Digital Commons Network^™

Shin-Chi’S Canoe (2008) By Nicola Campbell, Maughn Rollins Gregory

Picture Books

In the nineteenth and twentieth centuries American and Canadian government agencies and Christian churches established Indian residential schools where hundreds of thousands of children were “reeducated” in English and Christianity. They were not allowed to use their native languages or given names, to practice their religions, or to communicate with their siblings or parents. They were made to work in crop fields, kitchens, laundries, and industrial workshops. Many were physically and sexually abused. Many never saw their families again. The nine picture books reviewed here are accounts of survivors of residential schools from eight different Indigenous nations. In addition to …

The Effects Of Systematic Instructional Interventions On Functional Communication, Vocational Independence, And Academic Performance For High School Students With Autism In A Self-Contained Special Education Setting, Sarah O. Shalash

University of Kentucky Master's Theses

This project evaluated the effects of systematic instruction on functional communication, vocational independence, and functional mathematics for three high school students with autism in a self-contained special education classroom using three A–B single-case designs. Interventions included a system of least prompts for AAC requesting and vocational task completion and constant time delay for a functional timer-setting task. Student performance was measured as the percentage of independently completed responses across instructional sessions. Student T demonstrated meaningful improvement in independent AAC requesting and reached 75% independence in the final session. Student B demonstrated emerging improvement in timer-setting performance and reached 60% independence …

Minimizing The Incidence Of Falls On An Adult Inpatient Cardiac Step-Down Unit, La’Tricia Danielle Harvey

Doctor of Nursing Practice (DNP)

Background: Inpatient falls are a significant risk to patient safety in acute care settings. Local Problem: A 24-bed adult cardiac step-down unit with elevated fall rate lacked standardized fall risk protocols. Methods: Iterative Plan-Do-Study-Act (PDSA) cycles were used to implement, evaluate, and refine a structured workflow over 12 weeks. Interventions: A protocol-guided fall prevention checklist was deployed, supported staff education, peer coaching and leadership audits. Results: Nursing protocol knowledge increased from 83% to 93.11%, checklist compliance averaged 90%, and these process improvements correlated with a 83.3% reduction in the overall unit fall rate. Conclusions: Standardizing care via a protocol-guided fall …

A Multifaceted Innovation To Support Student Nurse Writing Self-Efficacy, Lila De Tantillo, Lauren Holloway

Faculty Publications

Background: Supporting academic writing is a critical pathway for professional development in nursing. More knowledge is needed about fostering student confidence in writing and self-efficacy in the writing process. Innovation: The purpose was to implement a multifaceted program to expand writing resources and support writing self-efficacy among nursing students. Course-specific instruction and an online learning platform were provided to support student writing and critical thinking. Implications: Students noted the need for additional preparation in the initial stages or prewriting components of writing-based assignments. We determined that building academic literacy and confidence in writing is vital to support critical thinking in …

Making Unsafe Sequences Unexecutable: Formal Protocol Enforcement For Cyber-Physical Systems, Arthur Amorim

Graduate Studies Theses and Dissertations 2026

Cyber-physical systems execute physical actions in response to software commands, making their communication protocols a primary attack surface. A stealthy attack is a sequence of individually valid messages that violates a required ordering, driving the system into an unsafe state without malware or protocol violation. Existing defenses examine messages or physical state in isolation, not protocol level sequences, and cannot prevent them. Preventing them requires enforcement that makes unsafe sequences unexecutable at the communication boundary.

Formal methods offer a principled path to enforcement, but no tool spans specification to safe deployed hardware. Model checking automates proofs but has no certified …

Developing A System Dynamics Framework For Sustained Digital Transformation, Quintal Battle

Graduate Studies Theses and Dissertations 2026

Despite significant organizational investments, more than 70% (Ellmer et al., 2025) of digital transformation initiatives fail. The existing literature evaluates transformation mechanisms as separate factors rather than as interacting, evolving feedback systems. This dissertation addresses this gap by developing and validating a system dynamics framework for sustained digital transformation. Guided by three research questions, the study examined the mechanisms that enable or constrain transformation, identified mechanisms distinctive to digital transformation contexts, and evaluated how existing change management frameworks guide transformation efforts. The study followed a six-phase methodology that combined a systematic literature review of peer-reviewed studies, empirical cases, causal loop …

An Examination Of The Impact Of School Context And Socioeconomic Status On Agency And Creative Productivity In Gifted High School Students, Elizabeth Bronson

Graduate Studies Theses and Dissertations 2026

This explanatory sequential mixed methods study investigated gifted high school students’ perception of the agency afforded them within school settings, and the relationship between these perceptions and their creative productivity. A sample of 140 students was drawn from a population of 966 identified gifted high school students. These students were contacted via their parents and asked to complete the Agentic Engagement Scale (AES) questionnaire which provided gifted high school students’ perceptions of the agency afforded at school. No significant differences in perceived agency were found across demographic variables, including socioeconomic status and school type. Of the respondents, 10 students were …

Optically-Pumped Semiconductor Optical Amplifiers, Dhruvkumar Desai

Graduate Studies Theses and Dissertations 2026

Semiconductor optical amplifiers (SOAs) offer a low-cost, compact solution for power amplification needs in an optical communication system compared with the dominant erbium-doped fiber amplifiers (EDFAs). They can also provide a wide gain bandwidth. However, conventional electrically-pumped SOAs suffer from larger noise figures, low saturation power, and polarization dependence, in comparison with EDFAs. We propose an optically-pumped SOA (OP-SOA) that will maintain the benefits of conventional SOAs while closing the gaps in other amplifier performance metrics. The underlying reasons for optical pumping are twofold. First, optical pumping allows higher carrier injection and thus "population inversion." Second, optical pumping decouples carrier …

Detecting Error In Ai-Generated Text: The Effects Of Authorship And Word Presentation Speed, Gabriela Flores Cruz

Graduate Studies Theses and Dissertations 2026

The increased us of artificial intelligent (AI) chatbots powered by Generative Pre-trained Transformers has raised concerns about users’ ability to detect errors of AI-generated text. This dissertation examined how readers identify inconsistencies in AI-generated expository passages using the inconsistency detection paradigm from comprehension monitoring research. Across two experiments, it investigated whether perceived authorship and word presentation speed influenced inconsistency detection. Experiment 1 used a 3 (author: human, AI, no author) × 2 (inconsistency type: internal, external) between-subjects design. Perceived authorship did not significantly affect hit rates, sensitivity, or response bias. Exploratory analyses indicated that reading comprehension and working memory predicted …

Minimizing Performance Overheads For Crash-Consistency In Disaggregated Persistent Memory, Khan Shaikhul Hadi

Graduate Studies Theses and Dissertations 2026

Compute express link (CXL) enables persistent memory disaggregation with memory pooling and hardware managed multi-host memory sharing capability, resulting in better resource utilization, increased scalability. Persistency-aware applications need to manage crash consistency across the system which results in significant performance overhead. This dissertation systematically investigates performance overhead to achieve crash consistency in disaggregated persistent memory and proposes solutions to enable persistency-aware application scaling for distributed system. First, we study persistent parallel programming to scale computation capability beyond single processor and determine the underlying hardware limitation to adopt lock-free data structure. We propose hardware support to design durable atomic instruction (DAI) …

Examining Teachers’ Data Usage Using The Teacher Data Use Survey, Natasha L. Hawkins

Graduate Studies Theses and Dissertations 2026

The United States spends approximately 2.7 billion dollars on classroom assessments and local exams for K-12 students (SIMBA, 2019).  However, despite this financial investment and the adoption of data-driven frameworks such as Multi-Tiered System of Support, the U.S. Department of Education found that only 55% of teachers used student data to make instructional decisions (U.S. Department of Education, 2007).  This study aims to explore the psychological and organizational factors that influence teachers’ data use when making instructional decisions.

This study used the Teacher Data Use Survey (TDUS) to investigate the extent that teachers’ use of data could be predicted by …

A Single-Cell Atlas Characterizes Dysregulation Of The Bone Marrow Immune Microenvironment Associated With Outcomes In Multiple Myeloma, William C Pilcher, Lijun Yao, Yizhe Song, Kazuhito Sato, Julia T Wang, Reyka G Jayasinghe, Jennifer A Foltz, Mark A Fiala, Chiang I-Ling, Julie Fortier, Michael Slade, Stephen T Oh, Michael P Rettig, John F Dipersio, Shaji Kumar, Ravi Vij, Li Ding, Et Al.

2020-Current year OA Pubs

Multiple myeloma (MM) remains incurable despite advances in treatment options. Although tumor subtypes and specific DNA abnormalities are linked to worse prognosis, the impact of immune dysfunction on disease emergence and/or treatment sensitivity remains unclear. We developed an Immune Atlas of MM by generating profiles of 1,397,272 single cells from the bone marrow (BM) of 337 newly diagnosed participants and characterized immune and hematopoietic cell populations. Cytogenetic risk-based analysis revealed heterogeneous associations with T cells of BM, with 17p13 deletion showing distinct enrichment of a type 1 interferon signature. The disease progression-based analysis revealed the presence of a proinflammatory immune …

Epithelial-Mesenchymal Transition And Stress Adaptations Underlie Yttrium-90 Resistance In Liver Cancer Cell Lines, Alexander Zheleznyak, Dhanusha Duraiyan, Prasanth Thunuguntla, Jessica Camacho, Shuang Wu, Jingxia Liu, Jason D Weber, Daniel L J Thorek, Benjamin S Strnad, Ryan C Fields, Matthew A Ciorba, Christine Yoon, Valerie Blanc, Nicholas Davidson, Jessica Silva-Fisher, Christopher D Malone

2020-Current year OA Pubs

UNLABELLED: Molecular signatures predict prognosis in hepatocellular carcinoma, but their relevance to transarterial radioembolization (TARE) with yttrium-90 (90Y) is unknown. We aimed to identify baseline and treatment-induced pathways associated with response and nominate biomarkers. Ten transcriptomically diverse human liver cancer cell lines were exposed to escalating activities of glass 90Y microspheres for 10 days. Normalized AUC values quantified sensitivity. Whole-transcriptome RNA sequencing at baseline and after treatment was analyzed with elastic net regression and gene set enrichment. Findings were corroborated by qRT-qPCR and exploratory analysis of pretreatment tumor samples from patients undergoing TARE. Liver cancer cell line responses to 90Y …

Characteristics Of Cerebral Palsy In The Midwestern Us, Susie Kim, Kelsey Steffen, Lauren Gottschalk-Henneberry, Jennifer Miros, Amy Robichaux-Viehoever, Karen Taca, Bhooma R Aravamuthan

2020-Current year OA Pubs

OBJECTIVE: Cerebral palsy (CP) is the most common lifelong motor disability worldwide. Yet, data is limited on how CP manifests in the US. Our objective was to characterize and determine factors affecting functional outcomes in a large population of young people with CP in the Midwestern US.

METHODS: We integrated caregiver and clinician-facing standardized data entry into routine clinical care at a tertiary care CP center (https://bit.ly/CP-Intake-Methodology). We extracted this data for people with an ICD10 diagnosis of CP seen between March 22, 2023 and December 28, 2023 and used it to describe CP characteristics and determine factors affecting the …

Airway Management In Emergency Department Thoracotomy: A Narrative Review, Aaron J Lacy, Adam Liebendorfer, Sarah M Guess, Rami S Al-Aref, Anthony P Kronfli, Rachel E Armstrong, Amelia W Maiga, Alexander Bracey, Ryan N Barnicle

2020-Current year OA Pubs

INTRODUCTION: Emergency department thoracotomy (EDT) is a high-risk, life-saving intervention for patients in traumatic cardiac arrest. A critical component of EDT is airway management, typically performed by emergency physicians, yet formal guidance regarding optimal strategies remains limited. Airway management in this setting is uniquely complex due to concurrent anatomic injury, physiologic instability, and the procedural demands of thoracotomy.

DISCUSSION: Endotracheal intubation (ETI) during EDT presents multiple challenges. Anatomic difficulties may arise from facial or cervical trauma, restricted positioning, and the presence of cervical collars. Cognitive load is heightened by the chaotic, multidisciplinary environment, requiring strategies such as pre-briefing, checklists, and …

The 2026 World Cup, In Trump’S Shadow, Richard Holtzman

History, Literature, and the Arts Faculty Journal Articles

This essay examines President Donald Trump’s rhetorical interventions in the lead-up to the 2026 FIFA World Cup. It is inspired by Eduardo Galeano’s Soccer in Sun and Shadow, which interprets football as a mirror reflecting broader political, cultural, and economic realities. My analysis explores how Trump commandeered the World Cup through spectacle, transforming it into a stage for symbolically demonstrating his power and indulging his ego. The president’s rhetorical behavior is explored and critiqued through three case studies and a final vignette: (1) the establishment of a White House World Cup Task Force, (2) the president’s threats to relocate …

The Relationship Between Enablement Sentiment And Kpi Achievement, Stefanie Boyer, David E. Fleming, Michael Rodriguez, Tom Tonkin

Marketing Department Faculty Journal Articles

Sales enablement (defined as the "activities, systems, processes and information that support and promote knowledge-based sales interactions with client and prospects” (Gartner, n.d.)) has evolved from a tactical resource to a strategic organizational function, crucial for aligning sales and marketing. Despite its importance, there is a lack of research on how 'sentiment' (perceptions toward enablement) influnces key performance indicators (KPI). This exploratory survey of sales and enablement professionals investigates sentiment across individual, team, and company levels, and its relationship with KPI achievement. Results reveal positive relationships between sentiment and performance outcomes at all levels with organizational sentiment being the strongest …

A Neurophenomenological Perspective On The Self And Spirituality: The Role Of The Affective Core Self, Michael J. Winkelman, Andrew B. Newberg

Marcus Institute of Integrative Health Faculty Papers

The self is central to spirituality because the self is necessary for consciousness, and spiritual relations are fundamentally about the self. Diverse research illustrates the role of the downregulation of the right parietal lobe (rPL) in the spontaneous manifestation of spiritual experiences and during meditative practices. The functions of the rPL are central to the self, especially the embodied self. Disturbances of the rPL and embodied self-functions are associated with spiritual experience, exemplified in their association with “selflessness.” Many forms of self appear incompatible with spiritual and mystical experiences. An exception is the affective core self, the most ancient form …

Biological Aging Acceleration In Major Depressive Disorder: A Multi-Omics Analysis, Breno Satler Diniz, Shangshu Zhao, Gabin Drouard, Eero Vuoksimaa, Miina Ollikainen, Eric J Lenze, Ming Xu, Richard H Fortinsky, George A Kuchel, Jaakko Kaprio, Chia-Ling Kuo

2020-Current year OA Pubs

Major depressive disorder (MDD) is linked to a higher risk of premature aging, but the mechanisms underlying this association remain unclear. Using data from two population cohorts (UK Biobank and Finnish Twin Cohort), we evaluate the relationship between systemic and organ-specific proteomic and epigenetic aging acceleration and MDD. A lifetime history of MDD was associated with accelerated proteomic aging at both systemic and organ-specific levels-including the brain-in both cohorts, with stronger associations than those observed with systemic epigenetic aging. Systemic and brain-specific proteomic aging acceleration were linked to higher risks of incident MDD and a greater risk of Alzheimer's disease, …

Novel Insights Into Early Alzheimer's Disease: Quantitative Gradient Recalled Echo Mri Reveals Preatrophic Neuronal And Myelin Injury Concurrent With Emerging Amyloid Pathology, Satya V V N Kothapalli, Tammie L S Benzinger, Randall J Bateman, Melody Li, Cihat Eldeniz, John C Morris, Dmitriy A Yablonskiy

2020-Current year OA Pubs

BACKGROUND: Brain amyloid accumulation is considered an early sign of Alzheimer's disease (AD) pathology, appearing decades before manifestation of clinical symptoms. However, very little is known about neurodegeneration during this early AD stage. Herein we use quantitative gradient recalled echo (qGRE) magnetic resonance imaging (MRI) to reveal preatrophic microstructural neuronal and myelin damage concurrent with amyloid pathology.

METHODS: qGRE MRI and positron emission tomography (PET) amyloid [

RESULTS: qGRE detected significantly lower gray matter neuronal density and white matter myelination in the group of participants with amyloid level below the conventional amyloid-positive threshold (mean cortical standardized uptake value ratio of …

Alzheimer's Disease Stage 1 And 2: Biology, Diagnostics, And Treatment, Suzanne E. Schindler, Sarah M. Hartz, Et Al.

2020-Current year OA Pubs

No abstract provided.

Participatory Systems Modeling In Implementation Research: Exploring Benefits, Facilitators, And Future Needs, Natalie Riva Smith, Jennifer L Cruz, Jessica Gannon, Stephanie Mazzucca-Ragan

2020-Current year OA Pubs

BACKGROUND: Implementation science increasingly uses participatory systems modeling (PSM) approaches to handle the complexity inherent to implementation science issues. To support the process of integrating PSM with implementation science, we aimed to understand and explicate the benefits, facilitators, and future needs of applying PSM to implementation research.

METHODS: We conducted semi-structured qualitative interviews with 23 researchers (n = 18) and practitioners (n = 5). We purposively sampled participants and identified additional participants through recommendations. Interviews were inductively analyzed. Key concepts were identified via iterative description, comparison, and conceptualization.

RESULTS: Engagement with people in the system was typically focused in earlier …

Concordance Of Fluorescence In Situ Hybridization, Whole-Exome Sequencing, And Chromosomal Microarray For Evaluating High-Risk Molecular Features In Meningiomas, Brenndan Crumley, Emilie Russler-Germain, Sonika Dahiya

2020-Current year OA Pubs

BACKGROUND: Meningiomas are the most common primary intracranial tumors, classified into three WHO grades based on histologic and/or molecular criteria. cIMPACT-NOW Update 8 underscores the increasing importance of molecular testing in grading and risk stratification, noting that morphologically WHO grade 1 tumors with concurrent 1p and 22q losses demonstrate clinical behavior comparable to WHO grade 2 meningiomas. This study aimed to assess the concordance of fluorescence in situ hybridization (FISH), chromosomal microarray analysis (CMA), and whole-exome sequencing (WES) in defining the molecular risk profile of meningiomas.

METHODS: A total of 113 meningiomas were analyzed by WHO grade to assess the …

The Association Between Maternal-Fetal Medicine Physician Density And Pregnancy Outcomes, Tetsuya Kawakita, Rula Atwani, Misa Hayasaka, Lindsay Robbins, George Saade

Department of Obstetrics & Gynecology Faculty Publications

Objective

We sought to examine the association between maternal-fetal medicine (MFM) physician density and adverse pregnancy outcomes at the state level.

Study Design

This was a cross-sectional analysis of publicly available, state-level data from 2018 to 2021, including Natality, Multiple Cause-of-Death, and Fetal Death databases. The number of active MFM physicians per year was obtained for each state from the American Medical Association Masterfile. The primary exposure was the density of MFM per state, categorized into three groups: (1) low density (< 30 MFM physicians per 100,000 live births), (2) moderate density (30-59 MFM physicians per 100,000 live births), and (3) high density (≥60 MFM physicians per 100,000 live births). Our primary outcome was maternal mortality during pregnancy and up to 42 days postdelivery. Our secondary outcomes were pregnancy-related mortality up to 365 days postdelivery and stillbirth. We calculated adjusted incident rate ratios (aIRR) and average marginal effect (AME) with 95% confidence intervals (95% CI) using multivariable negative binomial mixed effects regression models.

Results

Overall, there were 14,792,743 live births, 3,440 maternal mortalities, 4,980 pregnancy-related mortalities, and 90,848 stillbirths included. The …

Medical Students Report Coherent Ethical Orientations Towards Ai Across Academic And Clinical Domains, With No Clear Association With Perceived Technical Readiness: A Cross-Sectional Pilot Study, Ismail El Moudden, Madison Baldauf, John Millerhagen, Anca Dana Dobrian

Department of Obstetrics & Gynecology Faculty Publications

Background

Whether perceived technical AI competency is associated with greater ethical openness to AI integration, a relationship often assumed in curricular design, remains empirically untested. This pilot study examined relationships between perceived AI readiness, ethical perspectives toward AI integration, and curricular needs among medical students.

Methods

A cross-sectional survey was administered to medical students at a single U.S. institution from September through November 2025. The survey assessed self-reported AI readiness, ethical perspectives across academic and clinical domains, and responses to 22 scenario-based ethical items; all measures were student self-reports, and findings reflect student perceptions. Composite indices were created for Perceived …

The Role Of Soil In Historical Warfare: A Review, Gian Franco Capra, T. A.R. Nogueira, Cassio Hamilton Abreu-Junior, Arun Dilipkumar Jani, Rafael Barroca Silva, Eleonora Grilli, Alessandro Auzzas, Antonio Ganga

Biology, Agriculture and Chemistry Faculty Publications and Presentations

Soil has played a fundamental yet undervalued role in shaping the fate of historical warfare. While the effects of war on the soil environment have been thoroughly investigated, the impact of soil on military strategies and battle outcomes remains poorly understood. This review aims to: i) explore the multifaceted role of soil in warfare, focusing on its impact on several aspects (mobility, fortifications, camouflage, health, geopolitical strategy, etc.); ii) identify which soil types were usually most associated with conflicts, and iii) how soil features influenced military decision-making. A dataset of over 17,000 recorded battles (1468 BCE–2003) was …