Digital Commons Network^™

Development Of Nurse-Led Ultrasound-Guided Iv Access Using Novel Diva Scoring Too, Kevin Lamonica

International Nursing Research Congress (INRC)

Purpose: To develop and validate a novel Difficult Intravenous Access (DIVA) prediction tool for an urban emergency department (ED) and implement a nurse-led ultrasound-guided peripheral intravenous (USGPIV) access program.

Background: Difficult intravenous access affects 10-24% of ED patients, causing treatment delays and unnecessary central line placement (Egan et al., 2013; Loon et al., 2016). USGPIV demonstrates superior success yet procedures remain physician-restricted. Existing DIVA tools developed in European populations may not accurately predict risk in diverse urban settings. Expanding nursing scope requires validated risk stratification and standardized training.

Methods: This multi-phase quality improvement initiative utilized SQUIRE 2.0 guidelines. Phase I: …

The Dual Impact Of Professional And Community Interventions On Recidivism, Anjelika M. Dillard

Master of Arts in Human Services

This capstone project evaluates the effectiveness of professional and community interventions in reducing criminal recidivism and facilitating successful community reintegration for justice-involved individuals. Grounded in the Risk-Need-Responsivity (RNR) model, Desistance Theory, and Trauma-Informed Care frameworks, this study synthesizes contemporary behavioral health and criminological literature to examine how institutional programming and post-release community support interact to foster long-term behavioral change. The findings demonstrate that while evidence-based institutional treatments—such as Cognitive-Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and targeted vocational training—provide essential foundations for cognitive restructuring and skill acquisition, institutional programming alone is insufficient to prevent re-offending. Long-term desistance depends on an …

Interpretable Multimodal Learning For Integrating Neuroimaging And Genetic Data In Alzheimer’S Disease, Kun Zhao, Siyuan Dai, Yingying Zhang, Guodong Liu, Pengfei Gu, Chenghua Lin, Paul M. Thompson, Alex D. Leow, Heng Huang, Haoteng Tang

Computer Science Faculty Publications

Introduction: Early detection of Alzheimer's disease (AD) requires models that combine brain structure changes with genetic risk, but existing methods struggle to align these different data types.

Methods: We present R-GenIMA, an interpretable multimodal large language model that pairs a region-of-interest vision transformer with genetic prompting to jointly analyze structural MRI and single nucleotide polymorphisms (SNPs). Each brain region becomes a visual token and SNP profiles are encoded as structured text, letting the model link regional atrophy to genetic factors through cross-modal attention. Tested on the ADNI cohort, R-GenIMA performs well in classifying four groups: normal cognition, subjective memory concerns, …

Squidsat: A Modular, Open-Source 3u Cubesat Bus For Low-Cost Cubesat Missions, Aaron Bournias, Joseph Dukowitz, Mark Jaber, Tyler Field, Micah Nguyen, Koowum Joshi, Noah Campos, Daphne Riordan, Ryan La Ra, Jonathan Luse, Joshua Sink, Tyler Nielsen, Ricardo Ontivaros, Michael Goryll, Joe Dubois

Small Satellite Conference

CubeSat launches continue to increase yearly, yet over 51% of missions from 2002–2016 failed. Primary faults were often due to power, mechanical, or design issues. Costs still remain high in a market driven by expensive flight-heritage hardware with proprietary designs. In order to counteract such costly practice, Sun Devil Satellite Lab (SDSL) at ASU has developed an open-source, modular 3U CubeSat bus built for low cost reliability. Unlike other bus architectures, SquidSat distributes control across independent microcontrollers linked via a CAN bus. CAN is commanded by the OBC but is capable of independent operation for fault isolation and easier testing. …

Onboard Ai At The Orbital Edge: A Mission Debrief From Stp-H7-Caspr, Evan W. Gretok, Linus Silbernagel, Diego Wildenstein, Michael J. Cannizzaro, Seth Roffe, Alan D. George

Small Satellite Conference

Goals: Enable autonomous Earth observation and onboard sensor data processing with novel compute

Motivations: Growing numbers of spacecraft demand autonomy in operation and data collection

Challenges: Harsh radiation and thermal environment of space over four-year mission lifetime

The Etsu Historian, Tyla Melkonyan

The ETSU Historian

No abstract provided.

Aggiesat6 University Cubesat Ops Prep And Leops, Avery G. Barriga, Garrett M. Stevenson, John F. Connolly

Small Satellite Conference

AggieSat6 (AGS6) is a 6U CubeSat designed and developed by students at Texas A&M University (TAMU) as part of the University Nanosatellite Program (UNP) NS-10 cycle. The mission will demonstrate a space-based radio frequency array for Space Domain Awareness (SDA) applications and collect low-energy electron radiation data to improve existing environmental models. Beginning in January 2025, students at TAMU established mission operations architecture, implemented operator training and certification, and prepared to assume sole responsibility for on-orbit operations. The AggieSat6 bus launched into Low Earth Orbit (LEO) in April of 2026. The AGS6 Mission was supported by the University Nanosatellite Program. …

Bcon-2 Operations And Pre-Flight Testing, Kenny Blanton, Brayden Kuchenbacker, Dan White

Small Satellite Conference

As part of the Dream Big Phase I mission, Valpo Space Program’s (VSP) satellite BCON-2 is a 0.5U ThinSat CubeSat designed by NearSpace Launch (NSL).

Dimensions: 0.5U ThinSat (10 cm × 10 cm × 5 cm).

• Comms/MCU Board: STM-32 based PocketQube satellite board that utilizes an AX5043 transceiver to manage VHF/UHF radio communications and subsystem connectivity via CAN bus.
• ADCS Payload: Collaborative flight of the University of Luxembourg’s (UniLu) Space Systems Engineering (SpaSys) system; features their PCB-embedded tri-axial magnetorquer coils Attitude Determination and Control System (ADCS).
• Square Koch Fractal Antenna: The RF systems remain inactive for this mission due to …

The Ecological Impacts Of Un-Protecting Forests: The Case Of Gold Mining In Ghana, Tate Alexander Barend

Master's Theses

This paper estimates the causal effect of Ghana’s Legislative Instrument 2462 (L.I. 2462) on deforestation in protected areas. The policy redefined the regulatory regime governing small-scale gold mining in protected areas, moving from prohibition to discretionary permitting. I exploit the implementation of L.I. 2462 as a policy shock and apply a difference-in-differences event-study framework to a propensity score–matched sample of pixels derived from high-resolution satellite images. Contrary to widespread concerns that the policy would accelerate deforestation, the results provide no evidence of large-scale vegetation loss in exposed protected areas following the policy change. Instead, protected area pixels located within 5 …

Metal Oxide Semiconductor Gas Sensors For Exhaled Breath Cancer Biomarker Detection, Guanglan Chen, Huihui Luo, Wenwen Peng, Shiyu Xu, Yuting Li, Huijie Ke, Sihui Zhong, Jiaao Wei, Tong Chen, Xiaokun Li, Youlin Zhang, Wei Chen

Online First

Early cancer screening can significantly improve therapeutic outcomes, volatile organic compounds (VOCs) and other related gases in exhaled breath, as cancer-specific biomarkers, offer a novel approach for non-invasive diagnosis. Metal oxide semiconductor (MOS)-based gas sensors are pivotal for exhaled breath VOCs detection, featuring compact size, cost-effectiveness, and rapid response. This review summarizes the most recent five-year research advances in cancer biomarker detection and clarifies the core mechanisms of electrical property changes from sensing material-VOCs interactions and key performance metrics including sensitivity, selectivity, humidity tolerance, response/recovery time, stability, and operating temperature. This review highlights the optimization strategies of sensing materials such …

A Four-Year Analysis Of #Orthotwitter Use During Match Week: Can X Be A Potential Equalizer For Students Left Unmatched?, Desiree E Ojo, Davis Hedbany, Brook Willett, Brandon D Rust, Geoffrey Deckard, Omar Guerrero, Jalen Warren, Michael Megafu, Morgan Turnow, Jaime Bellamy

Medical Education Articles

Background The orthopedic surgery match has changed. Since the COVID-19 pandemic, orthopedic surgery candidates and residency programs have used #Orthotwitter to promote, advocate, and educate their followers. This study aimed to evaluate changes in the use of #OrthoTwitter and #OrthoMatch during Match Week over a four-year period, including trends in author type, post content, institutional affiliation, engagement, and posting activity, with particular attention to posts involving unmatched applicants. Methodology The top tweets containing the hashtags #Orthotwitter and/or #OrthoMatch during the 2021, 2022, 2023, and 2024 Match Week were reviewed and collected. Tweets between the years 2021, 2022, 2023, and 2024 …

Impact Of Sleep On Glucose Metabolism In Individuals With Overweight Or Obesity: A Systematic Review, Trudy Abla Sitsofe Accorley, Patricia Casas-Agustench, Gail Rees, Kathy Redfern

School of Biomedical Sciences

INTRODUCTION: The obesity epidemic has coincided with chronic sleep deprivation. Sleep disturbances may contribute to metabolic dysfunction in individuals with BMI ≥ 25 kg/m 2. This review investigates associations between sleep patterns and glucose metabolism in this population.

METHODS: A PRISMA-guided search across five databases (PubMed, Embase, Cochrane, CINAHL, and MEDLINE) was conducted through January 2026. Studies examined sleep patterns and glucose metabolism in adults with BMI ≥ 25 kg/m 2. Quality was assessed using the Cochrane Risk of Bias Tool 2.0 and Newcastle-Ottawa Scale.

RESULTS: Eighteen studies (7715 adults) were included from 2993 records: crossover trials (n = 7), …

Mobile Health (Mhealth) Interventions To Promote Exclusive Breastfeeding In Low-Income Communities: A Scoping Review, Winarsih Winarsih, Dayat Subekti, Herdini Widyaningpertiwi, Tri Sunarsih, Endah Puji Astuti, Elvika Fit Ari Shanti

Journal of Health Research

Background: Exclusive breastfeeding (EBF) is a critical determinant of infant health and survival, yet its prevalence remains suboptimal in low-income communities globally. Barriers such as limited access to lactation support and misinformation continue to challenge EBF promotion efforts in these settings. This review maps and evaluates mHealth interventions that promote exclusive breastfeeding in low-income populations.

Methods: This scoping review was conducted following the JBI methodology and reported in accordance with the PRISMA-ScR guidelines. A systematic search of PubMed, Scopus, and Web of Science was conducted for articles published up to July 2025. Eligible studies involved any mHealth-based breastfeeding intervention …

Artificial Intelligence (Ai) As A Communication Pedagogy Mega-Risk, Deanna Sellnow

Journal of Communication Pedagogy

With the ever-expanding capabilities offered by artificial intelligence (AI), communication teachers, scholars, and practitioners are currently in the midst of heated debates about whether and how to use AI both in our classrooms and in our research. This essay contextualizes the debate by describing generative AI as a technological mega-risk that, if left unchecked, may manifest into a mega-crisis impacting people and planet in extraordinarily harmful ways. Consequently, I argue that it is our responsibility as instructional communication scholars, communication education teachers, and communication pedagogy experts to discover strategies for harnessing its power to manage the potential threats posed by …

How To Blow Up An Ai Data Center, Tyler Rife

Journal of Communication Pedagogy

This essay advocates a critical pedagogical orientation to AI guided by a politics of refusal. I pursue this advocacy by, first, showing how the social and environmental harms of AI technology outweigh any promises to its social good and then, second, locating resonances between our contemporary technological situation and similar inflection points in the histories of labor organizing and environmental justice activism. Together, these material implications of the emergent technology help form a pedagogical framework for how communication educators can advance critical literacy about AI in the classroom as a constructive counterpoint to its uncritical adoption in the learning process. …

Creating Safe(R) Classrooms: Trauma-Informed Teaching Practices In Higher Education, Shannon Pappas, Nolan Bowers, Lili R. Romann

Journal of Communication Pedagogy

Trauma is a public health issue, with effects being increasingly harmful for adolescents. While instructors cannot control how students respond to trauma, they can work to create traumainformed teaching practices to support student learning and safety. Based on the principles of trauma-informed pedagogy, this manuscript details how safety, trustworthiness and transparency, choice, collaboration, and empowerment can be implemented in higher education communication courses. Additionally, a sixth principle, responding to the current climate, is introduced. Currently, instructors are grappling with supporting vulnerable students and answering to those in power. These practices offer insights into classroom adaptations to assist instructors in these …

Community Problems Need Community Solutions: Feminist Collaboration Across Campuses To Create Transformative Outcomes Through Community Engaged Learning, Elizabeth Wilhoit Larson, Jasmine R. Linabary, Ziyu Long, Kylie J. Johnson

Journal of Communication Pedagogy

This study presents a multi-institutional engaged pedagogy project responding to college food insecurity that involved partnerships among students, instructors, and campus food pantries from three U.S. universities. Through analysis of pre- and post-class surveys, class assignments, and instructor and community partner reflections, we argue that our feminist collaborative approach resulted in transformative outcomes in three areas: (a) heads, as the collaboration enabled critical understandings of food insecurity and how to combat it; (b) hearts, as the collaboration fostered a culture of care and (re)ignited shared passion in doing change work, and (c) hands, as the collaboration inspired actions to address …

Meeting Rhetorical And Relational Goals In Online Higher Education: Insights From A South African Case Study, Rentia Du Plessis, Diana Breshears, Luzelle Naudé Prof

Journal of Communication Pedagogy

This qualitative study examines the degree to which synchronous and asynchronous online learning platforms both supported and constrained the achievement of rhetorical and relational goals in a resource-constrained South African higher education context. As online teaching practices persist in the post-COVID era, understanding how to design pedagogically sound online environments is increasingly important, particularly in the Global South where cost, access, and connectivity pose significant constraints. Drawing on the Rhetorical and Relational Goals Theory (RRGT; Mottet et al., 2006) and Kaufmann et al.’s (2016) online learning climate dimensions, the study analyzes undergraduate students’ perceptions of Blackboard Collaborate, PowerPoint voice-overs, WhatsApp, …

The Co-Educators Framework: An Illustrative Account Of Shared Pedagogical Practice And Inclusive Teaching In A Large-Enrollment Communication Course, Divya S, Man Luo, Jisha Jacob, Shahla Shahnaz Dyuti, Victoria Michelle Main

Journal of Communication Pedagogy

Large-enrollment courses present structural challenges to inclusive and relational pedagogy, particularly when instructional labor is shared across teaching teams that include graduate teaching assistants (GTAs). This study examines inclusive teaching as a communicative and practical process enacted through co-education, the coordinated instructional work of faculty and GTAs. Using a diary-based reflexive design, four doctoral GTAs contributed teaching journals across one semester of an undergraduate Communication Theory course. Reflexive thematic analysis identified four themes: collaborative course design, communication as pedagogical infrastructure, equitable assessment, and reflexive care. The study offers the Co-Educators Framework as an illustrative account of how shared, communicative pedagogical …

Caveats For The Forensic Use Of The Pcl-R With Antisocial And Psychopathic Women, Carl B. Gacono, Ted B. Cunliffe, Jason M. Smith, Enna E. Taylor

Archives of Assessment Psychology

Special considerations are necessary when assessing antisocial and psychopathic women.  Evident throughout the evaluation process (Cunliffe et al., 2016; Gacono, 2016; Gacono & Meloy, 1994; Gacono & Smith, 2021; Smith et al., 2014, 2021; Taylor, 2015), gender differences suggest the need for modified approaches, shape the transference/countertransference between examinee and examiner, and affect the administration, scoring, and interpretation of psychological tests. In this article we summarize Rorschach findings that support the underlying dynamics in antisocial and psychopathic women, discuss the unique aspects of evaluating the female psychopath, and present eight PCL-R items in need of modification for assessing women.

Molecular Interactions Of The Gas–Solid Interface: Svocs On Swelling Clays And San Joaquin Soil Surfaces, Liesl T. Jensen

Electronic Theses and Dissertations

Soil-derived mineral dust plays an important role in atmospheric chemistry by acting as a reactive interface for gas–particle interactions that influence the fate and transport of organic contaminants. Among soil components, clay minerals dominate surface reactivity due to their high surface area, structural complexity, and the presence of chemically active sites arising from cation exchange capacity and surface acidity. Environmental conditions, particularly relative humidity, further regulate these interactions by altering surface accessibility and competitive adsorption processes.

Despite the recognized importance of mineral dust, gas-phase interactions between organic compounds and clay minerals remain insufficiently understood, particularly under atmospherically relevant conditions. This …

Nurses’ Attitudes Towards Complementary And Alternative Medicine In Cancer Care – A Narrative Review, Saphir Davies, Patricia Eyres, Matt Carey, Kevin Hambridge

School of Nursing and Midwifery

Aims: This narrative review explored nurses’ attitudes towards complementary and alternative medicine (CAM) use in cancer care. Design: The study design was a qualitative narrative review with meta-aggregation. Data sources: Published studies were identified via searching the following databases: Medline, CINAHL, Pubmed and AMED.Review methods: Four papers that met the inclusion criteria were appraised using the Critical Appraisal Skills Program Tool. The qualitative data was extracted and meta-aggregated into three synthesised findings. Results: Four papers were included exploring nurses’ attitudes towards CAM in cancer contexts in four different countries. From these papers, 20 findings were extracted and formed into eight …

Adolescent Depressive Symptoms And Adult Functioning Within Major U.S. Racial Groups, Summer N. A. Millwood

Electronic Theses and Dissertations

Depression is the leading cause of disability among adults in the U.S and is associated with negative short- and long-term social, emotional, economic, and physical health outcomes. Notably, rates of depression among children and adolescents are rapidly increasing across the globe. Depression in youth disrupts crucial developmental processes that can adversely affect concurrent and longitudinal socioeconomic and health outcomes. Although extant research delineates the consequences of adolescent depression for adult functioning (e.g., lower educational attainment, fewer economic resources, worse physical health), studies that examine these associations within racially minoritized populations are scarce. This gap in the literature is especially striking …

Designing Inclusive Stem Curricula: A Design-Based Study Of Teacher Learning And A Queer Inclusive Framework, Kyle Nolting

Electronic Theses and Dissertations

STEM (Science, Technology, Engineering, and Mathematics) education has historically marginalized queer identities, shaping inaccurate curricula and fostering unwelcoming classroom environments. To address this, my research uses design-based research to investigate the design of queer-inclusive STEM curricular resources. I partnered with in-service secondary STEM teachers amidst a series of professional development courses to co-create curricular resources. My research is grounded in queer theory, using a Gender Inclusive Framework to collaboratively develop inclusive design principles. My findings revealed a strong desire by teachers for more authentic and fluid representations of gender and sexuality in STEM curricula, particularly beyond the biological science discipline. …

Lead Together: Amplifying The Nursing Voice In Public Media And Discourse, Richard Ricciardi

International Nursing Research Congress (INRC)

Nurses stand as the largest and most trusted healthcare workforce, yet their perspectives remain vastly underrepresented in global mass and social media. Despite accounting for fewer than 4% of quoted sources in health news, nurses have unparalleled insight into patient care, public health, and systemic challenges. By cultivating targeted knowledge, media engagement skills, and strategic media literacy, nurses can transform from behind-the-scenes providers into powerful public advocates. Equipping nurses to speak confidently and clearly with journalists, leverage digital storytelling platforms, and publish thought leadership pieces not only uplifts nursing as a profession, but also enhances health literacy, informs policy, and …

A Culturally Tailored Soap Opera (Telenovela) Intervention To Reduce Hiv Risk Among Latinas, Natalia Andrea Villegas Rodriguez, Baiming Zou, Yuanyuan Yan, Clare Barrington, Saif Khairat, Evelyn Iriarte, Christine Toledo, Nilda Peragallo, Laika Maganga, Susana Barroso, Daniel Santisteban, Rosina Cianelli

International Nursing Research Congress (INRC)

Introduction: HIV continues to disproportionately affect Latinas in the U.S.(1) However, referrals to HIV testing and Preexposure prophylaxis (PrEP) remain low (2). Telenovelas provides a culturally relevant platform for delivering health promotion to Latinas (3,4).

Aim. To assess the preliminary efficacy of Infectious Love (IL) to improve HIV prevention behaviors among Latinas.

Methods. 95 Latinas in North Carolina participated in a randomized controlled pilot study (n = 50 intervention, n = 45 control). IL consisted of four weekly episodes (~10 minutes each) available online (2). Latinas completed surveys assessing targeted HIV-related outcomes at baseline, 1-month, and 7-months post-baseline. Latinas in …

Illuminating Instances Of Punitive Approaches To Care In Perinatal Settings In Canada, Amy L. Wright, Jen Rinaldi, Idil Abdillahi, Yann Zoldan, Julia Smith, Emilie Hudon, Lauren Munro

International Nursing Research Congress (INRC)

Carceral perinatal care is the provision of coercive or punishing care by clinicians during the perinatal period (1). Whether intentional or driven by licensure/policy demands, clinicians have been implicated in the provision of punitive care for pregnant and parenting patients (1-4).

Purpose: The Do No Harm project aims to thoroughly understand carceral instances of clinical practices across the perinatal continuum of care to develop abolitionist solutions that are equitable, person-centred, and trauma-responsive. Abolitionist solutions reimagine prevention, intervention and healing ways of accountability that do not cause further harm (5).

Methods: Informed by the Reproductive Justice Framework (6) and Abolitionist Feminism …

From Seed Funding To Global Impact: Building A Successful Nurse-Led Research Program, Nicola Cornally, Mohamad M. Saab

International Nursing Research Congress (INRC)

Background: Large scale nurse-led research is infrequently observed when compared to other health disciplines. Advancing nurse-led research and improving uptake of evidence requires a shift in how the profession secures funding.[1] Nurse-led research faces barriers like limited opportunities, competing demands, low perceived value, and a paucity of role models/mentors. [2] With the increase in doctorly trained nurses, there is an urgent need to address such barriers.

Aim: To explore the mechanisms that build a successful nurse-led research program.

Methods: Case studies (CS) of how two nurse Chief Investigators navigated the path to leading major grants.

CS1: From a small post-doctoral …

Community Perspectives On The Health And Well-Being Of Adults With Serious Mental Illness, Joy Maddigan, Ahmad Deeb, Jill Bruneau, Chantille Isler

International Nursing Research Congress (INRC)

Background: Worldwide, individuals with serious mental illness (SMI) face challenges in caring for their physical and mental health (Firth et al., 2019). Illness symptoms, medication effects, poverty, and lack of attention by health professionals jeopardize their wellbeing and result in the early development of long-term diseases leading to early death (Hallyburton & Alison-Jones, 2022). The situation continues to worsen in spite of decades of awareness and recognition (Chan et al., 2023).

Objectives: To explore the perspectives of members of the mental health community about the context, barriers, and best practices for engaging individuals in wellness activities and healthy behaviors.

Methods: …

The Development And Validation Of Gains-Id, A Guidebook For Adapting Intervention Sessions For Students With Intellectual Disability, Kayla Mccreadie

Electronic Theses and Dissertations

Targeted interventions can equip students with intellectual disabilities (ID) with essential academic skills that support positive post-secondary outcomes. However, the lack of interventions specifically designed for this population creates barriers to equitable education. Until more interventions are developed, educators may benefit from resources that help adapt evidence-based practices to meet the needs of students with IDD.

The first manuscript introduces GAINS-ID (Guide for Adapting INtervention Sessions for Intellectual Disabilities). Based on best practices and Universal Design for Learning (UDL), the guide offers examples of adaptations to various intervention components—such as time, materials, environment, …