Digital Commons Network^™

Impact Of A Pandemic On Clinical Research Organization Ethics: A Case Study, Supakan Apiratanapimonchai

Doctoral Dissertations and Projects

The purpose of this research is to examine the post-COVID ethical issues among clinical trials at clinical research organizations (CROs) in the Eastern region. This research is theoretically underpinned by the premise of evaluating the impact of post-COVID on data transparency, ethical guidelines, and protocol compliance. The institutional theory posits that insights gained from this comparative analysis will also contribute to the broader discourse on safeguarding research integrity. According to Yin, case studies are the most beneficial study design to be used, consisting of quantitative approaches (Yin, 2018). The data collected from clinical research associates (CRAs) with experience working with …

Discovery Of A Small Molecule Tlr3 Agonist Adjuvant, Branden Lee, Danica Dong, Etsuro Nanishi, John Mark Awad, Kimia Abedi, Yoshine Saito, Francesco Borriello, Soumik Barman, Byron Brook, Aisling Kelly, Manisha Menon, Constance Marques-Mourlet, Maansi Gupta, Ida Lister, Chiwoo Oh, Kevin Lyskawa, Morgan Goetz, Kristina Walker, Wing Ki Cheng, Spencer Brightman, Pankaj Sharma, Timothy O'Meara, Katherine Chew, Daniel Vieira, Kevin Ryff, Cali Sweitzer, Sanya Thomas, Simon Van Haren, Matthew Pettengill, Hyuk-Soo Seo, Sirano Dhe-Paganon, Wei Zhang, Ofer Levy, David Dowling

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

Pattern-recognition receptor (PRR) agonists are valuable agents across multiple medical applications, from vaccinology to immune-oncology. However, well-defined and potent small molecule agonists for many PRRs still await discovery and development. Screening of chemical libraries of ~200,000 small molecules for maturation of human monocytic cells by quantifying NF-κB activation and cell adherence was completed. From this screen, we selected a thiazole benzamide derivative, PVP-057, for its robust immunomodulatory properties, low toxicity profile, and concentration-dependent activity. In vitro investigation of pathway and receptor activation reveals that PVP-057 is a Toll-like receptor 3 (TLR3) agonist. As a single-component adjuvant, administered intramuscularly or intradermally …

Investigating Personality Themes And Constructs Among Professional Horse Trainers, Jenny Norton Schamber

Doctoral Dissertations and Projects

The relationship between horses and humans has evolved and now horses are a part of therapy, leisure activities, competitions, and companionship with humans, and this evolution beckons further research into aspects that contribute to positivity in this relationship. This research examined the themes of personality among professional horse trainers by utilizing the Riso-Hudson Enneagram Type Indicator (RHETI), the Ten-Item Personality Inventory (TIPI), and semi-structured interviews. To be included in the study, participants needed to be at least 18 years of age, live in the United States, and receive at least half of their yearly income from training horses. There were …

Mirrors & Windows: A Phenomenological Study On Narrative Group Therapy With Adults Survivors Of Childhood Interpersonal Trauma, Bethany Walker

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to describe adult survivors of childhood interpersonal trauma's lived experiences with group narrative therapy in Texas. Three theories serve as the base for this study: Terr's childhood trauma theory, Vygotsky's social constructivism, and Fisher's narrative theory. Social constructivism informs the study by suggesting that group therapy fosters meaning making through shared narratives. Narrative theory informs this study with the concept participants of narrative group therapy can not only create, examine, and reauthor their stories but find connection with others and empowerment in sharing their stories. Participants in this study completed an interview and …

A Causal-Comparative Study Of Teacher Efficacy Among Private Christian School Elementary Teachers Reporting To Principals With Various Degrees, Joanna Swofford

Doctoral Dissertations and Projects

The purpose of this quantitative causal-comparative study was to examine the association between the earned degree (special education, general education, or other program of study) of elementary principals, and the self-efficacy of the teachers who report to them, in private, Christian schools that enroll students requiring special education. This study is important in furthering an understanding of what types of principal training lead to increased levels of teacher efficacy in meeting students’ needs within inclusive school settings. The sample of 62 participants was drawn from a population of approximately 1200 teachers from 138 private Christian schools within 11 southeastern states …

Strategies Used By Psychiatric Hospital Directors To Reduce Readmission Rates, Increase Revenue And Improve Patient Outcomes, K'Chinwe Blanche Marie Ezeokoli

Walden Dissertations and Doctoral Studies

High psychiatric hospital readmission rates threaten patient stability, strain hospital finances, and reduce community wellbeing. Psychiatric hospital leaders need effective strategies to lower readmissions. Grounded in complex adaptive systems theory and the balanced scorecard framework, the purpose of this qualitative pragmatic inquiry project was to identify and explore effective strategies used by psychiatric hospital directors to reduce readmission rates, increase revenue, and improve patient outcomes. The participants were seven psychiatric hospital directors who had implemented strategies for reduced readmission rates. Data were collected through semistructured interviews and relevant public documents. Using thematic analysis, five themes were identified: (a) establish a …

Treatment Concerning Grief Disorder After Covid-19: Can Spiritual Care Help?, Tamika Marie Johnson

Doctoral Dissertations and Projects

The phenomenological study described the experiences of spiritual care for adults who lost a loved one due to COVID-19 in Texas. The theory guiding the study was Viktor Frankl’s logotherapy, which was humanity’s search for meaning in a finite world governed by spiritual principles (García-Alandete, 2024; Parker, 2022; Seligman & Reichenberg, 2014). Grief was one of the occurrences that grappled with humanity’s understanding of life. Death was a universal phenomenon, and grief occurred as a response to a loss (Fernández & González-González, 2022). Research shows that symptoms of grief dissipate over time. When it was accompanied by prolonged time or …

A Study Of The Relationship Between Emotional Intelligence And Affective Organizational Commitment And Their Effect On Turnover Intentions, David Dix Tomblison

Doctoral Dissertations and Projects

This study examined the relationships among emotional intelligence, affective organizational commitment, and turnover intentions among millennial employees in Washington State’s technology sector. A fixed, cross-sectional quantitative design was used with data from 459 participants collected through the Wong and Law Emotional Intelligence Scale, the Meyer and Allen Affective Commitment Scale, and the Cohen Turnover Intention Scale. Statistical analyses were conducted with IBM SPSS Statistics (Version 30; IBM Corp, 2023) for simple regression analysis and the PROCESS Macro (Version 5.0, Model 1) for moderation analysis. Findings showed that emotional intelligence was positively associated with affective organizational commitment and negatively associated with …

Investigation In The Association Of Opioid Administration And Access To A Primary Care Provider In Patients Who Frequently Use The Emergency Department In A Rural And Urban Hospital In Arkansas, Cheyenne Star Lowrey-Lagrone

Doctoral Dissertations and Projects

The overuse of emergency department (ED) services presents challenges for hospitals and communities as valuable resources are funneled repeatedly into the same patients. Frequent ED users account for a significant portion of used resources, and efforts have been made to address this public health concern. This paper sought to identify associations between opioid administration and access to a PCP in one rural and one urban hospital in Arkansas. Through an investigation of 200 medical records of ED users identified as frequent users of one rural (n=100) and one urban (n=100) hospital between 2018 and 2023, the researcher identified associations between …

In His Own Words? An Argument For Jesus As The Origin Of The Antithesis Formula In Matthew 5:21–48, Michael W. Herbert

Doctoral Dissertations and Projects

This dissertation explores the origin and authenticity of the antithesis formula, “You have heard that it was said…[OT reference]…but I say to you…,” which appears only in the Gospel of Matthew (Matt 5:21–48). This uniqueness of the antithesis formula contributes to it being one of the most intriguing yet contentious New Testament phrases. As such, there is no scholarly consensus regarding the origin of the antithesis formula. The relevant English language literature presents theories concerning the origin of the antithesis formula that generally conform to form-critical, source-critical, and redaction-critical approaches. However, this literature lacks an extended argument for this formula …

Expanding Automotive Supply Chain Visibility Beyond Tier 1 Suppliers For Semiconductors, Jonathan Goulding

Doctoral Dissertations and Projects

The research investigated the challenges and benefits automotive manufacturers face in achieving sub-tier supply chain visibility for semiconductor components. During the COVID-19 global pandemic, semiconductor shortages became a critical issue. A pragmatic, flexible qualitative case study design approach was employed to understand automotive semiconductor sub-tier visibility gaps. The key findings indicated there are initial barriers to transparency and challenges with data quality. There were challenges with sub-tier visibility integration, including internal resistance and system integration issues. The findings also showed that achieving sub-tier visibility can offer potential benefits in terms of enhanced reliance and mitigated risk. The study made significant …

The Holy Spirit Fulfills The Great Commission By Affecting The Soul – The Conscience, Intellect, And Affections – Of Believers Through The Agency Of Discipleship, Farrah K. Stewart

Doctoral Dissertations and Projects

Statement of Problem

A knowledge and awareness of the Holy Spirit tends to be the missing from the church today, although his power, presence, and role is not only needed, but is necessary to fulfill the last commandment given by Christ. Though silent, he and his work are – and should be – evident among, to, and through believers, both corporately and individually.

Research Question

What do the Great Commission passages in the Gospels and the book of Acts reveal about the mission of the Holy Spirit for the church today?

Thesis Statement

This dissertation argues that, according to the …

L.E.A.Ding Change To Prevent Workplace Violence, Rebekah Powers, Nancy Ornelas, Carol Boswell, Christina Ramdeo

Biennial Convention (CONV)

The purpose of this project was to enhance nurses’ knowledge and evaluate parts of the current workplace violence prevention program. Learning objective: participants will gain strategies to engage nurses in workplace violence prevention.

Healthcare workers are 5 times more likely to experience an injury from workplace violence than other professions. According to the Texas Center for Nursing Workforce Studies (TCNWS) 2022 employer Nurse Staffing Study: Workplace Violence Against Nurses survey workplace violence awareness training was the most common training provided. De-escalation training was cited as an effective workplace violence strategy (TCNWS, 2022).

As part of a comprehensive plan to implement …

Integrating Standardized Nursing Terminologies Into A Nursing Curriculum Conceptual Framework, Ana Choperena, Virginia La Rosa-Salas, Nuria Esandi-Larramendi, Mercedes Pérez-Díez Del Corral, Begoña Errasti-Ibarrondo, Sonsoles Martín-Pérez, Clara Cabrera-Moreno, Dorothy Jones

Biennial Convention (CONV)

Purpose: The aim of this work is to present the Nursing Educational Framework (NEF) as an opportunity to integrate core elements of a humanistic person/family-centered view and as guidance in structuring a relationship-based curriculum.
Data sources: Empirical and theoretical literature studies were reviewed to define the framework rationale and its components.

Data synthesis: A deductive/inductive collaborative expert-informed approach was undertaken to develop this evidence-based codesigned framework. Its mission, along with unique components, implementation strategies, and outcomes, were successively integrated into the framework to guide nursing knowledge, learning, and curriculum development. A hermeneutic collaborative process of circular reflection was used in …

Creating A Standardized Intraoperative Handoff Report, Mary Hippchen, Melinda Ward, Jacqueline Reyes, Amiya Boyd, Rebecca Akande, Kanita Wilson

Biennial Convention (CONV)

Purpose: Effective communication during nurse-to-nurse relief is vital for patient safety, especially in complex surgeries. In the Operating Room (OR), inconsistencies in handoffs arise due to lack of structure, information gaps and time constraints. This project evaluates the impact of implementing a structured SWITCH (Surgical Procedure, Wet, Instruments, Tissue, Counts, and Have Questions) protocol for nurse-to-nurse handoff reports during breaks and permanent relief, aiming to improve continuity of care, reduce errors, and enhance patient safety.

Relevance: The SWITCH handoff model ensures all relevant surgical information is clearly communicated, reducing the risk of incomplete or unclear handoffs that can compromise patient …

The State Of Health In Tennessee, 2025 Annual Report To The 114th Tennessee General Assembly, Tennessee. Department Of Health.

State of Health in Tennessee

No abstract provided.

2025 December 4 - From My Notepads Newsletter, Office Of The President, East Tennessee State University, Brian Noland

From My Notepads: A Newsletter from President Brian Noland

No abstract provided.

2025-12-04 Faculty Senate Meeting Minutes, Morehead State University. Faculty Senate.

Faculty Senate Records

Faculty Senate meeting minutes from December 4, 2025.

Psychological Variables That Best Predict Health Related Behaviors In College Students, Arianna Gamaggio

Honors Theses

The present study examined which psychological factors best predicted health behaviors in college students. The psychological factors that were addressed included anxiety, depression, grit, and psychological flexibility. The health behaviors were examined by using a composite variable that included sleep, diet, and exercise. A total of 265 students participated in the study, but only 174 (μ age = 21) met the criteria for inclusion. Participants completed validated self-report measures such as the GAD- 7 (anxiety), PHQ-9 (depression), Short Grit Scale, Psy-Flex-6 (psychological flexibility), as well as health behavior assessments that measured eating behaviors, sleeping, and exercise habits. Correlational analyses indicated …

Educational Policies Committee Minutes December 4, 2025, Utah State University

Educational Policies Committee

• Approval of Minutes - November 6, 2025
• Subcommittee Reports
• Curriculum Subcommittee
• Program Proposals
• Academic Standards Subcommittee
• General Education Subcommittee
• Center for Civic Excellence
• Other Business
• Adjourn: 3:25 pm

Spectator 2025-12-04, Editors Of The Spectator

The Spectator

No abstract provided.

A Concept Analysis Of Entrenched Toxic Cultures In Nursing Academia, Becky Good, Kristen Kirby, Karen J. Foli

Biennial Convention (CONV)

Introduction: Toxic cultures in nursing academia are environments characterized by incivility, bullying, and harassment, all concepts well defined in the literature (Beckmann et al., 2013; Clark, 2013; Fry & Schmer, 2021). While some toxic cultures can be addressed with targeted interventions, others are more widespread, established, and difficult to dismantle (Beitz & Beckmann, 2023; Clark & Ritter, 2018; Coates, 2024; Goldberg et al., 2013; Olsen et al., 2020). Specific data are scarce; however, as negative behaviors persist and intensify, we believe the unexplored phenomenon of entrenched toxic culture (ETC) emerges.

Purpose: This concept analysis aims to define ETCs in nursing …

Creating A Standardized Intraoperative Handoff Report, Mary Hippchen, Melinda Ward, Meghan Barnes, Jacqueline Reyes, Amiya Boyd, Rebecca Akande, Kanita Wilson

Biennial Convention (CONV)

Purpose: Effective communication during nurse-to-nurse relief is vital for patient safety, especially in complex surgeries. In the Operating Room (OR), inconsistencies in handoffs arise due to lack of structure, information gaps and time constraints. This project evaluates the impact of implementing a structured SWITCH (Surgical Procedure, Wet, Instruments, Tissue, Counts, and Have Questions) protocol for nurse-to-nurse handoff reports during breaks and permanent relief, aiming to improve continuity of care, reduce errors, and enhance patient safety.

Relevance: The SWITCH handoff model ensures all relevant surgical information is clearly communicated, reducing the risk of incomplete or unclear handoffs that can compromise patient …

Turkey’S Recent E-Commerce Amendments: A Critical Comparison With The Eu Digital Markets Act, Kaan Kocabas, Jurgita Malinauskaite

Yearbook of Antitrust and Regulatory Studies

Recent regulatory reforms in Turkey aim to address the competitive risks posed by dominant digital platforms, particularly concerning data exploitation, self-preferencing, and discriminatory conduct. Rather than introducing a standalone competition law instrument, Turkey amended its Law on the Regulation of Electronic Commerce to embed competition-related obligations, raising questions about the consistency and coherence of enforcement. This article analyses the legal and institutional implications of these amendments, critically comparing Turkey’s approach with the European Union’s Digital Markets Act (DMA). It argues that while the Turkish amendments reflect global regulatory trends, the lack of a dedicated competition framework risks creating enforcement conflicts …

The Effects Of Perceived Stress On First Responders' Job Performance While Moderating For Self-Efficacy, Diane Craig

Walden Dissertations and Doctoral Studies

Stress in the workplace results in substantial economic losses for U.S. organizations. The effects of perceived stress on reducing the job performance of first responders continue to be a concern for administrators in emergency response management. Grounded in self-efficacy theory, the purpose of this quantitative correlational study was to examine the moderating effects of self efficacy on the relationship between perceived stress and job performance among U.S. first responders. The sample comprised 78 men and 65 women (N = 143) from professional response agencies in the United States. They completed the Perceived Stress Scale, Endicott Work Productivity Scale, and the …

Strategies Leaders Use To Reduce Voluntary Attrition Among Employees With Access To Wellness Programs, Cara Murray

Walden Dissertations and Doctoral Studies

Voluntary employee attrition presents ongoing challenges for organizational leaders, particularly among employees whose workplace needs and preferences are unmet. The problem is that many leaders lack effective strategies to mitigate voluntary attrition, which negatively impacts productivity, morale, and overall organizational performance. Grounded in the job demands–resources model and wellness climate theory, the purpose of this qualitative pragmatic inquiry project was to explore strategies leaders used to reduce voluntary employee attrition among employees who have access to workplace wellness programs. The participants were six organizational leaders from mid-sized and public-sector organizations who successfully mitigated voluntary attrition. Data were collected through semistructured …

Spartan Daily, December 4, 2025, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2025

Volume 165, Issue 42

Equity-Aware Natural Hazards Resilience Assessment And Improvement Of Road Networks, Naqib Mashrur

LSU Doctoral Dissertations

As climate change intensifies the frequency and severity of hurricanes, the resulting flood events pose escalating threats to transportation infrastructure and community well-being. This dissertation addresses the intersection of flood resilience, network connectivity, and social equity by integrating principles from network analysis, equity planning, and disaster resilience. The research begins by examining the social dimensions of accessibility loss during hurricane-induced flooding. Spatial and demographic analysis reveals that Native American and Hispanic populations in the case study region experience the most significant reductions in access to essential service facilities, highlighting inequities in systems.

Investigating a region southern Louisiana road network demonstrates …

Beyond The Grade: Validity In Global Virtual Team Peer Evaluation, Maria Randazzo-Davis, Phd., Christopher Nelson , Phd., Hillary Nelson, Graduate Student

International Journal for Business Education

This study examines how peer evaluation functions in global virtual teams, a setting that reflects the collaborative demands of contemporary international business education. The authors tested whether peer evaluation subscales, total peer-report score, and various indicators of team diversity predict team performance, assessed by instructors in a sample of 2,012 students from 445 X-Culture teams. The variables that were good predictors of team performance included the quality of team communication, work ethic, technical competence, generation of ideas, peer engagement, and peer writing skills. Less predictive of performance were leadership and effort ratings. In addition, students' self-ratings (i.e., peer ratings) were, …

Red Scare At Cuny: A Research Guide, Wilhelmine Coste, Scout Zabel, Erin A'Hearn, Patrick J. Mcgee

Publications and Research

The Red Scare at CUNY is a comprehensive guide to archives documenting anti-communist political repression of faculty, staff, and students at CUNY, primarily from the 1930s-1960s. Organized by repository, it highlights relevant collections within CUNY, evaluated by the authors in consultation and collaboration with archivists at Brooklyn College, City College, Hunter College, and Queens College in 2025. Each entry is accompanied by a description that incorporates information from finding aids and other published research. These collections include faculty personal and professional papers, student activist materials, and oral histories. The guide also includes collections from other repositories within New York City …