaican adults. A quantitative cross-sectional design was used to analyze data with 11,206 respondents from the Jamaica Survey of Living Conditions 2019 dataset. Binary logistic regression analysis revealed statistically significant associations between …

Comparison Of Vendor-Pretrained And Custom-Trained Deep Learning Segmentation Models For Head-And-Neck, Breast, And Prostate Cancers, Xinru Chen, Yao Zhao, Hana Baroudi, Mohammad D El Basha, Aji Daniel, Skylar S Gay, Cenji Yu, He Wang, Jack Phan, Seungtaek L Choi, Chelain R Goodman, Xiaodong Zhang, Joshua S Niedzielski, Sanjay S Shete, Laurence E Court, Zhongxing Liao, Fredrik Löfman, Peter A Balter, Jinzhong Yang

Faculty, Staff and Student Publications

Background/objectives: We assessed the influence of local patients and clinical characteristics on the performance of commercial deep learning (DL) segmentation models for head-and-neck (HN), breast, and prostate cancers.

Methods: Clinical computed tomography (CT) scans and clinically approved contours of 210 patients (53 HN, 49 left breast, 55 right breast, and 53 prostate cancer) were used to train and validate segmentation models integrated within a vendor-supplied DL training toolkit and to assess the performance of both vendor-pretrained and custom-trained models. Four custom models (HN, left breast, right breast, and prostate) were trained and validated with 30 (training)/5 (validation) HN, 34/5 left …

Characterization Of An Inorganic Powder-Based Scintillation Detector Under A Uhdr Electron Beam, Daline Tho, Sam Beddar

Faculty, Staff and Student Publications

(1) Background: Ultra-high dose rate (UHDR) radiation therapy needs a reliable dosimetry solution and scintillation detectors are promising candidates. In this study, we characterized an inorganic powder-based scintillation detector under a 9 MeV UHDR electron beam. (2) Methods: A mixture of ZnS:Ag powder and optic glue was coupled to an 8 m Eska GH-4001-P polymethyl methacrylate (PMMA) optical fiber. We evaluated the dependence of the detector on dose per pulse (DPP), pulse repetition frequency (PRF), and pulse width (PW). Additionally, we determined the stability and the reproducibility of the detector. (3) Results: The signal ratio between the PMMA clear optical …

Transcriptomic Clustering Of Chronic Lymphocytic Leukemia: Molecular Subtypes Based On Bruton’S Tyrosine Kinase Expression Levels, Gorkem Kismali, Ganiraju Manyam, Nitin Jain, Cristina Ivan, Betty Lamothe, Mary L Ayres, Lakesla R Iles, William G Wierda, Varsha Gandhi

Faculty, Staff and Student Publications

Historically, CLL prognostication relied on disease burden, reflected in clinical stage. Later, chromosome abnormalities and genomics suggested several CLL subtypes which were aligned with response to therapy. Gene expression profiling data identified pathways associated with CLL progression. We hypothesized that transcriptome and proteome may identify functional omics associated with CLL nosology. As a test cohort, we utilized publicly available treatment-naïve CLL transcriptomics data (n = 130) and did consensus clustering that identified BTK-expression-based clusters. The BTK-High and BTK-Low clusters were validated in public and our in-house databases (n = >550 CLL patients). To associate with functional relevance, we took samples …

Factors Affecting Sport-Related Concussion Non-Disclosure In Women's Rugby-A Multi-Country Qualitative Analysis, Lisa Ryan, Ed Daly, Katherine Hunzinger

Department of Exercise Science Faculty Papers

Background and Objectives: Collision-sport athletes, such as rugby players, are at risk of sport-related concussion (SRC). Women are known to be at higher risk of SRC and may experience more severe and chronic symptomology than men. Knowledge of the factors that affect a player’s disclosure of their concussive symptoms could help to inform strategies to improve compliance with reporting and management of head injuries. The aim of this study was to investigate the factors that may impact women rugby players’ disclosure of a concussion. Methods: Twenty-eight adult (≥18 years of age) elite and semi-elite women rugby players from the UK …

Deceased Donor Renal Allograft Utility In Adult Single And Multi-Organ Transplantation In The United States, Peter J. Altshuler, Adam S. Bodzin, Kenneth A. Andreoni, Pooja Singh, Anju Yadav, Jaime M. Glorioso, Ashesh P. Shah, Carlo B. Ramirez, Warren R. Maley, Adam M. Frank

Department of Surgery Faculty Papers

BACKGROUND: Deceased donor multiorgan transplants utilizing kidneys (MOTs) can improve outcomes for multiorgan recipients but reduces kidneys for chronic renal failure patients.

METHODS: We reviewed the Organ Procurement and Transplantation Network database from 2015 through 2019, for adult deceased donor kidney transplants. Recipients were classified as kidney transplant alone (KTA) (n = 62,252) or MOTs pancreas-kidney, simultaneous pancreas-kidney (n = 3,976), liver-kidney, simultaneous liver-kidney (n = 3,212), heart-kidney, simultaneous heart-kidney (n = 808), and "other"-kidney, simultaneous "other" kidney (n = 73).

RESULTS: Liver, heart, and lung-alone transplants were at least 7 times more frequent than their MOT correlate, whereas the …

Mental Health And Police Response Criminal Justice Training Curriculum, Richard Watkins

Dissertations, Theses, and Projects

This course is designed to introduce criminal justice students to responding to calls involving residents with mental illness. It will instruct students to recognize indicators of mental illness as required by the Minnesota Peace Officer Standards and Training Board learning objectives. Indicators of said mental illness will be instructed based on the DSM-5 manual to acclimate students in this area. Students will be exposed to current levels of response as well as services offered by current Minnesota Police Officers. Dealing with residents in mental health crisis and the use of force will also be addressed. Students will also learn about …

Influenza Knowledge And Barriers To Vaccination In Immunosuppressed Patients In The Pediatric Rheumatology Clinic., Julia G. Harris, Leslie Favier, Jordan T. Jones, Maria Ibarra, Michael J. Holland, Emily Fox, Kelly Jensen, Ashley K. Sherman, Ashley M. Cooper

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Most patients with a pediatric rheumatic disease are at increased risk of influenza due to immunosuppressive medication use. Despite initial quality improvement efforts, our influenza vaccination rate plateaued at 72%, which prompted a survey of patients and families to assess provider vaccine recommendations, influenza knowledge, and barriers to influenza vaccination.

METHODS: Patients on immunosuppressive medication or their parent were eligible to complete a survey between July 2019 and January 2020. Survey questions assessed demographics, rheumatology diagnosis, immunosuppressive medication(s), influenza vaccination recommendation, patient/parent influenza knowledge, and barriers to influenza vaccination. Influenza vaccination rates for immunosuppressed patients were acquired each influenza …

Exploring Kindergarten Teachers' Perspectives On The Interpretation Of Standards In A Developmentally Appropriate Way In Kindergarten Classrooms, Shawanza Demetrist Lockett

Walden Dissertations and Doctoral Studies

Many kindergarten teachers are feeling the effects of standard-based education. The problem is that it is unknown whether teachers implement mandated state standards in a developmentally appropriate way. The purpose of this basic qualitative study was to investigate kindergarten teachers’ perspectives on implementing standards in a developmentally appropriate manner. Shulman’s theory of teacher knowledge was the conceptual framework for the study. The research question focused on kindergarten teachers’ perspectives of implementing standards in a developmentally appropriate way. Twelve kindergarten teachers were recruited from three Title 1 elementary schools in a rural southeastern state in the United States. Thematic data analysis …