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Uni Scholarworks Readership Snapshot, October 2025, Bepress

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Implementing Phq-2 In An Outpatient Mental Health Practice, Krishona Poignard

Doctor of Nursing Practice Projects

Depression remains widely underidentified in outpatient behavioral health settings, where variable screening practices limit early recognition and appropriate treatment. This quality improvement project addressed this gap by standardizing screening through targeted clinician education. The purpose was to improve clinician confidence and adherence to validated tools, specifically the Patient Health Questionnaire-2 (PHQ-2) and, when indicated, the Patient Health Questionnaire-9 (PHQ-9). The project aimed to increase consistent tool use through an evidence-based educational intervention guided by Lewin’s Change Theory and the Iowa Implementation for Sustainability Framework. A quasi-experimental, single-group pretest–posttest design was employed with licensed clinical staff, including licensed social workers (LSWs), …

Rhetorical Analysis Essay, Reema A. Rao

Open Educational Resources

This assignment is a rhetorical analysis essay typically assigned as part of the English 110 course during the summer semester. For this assignment, students apply their understanding of rhetorical appeals and devices to read a chosen text closely and analyze how the author constructs meaning and purpose. A variety of resources are provided to students, each accompanied by a brief overview, and students may select a topic of personal interest from these options. They then conduct a rhetorical analysis of their chosen source and write an essay based on that analysis.

Students are supported with a wide range of , …

The Matter Of Production And Forms Of Sharing: Transformations Of Food Economies In Lowland South America, Clarice Cohn, Diego Madi Dias, Adriana Athila

Tipití: Journal of the Society for the Anthropology of Lowland South America

This special issue of Tipití presents a critical examination of ‘food economies’ and their transformations within Indigenous communities in Lowland South America. Stemming from seminal ideas in its Anthropology that directly or indirectly discuss ‘food’ (and much of what goes along with it), this edited volume focuses on the materiality of relations as a strategic lens for understanding contemporary Indigenous lives and their transformations, according to how they are perceived by Indigenous peoples themselves and others such as health care professionals and the state. The articles explore how Indigenous foodways—from acquisition to consumption, including sharing and distribution—reveal key aspects …

Assessing Hesitancy Towards Paediatric Vaccines Among Healthcare Professionals: A Descriptive Cross-Sectional Study From The United Arab Emirates, Drishti D. Kampani, Kamel A. Samara, Mohammed Mahfouz, Ahmad Hisham Al-Anoud, Amna Basel Al-Beer, Humaid Altaheri, Hiba Jawdat Barqawi, Eman Abu-Gharbieh

Abington Jefferson Health Papers

BACKGROUND: Vaccination is one of the most effective public health interventions, preventing millions of deaths globally. However, vaccine hesitancy persists, not only among the public, but also among healthcare professionals (HCPs), who serve as key sources of vaccine information. This study assesses HCPs' vaccination attitudes and estimates the prevalence and determinants of vaccine hesitancy in the UAE.

DESIGN AND METHODS: This cross-sectional, descriptive study surveyed HCPs across the UAE from March to October 2024 using a 57-item questionnaire adapted from previous literature. Univariate, bivariate (chi-squared test), and multivariate (logistic regression) analyses were conducted.

RESULTS: HCPs demonstrated generally positive attitudes towards …

Creation To Covenant: The Chronicler's Use Of Genesis Narratives In Shaping Israel's Post-Exilic Identity, Dalton J. Harmon

Senior Honors Theses

This thesis examines the Chronicler’s (the unknown author to whom biblical scholars have attributed the composition of: the Book of Chronicles, the Book of Ezra, and the Book of Nehemiah to) use of Genesis narratives—namely the Covenant of Works—in the formation of the social, political, and religious identity of post-exilic Israel. By using a covenant-theological and intertextual approach with special attention to the Septuagint, this study demonstrates that the Chronicler does not merely retell Israel’s history but deliberately reinterprets it according to theology established in creation. The analysis begins with Genesis 1–3, where Adam’s federal headship and the blessing–curse logic …

Kalayaan (Freedom), Hanapbuhay (Livelihood), And Pagsisibat (Persisting): A Conceptual Unpacking Of Freelance Work In The Philippines, Theresa Anne Nadine L. Rellamas, Danika M. Geronimo, Hazel A. Lao

Social Transformations Journal of the Global South

This article is a conceptual but empirically grounded exploration of how Filipino freelance creatives construct and navigate freelance work. Using the sibat (spear) as a metaphor for movement and survival, the paper unpacks freelance work as hanapbuhay (livelihood) pursued in the quest for kalayaan (freedom). Building from emic narratives of sixteen (16) freelance creatives, the paper develops a conceptual model of freedom through three movements: Kalayaang Magsibat (freedom to enter), Kalayaan sa Pagsisibat (freedom to persist), and Kalayaang Sumibat (freedom to exit). These narratives of freelance work reveal a continual negotiation of autonomy under precarious conditions. Anchored and interpreted through …

Biological Impact Of Chemical-Based Medications On Human Dna: Mechanisms, Clinical Consequences, And Research Gaps, Israa M. Ali Alameen, Sumayah Mahmood Rafid, Baqer Khaled Hothefa

Al-Esraa University College Journal for Medical Sciences

Background: Not long ago DNA has become the subject of interest for the pharmaceutical companies, that because its proven by medical and scientifical fields, that it’s the fundamental sources of proteins, which is the basic element in the cell, therefore, the interaction between the Drug and the deoxyribonucleic acid (DNA) is very important to therapeutic regimens success but in other side it has a dangerous effect like toxicity, and long-term genomic instability. Objective: The aim of this review is to focus on the different studies which examines the effect of different drug like the chemotherapy, antivirals, antibiotics, and immune-suppressants on …

Sex Differences In Cardiovascular Disease And Associated Factors In People Living With Hiv: Evidence From All Of Us Program, Hao Zhang, Huiyi Xia, Fanghui Shi, Qingyang Li, Sharon Weissman, Xiaoming Li, Xueying Yang

Faculty Publications

Background

People living with HIV (PLWH) face a higher risk of cardiovascular disease (CVD), with significant sex differences in outcomes. However, it is unclear whether these differences are driven by distinct risk factor profiles or by a differential impact of shared risk factors. This study aimed to identify factors associated with CVD among PLWH and to specifically assess for effect modification by sex using a large, diverse nationwide database.

Methods

We utilized data from the All of Us Research Program (AoU). The primary outcome was a composite of coronary artery disease or stroke. We used multivariable logistic regression to identify …

Psychological Distress And Quality Of Life Among Infertility Couples Undergoing Infertility Treatment In Malaysia, Farrahdilla Hamzah, Zamzaliza Abdul Mulud, Malini Mat Napes, Sarah Abdul Mubarak, Rosliza Shafie

Jurnal Keperawatan Indonesia

Infertility often leads to stress, anxiety, and depression, significantly affecting the quality of life of affected couples. This study explored the sociodemographic and psychological factors influencing the quality of life among infertile couples undergoing in vitro fertilization (IVF) treatment in Malaysia, using a cross-sectional design. A total of 126 infertile couples were purposively sampled from three public hospitals offering IVF treatment. The Depression, Anxiety, and Stress Scale (DASS-21) measured psychological distress levels, while the Fertility Quality of Life (Ferti-QoL) scale assessed fertility-related quality of life. Data collection adhered to strict ethical standards, with confidentiality ensured. Participants provided informed consent and …

Impact Of Cpo And B35 On Diesel Engine Rocker Arm Wear During Long-Term Operation, Fawwaz Aqilah Nurmansyah, Nur Fadilah Rizky Supramono, Muhammad Ikhsan, Erwan Adi Saputro, Wiliandi Saputro

Journal of Mechanical Engineering Science and Technology (JMEST)

The increasing number of motor vehicles has led to higher fossil fuel consumption, contributing to greenhouse gas emissions, climate change, and environmental degradation. As a renewable alternative, biodiesel offers a way to reduce these impacts. Indonesia, with its abundant natural resources, has significant potential for biodiesel production. Crude palm oil (CPO) is a promising feedstock due to its availability and relatively low environmental impact. However, the high costs associated with the transesterification process make direct use of pre-heated CPO an area worth exploring. This study investigates the impact of pre-heated pure CPO compared to B35 ("Dexlite") on rocker arm wear …

Physics Teachers' Perceptions About Diagnostic Assessment Of Students' Physics Misconception: A Phenomenological Study, Mutmainna Mutmainna, Edi Istiyono, Haryanto Haryanto, Heri Retnawati, Caly Setiawan

The Qualitative Report

Physics learning needs to be designed by teachers to minimize misconceptions. Different diagnostic tools have been developed and used by researchers to identify student misconceptions. However, each tool has advantages and disadvantages. Therefore, teachers play a crucial role, including their understanding of misconceptions and their ability to select the most effective tools according to their purpose. This study sought to uncover the experiences of eight physics teachers through phenomenological studies. Physics teachers involved in this research had diversity based on the period of experience teaching physics, geographical area, and education level. A virtual semi-structured interview (40 to 60 minutes) for …

Indonesian Efl Learners’ Views Of Fondi Application Toward Speaking Performance: A Qualitative Approach, Toni Indrayadi, Suhaimi Suhaimi, Usman Usman

The Qualitative Report

This study aims to explore English department students’ perceptions regarding the effectiveness of Fondi Application (FA) in enhancing speaking proficiency. FA is a Task-Based Language Teaching (TBLT) application that provides conversations in the form of voice calls packaged like games. This qualitative approach is based on semi-structured interviews and thematic analysis. Five selected participants with FA technology intervention were interviewed about their perception after using the application as self-learning media for two months. Five main themes emerged from the findings; FA is a potential technological tool to enhance speaking proficiency including fluency, lexical resources, grammatical accuracy, and pronunciation. The participants …

Navigating The Storm: A Qualitative Metaphor-Based Analysis Of Resilience And Identity Reconstruction Among Displaced Professionals, Erhan Atay, Serkan Bayraktaroglu, Leo Johannesberg

The Qualitative Report

Building on previous management scholarship, this paper explains how Conceptual Metaphor Theory (CMT) and metaphorical expressions inform organizational resilience and leadership communication in employee support strategies. It tries to capture the interplay between personal sensemaking and collective adaptation. The study aims to provide practitioners with hands-on insights into developing inclusion, resilience, and identity reconstruction in organizational and societal contexts of disruption. The analysis identifies three critical metaphorical themes: resilience, which is likened to "climbing a mountain;" isolation, which is likened to being "trapped in a bubble;" and identity reconstruction, which is likened to "picking up the shattered pieces of a …

Translanguaging In Indonesian Efl Classrooms: Pedagogical Insights And Student Perspectives, Fauzi Miftakh, Elih Sutisna Yanto, Annisa Fitria Harjadi

The Qualitative Report

This study investigates translanguaging practices in Indonesian secondary English classrooms and analyzes how teachers and students use multiple languages to enrich the learning experience. Drawing on observations, interviews, and field notes from two teachers and four students in West Java, the study found that translanguaging fosters student comprehension, confidence, and identity affirmation. Teachers strategically used English, Indonesian, and Sundanese to scaffold instruction across various phases, creating an inclusive learning environment. Students responded positively, pointing to a reduction in anxiety and improved participation. These findings are consistent with sociocultural learning theories and challenge monolingual ideologies. The study concludes that translanguaging is …

Navigating The Ethical Landscape: A Field Reflection On The Dynamics Of Informed Consent In Qualitative Research, Khim Raj Subedi, Peshal Khanal

The Qualitative Report

Our paper analyses the practical dimensions of obtaining informed consent in qualitative research, drawing on the reflective insight from fieldwork conducted as part of a study on the professional identity of primary (elementary) teachers in community schools in Nepal. Our study builds on and extends the understanding of informed consent as a legal and ethical requirement (Kadam, 2017) while considering the complexities of fieldwork. Drawing on interactions with six teachers and using the first author's detailed fieldnotes and reflexive memos, our study explores the challenges researchers face in securing consent during qualitative interviews. We argue that the consent-seeking process should …

Real-World First-Line Outcomes Of Alectinib And Brigatinib In Anaplastic Lymphoma Kinase-Positive Non-Small Cell Lung Cancer: A Nationwide South Korean Cohort Study Using The Health Insurance Review And Assessment Data, Hee Jun Kim, Eunyoung Angela Lee, Jin-Hee Park, Hyun Woo Lee

Faculty, Staff and Student Publications

Background: Lung cancer remains the leading cause of cancer-related mortality worldwide. Anaplastic lymphoma kinase (ALK)-positive non-small cell lung cancer (NSCLC) presents unique clinical challenges, including frequent central nervous system (CNS) metastases. At present, comparative real-world data on ALK inhibitors remain limited. This study aimed to compare real-world progression-free survival (PFS) and overall survival (OS) among patients with ALK-positive NSCLC treated with first-line alectinib or brigatinib using nationwide South Korean data.

Methods: This retrospective cohort study analyzed anonymized data from South Korea's Health Insurance Review and Assessment Service, covering January 2007 to December 2023. Patients diagnosed with ALK-positive NSCLC (ICD-10: C34x) …

Historical Context In Mathematics Education: Improving Student Engagement And Achievement, Colette Chilton-Carr

Electronic Theses and Dissertations 2020 - Present

There are many informational gaps in contemporary mathematics education. Students see the mathematical topics they are being taught as facts and procedures unrelated to each other or to themselves as mathematicians. Many ancient developments in the realm of mathematics are still relevant today, showcasing the needs that motivated their longstanding evolution. By including the stories behind the formulas in mathematics classrooms, students from diverse backgrounds can feel seen and connected to their education. The inclusion of the holistic background of mathematics cannot be nurtured in the classroom without buy-in on the parts of both students and instructors, as well as …

Stage- And Smoking-Associated Microrna Expression In Lung Adenocarcinoma, Min Huang, Yimin Ge, Huiqin Chen, Caimiao Wei, David Cogdell, Cristina Ivan, Meng Chen, Wei Zhang, George A Calin, Ming Guo

Faculty, Staff and Student Publications

Background: Altered expression of microRNAs (miRNAs) is implicated in lung carcinogenesis, but little research has investigated the association of miRNA alterations with lung cancer stage or smoking status. To identify such alterations in lung adenocarcinoma, we conducted miRNA profiling.

Methods: Lung adenocarcinoma specimens and paired nonneoplastic lung tissues from 58 patients who had received no preoperative therapy and underwent tumor resection from 1991 to 2006 were collected from tumor tissue banks. Thirty (52%) of the tumors were stage I and 28 (48%) stage II or higher. Twenty-five (43%) patients were nonsmokers and 33 (57%) were smokers. To identify miRNAs of …

Potential Mechanisms Of Influence Between Spiritual Practices And Cognitive Health: A Systematic Review And Conceptual Model, Katherine Carroll Britt, Hayoung Oh, Augustine Cassis Obeng Boateng, Sherry Morgan, Sato Ashida, Corey Nagel, Roland J Thorpe, Harold G Koenig

Staff and Researcher Publications

Background/Objectives: This systematic review summarizes the evidence regarding potential mechanisms underlying the relationship between spiritual practices and cognitive health in adults. The review was performed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist.

Methods: An extensive search of six electronic databases (i.e., PubMed, PsycINFO, Embase, Sociological Abstracts, ATLA, CINAHL) was conducted using keywords related to spiritual practices, religious activities, and cognitive health from 1 January 2000 to December 2025. The quality of the included studies was assessed using the Mixed Methods Appraisal tool aligned with the study design.

Results: A total of …

Association Between Cholecystectomy And Colorectal Cancer: Results From The National Health And Nutrition Examination Survey (Nhanes) 2017–2023 And Mendelian Randomization Analyses, Shunchen Zhou, Bosen Zhao, Jiaying Qu, Xingyu Gao, Xiaolin Wang, Chunhui Yang, Qiangsong Tong, Liduan Zheng

Faculty, Staff and Students Publications

Background: Cholecystectomy is widely used to treat gallbladder disease, but its link to colorectal cancer (CRC) remains controversial. This study aimed to assess the association between cholecystectomy and CRC by combining cross-sectional analysis with Mendelian randomization (MR).

Methods: We analyzed 12,490 adults from the National Health and Nutrition Examination Survey (NHANES) 2017-2023 for the association between cholecystectomy and CRC. Weighted logistic regression models with progressive adjustments were applied: Model 1 was unadjusted, Model 2 accounted for sociodemographic factors, while Model 3 was further controlled for lifestyle, diet, and comorbidities. Subgroup and sensitivity analyses were conducted to evaluate the results' robustness. …

Application Of The Surgical Apgar Score To Predict Intensive Care Unit Admission And Post-Operative Outcomes In Cesarean Hysterectomy For Placenta Accreta Spectrum, Emily Root, Jacqueline Curbelo, Patrick Ramsey, Jessian L Munoz

Faculty, Staff and Students Publications

Background and Objective: Placenta Accreta Spectrum (PAS) encompasses a continuum of abnormal placentation conditions associated with significant maternal and fetal morbidity. Management of PAS requires coordinated cesarean hysterectomy. Associated morbidities include blood transfusion, coagulopathy, and intensive care unit (ICU) admission. Accurate prediction of ICU admission allows for enhanced multidisciplinary management, coordination of care and utilization of resources. Scoring systems exist in other surgical specialties that can predict the likelihood of ICU admission, but these have not been applied to an obstetric population. The SAS is a 10-point scale that has been validated for the prediction of ICU-level care requirements within …

The Criteria For Identifying The Memory Of The City In Valuable Parks: Happy Land Park In Mansoura City, Esraa Ahmed Mansour, Esraa Mohamed Elazab, Sherif Ahmed Sheta

HBRC Journal

Urban memory is a complex phenomenon that develops gradually within the urban environment. However, the rapid physical changes required by today’s fast-paced world often led to the destruction of recognizable urban elements. These changes also create unfamiliar settings and erode many intangible experiences, including both positive and negative memories. Research shows that parks are among the most influential urban spaces in shaping collective memory. Even Egyptian parks designated as heritage sites suffer greatly. This status has not always ensured the preservation of their unique character. This highlights the need to review and strengthen protective laws to better maintain these parks …

Accuracy Of Student Career Choice: Analysis Of Interest And Personality Match In The Industry 4.0 Era, Nikon Aritonang, I Nyoman Sudana Degeng, M Ramli, Adi Atmoko

Buletin Konseling Inovatif

This study aims to clarify the high number of college students choosing unsuitable career choices. The impact of choosing an unsuitable career path can significantly hinder the development of Indonesian human resources in the context of the industry 4.0 era. This is caused by shifting paradigms in the recruitment process of most companies or institutions that no longer prioritize a diploma as the key factor in seeking new hires. Instead, there is greater emphasis on the employee's skills, interests, creativity, and innovation, followed by a diploma and achievement index. Descriptive-qualitative design was employed. Samples were collected from college students at …

A Rare Titin Gene Mutation Causing Hypertrophic Cardiomyopathy In An Omani Individual, Kumayl Al-Lawati, Madan M. Maddali

Sultan Qaboos University Medical Journal

Hypertrophic cardiomyopathy is a genetic disorder in which the interventricular septum is typically more severely hypertrophied compared to other segments of the myocardium. We report a 18-year-old woman who presented in 2024 to a tertiary cardiac care centre in Muscat, Oman, with a history of anterolateral accessory pathway ablation who developed burning chest pain after stress. Transthoracic echocardiography revealed generalised left ventricular hypertrophy with maximal thickness in the infero-lateral wall with mid-cavity obstruction. The symptoms necessitated bisoprolol and disopyramide treatment. As there was an increased risk of sudden cardiac death due to left ventricular wall thickness of more than 30 …

Quality Improvement Project: Standardized Medication Reconciliation Process Training: A Path To Improve Staff Medication Confidence, Christologus Obi

Doctor of Nursing Practice Projects

Medication reconciliation represents a critical safety process in psychiatric healthcare, where medication discrepancies affect up to 67% of hospitalized patients, with 30-40% potentially causing significant harm. This quality improvement project implemented a standardized medication reconciliation training program at a Texas mental health facility to address knowledge and confidence gaps among clinical staff. Using Kotter's 8-Step Change Model and the Iowa Model of Evidence-Based Practice, this quasi-experimental pre-post intervention study delivered three 30-minute interactive sessions to 12 multidisciplinary healthcare professionals. The evidence-based intervention introduced a 3-phase reconciliation model focused on obtaining accurate medication histories, documentation, and discrepancy resolution. Data collection used …

Early Determination Of The Dorsal-Ventral Axis In Endochondral Ossification In Mice, Sixun Wu, Hirotaka Matsumoto, Jumpei Morita, Mina Yamabe, Azumi Noguchi, Shinsuke Ohba, Noriaki Ono, Yuki Matsushita

Faculty, Staff and Student Publications

Endochondral ossification is a highly coordinated process involving distinct progenitor cell populations within the mesenchymal condensation and subsequent cartilage anlage and perichondrium, all of which drive skeletal formation. Cell-type specific lineage tracing conducted to understand fetal bone development has revealed various fates of early skeletal cells. However, the underlying continuous and precise cellular dynamics of fetal skeletal cells, particularly along the dorsoventral axis, remain unclear. Here, we show that spatiotemporally specific skeletal progenitor cells in the early developmental stage contribute to the dorsal-ventral axis in a manner that is strictly determined during initial developmental stages. Lineage-tracing experiments using Fgfr3-creER and …

Is Complexity Virtuous?, Ryan Elmore, Jack Strauss

Business Information and Analytics: Faculty Scholarship

(Kelly et al., 2024) show that increasing complexity in linear models, with potentially thousands of predictors, is "virtuous". Their work contradicts the dogma of model selection, including the Principles of Parsimony and Occam's Razor. They find that when the number of predictors far exceeds the number of observations, the bias-variance trade-off breaks down, the variance declines, and the Sharpe ratio increases. In the context of ridge regression, we find that very high complexity coupled with large penalty terms (excessive shrinkage) generate forecasts that converge to a rolling window of past returns. For example, we show the past twelve-month moving average …

The Gut Microbiome In Stevens-Johnson Syndrome And Sjögren's Disease: Correlations With Dry Eye, Luciana Frizon, Talita Trevizani Rocchetti, André Frizon, Rafael Jorge Alves De Alcântara, Cintia S De Paiva, José Álvaro Pereira Gomes

Faculty, Staff and Students Publications

Changes in gut microbial composition may influence mucosal immune responses and contribute to systemic autoimmune manifestations. In this pilot exploratory study, we investigated and compared the gut microbiome in patients with Stevens–Johnson syndrome (SJS), patients with Sjögren’s disease (SjD), and healthy controls, using next-generation sequencing (NGS), and assessed correlations with dry eye parameters. The study included 10 patients with SJS matched by age and sex to 10 healthy controls, and 10 patients with SjD matched to an additional set of 10 healthy controls. Dry eye parameters were employed to evaluate dry eye disease (DED). Microbiome profiles were determined using next-generation …

Nurturing A Culture Of Total Quality Management (Tqm): Continuous Improvement And Innovation In Heis: A Systematic Review Of Theories, Frameworks/Models, Policies And Strategies, Insights From The Globe, Seid Yimam Mohammed, Nilam C Panchal

Management Dynamics

In an era marked by rapid technological advancements and shifting workforce dynamics, and industry needs, the need for quality improvement is growing rapidly. This has made a culture of continuous improvement and innovation central to transforming higher education. A systematic review, guided by the PRISMA guidelines, was conducted to explore relevant theoretical concepts, frameworks/models, policies, strategies, and future research directions in nurturing culture in this context. Articles collected from Scopus, G/scholar, Dimensions, and POP bibliometric were used to extract as well as filter eligible articles. Of the 29 articles finally considered, most focus on innovation culture rather than CI culture. …